. OBJECTIVE
1.) This paper reports on the status of the implementation of workplace policies and
programs on HIV/AIDS for the government sector. In accomplishing this, the
background, the process for the formulation of public policies and programs on
HIV/AIDS and sexually transmitted diseases (STDs) at the workplace in the
Philippines were examined, how decisions on policy and programs were made, and
how the program evolved as an integrated effort of various social stakeholders.
II. BACKGROUND
2.) HIV/AIDS infection was first identified in the early eighties in the Philippines. At that time, HIV/AIDS
was accepted as a serious health problem, thus the first government agency to respond was the
Department of Health. It did not take long to realize that such a problem could not be purely
addressed in health terms, that social and economic aspects were important determinants as well as
outcome of HIV/AIDS infection. The late eighties was preoccupied by reporting on a regular monthly
basis the results of limited medical surveillance; the media was full of news each time a new person
was added to the list. It was also the time when case studies among different populations, particularly
dwelling on the sexual vulnerabilities of those highly considered at risk that time, i.e., commercial sex
workers and men who had sex with men, were carried out by DOH and some NGOs. Mass media was
the most common method of communicating knowledge, attitudes and practices on HIV/AIDS.
3.) By the 90s, it was generally accepted that there was indeed a silent epidemic of HIV/AIDS in the
country; and by this time the social and economic aspects have become clear. Those infected were in
the age bracket of 19 to 35, the ignorance on its transmission was supported by several myths and
false information that HIV was transmitted thru kissing, thru using same utensils, and by sitting or
working close to somebody elses in the office or factories.
4.) More government agencies responded to the problem of HIV/AIDS. This included the Department
of Labor and Employment (DOLE). A first step under the program was to involve a representative mix
of partners in examining the scope for a strategy and possible workplace interventions on HIV/AIDS
and STD. This was an important premise for workplace initiatives on health and welfare, that is, to
assess workplace complexities in terms of relationships and program. Thus, through Administrative
Order No. 236 in August 1996, an Inter-Agency Committee (IAC) within DOLE was created to draft a
proposed plan of action for the Workplace-based Strategies on STD/HIV/AIDS. The IAC was tasked
to submit its proposal to promote and and/or to sustain STD/HIV education at community and
workplace levels.
5.) Box 1 lists the members of the IAC which are composed of permanent representatives, with senior
technical rank, or designated alternates from the following DOLE bureaus, offices and agencies:
Box 1
List of Interagency members on STD/HIV/AIDS
(AO 236, Series of 1996) DOLE
Office of the Assistant Secretary for Policy and International Affairs
Office of the Assistant Secretary for Regional Operations
Bureau of Labor Relations (BLR)
Bureau of Women and Young Workers (BWYW)
Bureau of Working Conditions (BWC)
Employees' Compensation Commission (ECC)
Finance and Management Service (FMS)
International Labor Affairs Service (ILAS)
Institute for Labor Studies (ILS)
Occupational Safety and Health Center (OSHC)
Overseas Workers' Welfare Administration (OWWA)
Phil. Overseas Employment Administration (POEA)
6.) The administrative order stipulated that the list of members may be expanded to include other
DOLE offices, bureaus and agencies as necessary, and tasked the Occupational Safety and Health
Center (OSHC) to coordinate the implementation of the project. The IAC acted as a
consultative/advisory body on STD/HIV/AIDS in the Workplace. and served as the focal group on
workplace based STD/HIV/AIDS programs to the ensure coordination of all partners involved in
specific activities. IAC meetings have therefore been serving as fora for policy development and
strategic
planning,
and
have
been
catalyzing
STD/HIV/AIDS
activities 1.
1 ( Identifying the Focal Point: The Occupational Safety and Health Center (OSHC) as Coordinator. In line with the
objectives of the Department of Labor and Employment's efforts to establish an STD/HIV/AIDS Workplace Program,
through the Project "Support for HIV/AIDS and STDs Actions in the Philippines" the Undersecretary for Workers
Protection and Welfare designated the Occupational Safety and Health Center (OSHC) to coordinate the policy
formulation and action programs with the support of the IAC. The OSHC belongs to the Cluster of agencies under the
Workers' Protection and Welfare of the DOLE )
Linking
Policy
to
Strategy
The Strategic Plan aims to achieve the five goals of the Policy by enlisting the participation of all
involved sectors of society with the Government taking the lead. The objectives included reaching a
substantial number of the national workforce and to integrate action on STD/HIV/AIDS into existing
health and welfare programs.
