TECHNICAL CONSULTATIONS ON THE IMPLEMENTATION OF THE PLATFORM OF ACTION ON HIV/AIDS IN THE CONTEXT OF THE WORLD OF WORK IN AFRICADakar, Senegal 18-20 September 2000 The major objective of this technical consultation, held in Dakar (18-20 September 2000) was to develop a Framework for the implementation of the Platform of Action on HIV/AIDS in the Context of the World of Work in Africa. The Platform of Action was adopted by the Regional Tripartite Workshop on Strategies to Tackle the Social and Labour Implications of HIV/AIDS (Windhoek, 11-13 October 1999), endorsed by the Ninth African Regional Meeting (Abidjan, 6-9 December 1999), and adopted by the Governing Body (Geneva, March 2000). The workplan of the technical consultation was to: - Discuss the implications of HIV/AIDS in the world of work, - Discuss the findings of the joint programming exercises and the way forward, - Propose methodologies for capacity building in the African Region in order to mainstream HIV/AIDS in all ILO activities, - Identify the roles and responsibilities of various actors within the ILO (Headquarters, Regional office, areas offices, multidisciplinary advisory teams, etc.), - Identify ways and means of strengthening collaboration and co-operation with the tripartite partners and other organisations to fight HIV/Aids in the context of the world of Work in Africa, and - Review the draft Framework prepared by the consultant. The main outcome of this exercise was a revised Framework for the implementation of the Platform of Action. This Framework (see attached draft) would be submitted to the Africa Regional Directors during their annual meeting (25-29 September 2000). II Participants to the Technical Consultations The consultation was organised under the auspices of the ILO Regional Office for Africa in close collaboration with the Social Protection Sector. The participants included most HIV/AIDS focal points in Area Offices and MDTs, selected MDT specialists and AO programme officers, from the field and specialists from headquarters. Representatives of UNAIDS, UNDP, the World Bank and consultants were also invited as resource persons. The tripartite partners from Senegal also presented their experience. The list of participants is attached as Appendix 1. III Activities of the Technical Consultations III.1 The Opening Ceremony The chief guest at the official opening ceremony was Honourable Yéro Deh, the Minister for Civil Service, Labour and Employment of Republic of Senegal. In addition, Mr Assane Diop, ILO Executive Director of the Social Protection Sector, represented the ILO Director General. The Regional Office was represented by Mr Papa Kane and the ILO/EMAS Office Dakar by Mr Michel Garzuel, Deputy Director. Mr. Garzuel, the acting Director of the Dakar EMAS Area Office, welcomed the participants. In his welcoming remarks, Mr Garzuel mentioned that the Regional Office requested assistance from ILO/EMAS to organise and host the event. He further stated that the contribution of the ILO in the fight against the scourge of AIDS should reflect the specificity of the Organisation concerning the world of work. However, owing to the seriousness of the problem requires a multi-sectoral strategy to stop its spread, in partnership with all actors. Mr Kane, representating of the acting Director of the Regional Office for Africa, underlined the determination of the ILO to participate in the fight against the pandemic in a coherent and co-ordinated manner. In this view, this technical consultation was organised at the regional level to allow the ILO to draft relevant programmes addressing HIV/AIDS in the context of the world of work in Africa. Mr Assane Diop, Executive Director of the ILO, emphasised the importance of ILO's intervention as enshrined in its mandate in the world of work, as the HIV/AIDS pandemic has a negative impact on economic growth and social progress. The intervention of the ILO has to focus on the following five areas: (i) the promotion of basic rights and principles at work for people living with HIV/AIDS, (ii) the fight against the adverse effects on population incomes and the productivity of enterprises (iii) establishing appropriate social protection measures, (iv) the mobilisation of social partners, and (v) gender. The chief guest, Mr. Yéro Deh, Minister for Civil Service, Labour and Employment of Senegal, reiterated the importance of the ILO's commitment vis-à-vis its African constituents in order to build a social dike to ward off the spread of the HIV/AIDS, knowing how tragic the human, economic and financial consequences are. Major HIV/AIDS related problems arise in the work environments ­ no specific legislation, no social protection, discrimination, and exacerbation of child labour. HIV/AIDS in the work of work must be stopped through an increased commitment of governments, preventive measures for workers and advocacy with employers, as well as mobilisation of all segments of the international community. In addition to these national initiatives, the strong mobility of population calls for complementary and co-ordinated interventions in common geographical and socio-cultural spaces. It was recognized that the major prime mover of the need for an African