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Synergising HIV/AIDS and Sexual reproductive Health and Rights
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HIV/AIDS Statistic in Malaysia
 
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Introduction
The HIV/AIDS pandemic is an unfolding human tragedy in Asia where new infections are increasing faster than anywhere else in the world. According to the WHO Regional Office for South-East Asia in India, "The Asian epidemic is highly dynamic and evolving. The window of opportunity is rapidly closing and action is urgently needed to stem the rising spread of HIV in Asia." Following this epidemic of the virus is an epidemic of prejudice; what Justice Michael Kirby describes as the "second epidemic of discrimination, prejudice and wrongdoing".
 
The real tragedy has been the effect on people. People Living With HIV/AIDS (PLWHAs) can continue to be productive members of the workforce with a supportive workplace. More so with increasing access to medicines, more and more PLWHAs will be healthier longer. We have a choice still; we can do little or nothing and suffer or avert the tragedy and halt the pandemic through leadership and education.
 
Background - HIV/AIDS Situation in Malaysia
Malaysia has a population of 23.27 million as at 2000. The total number of employed persons was 9.3 million out of a labour force of 9.6 million in 2000.
 
As of June 2004, the cumulative total of HIV/AIDS reported to the Ministry of Health is 60,621 cases.
 
Of that total, those between the ages of 20 and 49 years are 56,763 or 93.6%.
 
From a low prevalence rate at the start of the pandemic here in the mid eighties, we have unfortunately progressed into the "medium prevalence" rate of 0.42%.
 
What are some of the Current Realities in the Workplace?
A study carried out by the Department of Occupational Safety and Health (DOSH) in 2000 covering 154 enterprises representing a wide range of industries indicated that the level of awareness among employers on HIV/AIDS and its potential destructive impact on business and the economy is still very low.
 
The survey also revealed that when asked about the perception of scale of threat of HIV/AIDS to industry and the economy among employers at the national level; 34% saw it as a serious problem and 20% saw it as a very serious problem. Given this, the number of HIV/AIDS workplace programmatic activities remains very small.
 
Even though there is still no cure, we have the knowledge and the resources to work towards stopping the spread. Education on how to protect our loved ones and ourselves is the only way we can stop this threat to our people and economy. Yet despite our knowledge, HIV/AIDS figures continue to rise.
 
Developing the Code
The launching of the "Code of Practice on the Prevention and Management of HIV/AIDS in the Workplace" (The Code) by the Minister of Health of Human
 
Resources, Datuk Dr Fong Chan Onn on September 4, 2001 has been a significant milestone for HIV/AIDS in Malaysia.
 
The Department of Safety and Health (DOSH) was the co-coordinating agency to the Code. They formed a working committee which included the Ministry of Health, the Department of Labour, the Department for Public Services, the Malaysian Trades Union Congress, the Civil Service Employees Union (CUEPACS), the Malaysian Business Coalition on AIDS, the Malaysian Employers Federation, UNAIDS, UNDP, ILO (Bangkok) and the Malaysian AIDS Council.
 
The Code
The Code is set out in seven (7) sections which include, the objective, scope, management of HIV/AIDS in the Workplace, designated person in charge, role of the safety and health committee, gender equality and benefits of the workplace HIV/AIDS program. There is also a glossary of key words and explanatory notes of some of the terms used frequently in HIV/AIDS.
 
The key section is "Managing HIV/AIDS in the Workplace". The Policy includes the development of a workplace policy, responsibilities of employers and that of employees.
 
Some salient points in the Code:
  • "A written policy should clearly state the employer's commitment in preventing the spread of the virus as well as discrimination and stigmatization of HIV positive employees in the workplace"
  • "Employment practices should be based on the scientific and epidemiological evidence that people with HIV/AIDS do not pose a risk of transmission of the virus to co-workers through ordinary workplace contact"
  • "HIV positive status should not be the sole criterion for disqualification from any form of employment"
  • "HIV positive employees should have the right to continue in employment as long as they are able to work and as long as they do not pose any danger to themselves, their co-workers and other individuals in the workplace"
  • "The procedure for termination of employment on medical grounds for HIV positive employees should be the same as for any other disease"
  • "Disciplinary action should be taken against any employee who discriminates or stigmatizes HIV positive or perceived HIV positive employees"
  • "An employer should ensure that an HIV positive employee is not required to disclose his/her HIV status to the employer or anyone at work. In situations where the employee needs to reveal his/her status, confidentiality and privacy regarding all medical information related to his/her HIV/AIDS status should be maintained at all times"
  • "Employers should not practice screening
And the last two paragraphs in the Code state,
  • "Employees should not discriminate against or stigmatize co-workers who are HIV positive or perceived to be HIV positive. Disciplinary action should be taken against any employee who discriminates against or stigmatizes a co-worker who is HIV-positive or perceived to be HIV positive."
  • " An employer should recognize the gender dimensions of HIV/AIDS (in the Workplace activities)"
Resources
Three training modules have been developed to assist those wishing to implement the Code. The modules are "Module on HIV/AIDS Education for Employees", "Module on Train the Trainer" and "Module on HIV/AIDS for Resource Persons". All the modules are with DOSH.
 
The Module on HIV/AIDS Education for Employees together with the Module on Train the Trainer are the principal modules to assist those who will be conducting the HIV/AIDS programs in the workplaces.
 
The Malaysian AIDS Council coordinated the first of the abovementioned modules with valuable inputs from MEF, the Malaysian Business Coalition on AIDS, NIOSH, MTUC, AWAM (a women's group) and DOSH representatives. The module is essentially a guide for the conduct of HIV/AIDS education and training with and for all employees in any workplace. The module is in three (3) Units.
 
Unit 1 which is 75 minutes long is designed to achieve two (2) objectives, which are; to clarify the values and attitudes associated with HIV/AIDS and to raise awareness among employees on the Code of Practice. The first part is designed in an interactive game-like activity.
 
Unit 2 is 3 hours 20 minutes long and it covers the basic facts on HIV/AIDS. The Unit aims to impart accurate basic information about HIV/AIDS and secondly, to enhance employees' knowledge and skills in the prevention of HIV infection and transmission.
 
The last Unit is on Care & Support, which is 2 hours and 40 minutes long. This Unit aims to enhance employees' understanding of and ability to support and care for PLWHAs.
 
How to get involved
Adopt the Code of Practice on the Prevention and Management of HIV/AIDS at the Workplace. A copy of the Code may be obtained by contacting DOSH at 03-88865000.
 
The Malaysian AIDS Council has informational resources like pamphlets, videos and other materials for your HIV/AIDS activities. We have a Training and Education Unit that coordinates training activities including resource persons. Please contact the Officer-in-Charge at 03-40451033.
 
Other useful information can be obtained from the following websites:
 
Malaysian AIDS Council
  www.mac.org.my
Global Business Council on HIV/AIDS
  www.gbcaids.com
UNAIDS
  www.unaids.org
Department of Occupational Safety and Health (DOSH)
  dosh.mohr.gov.my
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