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7 Ye ar o f s u rv ey 2006

8 Figure 2: Impact of the epidemic Deaths by age group, Namibia Thousands Key facts about workplaces Services, industry, mining, trade, commerce and agriculture (much of it subsistence agriculture) form the basis of the Namibian economy. A breakdown of data on workplaces in different sectors provides the following picture of the world of work in Namibia. Workers in the public sector (including parastatals) Number of Offices, Ministries and Agencies 28 Workers in the private sector Number of employers with employees Number of employers with more than 50 employees The impact of the epidemic on workplaces Evidence of the impact of HIV and AIDS in the workplace has not yet been documented nationally, however the epidemic threatens the world of work in many ways; negatively impacting on the demand for, supply of and quality of goods and services and, too often, creating a mismatch between human resources and labour requirements. The illustration below depicts what happens in a typical workplace.

9 Figure 3: The impact of HIV and AIDS on an organisation 1 Increased absenteeism Increased staff turnover Loss of skills Loss of institutional memory Declining morale Costs relating to: Medical Aid cost cover Retirement funds Health and safety Medical assistance Funeral costs Recruitment costs Training and retraining costs Impact on profits and productivity: Declining national income and savings Declining markets, labour pool, suppliers Increased demands for training and recruitment Declining intellectual capital Declining reliability HIV and AIDS workplace programmes the challenges Despite the fact that the epidemic has taken its toll on workplaces in every sector, the responses have, in many instances, been less than optimal. Reasons for this are that: There is often a lack of leadership commitment and support for HIV and AIDS workplace programmes (WPP). HIV and AIDS are considered to be a health issue to be dealt with by individual workers, rather than as a workplace issue. HIV and AIDS and WPP are not recognised as a priority by employers and managers and they are sceptical about workplace HIV and AIDS interventions, thinking that the time and cost required will compromise their operations. Stigma and discrimination constitute significant barriers to the effective implementation of HIV and AIDS activities in the workplace. Despite initiatives to encourage organisations to have HIV and AIDS policies and programmes few have complied. 5

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20 Access to Treatment, Care and Support Services Investing in facilitating access to treatment, care and support services for employees who are HIV infected or affected can: Complement and enhance prevention; Improve their quality of life and maintain their working capacity; and Decrease the social impact of the epidemic. Importantly all the services should be part of a continuum of integrated, quality care, as depicted below: Figure 5: Framework for a continuum of care TARGET GROUP All employees Infected and affected employees Infected employees early HIV disease Infected employees late HIV disease Affected employees NEEDS General life skills and HIV prevention STI, TB prevention and care Promotion of VCT Access to VCT and PMTCT Access to condoms Access to HIV counselling and testing Counselling Support groups Networks of PLWHA Access to treatment and care services Nutrition information Holistic care services and wellness management (clinical, psychological, social, spiritual and positive prevention) Prophylaxis for opportunistic infections (incl. TB) Integrated HIV/TB care Treatment of opportunistic infections ART Support with succession planning, insurance, pension funds, etc. Palliative care services (including effective pain relief, management of symptoms and psychosocial and spiritual support) Assistance with material and physical needs Spiritual and emotional support Advice about wills, pension funds and inheritance 16

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22 R epor ting an d M& E an d a dap t W PP A dv oca cy an d mobilis ation for c om mitment, s upp ort Imple men t- a tion, a cco rding to the plan A ppo intmen t of FP and e s tablis h- men t of s truc ture B uilding know le dge, s kills and c apa city D ata a s se s s me nt an d a na lysi s for de cis ion - ma king Pl ann ing an d de si gn ing the W P P C onsu lta tive policy de ve lopmen t and ad option 18

23 ORGANISATION AND RESPONSIBLE PORTFOLIO German Technical Cooperation (GTZ)/ DED Programme Manager Intra-health Capacity Programme Coordinator International Labour Organisation National Coordinator AIDS Law Unit Project Coordinator AREAS OF SUPPORT Technical and financial support for selected sectors 19 CONTACT DETAILS Tel: Fax: VCT and BCC training support Tel: Fax: Technical support to selected Ministries Technical support on policy, legal and human rights issues Tel: Fax: Tel: Fax: Lifeline/Childline Online psychosocial support Tel: Fax: Lironga Eparu National Coordinator Ministry of Health and Social Welfare, Programme Manager Ministry of Information and Broadcasting, Campaign and Exhibit Division Programme Manager Ministry of Labour and Social Welfare HIV-FP NABCOA Programme Coordinator NANASO National Coordinator!Nara Training Centre Training Coordinator NASOMA Promotion Coordinator NAWA Life (JHU) Media Manager Namibia Employment Federation Secretary General PACT O.D. Manager Polytechnic of Namibia Project Officer GIPA partnerships, positive speakers Technical support and coordination, condom provision, and IEC materials HIV/AIDS information campaigns and broadcasting Technical support, policies and guidelines, and social welfare grants Technical and training support for private Tel: /41 Fax: Tel: Fax: Tel: Fax: Tel: Fax: Tel: Fax: Coordination civil society Tel: Fax: Training support Tel: Fax: Condom provision, condom demonstration support, IEC materials Tel: Fax: IEC materials, research Tel: Fax: Technical support for different sectors Peer education training, positive speaker training Tel: Fax: Tel: Fax: WPP training support Tel: Fax:

24 NUNW/NAMDEF and other worker federations Education Coordinators Office of the Prime Minister, Head of HIV Unit MRLGHRD HIV Unit Regional coordinator Social Marketing Association: Programme Manager HIV/AIDS Community Liaison Officers for all 13 regions Coordinate Regional and Local HIV/AIDS activities. UNAIDS: Programme Officer UNDP HIV Programme Officer UNAM HIV Focal Person Women and Child Protection National Coordinator Regional Councils for all 13 Regions Erongo Regional Council: Hardap Regional Council: Karas Regional Council: Kavango Regional Council: Khomas Regional Council: Kunene Regional Council: Ohangwena Regional Council: Omaheke Regional Council: Technical support for different sectors Regulates public sector workplaces Provide technical and financial support to Regional Councils Training related to testing, condoms demonstration and condoms provision Establish and provide trainings to CACOCs Provide technical and financial support Technical and financial support Research, training on counselling Provide Counselling, legal services, referrals Caprivi Regional Council: HIV/ADS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer Tel: Tel: Fax: Tel: Fax: Tel: Fax: Tel: Fax: See contact information for Regional Councils in table below Tel: Fax: Tel: Fax: Tel: Fax: Tel: /6/7 Fax: Katima Mulilo Tel: Fax: Swakopmund Tel: Fax: Mariental Tel: Fax: Keetmanshoop Tel: Fax: Rundu Tel: Fax: / Windhoek Tel: Fax: Opuwo Tel: /372 Fax: Eenhana Tel: Fax: Gobabis Tel: Fax:

25 Omusati Regional Council: Oshana Regional Council: Oshikoto Regional Council: Otjozondjupa Regional Council: HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer HIV/AIDS Community Liaison Officer Outapi Tel: / Fax: Oshakati Tel: Fax: Tsumeb Tel: /50 Fax: Otjiwarongo Tel: Fax:

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