response to the problem of HIV/AIDS in the world of work was the late Bamba Ndiaye (Chief of the Regional Programming Unit). III.2: The Plenary Presentations (a) The HIV/AIDS Situation in Africa Dr Mamadou Lamine Sakho, UNAIDS, described in detail the status of the AIDS pandemic in Africa and in the world and showed the seriousness of the situation in Sub-Saharan Africa compared with the rest of the world. For illustration purposes, at the end of 1999 34.3 million adults and children living with AIDS throughout the world. Out of these, 24.5 millions were living in Sub-Saharan Africa. It is estimated that 15,000 new infections were recorded daily. Ten years ago, AIDS was considered as a serious health crisis. It has, however, become a developmental crisis. (b) The Experience of Senegal Mr I. Seck (PNLS, National Committee Against AIDS) presented the experience of Senegal which managed to maintain a prevalence rate of about 1.8%. AIDS is regarded as a health priority and the elements which contributed to such a low level of prevalence are multifarious: strong social cohesion, early response to the HIV epidemics, commitment of religious leaders and medical experts, commitment of the educational sector, intersectoral and multidisciplinary approach targeted interventions, etc. (c) The Experience of the Labour Ministry of Senegal The experience presented by Mr C. Faye is based on one year July 99 ­ July 2000. The results are the following: 71 staff trained, condoms distributed, 500 IEC teaching aids distributed, advocacy with heads of enterprises, big social gatherings in enterprises, awareness raising and organising workshops. The limitations are that only major enterprises have been reached (no SMEs/SMIs and the informal sector) and there is no co-ordination between the actions of the Ministry and those of other stakeholders.  (d) The Experience and Opinion of the Employers of Senegal According to Mr P. N. Fall (CNP), the action of employers is to be fitted within the global framework of the fight against AIDS. The strategy was envisaged since the 1993 workshop and is based on active partnership and relay staff. STI-HIV/AIDS case management using a prevention and maintenance approach for a good productivity is seen as an investment. The Hygiene and Safety Committee (CHS) is used as an operational tool within this framework. Senegal has a labour force of 4 million workers, of which 95% are in the informal sector. A committee on AIDS and Enterprise has been established in conjunction with the National Committee Against AIDS. The main programme being implemented by ten or so major enterprises include: IEC: data collection and peer listening STI-HIV/AIDS case management (investment) Protection of workers rights and freedoms: workers are relays; no mandatory screening when hired, only optional; no discrimination vis-à-vis workers. (e) The Experience and Opinion of the Workers of Senegal For quite a long time AIDS has been regarded as a medical disease Mr M. D. Seck said, and this resulted in amplifying the pandemic throughout the world. The national confederation of workers in Senegal is pleased about the organisation of this timely meeting which tallies with a genuine need of workers. In Senegal the National Institute for Workers' Education and Training could be used efficiently for the fight against AIDS to the benefit of workers. (f) The Ugandan Experience According to Dr Onyango, Uganda's experience is only a half success. AIDS was first diagnosed in 1982, and by 1983 17 other cases were diagnosed. As early as 1986 Uganda vigorously reacted with a strong political commitment, with the establishment of a committee within the Ministry of Health. Knowing that the fight against AIDS could not be left to the Government alone, a co-ordination committee of 12 ministries was established in 1991. A national response in a systemic approach with major interventions: this is one of the reasons for the relative success of Uganda in the fight against AIDS. Nonetheless, there is no specific programme regarding the work place. (g) HIV/AIDS and Development in Africa: The UNDP Regional Programme Mr V. Khanye, UNDP, stated that children are severely hit by the pandemic, with 90% of infected children being in Africa. Sub-Saharan Africa bears the brunt of it. He discussed the two levels of mechanisms applied to remedy the situation: Primary mechanism increasing the number of working hours re-training the staff, stigmatising discrimination Secondary mechanism, note at this level, the high cost of labour, the orphans who are tomorrow's workers. He also presented case studies undertaken in South Africa, Zambia and Kenya. (g) International Partnership Against AIDS in Africa (IPAA) The past two decades have made it possible to identify the best practices for a more appropriate global action. A presentation was made by Dr Sakho on the IAPA on international partnership launched in 1998 by UNAIDS. This partnership is defined as a "coalition of stakeholders who have decided to work together within a framework of actions based on a shared vision, common principles, goals and objectives, as well as a series of key stages and moments". The framework of co-operation signed in June 2000 between