1. Starting from scratch: breakthrough in the formulation of Russian National Policy on HIV/AIDS and the World of Work Abstract number:WEAE0305 Session:WEAE03 – HIV on the Job: Policies Presenters: Irina Sinelina, National Project Coordinator, ILO/USDOL HIV/AIDS Workplace Education Programme in Russia Marat Baygereev, Russian Ministry of Health and Social Development

2. HIV/AIDS is a workplace issue It has an impact on workers: - Loss of income - Stigma and discrimination - Pressure on families

3. HIV/AIDS is a workplace issue It has an impact on enterprises: - Loss of skills - Reduced supply of labour - Increased costs related to health - Reduced productivity

4. Russia Population 143 mln Prevalence (official statistics) 0,3% Prevalence (expert estimate) 1% # Registered cases: 426,000

5. Number of registered cases of HIV infection in the RF, 1987- 2005 (according to the Federal Scientific and Methodological Center of AIDS Prevention)

6. Establishment of the Tripartite Advisory Board on HIV/AIDS and the World of Work (2004) Key actors: Ministry of Health and Social Development of the RF Coordinating Council of Employers’ Unions of Russia Federation of Independent Trade Unions of Russia All-Russian Confederation of Labour Confederation of Labour of Russia

7. ILO Code of Practice on HIV/AIDS and the World of Work Международное бюро труда Женева Adopted in May 2001 at a high-level Expert Group Meeting in Geneva

8. Principles of the ILO Code of Practice on HIV/AIDS and the World of Work Recognition of HIV/AIDS as a workplace issue Non-discrimination Gender equality Healthy work environment Dialogue between employers, workers and government, including workers with HIV No screening for purposes of exclusion from employment or work processes Confidentiality Continuation of employment relationship for employees with HIV Importance of prevention Need for care and support, including access to services

9. Key components of national policy on HIV/AIDS and the world of work National policy General Tripartite (collective) Agreement for 2006-8 (01.2005) Declaration of National Agreement Directive to the Regional Governments Policy Paper SafeWork Program Demographic Development Concept General Tripartite (collective) Agreement 2008-10

10. Declaration of National Agreement of Tripartite Partners, December 19, 2005 Adopted by the key members of the Russian Tripartite Commission on Social and Labour Relations: On behalf of the government of the RF, national employers’ and workers’ organizations

11. National Tripartite Declaration: What is it? National Tripartite Policy on HIV/AIDS National Tripartite Policy on HIV/AIDS adopted by governmentworkersemployers It identifies: commitment of tripartite partners their basic goals key principles

12. Achievements of tripartism -National Declaration passed – Russia becomes another ILO member State that has a policy framework addressing HIV/AIDS in the world of work. -44 regional tripartite commissions adopted decisions in line with the ILO Code of Practice (2006 ) tripartite partners in the regions have a key role to play within the regional structures to fight HIV/AIDS. ILO Code of Practice on HIV/AIDS and the world of work International Labour Organization Geneva

13. Directive of the Minister goes to the regional governments

14. Key components of national policy on HIV/AIDS and the world of work National policy General Tripartite (collective) Agreement For 2006-8 Declaration of National Agreement (19.12.2005) Directive to the Regional Governments (01.2006) Policy Paper of the Ministry of Health & Social Devt (05.2006) SafeWork Program (10.2007) Demographic Development Concept (10.2007) General Tripartite (collective) Agreement for 2008-10

15. Policy Paper Paper on National Policy on HIV/AIDS and the World of Work prepared by key specialists of the Ministry of Health & Social Development Distributed to 88 regions of the RF Applies international principles to the national context

16. National Safe Work Progam Integration of HIV/AIDS education into the Occupational Safety and Health programs; Supported with an implementation plan and Performance indicators

17. Key components of national policy on HIV/AIDS and the world of work National policy General Tripartite (collective) Agreement For 2006-8 Declaration of National Agreement (19.12.2005) Directive to the Regional Governments (01.2006) Policy Paper of the Ministry of Health & Social Devt (05.2006) SafeWork Program (10.2007) Demographic Development Concept (10.2007) General Tripartite (collective) Agreement for 2008-10

18. Demographic Development Concept “Reduce the level of mortality among working populations, i.e. from HIV/AIDS and TB, by improving prevention programmes and treatment.”

19. General (Tripartite) Agreement for 2008-10 “Contribute to the promotion of corporate best practices in workers’ health protection, including the prevention of socially significant infections, including HIV.”

20. Conclusions Russia pledged Rubles 30 billion to fight AIDS for 2008-10 (a ten times increase since 2002-5); Russian constituents developed effective tools for HIV/AIDS workplace education; The workplace has a unique potential to reduce employment related discrimination of people living with HIV; Social dialogue is an effective mechanism to engage workers, employers and the government into the development of a multisectoral response to the epidemic.

21. Thank you! Irina Sinelina, National Project Coordinator, ILO/USDOL HIV/AIDS Workplace Education Programme in Russia sinelina@ilo.org Marat Baygereev, Russian Ministry of Health and Social Development baygereevms@rosminzdrav.ru