Enhancing Local Government Authorities’ Response to HIV/AIDS Country Municipal Team Presentation Addis Ababa, Ethiopia December 5, 2003

Enhancing Local Government Authorities’ Response to HIV/AIDS- the case of Addis Ababa Local Governments are highly affected by HIV/AIDS. However, their Authorities are in the best position to coordinate provide support and facilitate the provision of adequate prevention and care & support services to their communities

Exercise 2- Leadership and Workplace HIV/AIDS Policy Questions for Exercise 2 1.Identify members of Workplace Policy Sub- team and describe what their functions will be 2.Present a draft Workplace Policy 3.Identify 3 priority areas and proposed activities

Coordination Mechanism of the Response

Coordination Mechanism of the Government Sector’s Response Flow of Coordination of Efforts AAHAPCO Council

Proposed members of Workplace Policy Sub-team/Committee Work Place Policy Committee’s Composition and Accountability

Duties of the Committee Make analysis of the Mandates of Organization in relation to addressing the Epidemic based on Existing Policies, Proclamations, Rules and regulations Review experiences of other organizations in-country and abroad in relation to work place policy Draft a Work Place Policy in consultation with the managers and civil servants and present it to the Executive board which then will review and forward to the cabinet for decision Make Follow-up on the Execution of the Policy and avail recommendations to the board

A Draft Work Place Policy Background –The City Government recognizes that HIV/AIDS is increasing the morbidity and mortality among the City’s Civil Servants and this condition is creating negative Political, social and economic impacts on families, communities and on the government;s capacity to render efficient and effective services to the residents of the city. –The City Government supports national efforts to Prevent and control HIV/AIDS and to alleviate its impacts To this effect, the City Government believes that workplace intervention is one of the strategies which must be used. –The purpose of this policy is therefore, to ensure equitable and consistent approaches in the provision of HIV/AIDS prevention and Care and Support services to Civil Servants of the City Government and their families. This policy has been developed and will be implemented in consultation with employees/civil servants at all level

Principles as the basis for the Work Place Policy The City Government –Is committed on maintaining safe and healthy environment for all its employees based on the recognition that HIV is not transmitted by casual contact. –Does not discriminate or tolerate discrimination against employees or job applicants on any grounds including HIV/AIDS.

Principles as the basis for the Work Place Policy Cont, The City Government –Recognizes that there are unique conditions to HIV/AIDS and this policy rests on the principle that HIV infection and AIDS should be treated like any other serious condition or illness that may affect employees. –Takes in to account the fact that employees with HIV may live full and active lives for a number of years

Principles as the basis for the Work Place Policy Cont, The City Government Has a firm belief in the Provision of rights and responsibilities to those living with the virus and to others in a non-discriminatory way Has a firm belief in strictly applying the provision of rights and responsibilities to women and men in a non-discriminatory way

Specific Provisions The policy includes specific provisions in –Commitments –Stigma, Discrimination and Human rights –Prevention through IEC/BCC, Condom Promotion and Distribution, STI Prevention and Control, Universal Precaution and PMCTC Services –Care and Support for workers and their families

Specific Provisions on the Commitments of Organizations The City Government recognizes the need for urgent actions to prevent and HIV/AIDS in the work place and urges all the Management bodies of government bureaus, offices agencies, and commissions to take immediate actions –In Selecting and assigning a Task Force to coordinate the planning, implementation, and Monitoring and Evaluation of work place HIV/AIDS Programs This body should also submit reports to the management the later submitting the report to the Executive Board –In selecting and assigning a focal person whose Job-responsibility is to execute the organization’s Work Place HIV/AIDS Prevention and Care and Support Programs

Specific Provisions on the Commitments of Organizations Cont, To Mobilize/allocate Funds to the Program To produce and implement guidelines, rules and regulations to fight Stigma and Discrimination against PLWHA and their families For ensuring that each organization’s management should make pledges to use opportunities to support the workplace Program To commission Impact assessment to inform Strategic Planning To design mechanisms to ensure succession of skills as part of the HCD plan in consultation with employees.

Specific Provisions on Stigma, Discrimination and Human rights 1. Rights of employees who are HIV positive. HIV positive will be protected against discrimination, victimization and harassment through the application of government rules and regulations and through the provision of IEC/BCC activities to the workers. 2. Employment opportunities and termination of employment –No employee should suffer adverse consequences merely on the basis of being HIV positive 3. Testing- The City Government rejects HIV testing as a prerequisite for recruitment, access to training and promotion. However, it promotes and facilitates access to Services which comply with nationally accepted standards and based on the will of those who receive them.