the ILO and the UNAIDS was cited as an example of a formal partnership arrangement. (h) The World Bank HIV/AIDS Programme The World Bank runs two programmes: one country-oriented and the other staff-oriented. III.2: Discussions of The Plenary Presentations It was agreed that the ILO's comparative advantage derives from the tripartite structure of the Organisation. In addition, the ILO has a mandate imparted to it by the 1995 Copenhagen World Summit. The ILO is active in the world of work through its relationship with governments and the social partners. It is the world of work that has well-set mechanisms to reach the main partners, for example through the well-practiced Hygiene and Safety Committees. Furthermore, the enterprise level has best-practice examples that could be disseminated. The media should be used for the dissemination of best practices and experiences to be encouraged. A question was asked on whether Senegal has experienced any difficulties when implementing the programmes. Would it not be necessary to review the legislation, for example? Is poverty a limiting factor for an HIV/AIDS-infected person? Owing to the lack of means, it is possible that an infected poor person is more vulnerable than a rich person. The family circle or the poverty environment predispose individuals to a more risky behaviour. The stand taken by the constituency in the fight against AIDS deserves full attention because of the cost in terms of social security. The role the States play in social protection would need to be revamped, if only they were relieved of their debt burden as a trade-off to fight against AIDS. The lack of quantifiable performance indicators is one of the main criticisms levelled at the UNAIDS. The organised work environment should include this concern. It was also agreed that like the World Bank, the ILO has to develop a two-pronged strategy, both internal and external, in its fight against the HIV/AIDS pandemic in the world of work. Finally, it was agreed that we should take full advantage of the light shed by the presentations and discussions to work out a programme that can be helpful to ILO constituents in Africa in the fight against HIV/AIDS. The actions to be proposed in terms of action programme should originate from at the region. III.3 Towards the Implementation Framework of the Platform of Action (a) Background The Fourth plenary session provided the necessary background information for articulating the framework for the implementation of the adopted Platform of Action (POA) on HIV/AIDS. Mr. A. Musindo in his presentation on the "Update on the Implementation of the Platform" made reference to the Joint Exploratory Meeting with the UNDP Regional Project on HIV/AIDS and Development for Africa held in Harare, May 1999, as an important foundation for subsequent ILO activities in the region. As a result of the identified gaps in knowledge on HIV/AIDS in the world of work, during that meeting, the Turin Centre and the Regional Office in September 1999 organised a workshop in Pretoria for officials from Turin, Headquarters and field offices in Africa. One of the key recommendations of that meeting was the need to formulate a rapid response mechanism to mitigate the effects of the crisis in the African region. As an immediate follow-up to this intervention, an African Regional Tripartite workshop on Strategies to Tackle Social and Labour implications of HIV/AIDS was held in Windhoek in October 1999, where the Platform on HIV/AIDS was developed. The goals of the POA included the application of the "Social Vaccine" for prevention and protection, with an attendant call upon African Governments to declare HIV/AIDS a national disaster requiring urgent attention. It was also agreed during that workshop that the subsequent meeting on HIV/AIDS in the region should focus on developing key activities that would help achieve the objectives articulated in the POA. Hence, the need for this technical consultation on HIV/AIDS to map out the strategic framework for the implementation of the POA that had been adopted by African leaders during the Ninth Regional Meeting held in Abidjan in December 1999. Since the adoption of the POA in December 1999, the Organisation of African Trade Union Unity (OATUU) organised a workshop on Trade Union action against HIV/AIDS in Africa in July 2000. The ICFTU-AFRO Pan African Conference meeting to discuss the problem of HIV/AIDS and the world of work has been scheduled for September 2000 in Gaborone and the ILO Regional Office and ACTE/EMP, in collaboration with UNAIDS have arranged a sub-regional meeting with the Employers' representatives on HIV/AIDS in November 2000. (b) Recent Steps Undertaken by the ILO Dr Benjamin Alli presented two papers indicating the recent activities towards operationalising the Plat-form of Action (POA): the concept paper focussing on "Identifying and Promoting the ILO's Special Niche and Comparative advantages in the fight against HIV/AIDS" and an updated table on the "Operationalisation of the Resolution on HIV/AIDS." The concept paper provided an overview of the ILO's comparative advantages in addressing HIV/AIDS in the world of work. These included its unique tripartite structure; easy