Trade Union Actions Against HIV/AIDS in Uganda O I T a Worker’S Educational Manual C A
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N O T U Bureau for Workers' Activities of the International Labour Organization in co-operation with National Organization of Trade Unions, Uganda UNITY Uganda is one of most inspiring examples of an effective national response, having successfully reduced overall prevalence of HIV since its peak in 1992. This was done through a variety of prevention approaches including community mobilization, pioneering nongovernmental organization (NGO) projects and public education campaigns emphasizing delayed sexual initiation, partner reduction l and condom use. Strong political leadership, destigmatization and open communication were key a u aspects of the Ugandan response to AIDS. n a UNAIDS. 2004 Report on the Global HIV/AIDS Epidemic : 4th Global Report. Page 73. M l a n o The manual is aimed at educating all workers in general, and trade union members in particular, on i t the subject of HIV/AIDS. It is meant to serve as a useful tool in equipping workers with the basic facts a c about HIV/AIDS, the magnitude and impact of the disease, international and national legislation, u and, more importantly, the role of organised labour in the fight against the epidemic at the workplace. d E The manual educates the reader about non-discrimination against workers living with HIV/AIDS; s ’ clauses in collective bargaining agreements; developing preventive education programmes; r e k strengthening health and precautions at work; care, support and counselling to workers infected or r affected by HIV/AIDS and to their families as well. o W Jim Baker, A Director,Bureau for Workers’ Activities, ILO a d n In close collaboration with Bureau for Workers’ Activities of the ILO, NOTU has prepared this manual a g whose purpose is to ensure that trade union members are equipped with the relevant knowledge and U skills to deal with the HIV/AIDS pandemic. It is hoped that the manual will be instrumental in n i stimulating discussions, debate and awareness at the workplace on how to prevent the spread of the S epidemic and thus contribute towards increase of knowledge on HIV/AIDS, which will eventually D I change workers’ attitude and risky behaviours. A / V Lyelmoi Otong Ongaba I Secretary General, National Organisation of Trade Unions, Uganda H t s n i a g A s n Trade Union Actions Against HIV/AIDS in Uganda o i t A Worker’s Educational Manual c A n o i n U e ILO Area Office Pretoria d a P.O. Box 11694 Hatfield Pretoria 0028, South Africa. r T Telephone: +27-12-431 8800 Fax: +27-12-431 8859/64 e-mail: [email protected] N O T U Compiled and Edited by ISBN: 92-2-1-114220-5 UNITY Mohammed Mwamadzingo and Rose Nassanga 347 Hilda Street, P.O. Box 11694, Hatfield, Pretoria, South Africa Tel: (+27-12) 4318800 Fax: (+27-12) 4318859 E-mail: [email protected] Trade Union Actions against HIV/AIDS in Uganda A Workers’ Education Manual Mohammed Mwamadzingo and Rose Nassanga Published by the Bureau for Workers’ Activities of the International Labour Organization in co-operation with National Organisation of Trade Unions, 4th Floor, Fountain House, Plot 55, Nkurumah Road, P.O. Box 2150, Kampala, Uganda. Copyright © Bureau for Workers’ Activities, International Labour Organization 2005 First published 2005 Publications of the International Labour Office enjoy copyright under Protocol 2 of the Universal Copyright Convention. Nevertheless, short excerpts from them may be reproduced without authorisation, on condition that the source is indicated. For rights of reproduction or translation, application should be made to the Publications Bureau (Rights and Permissions), International Labour Office, CH-1211 Geneva 22, Switzerland. The International Labour Office welcomes such applications. Libraries, institutions and other users registered in the United Kingdom with the Copyright Licensing Agency, 90 Tottenham Court Road, London W1T 4LP [Fax: (+44) (0)20 7631 5500; email: [email protected]], in the United States with the Copyright Clearance Centre, 222 Rosewood Drive, Danvers, MA 01923 [Fax: (+1) (978) 750 4470; email: [email protected]] or in other countries with associated Reproduction Rights Organisations, may make photocopies in accordance with the licences issued to them for this purpose. Mohammed Mwamadzingo and Rose Nassanga Trade Union Actions Against HIV/AIDS in Uganda: A Workers’ Education Manual Pretoria and Geneva, International Labour Office, 2005 ISBN 92-2-1-114220-5 The designations employed in ILO publications, which are in conformity with United Nations practice, and the presentation of material therein do not imply the expression of any opinion whatsoever on the part of the International Labour Office concerning the legal status of any country, area or territory or of its authorities, or concerning the delimitation of its frontiers. The responsibility for opinions expressed in signed articles, studies and other contributions rests solely with their authors, and publication does not constitute an endorsement by the International Labour Office of the opinions expressed in them. Reference to names of firms and commercial products and processes does not imply their endorsement by the International Labour Office, and any failure to mention a particular firm, commercial product or process is not a sign of disapproval. ILO publications can be obtained through major booksellers or ILO local offices in many countries, or direct from ILO Publications, International Labour Office, CH-1211 Geneva 22, Switzerland. Catalogues or lists of new publications are available free of charge from the above address, or by email: [email protected] Visit our website: www.ilo.org/publns Layout: Fontline Electronic Publishing (Pvt) Ltd, Harare, Zimbabwe Illustrations: Mashet Ndlovu, Harare, Zimbabwe Printing: Précigraph Limited, Les Pailles, Mauritius ~ II ~ Table of Contents Preface ...............................................................................................................VII Appreciation ..................................................................................................... VIII Acknowledgements .............................................................................................IX List of Acronyms and Abbreviations..................................................................... XI Background to the Manual ................................................................................... 1 Introduction ............................................................................................................. 1 Geographical Coverage and Justification ................................................................. 1 Purpose of the Manual ............................................................................................. 2 Target Group ........................................................................................................... 2 How to use the Manual ........................................................................................ 3 General Layout ....................................................................................................... 3 Recommended Teaching Methods ............................................................................ 4 MODULE ONE Epidemiological Issues of HIV and AIDS ............................................................. 11 Lesson Guide to Module 1 ..................................................................................... 11 A Prelude to Understanding Epidemiological Issues on HIV/AIDS ............................ 11 What HIV is ........................................................................................................... 12 What AIDS is ......................................................................................................... 12 The History of HIV/AIDS ......................................................................................... 13 Myths about HIV and AIDS ..................................................................................... 13 How HIV/AIDS is Transmitted ................................................................................. 18 How HIV is not spread ........................................................................................... 18 Stages of HIV/AIDS Infection .................................................................................. 19 Signs and Symptoms ............................................................................................. 21 Prevention of HIV Infection ..................................................................................... 22 The relationship between HIV/AIDS and other Sexually Transmitted Infections ........ 24 Living with HIV and AIDS ....................................................................................... 26 MODULE TWO Communication and Counselling for Trade Union Educators .............................. 29 Introduction ........................................................................................................... 29 What is counselling? ............................................................................................. 29 Why is counselling offered? ................................................................................... 30 Who does the counselling? .................................................................................... 30 Who should be offered counselling and what types?............................................... 31 When do you counsel? .......................................................................................... 31 Where should counselling