The
National
Workplace
Action
Plan
on
HIV/AIDS
and
STDs
In March of 1998, a Workshop was held at the Occupational Safety and Health Center to develop a
National Action Plan for the Philippines. Participants came from the Department of Labor and
Employment, from Labor and Employer Groups as well as from NGOs, Academe and Professional
organizations.
The National Action Plan outlines how programs relating to STD/HIV/AIDS workplace issues will be
set up and maintained over a five-year period. The Workshop suggested that to adequately inform
and educate the workforce on STD/HIV/AIDS, a multisectoral approach was needed.
a. This would initially mean conducting knowledge, attitudes and skills assessment studies to
document what workers in highly vulnerable sectors knew about STD/HIV/AIDS,
b. how training curricula could be geared towards different workplace environments,
c. how the training of trainers would be organized, and who would form the core group of educators.
The Plan, enlists the Civil Service Commission to require all government agencies to install such
health programs within their offices. Furthermore, the Plan also calls for the modification of Rule 1960
on the Occupational Health Services of the Occupational Safety and Health Standards Code to
emphasize STD/HIV/AIDS programs among the services offered by company medical clinics. "Rule
1960, General Provisions - 1) every employer shall establish in his place of employment occupational
health services". The Labor Code of the Philippines including the OSH Standards is currently under
review.
In conjunction with efforts at the workplace itself, the Plan also calls for a review of existing facilities
and policies in health care, socio-economic services and legal services so as to ensure that persons
with STD/HIV/AIDS have full access to such services. There is the move to increase awareness of
STD/HIV/AIDS in the general populace by including information materials on display at public events,
by using mass media and by utilizing special commemorative occasions and holidays (e.g. World
AIDS
Day,
Labor
Day
etc.).
The Proceedings and matrices developed during the National Action Plan Workshop were submitted
to the Inter-Agency Committee and to DOLE's social partners for comments and revisions and these
have been approved. Also discussed was the enhancement of the IAC's functions by way of a DOLE
Department Order, which would designate the present IAC as the advisory and policy-making body of
the DOLE with regard to STD/HIV/AIDS in the workplace. In September 1998, the Inter-Agency
Committee has concluded a series of brainstorming sessions to develop activities in line with the
goals identified in the National Action Plan.
13. Interventions
There are several areas in preventive education on HIV/AIDS and STDs where the workplace
population would need clear and up-to-date information. These include: general knowledge on
Box 3
Future Areas for Interventions *
1. Further investigations into the knowledge attitudes and practices of public sector
employees and vulnerable population on STD/HIV/AIDS. (OSHC, IAC)
2. Formulating a Communication Plan for STD/HIV/AIDS at all levels. (OSHC, IAC)
2.1. Curriculum development for awareness raising in the provisions of RA
8504 of different workplace partners, (OSHC & IAC, DOH, NGOs) including
labor inspectors to include compliance to these provisions in their inspection
reports.
2.2 Orientation of management on the new law and the issues accompany
STD/HIV/AIDS so as to enhance their capability to deal with these at their
offices and promote a discrimination free workplace.
2.3 Orientation of labor management councils through the Philippine Labor
Management Council (PALMC0). (PALMCO & OSHC, NGOs)
2.4 Improvement of the Pre-Departure Orientation Seminars (PDOS) of the
Philippine Overseas Employment Agency (POEA) of the DOLE (NGOs,
OSHC, POEA)
2.5 Support for universal precautions, awareness raising and skills training in
relation to the Zero Accident Program (ZAP) of the Occupational Safety and
Health Center (OSHC). (OSHC, DOH)
3. Development of a module on STD/HIV/AIDS with the National Maritime Polytechnic
(NMP). (OSHC & NMP)
4. Enabling HIV/AIDS persons to be aware of and gain access to different livelihood and
education programs. (Pinoy Plus & DOLE))
5. Improvement of STD/HIV/AIDS service provision at company clinics. (PCOM, OHNAP,
PMAP, OSHC, NGOs)
All government and private employees shall be provided with standardized basic information and
instruction on HIV and AIDS.
HIV / AIDS education shall be integrated into orientation, training, continuing education, HR devt
programs, etc
Each employer shall develop, implement, evaluate and fund a workplace HIV and AIDS education and
information program.
In collaboration with the DOH, DOLE shall oversee the anti-HIV/AIDS campaign in all private
companies.