access to the world of work; research and information dissemination capacities; multi-disciplinary field network; extensive capacity on workers' education; occupational safety and health experiences; articulation, promotion and protection of workers' rights; long standing success in developing labour standards (and other soft instruments) and supervising the implementation of the standards as well as and its sectoral expertise. The group was informed that a Global Programme on HIV/AIDS and the World of Work had been established at the ILO Headquarters, with Mr. F. Lisk as the Programme Director. A draft Programme of Action to operationalize the Resolution had also been developed on HIV/AIDS. The key activities envisaged under this Programme included: Research with a focus on the preparation of an annotated bibliography on HIV/AIDS; in-depth analysis of "successful" national programmes in Thailand, Senegal and Uganda; developing statistical survey programmes which give accurate information on the impact of HIV/AIDS in the world of work and studies on appropriate interventions to respond to the special needs of women workers, migrant workers and working children; Policy Development and Advocacy to promote the use of a Code of Practice on HIV/AIDS at the workplace, assistance to member states to develop relevant legislations and policies as well as training and information dissemination to the relevant segments of the legal community; Training and tools encompassing curricular and resource material development for the training of representatives of ILO social partners and other stakeholders as well as the integration of HIV/AIDS in relevant training programmes conducted by the ILO and its Turin Center; The information, including collection, management and dissemination; Technical cooperation, including the revision of the TC strategy on HIV/AIDS as well as the development and the implementation of a comprehensive resource mobilization strategy; Capacity of the ILO to respond to the pandemic in a coordinated, integrated and efficient manner would be enhanced through the development of appropriate structures, programmes and training; Partnerships related activities including the Memorandum of Agreement signed with UNAIDS, the development of joint ILO/UNAIDS programmes and of networking arrangements with new partners at all levels. Suggestions on modifications to the Concept Paper included the following: The ILO Gender mainstreaming strategy should be included as a special niche of the ILO which should be so reflected in the document, ILO Convention 156 should be included in the list of the important instruments under the legislative framework as stated on paragraph 8, page 6 of the document. This is due to the rather heavy burden as care takers that is placed on the family members of persons living with AIDS, and The first part of the document should focus on the challenges faced by ILO constituents in tackling the problems of HIV/AIDS in the world of the work and, thereafter, proceed to the ILO comparative advantages in addressing the issues. Suggestions made on the Programme of Action to Operationalize the Resolution were as follows: -The ILO needed to develop the capacity for a rapid response to the needs of constituents due to the nature of the pandemic; -The need for an extensive and inclusive database of all relevant legislations on HIV/AIDS, which would require collaboration with WHO, UNAIDS and other institutions and organizations; and -The Programme of Action should acknowledge and follow-up on previous relevant ILO initiatives. In relation to this, it was also considered important for the programme to regularly collect and disseminate information on field level activities undertaken on HIV/AIDS and the world of work based on the examples of lessons learned from Zambia and South Africa. Concerning resource availability, participants were informed that the UNDP Regional Project on HIV/AIDS and Development for Africa had made resources for 6 work months available to the ILO for follow-up activities to the Harare meeting. The Turin Centre also indicated that there were windows of opportunity available for funding HIV/AIDS training, and would therefore welcome proposals from the Region. As an introduction to the draft Framework for the Implementation of the Regional HIV/AIDS Platform of Action, an insight into the objectives and the process of developing the document was provided. Thereafter, the consultant, Prof. D. Munodawafa presented the key components of the Framework. The document explored the ILO mandate within the context of its four strategic objectives and provided qualitative and quantitative information on the impact of HIV/AIDS on the world of work, with particular attention to its impact on the social partners, the informal sector, gender and child labour. The ILO response was encapsulated in the concept of a "social vaccine," hinged on prevention, protection and programme of assistance which parallels the ILO means of action namely, knowledge, advocacy and service. He also emphasised that the ILO implementation Framework was anchored on those principles articulated by the constituents during the Windhoek meeting. The guiding principles for