HIV/AIDS Training for Labour Inspectors

ILO responds to the HIV epidemic by providing technical assistance and support through a range of workplace programs. Specifically to contribute concretely to UNAIDS 90-90-90 treatment targets and more specifically to conduct HIV confidential and voluntary HIV counselling and testing services at the workplace since 2013.

There were an estimated 640.443 persons living with HIV (PLHIV) in Indonesia in 2018, where 70% HIV cases were among people aged 15-49 year. The numbers of PLHIV are highest in Jakarta and in the highly populated provinces of Java, as well as in East Java, West Java, Papua and West Java, etc. Although the transmission type driven in earlier years by needle sharing among People Who Inject Drugs (PWID), sexual transmission is now the primary mode of transmission of HIV. HIV projections indicate a modest but steady rise and more stable numbers about 49,000 new infections per year. (MoH - IBBS Report 2016, launched in 2017).

ILO responds to the HIV epidemic by providing technical assistance and support through a range of workplace programs. Specifically to contribute concretely to UNAIDS 90-90-90 treatment targets and more specifically to conduct HIV confidential and voluntary HIV counselling and testing services at the workplace since 2013, however the private sector’s engagement on HIV/AIDS awareness at workplace sectors remains challenging. HIV/AIDS awareness at workplace needs a comprehensive action by promoting through multi approaches via tripartite institutions.

HIV is now treatable as people living with HIV can be staying healthy when HIV status is earlier known to get earlier access for treatment. However, stigma and discrimination among workers living with HIV is occurred due to limited knowledge on HIV prevention and treatment. Number of unreported cases of workers living with HIV who get fired by the company are actually exist, unfortunately the cases stay hidden because of the fear of HIV status disclosure and rejection among community.

The ILO has established a collaboration with Ministry of Manpower to promote HIV/AIDS prevention at workplace in 2018 on the review of Implementation Manpower Ministerial Decree 68/2004. The research recommended the continuous actions on promoting HIV/AIDS prevention program at workplace through various approaches including the optimization the role of labour inspectors on Occupational Safety and Health Program at provincial levels. This action is supporting the commitment of Ministry of Manpower to activate the workplace working group on HIV/AIDS at national level to be followed up at provincial levels.

Due to rotation among government staffs, the number and the capacity of labour inspectors on health specialist in general and understanding HIV/AIDS in particular become challenges to ensure the promotion of the 68/2004 Manpower Ministerial Decree on HIV/AIDS prevention program. In other side, the role of labour inspector has a strategic role to meet the companies and ensure the manpower regulations are carried out by the companies.

A significant action is needed to increase the capacity of new labour inspectors in providing technical assistance on the implementation of OSH and educate HIV/AIDS prevention at company levels. Key areas are identified in improving the capacity of labour inspectors such as awareness on HIV/AIDS, mainstreaming HIV/AIDS issues into OSH, implementation of the technical instruction of 68/2004 ministerial decree, procedure of AIDS Award and sharing the best practices by companies who implemented HIV/AIDS program and got the AIDS Awards. These main themes will be arranged as parts of the technical assistance skills of labour inspector roles in ensuring the companies to implement the 68/2004 Manpower Ministerial Decree.

ILO continues the support to Ministry of Manpower to conduct HIV/AIDS for Labour Inspectors in 7 selected provinces where HIV prevalence and HIV/AIDS cases are relatively high among other provinces with a massive industrial sector. A strategic action plan on providing technical assistance to companies on HIV/AIDS prevention program through Occupational Safety and Health program will be developed to increase the role of labour inspectors among the companies at provincial levels.