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

HIV/AIDS is a workplace issue

• It has an impact on workers:

- Loss of income

- Stigma and discrimination

- Pressure on families

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

Russia

Population 143 mln

Prevalence (official statistics) 0,3%

Prevalence (expert estimate) 1%

# Registered cases: 426,000

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

0

50000

100000

150000

200000

250000

300000

350000

№ случаев

1987. 1989. 1991. 1993. 1995. 1997. 1999. 2001. 2003. 2005.

Количество новых случаев ВИЧ-инфекции

Кумулятивное число зарегистрированных ВИЧ-инфицированных лиц на конецпредыдущего года

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

ILO Code of Practice on

HIV/AIDS and the World of

Work

ILO Code of Practice on HIV/AIDS and the World of Work

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 GroupMeeting in Geneva

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

Key components of national policy on HIV/AIDS and the world of work

GeneralTripartite

(collective)Agreement

2008-10

GeneralTripartite

(collective)Agreement

2008-10

DemographicDevelopment

Concept

DemographicDevelopment

Concept

SafeWork Program

SafeWork Program Policy PaperPolicy Paper

Directive to the

Regional Governments

Directive to the

Regional Governments

Declaration of NationalAgreement

Declaration of NationalAgreement

GeneralTripartite

(collective)Agreementfor 2006-8(01.2005)

GeneralTripartite

(collective)Agreementfor 2006-8(01.2005)

National policy

National policy

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

National Tripartite Declaration: What is it?

National Tripartite Policy on HIV/AIDS

National Tripartite Policy on HIV/AIDS

adopted by

government workers employers

It identifies:

• commitment of tripartite partners • their basic goals• key principles

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

Directive of the Minister goes to the regional governments

Key components of national policy on HIV/AIDS and the world of work

GeneralTripartite

(collective)Agreementfor 2008-10

GeneralTripartite

(collective)Agreementfor 2008-10

DemographicDevelopment

Concept(10.2007)

DemographicDevelopment

Concept(10.2007)

SafeWork Program

(10.2007)

SafeWork Program

(10.2007)

Policy Paper of the Ministry

of Health &Social Devt(05.2006)

Policy Paper of the Ministry

of Health &Social Devt(05.2006)

Directive to the

Regional Governments

(01.2006)

Directive to the

Regional Governments

(01.2006)

Declaration of NationalAgreement

(19.12.2005)

Declaration of NationalAgreement

(19.12.2005)

GeneralTripartite

(collective)AgreementFor 2006-8

GeneralTripartite

(collective)AgreementFor 2006-8

National policy

National policy

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

National Safe Work Progam

• Integration of HIV/AIDS education into the Occupational Safety and Health programs;

• Supported with an implementation plan and

• Performance indicators

Key components of national policy on HIV/AIDS and the world of work

GeneralTripartite

(collective)Agreementfor 2008-10

GeneralTripartite

(collective)Agreementfor 2008-10

DemographicDevelopment

Concept(10.2007)

DemographicDevelopment

Concept(10.2007)

SafeWork Program

(10.2007)

SafeWork Program

(10.2007)

Policy Paper of the Ministry

of Health &Social Devt(05.2006)

Policy Paper of the Ministry

of Health &Social Devt(05.2006)

Directive to the

Regional Governments

(01.2006)

Directive to the

Regional Governments

(01.2006)

Declaration of NationalAgreement

(19.12.2005)

Declaration of NationalAgreement

(19.12.2005)

GeneralTripartite

(collective)AgreementFor 2006-8

GeneralTripartite

(collective)AgreementFor 2006-8

National policy

National policy

Demographic Development Concept• “Reduce the level of

mortality among working populations, i.e. from HIV/AIDS and TB, by improving prevention programmes and treatment.”

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.”

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.

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