the implementation Framework included: Extended "tripartism" to involve alliances with the civil society, NGOs and other new partners; Social justice and compassion for people living with HIV/AIDS; and Partnerships among international and national agencies for complementarity, based on ILO's comparative advantages. Broad programme activities would address the culture of denial (i.e. help to break the silence); strengthen the capacity of ILO's social partners; promote social dialogue; develop and promote the implementation of a Code of Practice on HIV/AIDS in the workplace; empower women economically, socially and politically; address orphan and child labour issues and promote partnerships with NGOs, other government departments, multi-lateral and bilateral donors to better utilize resources. Specific programme activities would be implemented at four levels, namely: enterprise (including the informal sector), national, sub-regional and regional. The development and utilization of the "social vaccine" was construed as the goal, with an emphasis on social inclusion, income sustainability/enhancement, job security, social security, solidarity and an optimal use of treatment. The expected outcomes at the four levels were reflected within the short, intermediate and long term. The conceptual model for the implementation of the Platform of Action was based on the phased approach to intervention with significant emphasis on programme sustainability. This translated into prevention, protection and programme of assistance activities among ILO partners across the four ILO strategic objectives. Proposed management arrangements included the establishment of National Taskforces on HIV/AIDS, with a focus on the world of work; appointing focal points in each ILO Office with clearly defined terms of reference; establishing HIV/AIDS technical resource groups (TRG) at the national and regional levels, forming partnerships with groups and institutions with various interests in the world of work at all levels. The need for ILO representation in national UN Thematic Groups on HIV/AIDS was reiterated. Monitoring and Evaluation was highlighted as a key component of the management of the entire programme. Participants commended the consultant for the technical quality of the document and suggested that: -The Framework, after internal modification for specificity, should lead to the development of a comprehensive work plan. Thereafter, a regional resource mobilization programme could be launched in collaboration with the Global programme, other partners and the Turin Centre; -Specific programme of activities should be further defined at the country level; -Concerning the expected outcomes, there was a need to address this not only at the individual level, but also at the institutional level of government and private sector institutions. -The roles of the partners needed to be further revisited to enhance coherence e.g. the role of the government in developing adequate social security systems; -Sectoral interventions should be integrated into the programme of activities at all levels of implementation; -Further coherence could be ensured in the document by making clear linkages between the guiding principles, broad activities and specific programme activities. -Since the region will operate within the ambit of the global programme, reference should be made to the ILO Global Programme on HIV/AIDS and the world of work; -Short and intermediate outcome indicators needed to be further redefined as they appeared or had been presented more like activities and outputs; -The institutional framework of social dialogue needed to be more clearly utilized to foster the collaboration of the social partners in the endeavour to mitigate the impact of HIV/AIDS in the world of work and this should be duly reflected at all levels of implementation. -A mechanism for facilitating dialogue with the pharmaceutical companies with a view to reducing the cost of drugs for persons living with the HIV/AIDS needed further elaboration in the Programme of Action. IV Group Work Conclusions and Suggested Follow-up "Action against HIV/AIDS is primarily a national responsibility" ILO Platform of Action on HIV/AIDS IV.1 The Entry Point The entry point for ILO's intervention is at the country level. This is based on the guiding principle as stated in the concluding remarks of the Platform of Action (Windhoek 1999). The areas of focus for the country level which require immediate attention should be as follows: Development of partnerships, synergies and strategic alliances with the social partners, development partners, CBOs, NGOs, and civil society organizations, Establishment and/or participation in national task forces on HIV/AIDS in the world of work, Mobilization of internal resources to facilitate the role of the ILO in the task force, Dissemination of information on national best practices, Facilitation of social dialogue, and Knowledge management (institutional memory and information technology) Nonetheless, the above actions should lead to medium and long-term interventions at sub-regional and regional levels. The area of focus for the sub-regional level could be: Knowledge management (Information Memory and