When charged with crime under the Revised Penal Code, Death penalty Act, Anti-rape Law
Reportorial requirements
When informing health workers directly involved in treatment and care of persons with
HIV/AIDS
When responding to legal proceedings where the main issue is the HIV status of a person
All health professionals, medical instructors, workers, employers, recruitment agencies, insurance
companies, data encoders, and other custodians of any medical records, file, data or test results to
observe strict confidentiality particularly the identity and status of persons with HIV
Release of HIV/AIDS Test Results will only be allowed to the following parties:
Persons with HIV/AIDS already employed by any public or private company shall be entitled to the same
employment rights, benefits and opportunities as other employees.
HIV infected employees shall act responsibly to protect own health and prevent HIV transmission
Penalties
and
Control
of
the
Spread
of
HIV,
AIDS
and
STIs
Access to information --All workers shall have access to adequate and updated information, health, counseling
and education programs on HIV/AIDS/STIs as well as to support services and referrals.
Support for programs --Programs on HIV/AIDS/STIs shall be supported by all TUCP National leaders, officers
and affiliates through the mobilization of its relevant committee and departments. In recognition of December 1
as World AIDS Day, TUCP shall initiate and participate in relevant activities for its observance.
Partnership --TUCP shall establish close working partnership among employers' groups, government, nongovernment organizations and research institutions but such partnership shall be limited only to funding,
coordination and technical support. Actual program implementation shall rest solely on TUCP and/or its affiliates.
Role of employers, government and other members of the civil society --Employers should endeavor to
allocate funds and provide support for the implementation and sustainability of plant-level HIV, AIDS and STIs
prevention and control program. The government should be tapped for necessary technical assistance and
accessibility
to
HIV/AIDS/STIs
service
and
supplies.
Support for R.A. 8504 --TUCP shall support the implementation and enforcement of RA 8504 or the Philippine
national AIDS Prevention and Control Act of 1998, lobby for the immediate issuance of its implementing rules and
regulations (IRR) and carry out massive information dissemination campaign among affiliates and local unions on
the said law.
2. Protection of Workers' Rights and Dignity of Persons Living With HIV and AIDS
For persons applying for employment --Mandatory testing for an HIV antibody shall be prohibited.
For employees --Workers with HIV/AIDS/STIs shall be entitled to the same rights and opportunities as other
employees.
HIV Antibody screening --No mandatory HIV testing shall be done. Antibody testing shall be on a voluntary
basis
with
pre
and
post
counseling
that
guarantees
anonymity
and
confidentiality.
Confidentiality of records --Results of antibody tests and other employee health records shall be treated with
utmost
confidentiality
by
the
physician,
employers
and
employee.
Protection of employee tenure --TUCP shall uphold the security of employment of workers with HIV/AIDS/STIs.
They shall be allowed to work as long as they are physically fit and medically cleared to do so. They shall,
likewise, be protected from stigma and discrimination by co-workers and employers as well as from demotion and
termination
of
the
latter.
Reproductive Health Day --TUCP shall declare Reproductive Health Day to provide workers with complete
services for his/her RH needs. TUCP shall advocate for the inclusion of this RH Day in Collective Bargaining
Agreements
(CBA)
as
a
regular
part
of
company's
family
welfare
program.
Benefits --TUCP shall endeavor to establish HIV/AIDS/STIs Funds and/or endowment to assist/support workers
with HIV/AIDS and STIs. It shall ensure that all workers with HIV and AIDS are entitled to the same benefits as
of
Workers
with
HIV,
AIDS
and
STIs
Workers with HIV/AIDS and STIs shall be responsible for maintaining a lifestyle that will control and prevent the
spread
of
the
infection.
4. Recognition
of
TUCP
Responsibility
TUCP affiliates shall negotiate for provisions in all CBA contracts that support HIV/AIDS and STIs initiatives
including but not limited to "time off with pay" for workers' participation in HIV/AIDS/STIs programs and activities.
TUCP shall develop an appropriate and gender sensitive information, education, communication and motivation
(IECM)
campaign
on
the
control
and
prevention
of
HIV/AIDS/STIs.
TUCP shall endorse and establish mechanism for the integration of HIV/AIDS/STIs prevention program in
existing Family Welfare Programs and/or other Health Promotion Programs at the Workplace.
5. Establishment
of
TUCP
Core
Group
on
HIV,
AIDS
and
STIs
A TUCP Core group shall be established to implement and coordinate a nationwide program on HIV, AIDS/STIs.
They shall be composed of representatives coming from different federations affiliated with the TUCP.
A focal person shall be identified and assigned to coordinate and monitor the integration and implementation of
HIV, AIDS/STIs prevention and control programs at the workplace.
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ACTIVITIES
AND
PROGRAMMES
ON
HIV/AIDS
Over the years, TUCP has put great importance HIV and AIDS prevention and control programs at the workplace.
