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AIDS amongst workers: What special factors influence the access and adherence of workers?. Lecture 5. Aim of lecture. For nurses to gain a solid understanding of the special HIV-management needs of HIV positive workers to optimize access and adherence
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From a business perspective, what are some of the costs of ‘doing nothing’ about HIV?
(Rosen, Feeley, Connelly and Simon , 2007)
Case study: Côte d’Ivoire
Overall, studies have suggested that, even though it is expensive to run HIV management programs, it’s generally cheaper than doing nothing at all. (George 2006)
(Connelly and Rosen 2006)
1) Develop and publicise a workplace HIV/AIDS policy
That was my worst fear... I thought I would be demoted and I thought someone would be appointed to take over my job. (CL, 58, supervisor at mine)
I think people should be told that these results will not be used in any way by decision makers in the company (CO, 38, sawmill forklift operator)
2) Implement workplace VCT that employees actually use
3) Emphasize confidentiality
Some people are afraid of tests because they are afraid of losing their jobs. They feel an HIV positive status would threaten their position at work. They think they will be sacked or be removed from their comfortable jobs. (PE, 38, forestry estate gardener)
4) Management support
The company should also encourage the senior management to take up HIV tests so that everyone knows that they are serious about this issue. (ML, 50, forestry estate sawmill operator)
Some departments are so busy and production oriented that one cannot take a minute. If a supervisor does not understand they would say: “you AIDS patients you are difficult to work with” because the worker would have asked to be excused for some few moments to take the drugs (TE, 52, tea factory drying department).
4) Management support cont’d
5) Help HIV positive workers visit the clinic and take their medicine
The major worry is whether we will continue to be allowed to go and collect our medication. So the major worry is being able to visit the clinic (forestry estate worker).
6) Adjust duties for HIV positive workers when necessary
7) Peer educators
I also encourage the youths here to stay negative and live long. (MO, 35, tea factory foreman)
7) Peer educators cont’d
Right now the HIVAIDS issues are very topical. In our compound men like to play draft, so I also go there and I find them playing draft but discussing HIV/AIDS issues. Sometimes they will be sharing wrong information, so I sometimes correct them, or just take the opportunity to give them correct information. A lot of them have that blaming attitude whereby they blame the HIV sufferer, so in such cases I just argue that no one would chose to get infected with such a deadly disease. (JA, 35, underground mine scraper machine operator)
You work as the head nurse for a forestry estate company’s onsite clinic. A couple years ago the company put up some posters about HIV and encouraged workers to get tested at your clinic. Only a few people came. Since then, nothing has happened. Now, the general manager wants to meet with you and talk about doing more to support HIV positive employees. What advice can you offer about: