Nigeria SMARTWork

Category 2

Strategically Managing AIDS Response in the Workplace (SMARTWork) works in partnership with the Nigerian Business Coalition Against AIDS (NIBUCAA) and eight labor unions in 16 Nigerian states. The project is designed to expand HIV/AIDS anti-stigma and discrimination workplace training, ABC (Abstinence, Be Faithful, and Condoms) sensitization programs, and counseling and testing service delivery in the workplace.

This program is implemented by AED SMARTWork Program team in Nigeria (including AED and partners’ staff) and Labor Unions’ trained Peer Educators, Counselors and HIV/AIDS Mobilizers, as well as enterprises’ in-house trained HIV/AIDS Committee Members, Peer Educators and Counselors.

This is accomplished through a series of presentations and workshops to business, labor, government and NGO groups. Furthermore, peer education, anti-stigma and discrimination trainings were provided. These activities were complimented by an effort to increase understanding of the existing situation, and the development of relevant resource IEC/BCC materials designed to increase the capacity among stakeholders to support workplace-based HIV & AIDS policies and programs, and to induce a change in risk behavior.

Goal of the Practice
  • 200,000 individuals reached through workplace interventions that promote ABC
  • 50,000 people provided with quality HIV counseling and testing and receive results
  • 300 individuals trained in policy and/or organizational capacity building related to HIV programs
  • 100+ individuals trained to carry out counseling and testing in six stand alone HCT sites and two mobile sites
  • 250 trained to promote HIV prevention through behavior change
  • 70 enterprises with comprehensive workplace policies in place
  • 50 newly established condom distribution sites
Core Components
  • Securing buy-in, commitment of union leadership and support
  • Conducting situation analyses and capacity assessments to identify training and capacity building needs, and developing a workplan to address those gaps
  • Working with partners to clearly define sustainability plans, reporting format, data tracking and deliverables
  • Engaging and building the capacity of multiple public and private sector employers, including SMEs, to develop workplace HIV/AIDS programs and policy
  • Establishing HCT sites (6 regional hospitals, 2 mobile units, and 6 company clinics) to increase workers access and uptake of HCT and referral services
  • Training health care providers to provide HCT services, including appropriate referrals
  • Establishing condom distribution outlets to provide workers access to free condoms and appropriate information on condoms. Training peer educators to provide HIV/AIDS counseling, information and referrals to their fellow employees on HIV/AIDS issues, with a focus on HIV prevention
  • Conducting routine monitoring and supervisory visits to monitor project implementation and document progress, discuss gaps and challenges
  • Distributing IEC/BCC materials with HIV/AIDS prevention to workers to reinforce HIV/AIDS messages and encourage behavior change
  • Developing a network with the national and international organizations involved in HIV prevention at the government level and in the private sector
Noteworthy Results
  • More than 1000 workers trained to promote HIV/AIDS prevention
  • More than 50 condom outlets established in workplaces, 14 HCT facilities established within targeted enterprises and community settings via the fixed regional facilities, onsite company clinics and two mobile units to provide HCT for workers and their families. More than 22,000 clients have been seen between April 2009 and June 2010
  • 66 enterprises workers trained in HIV counseling and testing, including workplace clinic workers and volunteers and public hospital staff
  • Workers and management staff jointly developed HIV-related workplace policies in companies which increases buy-in and ownership of the process and policy
Lessons Learned
  • Labor unions are key gatekeepers for the workforce and integral to the success of workplace HIV/AIDS programs
  • Involving all stakeholders, particularly unions, in all the stages of the program builds trust in workplace programming
  • Selection of peer educators should reflect their credibility with colleagues, commitment to confidentiality and best practice, and communication skills
  • Workplace-specific programs are more likely to influence the adoption of risk-reducing behavior as opposed to awareness and sensitization campaigns for the general population
  • Labor unions can mitigate stigma and discrimination in the workplace and protect workers’ rights
  • Training on HIV/AIDS policy should be integrated into routine trainings and new staff orientation to minimize stigma and build an accepting and non-discriminatory organizational culture. HIV stigma reduction trainings for top management can build corporate commitment; signal the importance of the initiative to the wider community
  • Workers are more willing to access free HCT services in the workplace when unions are positioned to protect the rights of infected workers and HIV counselors maintain confidentiality of test results
  • Legal framework through a national workplace policy is required to effectively address pre-employment HIV screening and stigma and discrimination
Focus Areas
Care and SupportPrevention
Implemented By
Academy for Educational Development (AED)
Participating Organization
N/A
Region
Africa
Country
Nigeria
Environment
Workplace
Setting
Peri-urban
Target Population
Adults (over 18)
Scope
> 50000
Implementation Years
01/2008 - 01/2011