NATIONAL WORKPLACE POLICY ON HIV/AIDS MARCH 2005
FOREWORD The HIV/AIDS pandemic has adversely affected the most reproductive and productive segment of the Population, the 15 49 years age group. The survival of this age group, which constitutes the nation s work force, is critical to the socio-economic development of our country, Nigeria. Recognizing that the worker is the most important factor in production, the Federal Ministry of Labour and Productivity in collaboration with our social partners, development partners, Non-Governmental Organizations and People Living with HIV/AIDS, developed and produced a Policy that will guide the prevention of HIV/AIDS, the response to its spread and the management of its impact in the workplace. This National Workplace Policy commits the stakeholders in the workplace to take action, lays down a minimum standard of practice for employers and workers, gives guidance on implementation of the standards and assists the enterprise to put in place a workplace response to HIV/AIDS and thus reduce its impact in the workplace. This Policy, which is rights based, is premised on the ILO Code of Practice on HIV/AIDS in the World of Work and our National Policy on HIV/AIDS. It provides guidelines for government, employers, workers and other stakeholders in the workplace and identifies strategies and programmes for: Protecting the rights and dignity of workers infected / affected by HIV and AIDS Providing HIV/AIDS information and services to workers HIV/AIDS prevention, impact mitigation, care and support within the workplace and ii
Reducing stigma and discrimination based on real or perceived HIV status It is a forward looking document which addresses present problems and anticipates future consequences of the impact of the pandemic in the workplace. The adoption of the National Workplace Policy on HIV/AIDS by all the stakeholders, gives impetus to its implementation in the workplace. I therefore, recommend that all workplaces should use this Policy document as a guide in our response to the pandemic in the workplace. I also wish to pledge my commitment and that of my constituency in seeing to its effective implementation. Dr. Hassan M. Lawal Honourable Minister of Labour and Productivity iii
ACKNOWLEDGEMENT The formulation of this National Workplace Policy on HIV/AIDS is the outcome of substantial cooperation and collaboration between government, employers and workers organizations, development partners, Non-Governmental-Organizations and Network of People living with HIV/AIDS in Nigeria, towards responding to a major threat in the workplace caused by HIV/AIDS pandemic. On behalf of the Federal Ministry of Labour and Productivity, I would like to thank our social partners - the employers and workers organizations, the Network of people living with HIV/AIDS in Nigeria, various nongovernmental organizations, our development partners especially Policy Project, SmartWork, UNDP and International Labour Organization, for their various contributions towards making the National Workplace Policy a reality. Their efforts are most appreciated. At various stages, many persons provided valuable technical input and advice into the production of this Policy. These include staff of the following ministries and organizations: the Federal Ministry of Health (FMOH), NACA, UNDP, American Solidarity International, Network of People Living with HIV/AIDS, Policy Projects, ILO, SmartWork, CEDWA, Society for Family Health, Action Aids, Family Health International and NGOs too numerous to mention. I wish to convey the Ministry s appreciation for all their support and hope they will respond favourably when we call again. Thank you all. Dr. Timiebi Koripamo Agary Permanent Secretary. iv
CONTENTS PAGES 1.0 Background Information 1 2.0 Goal 2 3.0 Objectives 2 4.0 Scope - 3 5.0 Policy Application 3 6.0 Guiding Principles 4 7.0 General Rights and Responsibilities 4 8.0 Policies 8 9.0 Strategies 11 9.1 Prevention 12 9.2 Impact Mitigation 12 9.3 Care and Support 12 9.4.1 Workplace HIV/AIDS Response Forum 14 9.4.2 Rights based Participatory approach 14 9.4.3 Capacity Building 9.4.4 Support groups 14 9.4.5 Research 14 9.4.6 Policy issues 14 9.4.7 On-going programs 15 9.4.8 Participatory Monitoring and Evaluation 15 9.4.9 Work Plan 15 10.0 Grievance Procedure: 15 11.0 Policy Review 16 12.0 Conclusion 16 v
ABBREVIATIONS - AIDS - Acquired Immune Deficiency Syndrome -- ART - Anti Retroviral Therapy - BCC - Behavioural Change Communication - CBOs - Community Based Organizations - CSOs - Civil Society Organizations HIV - Human Immunodeficiency Virus - IEC - Information, Education and Communication - ILO - International Labour Organization - PLWHA - People Living with HIV/AIDS - PABA - People Affected by HIV/AIDS - FML&P - Federal Ministry of Labour & Productivity - M&E - Monitoring and Evaluation - NACA - National Action Committee on AIDS - NGOs - Non-Governmental Organizations - STIs - Sexually Transmitted Infections - TOT - Training of Trainers - STDs - Sexually Transmitted Diseases - VCT - Voluntary Confidential Counseling and Testing - FMOH - Federal Ministry of Health vi
TERMS Chronic Illness: Illness lasting for a long time. Discrimination: Discrimination is used in the policy in accordance with the definition given in the ILO Convention on Discrimination (Employment and Occupation) 1985 (No. 111) to include HIV status. It also includes discrimination on the basis of a worker s perceived status, including discrimination on the ground of sexual orientation. Employer: A person or organization employing workers under a written or verbal contract of employment, which establishes the rights and duties of both parties, in accordance with national law and practice. Government, public authorities, private enterprises and individuals may be employers. Formal Sector: The sector of the economy in which workers and employers are registered and/or organized into unions and associations; in which there are rules and regulations governing participation in the sector. Infection: An invasion or entry into the body by a disease causing organism. Pandemic: A disease that has spread over a whole country or over the whole world. Informal Sector: Small scale units producing and distributing goods and services, consisting largely of independent self employed persons, some of whom also employ family labour and/or a few hired workers or apprentices; which operate with very little capital or none at all; which use very low level of technology and skills; which therefore operate at a low level of productivity; and which generally provide very low or irregular incomes and highly unstable employment to those who work in it. Sexually Transmitted Infections: These are infections transmitted through sex and include among others, HIV, syphilis, chanchroid, chlamydia, herpes, and gonorrhea. It also includes conditions commonly known as sexually transmitted diseases (STDs). vii
Worker: Any person(s) who has entered into or works under a contract with an employer either verbally or in writing and whether it is a contract of service or of apprenticeship. Reasonable Accommodation: Any modification or adjustment to a job or to a workplace that is reasonably practicable and will enable a person living with HIV/AIDS to have access to or participate or advance in employment. Screening: These are measures whether direct (HIV testing), indirect (risk assessment) or asking questions about tests already taken or about medications. Termination of Employment relationship: Refers to the meaning in the ILO Convention on Termination of Employment (No.158) of 1982, mainly at the initiative of the employer. Vulnerability: Refers to socio economic disempowerment and cultural context and work situations that make workers more susceptible to the risk of infection and situation, which put children at greater risk of being involved in child labour. viii