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HIV AIDS Workplace Training

HIV AIDS Workplace Training. “XXXXXX recognizes that HIV/AIDS is a global problem impacting on our employees, dependents and their communities, our service providers, customers and the infrastructure we operate.

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HIV AIDS Workplace Training

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  1. HIV AIDS Workplace Training

  2. “XXXXXX recognizes that HIV/AIDS is a global problem impacting on our employees, dependents and their communities, our service providers, customers and the infrastructure we operate. We have a responsibility to manage the potential impact of HIV/AIDS on our business” HIV/AIDS Policy & Strategy 2003”

  3. Introduction Part 1 HIV AIDS RESPONSE Charter Policy Flowchart Part 2 STI, HIV and AIDS An Introduction Part 3 “VCT” and Prevention Part 4 STIGMA & DISCRIMINATION SUMMARY

  4. Part 1XXXXXXX HIV / AIDS work place policy • Introduced in 2003. • Main purpose • protect employees • Issues for managers

  5. What is HIV? • Mode of Transmission Test “VCT” HIV NEGATIVE “for now” Prevention • Abstinence • Be Faithful to one partner • Condom High risk behaviour Other HIV Positive “positive forever” STI • Clinicians • Prophylaxis • Management • ARV • Monitoring Human rights NEW START Positive Living Condoms Treatment Love Food Health Living For many years PLWHA Choice • Care and Support • Emotional support • Spiritual support • Physical Needs • Counselling Negative Living Alcohol abuse No Treatment No support Develop AIDS Illness then DEATH ADVOCACY

  6. Part 2 STI, HIV and AIDS An Introduction

  7. S = Sexually T = Transmitted I = Infection STI’s are infections passed from person to person during sexual activity. HIV is one of the sexually transmitted infections Terminology

  8. H = Human I = Immune deficiency V = Virus HIV is the name of the virus, and it affects the body for many years and eventually causes AIDS. A = Acquired I = Immune D = Deficiency S = Syndrome AIDS is not a disease, but a syndrome- a collection of symptoms and signs. When a person has AIDS, their body has no more strength to fight infection and many severe infections can attack them. Terminology

  9. Immune system What is the immune system? • Immune system contains special defense cells in the blood stream and lymph nodes, which can recognize germs entering the body, kill them and remember them if they enter the body again. • Defense cells are White blood cells. • “CD4” cell is the white blood cell attacked by HIV.

  10. From HIV to AIDS

  11. How is HIV spread?

  12. HIV Transmission Unprotected sex with an infected person Any form of penetrative sexual intercourse without a condom, this includes: vaginal sex anal sex oral sex Anal and vaginal sex are the most dangerous for transmission HIV virus is found in the blood, male semen, female vaginal fluids and breast milk.

  13. HIV Transmission Risk of transmission: • Anal receptive sex - 1 in 30 chance • Vaginal receptive sex - 1 in 500 chance • Anal insertive sex - 1 in 1000 chance • Vaginal insertive sex - 1 in 1110 chance • Oral sex - too low a risk to measure • But these risks are considerably increased if there is an STI or any trauma Source: Madang Short course on HIV medicine 2004

  14. HIV Transmission Parent Mother to Child Transmission • During pregnancy • During child birth • During breast feeding • In HIV positive women , 3 or 4 babies out of every 10 will become HIV positive, if there is no intervention. • Second most common cause of HIV in PNG

  15. HIV Transmission • Blood or blood products • handling blood without gloves • blood transfusion (rare due to • testing) • sharing used sharp instruments e.g • tattooing, skin cutting, needles

  16. HIV Transmission • Accidental workplace exposure -Personal Protective equipment -Reporting to OH & S

  17. The link with STI’s? • A person with a….. Sexually Transmitted Infection has a greater chance of getting HIV. HIV is a Sexually transmitted infection – Preventing STI’s will prevent HIV. • IMR research results