Among the programs/project which gave special focus on the this workplace concern are the following:
a.
Pilot
Project
on
Family
Welfare/Family
Planning
(1984-1989)
Supported by International Labor Organization (ILO) and the United Nations Population Fund (UNFPA), the
project included efforts to managing of Sexually Transmitted Infections particularly among male workers.
b.
Institutionalizes
population
education
among
members
(1991-1996)
Supported by the United Nations Population Fund (UNFPA), information, education and communication (IEC)
materials on Family Planning (FP), Maternal and Child Health (MCH) and Sexually Transmitted Infections (STIs)
Prevention were developed through a participatory process and distributed using a collectively crafted
communications plan. A mobile clinics was acquired to enable union health providers bring information and
services
at
union
members
places
of
work
and
communities.
c.
Enhancing
Male
Involvement
in
RH Among
Trade
Union Members
(1998-2000)
Supported by the Ted Turner Foundation and UNFPA, the pilot project promoted male involvement
and participation in family responsibilities while enabling the same target public to address their own reproductive
health concerns, particularly prostate cancer and STI detection and management which are the identified RH
concerns
of
male
workers.
A number of male trade union leaders and members were trained to become corps Male Adult Peer Educators
on STIs including HIV and AIDS. HIV and AIDS was integrated as a component of workers education among
select
enterprises
with
TUCP-affiliated
unions.
d. Enhancing the Union-Based HIV/AIDS Peer Education Program in Selected Sites (2000)
Supported by the Philippine National AIDS Council (PNAC), development of Core Trainers (Peer Educators on
HIV and AIDS) --whose primary term of reference is to serve as first-line source of correct and accurate HIV and
AIDS information and counseling to fellow workers --was undertaken. This Pool of Peer Educators held various
kinds of IEC activities ranging from the conduct of weekend seminars, mass mobilizations, general assemblies
and
face-to-face
interaction
for
workers.
An HIV/AIDS Awareness Manual for Workers was developed to serve as guide of peer educators in dispensing
their
responsibilities
at
the
enterprise
level.
e. A Demonstration Project to Promote RH Programs in the Workplace ( 2000-2003)
Supported by the David and Lucile Packard Foundation, the project served as an advocacy program to promote
FP/RH in workplaces including advocacy for HIV and AIDS prevention and control. Unions were capacitated to
negotiate for FP/RH and non-discrimination clauses in collective bargaining agreements (CBA). STI Management
is
one
of
the
clinical
services
provided
in
union-run
Family
Welfare
Clinics.
f.
A
Work-Based
RH
Project
for
the
Working
Youth
(2001-2004)
This UNFPA-assisted RH project focused on sexuality education and services for young workers. HIV and AIDS
--as an emerging concern with enormous potential negative impact of the working youth was one of the
thematic
areas
covered
by
the
project.
To respond to the unique issues and concerns of young people, a pool of Young Adult Peer Educators (YAPE)
was developed. YAPEs act as counselors and facilitators in HIV and AIDS discussions at the enterprise level. A
number of these YAPEs were eventually tapped by their respective Human Resource Departments to lead HIV
and
AIDS
education
for
management
and
non-union
members.
The project was conferred with the NGO Best Practice Award among the NGO partners of UNFPA in the fifth
(5th)
Country
Program.
g. Intensifying Advocacy for Family Planning and Reproductive Health at the Workplace (2004-2007)
Supported by the David and Lucile Packard Foundation, advocacy for FP/RH and HIV and AIDS at the workplace
was intensified. This resulted in a number of companies providing funds for programs and services, including
STIs.
h. RH@WORK: Increasing Access to RH Services among Vulnerable Populations (2005-2008)
In this project, UNFPA assisted the TUCP to address the FP/RH needs of the increasing workers in the informal
sector. Clinical services on STI Detection and management for the Informal sector workers was initiated.
Select young people within the sector were trained to use street theater as a way of informing and teaching street
and well as itinerant vendors about family planning and reproductive health. Street theater presentations were
developed to tackle issues such as sexuality, STIs, responsible sexuality and safe sex practices among others.
i. Promoting Family Planning & Reproductive at the Workplace through Public-Private Partnership, (20072010)
Supported by the David and Lucile Packard Foundation, this project engages area-based government and
private stakeholders for the promotion and sustainability of FP/RH, including HIV and AIDS at the workplace. Five
(5) multi-sectoral, area-based coalitions were organized to support advocacies at the local level.
j.