Information technology) ices Facilitation of social dialogue Networking of employers, workers and governments Dissemination of information of national best pract The area of focus for regional level could be: Knowledge management (institutional memory and information technology) Facilitation of social dialogue Networking of employers, workers and governments Liaison with regional organizations Dissemination of information of national best practices IV.2: The Activities: ILO's Comparative Advantage The ILO's niche in the area of combating HIV/AIDS is derived from the current organizational dispensation as spelt out in Decent Work. In order to provide a visible response to our Constituents and to create access to the required financial resources, more emphasis should be given to HIV/AIDS in the ILO Programme and Budget. This could be achieved by: HIV/AIDS should be identified as a separate operational objective in P&B under Strategic Objective 3, and HIV/AIDS should be mainstreamed in all ILO programmes The types of activities that can be implemented in the context of HIV/AIDS and the world of work have been grouped under the four ILO strategic objectives (a) Sector 1 ­ Standards and Declaration High level sensitisation of constituents on the need to develop codes of conduct based on ILO Conventions, taking into account Gender specificity in their implementation; Help Member States to develop a code of conduct based on ILO Conventions Develop national policies on the basis of the codes above mentioned Develop enterprise policies on the basis of the codes above mentioned Develop informal sector policies on the basis of the codes above mentioned Create or strengthen enforcement structures in the Members States (b) Sector 2 - Employment Assist Members States in formulating Human Resource Development policies taking HIV/AIDS issues into account, Encourage business coalitions between large companies ad small enterprises and informal sectors for the purposes of a more effective implementation of HIV/AIDS prevention strategies, Encourage association building in the small-scale enterprises and informal sector in order to design and implement common schemes in HIV/AIDS prevention, protection, and programme of assistance, Integrate HIV/AIDS into entrepreneurship/workers training packages Support to development of training packages addressed to person living with HIV/AIDS Introduce community-based HIV/AIDS initiative with specific emphasis on female headed households and the high incidence of poverty and its correlation to HIV/AIDS Strengthen the capacity of Members States to design new vocational training curricula in order to develop multi-skilled labour force Assist the national structure in charge of statistics to integrate labour market data on HIV/AIDS (c) Sector 3 ­ Social Protection The activities of this sector have been put under two sub-headings: (i) In Focus Programme on Safework Utilisation of African national experiences already implemented Support to Member States to develop sensitisation campaigns, taking into account the cultural specificity and Gender Strengthen the capacity of member-states to inform, education and communicate (IEC) Strengthen the enterprises' and social partners' IEC capacity, through Hygiene and Safety Committees and Occupational Health Services Support the development of prevention programmes targeting specific risk groups (health workers, transport, etc..) Develop curricula and teaching aids for training: Strengthen the capacity of Member States to organise occupational hygiene and safety-training sessions including VIH/SIDA related elements on a regular basis. (ii) InFocus Programme on Social and Economic Security Studying the HIV/AIDS financial impact on the equilibrium of social security policies Studying the costs that might be incurred by present projections on the evolution the HIV/AIDS for a decent case management Integrate the results of these studies in sensitisation and prevention campaigns Assist Member States to work out social security policies in the light of these studies Studying and designing new social insurance devices to attract the resources required (micro assurances, STEP) Studying mechanisms to enhance service to social partners. Sector 4: Social Dialogue This is a cross-cutting sector such that all measures taken in other sectors go through social dialogue. The activities include: Support to implement actions facilitating social dialogue integration of actions to fight against the culture of silence in social dialogue Assistance in setting up partnerships (systematic establishment occupational hygiene and safety committees, for example) Assistance in collective negotiations to take on board non-discriminatory arrangements when hiring labour, when staff is affected, when retrenching, etc. Systematic integration of women's representation Actions facilitating social dialogue through training workshops where social partners are invited, with a special emphasis on women's participation. IV.3: Partnerships The technical consultations referred to the orientations contained in the Platform, the Resolution adopted by the ILO Conference, as well as the proposals of the Framework for the Implementation the Platform