  18. Discharges IMR STI study in Tabubil, 2005 Gonorrhoea 10% Trichomonas 15.7% Chlamydia 17%

  19. Ulcers Syphilis 9.2% Warts not studied Herpes not studied Donovanosis not studied

  20. Why are we STILL talking about STI’s? STI’s are a serious link to HIV STI’s are a serious problem in our community

  21. You cannot get an STI or HIV by… Talking on the phone Sharing a meal or a drink Shaking hands or holding hands

  22. HIV is NOT spread by… Kissing, cuddling, dancing, using the same toilet, mosquitoes, coughing…..

  23. BUSINESS IMPACT “ companies are already suffering the consequences of the HIV/AIDS epidemic, with 40% of the manufacturers and transport companies and 60% of the mines reporting that HIV/AIDS has led to a loss of experience and vital skills in their organizations” Source: South African Business Coalition for HIV AIDS, November 2005.

  24. Source: The Business Response to HIV AIDS, UN AIDS 2000

  25. Source: AusAID Economic report, 2002.

  26. HIV statisticsWorld wide

  27. Global estimates for adults and children, 2006 People living with HIV 39.5 million [34.1 – 47.1 million] Source: UN Aids

  28. More than 5 people died every minute from AIDs in 2006

  29. In PNG

  30. HIV AIDS in PNG, 1987 – 2006 (March). Source: NACS Report,: March 2006

  31. 1400 1200 1000 Male Female 800 Cases 600 400 200 0 0 - 4 5 - 9. 40 - 44 55 - 59 30 - 34 50 - 54 15 - 19 10 -14. 20 - 24 25 - 29 35 - 39 45 - 49 > 60 yrs Age groups Age & Sex distribution of people with HIV / AIDS Source: NACS Report, March 2006

  32. In North Fly

  33. HIV/AIDS in North Fly, 1999 - 2006. Source: Public health data, Tabubil hospital

  34. HIV/AIDS in North Fly, 1999 - 2006. Source: Public health data, Tabubil hospital

  35. Factors contributing to the spread of HIV • What are the factors that contribute to HIV spreading in the community? • What are the strengths found in your community that can be used to address the issue of HIV? • Group Exercise:

  36. Factors contributing…..1 Big picture: Poverty Rural to urban drift (seeking opportunity) Lack of education , illiteracy, ignorance Cultural behaviour – polygamy Churches (discouraging protected sex) Lack of health infrastructure

  37. Generally: “mobile men with money” “mobile men with many ...polygamy” FIFO – single status Unfaithful partners No access to condoms Lack of personal accountability Troubled relationships Violence / rape Alcohol Ignorance Factors contributing…..2

  38. History Leadership XXXXXXX resources Advocacy PLWHA Cooperative approach Schools Sporting groups Churches Radio Fly / OTV / Media Local government Open discussion Educated people advocating- YOU! Sharing skills and knowledge Strengths to draw on….

  39. TEA BREAK

  40. Part 3 HOW CAN I KNOW IF I HAVE HIV?

  41. “VCT” Voluntary Counselling and testing • Process is mandated by law • Steps involve pre test information • Blood Test • Post test counselling

  42. Where can I get a test? • Access in PNG generally can be difficult • XXXXXXis accredited by National Aids Council Secretariat (NACS) to conduct HIV rapid testing. • Contact Public Health department

  43. More about the test…. • Blood sample is tested TWICE • First test is “indicative” only. • Result is available quickly • Sensitivity 99.9% • Second test is confirmation of the first • If result is positive, it is sent to a reference laboratory. It can take up to two weeks for final result. • But……

  44. What is the Window Period?” “Window period” is: the period of time between when a person becomes infected with HIV virus and when the virus is detectable in their blood. • Example June 3/6 July 3/7 Aug 3/8 Sept 3/9 • If a person is infected with HIV virus on the 3rd June, likely detection of HIV antibodies will be on September 3rd. • We may advise clients to return after 3 months to have their blood test repeated.

  45. Prevention strategies

  46. HIV Prevention Strategies • A Abstinence • B Be Faithful • C Condom Use • D Delay sex

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