Specific Provisions on Stigma, Discrimination and Human rights Cont, 4. Confidentiality-The City Government recognizes the sensitive issues around HIV/AIDS and undertakes and handles them in a discreet and private manner. It protects the confidentiality of employees with regards to HIV status. However, in line with its philosophy of promoting openness it encourages employees to be open about their HIV status.

Specific Provisions for the Prevention of HIV –The City Government recognizes the importance of Involving employees and their representatives in the planning, implementation and Monitoring and Evaluation of IEC/BCC Condom Promotion and Distribution, STI Prevention and Control, Universal Precaution and PMCTC Services –IEC/BCC Interventions will be provided to inform workers and their families about HIV/AIDS so that they bring change in risky behaviors, avoid stigma and discrimination and provide acre and support to those infected and affected

Specific Provisions for the Prevention of HIV Cont, –Practical measures to support behavior change will include, Condom Promotion and Distribution,STI Prevention and Control, Universal Precaution, and PMCTC Services –The implementation capacity of each organization will be strengthened through the provision of technical assistance including trainings for HCD

Specific Provisions for Care and Support The City Government and its employees have interest in that infected individuals be offered assistance in order to remain at work as long as possible. –The promotion of employees well being-each organization will treat employees who are infected and affected by HIV/AIDS with empathy and Care by providing counseling, time off, sick leave, family responsibility leave etc. –Work performance and Reasonable accommodations- Reasonable accommodations will be provided in response to the changing health status of HIV positive employees

Specific Provisions for Care and Support Con, –Benefits-HIV positive employees will be treated equally with other employees in getting benefits –Employees with HIV/AIDS will get appropriate Care & Support Services including Medical Care- for Opportunistic Diseases prophylaxis & treatment, ART-prophylaxis and treatment, Nursing Care Referral services for Home-based and Community-based Care Services Social & psychological support

The First priority area- Mainstreaming HIV/AIDS into Sectors What activity Mainstreaming HIV/AIDS into Sectors Establish Task Forces in all the Bureaus and Offices Assign Focal Person in each Bureau and office Provide HIV/AIDS related trainings to Task Forces and Focal persons Prepare, implement and monitor HIV/AIDS work plans plans for all bureaus and offices Who will implement Who will monitor Management of each Organization Executive Board Management of each Organization Executive Board AA-HAPCO Executive Board Task forces, focal persons Management of each Organization Budget (Y1)ZTo be determined Available Funds To be determined Additional Funds To be determined Out-puts(Y1)Task forces in all the 44 organizations At least 1 focal person assigned in each Organization 132 members of task forces & 44 focal persons trained on HIV/AIDS program management All 44 organizations implement their plans Other Considerations

The Second priority area- Establish Multi-purpose Youth Centers What activity Establish Multi- purpose Youth Centers Identification of Sites for the Youth Centers Determining what Services the Centers should contain Determining who should run the Centers Implementing Interventions Who will implement Who will monitor Kifleketema &Kebele Adm. SCAB Youth and Sports Aff. Com. SCAB Youth and Sports Aff. Com. SCAB To be determined Youth and Sports Aff. Com. Budget (Y1)ZSites are owned by the LGA 2000 Birr allocated by HAPCO The staffs at the Kifleketema are doing it To be determined Available Funds2000 Birr allocated by HAPCO Additional Funds Out-puts(Y1)At least 50 Sites will be identified A comprehensive set of services identified Responsible organization/s identified Comprehensive Services provided in at least 50 centers Other Considerations

The third priority area-Establishing Referral Linkage between VCT and Care and Support Centers What activityAssessment of the number and capacity of Service providers Compilation and dissemination of Build the Capacity of Service providing institutions Facilitate and Coordinate linkage Who will implement Who will monitor AA-HAPCO Executive Board AA-HAPCO Executive Board AA-HAPCO/Partners Executive Board AA-HAPCO Executive Board Budget (Y1)ZAA-HAPCO will allocate Available Funds Additional Funds Out-puts(Y1)A Directory book will be prepared 500 copies will be printed and disseminated Organizations will be in a better position to provide their services in terms of their capacity A functional referral linkage will be in place Other Considerations

We are in a Crisis. We need to debate on the issue and act, and we have to… Think Big ! Start Small ! Act now !

Finally Let’s continue on sharing our experiences and enhance our efforts to act in unity for a better future

Thank You !