Strengthening
the
Peer
Education
Program
in
Workplaces
(2008-2009)
With support from the Japan International Labor Foundation (JILAF), two (2) national training programs were held
to train and develop 40 new of HIV and AIDS Peer Educators from the manufacturing, services, agricultural
sectors and workers in informal employment. An updated HIV and AIDS guidebook for peer educators was
developed.
k.HIV and AIDS Education Program for Future Workers in the Sunrise Industry (2008-2010)
With the increasing number of young people entering the call center industry and the likewise increasing number
of domestic cases of HIV transmission among young people, the TUCP initiated an education program for the
near-hired business process outsourcing (BPO) workers undergoing finishing courses on call center and medical
transcription
at
the
TUCP
Workers
College.
Included in their curriculum is a three-hour session on HIV and AIDS Prevention and Control. Everyone is
required to undergo the education session for them to be conferred with their certificates.
l.National Annual HIV and AIDS Forum and Candlelight Memorial: International Day for Commemorating
the Dead and Injured Workers (2006-2008)
For three years, HIV and AIDS was the main theme of TUCPs April 28th Candle-light memorial in
commemoration of the International Day of Mourning. The candle-light memorial is an international trade union
advocacy, held every 28th of April, to remember and bring into public consciousness the countless women, men
and young workers all over the world who died, got ill or injured because of unhealthy, unsafe and unsustainable
working conditions.
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top
THE ILO CODE OF PRACTICE ON HIV AND AIDS AND THE WORLD OF WORK
TUCP believes that there is a great need to ensure that the International Labor Organization (ILO) Code of
Practice is applied and implemented in all workplaces, formal and informal. In essence, the fundamental aim of
the Code is to help safeguard conditions of decent work and protect the rights of workers and all people living
with
HIV/AIDS
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to
top
guidelines.
Development of the AIDS Medium Term Plan (AMTP) which serves as the over-all guide to policymakers and programme planners to determine where resources for AIDS could make the most impact
and what strategies and interventions were needed.
due process. Lambert Pawnbrokers and Jewelry corporation and Lambert Lim vs.
Helen Binamira, G.R. No. 170464. July 12, 2010.
Preventive suspension. Preventive suspension is justified where the employees
continued employment poses a serious and imminent threat to the life or property of
the employer or of the employees co-workers. Without this kind of threat,
preventive suspension is not proper. Jose P. Artificio vs. National Labor Relations
Commission, RP Guardians Security Agency, Inc. Juan Victor K. Laurilla, Alberto
Aguirre, and Antonio A. Andres, G.R. No. 172988, July 26, 2010
Public employees; demotion. There is demotion when an employee is appointed to a position
that results in a diminution in duties, responsibilities, status or rank which may or may not involve
a reduction in salary. Where an employee is appointed to a position with the same duties and
responsibilities with a rank and salary higher than those he enjoyed in his previous position, there
is no demotion and the appointment is valid. Virginia D. Bautista vs. Civil Service
Commission and Devt. Bank of the Philippines, G.R. No. 185215, July 22, 2010.
Public employees; downgrading of employees. The summary reallocation of Gos position
to a lower degree resulting in the corresponding downgrading of his salary infringed the policy of
non-diminution of pay which the Court recognized and applied in Philippine Ports Authority v.
Commission on Audit, as well as in the subsequent sister cases involving benefits of
government employees. Running through the gamut of these cases is the holding that the
affected government employees shall continue to receive benefits they were enjoying as
incumbents upon the effectivity of RA 6758. Relevant to the critical issue at hand is Sec. 15 (b) of
PD 985 which, as amended by Sec. 13 (a) of RA 6758, pertinently reads: Sec. 13. Pay
Reduction If an employee is moved from a higher to a lower class, he shall not
suffer a reduction in salary: Provided, That such movement is not the result of a disciplinary
action or voluntary demotion. Gonzalo S. Go, Jr. vs. CA and Office of the President, G.R.
No. 172027. July 29, 2010
Redundancy; definition; requisites. Redundancy exists when the service capability of the
workforce is in excess of what is reasonably needed to meet the demands of the enterprise. A
redundant position is one rendered superfluous by any number of factors, such as over hiring of
workers, decreased volume of business, dropping of a particular product line previously
manufactured by the company, or phasing out of a service activity previously undertaken by the
business. Under these conditions, the employer has no legal obligation to keep in its payroll more
employees than are necessary for the operation of its business.
For a valid implementation of a redundancy program, the employer must comply with the
following requisites: (1) written notice served on both the employees and the DOLE at least one
month prior to the intended date of termination of employment; (2) payment of separation pay
equivalent to at least one month pay for every year of service; (3) good faith in abolishing the
redundant positions; and (4) fair and reasonable criteria in ascertaining what positions are to be