of Action with respect to partnership in the fight against HIV/AIDS. The question is indeed to recognise the "enormous potential of employers and workers organisations, in partnership with Governments, to participate in the fight against the spread of HIV/AIDS (prevention) and to meet the needs of workers living with AIDS (protection)." As a result a "bottom-up" approach was recommended, going from the enterprise and at the world of work at the national level, to partnerships at the sub-regional, regional and international levels. The partnership with international development institutions, particularly with sister UN agencies, was viewed as a means for the ILO to better participate in co-ordinating the efforts under way in the fight against HIV/AIDS. The ILO contribution will be "value-adding" based as it is on its comparative specific advantages and competencies in the world of work. The technical consultations identified existing and potential partners to include the following: A.The National Level 1. The UN family Members of the Thematic Group on HIV/AIDS: Technical task force, sub-committees on HIV/AIDS and the world of work UN staff for HIV/AIDS in the work place, prevention and health care programmes; Bilateral and international technical co-operation projects/programmes 2. Governments (central, regional and local) 3. Workers organisations 4. Employers organisations 5. National tripartite dialogue frameworks 6. Public and private enterprises, especially through Hygiene and Safety Committees 7. The urban and rural informal sector, CBOs (ex. Artisans, taxi drivers, independent workers, farmers, etc..) 8. Associations of people living with AIDS 9. Civil society organisations 10. Professional associations 11. The media B. Sub-Regional Level Employers organisations, Workers organisations, WAEMU, ECOWAS, SADEC, COMESA, UMA, EC, BDEAC, BOADWADB, CRADAT, ARLAC, CEMAC, CEAC, CGPL, EAC, BADEA, OAT, etc. C. Regional Level OAU, ECA, AfDB, OATUU, ICFTU-AFRO, PEC, ODSTA/WCL, etc. D. International and Inter-Regional Levels International Employers Organisations, IEO, International Workers Organisations, ICFTU, WCL, UN Agencies: UNAIDS, UNDP, UNESCO, UNFPA, UNIFEM, HCR, WHO, IOM, World Bank, European Union (EDF) Bi-Multilateral Cooperation, Inter-Regional Organisation Of Portuguese Speaking Countries, Francophony, the Commonwealth, Foundations, etc. IV.4: Institutional Capacities to Implement Platform of Action on HIV/AIDS in Africa The Global strategy for ILO intervention with regard to HIV/AIDS in the world of work has already been established at Headquarters. The next step will be to clearly identify areas of responsibility and creation of linkages between Headquarters and field offices. In addition, it is essential to devise tools to mainstream HIV/AIDS in all ILO Programmes, with attention given to the mainstreaming of Gender in all HIV/AIDS Programmes. Role of HQ: Responsibility: Managing the ILO Global Programme on HIV/AIDS at the World of Work, coordination at the global level including linkages with field offices, HIV/AIDS policy formulation, research and advocacy programmes, technical cooperation and advice, programme support. Mechanism needed: - Functional links with field focal points Role of Regional Office for Africa: Responsibility: Coordinate the implementation of the Platform including planning, monitoring, evaluation and resource mobilization, mainstreaming HIV/AIDS in all Africa regional programmes (JFA, ASIST, SIYB, etc.) Mechanism needed: Focal point, one full time ILO Programme Officer, seconded UNAIDS staff, Associate Experts, Regional Task Force (Focal points, ROAF Unit), A tripartite Advisory Committee. Role of Area Offices: Responsibility: liaise with ILO constituents, resource mobilization, planning and programming. Mechanisms needed: focal points. Role of MDTs Responsibility: design and develop projects, mainstream HIV/AIDS in all activities, technical backstopping. Mechanism needed: Strengthened focal point (identification of focal points' profile, ensuring strong management support and sufficient time allocation, capacity building programmes for ILO Directors, Specialists and Focal points. Role of the ILO Training Centre in Turin Mechanisms needed: Training materials, development of manuals and publications, identification of new and more effective methodological approaches to information dissemination, project planning and development, and monitoring and evaluation. IV.5: Immediate Follow-up Arrangements 25-29 September 2000: Launch of the Implementation Framework by High-Level Sensitisation Forum during the ILO Directors meeting in Dakar October 2000: Establishment of a Regional Task Force, through electronic conferencing 16-18 October 2000: ILO Focal Points Meeting on ILO Global Programme on HIV/AIDS in the World of Work, Geneva. End of October 2000: Final draft of the Framework towards the implementation of the Platform of Action, including a detailed action plan. 13-17 November 2000: Regional Training Programme on Project Planning and Development on HIV/AIDS in the Context of World of Work in collaboration with ILO Training Centre in Turin. * Action against HIV / AIDS in Africa - An initiative in the context of the world of work)