Reaching the informal sector in concentrated epidemics

1. ProtectHumanRightsatWork, Prevent HIV Abstract no.A-641-0382-08354 Reaching the informal sector in concentrated epidemics Richard Howard, ILO Regional Office Bangkok

2. ProtectHumanRightsatWork, Prevent HIV Goals of Workplace Programs Eliminate stigma and discrimination Reduceriskbehaviors Increaseuptake of services Priority focus on voluntary HIV testinglinked to treatment and care

3. Stigma and Discrimination UNAIDS Stigma Index Surveys

4. ProtectHumanRightsatWork, Prevent HIV Targeting workplace programs Asia and the Pacific epidemics are concentrated in key populations – MSM, SW and PID MSM Prevalence 10 to 30 percent SW 1 to 20% PID 1- 37% Mobile male workers and migrants – 1 – 2%

5. Approach • Advocacy, leadership, ownership • NGO builds capacity and company manages programs • Linkages with health services, VCT (mobile and referral), adherence support

6. ProtectHumanRightsatWork, Prevent HIV Workplace programs for Mobile Men: example Papua, Indonesia Partner withlarge scaleresourcecompanies – e.g. Pertamina Policy Prevention Testinglinked to care Extend to community

7. ProtectHumanRightsatWork, Prevent HIV Bangkok Sauna Program Targeting workers and customers Guidelines on safe sauna Policy at workplace level Training for workers Outreach and supplies for customers

8. ProtectHumanRightsatWork, Prevent HIV Cambodia Entertainment Sector Documentation of labour rights violations – Apheda and WNU National policy on labour rights and entertainment work Model programs – safety and health and gender equality

9. Conclusions • Workplace programs can reach key population in the informal sector • NGOs play a critical role • Key to address human rights • Size matters but reaching the right people with the right intervention if priority