International Organization for Migration (IOM)
-
Upload
rhoslyn-bronwen -
Category
Documents
-
view
33 -
download
0
description
Transcript of International Organization for Migration (IOM)
HIV risk and vulnerabilities of migrant farm workers in South Africa:
Good practice in addressing migrants’ rights to health
International Organization for Migration International Organization for Migration (IOM)(IOM)
IOM’s HIV Prevention & Care Project: Targets seasonal farm workers on 38 commercial farms in South Africa
The Evidence: findings from the IBBS
0
5
10
15
20
25
30
35
Female Workers Male Workers
HIV Prevalence on surveyed farms
71%
29%
28.5% HIV Positive
Female workers have higher HIV prevalence
Circumcised males lower HIV prevalence but the difference is mainly due to circumcision during early
childhood
Drivers of HIV infection in a large agri-estate setting
Environmental Drivers
Structural Drivers
Individual Drivers
- Seasonal labour- Poverty in rural areas- high % of women- high levels of gender inequality
• Gender (power) dynamics on farms, esp. transactional sex for jobs, accommodation, transport, exaggerated “masculinity” • Separation from regular sexual partners• Lack of access to health services due to unstable contract status/ no time/no money for transport• Boredom - lack of recreation• Low literacy / low skilled • Fatalism: “I can be replaced anytime”• Lack of targeted and appropriate (culture/language) HIV prevention information
- High levels of multiple, concurrent sexual partners with low consistent condom use- Low levels of behaviour change (myths/ misconceptions)
IOM’s response: A comprehensive HIV prevention and care project in large agri-estates
Sustainability – building
institutional capacity of
local partner
Access to health
services incl. ARVs
Recreational activities
Social Change
Communi-cation
Gender
Peer education
and referral to PHC
Building life skills
Workplace policies
Farm worker HIV
Prevention and Care Project
Impact ..
• Project started in 2005
• 78% of employees trust in the confidentiality of the IOM implementing partner.
• 25% of all employees surveyed in IBBS had been tested 6 months prior to survey suggesting the VCT programme is starting to reach more employees
• Grown from 18 farms to 38 – the model is being replicated throughout the district
• All 38 farms have HIV workplace policies
• Wellness Clinic in the farm community for all farm workers providing primary health care and ARVs
• Gender: Community Policing Forums are active, men becoming more vocal on GBV related issues
Gender on farms - in 2003/4 IOM survey found 52% of female workers had exchanged sex for goods
This mural was painted by farm workers and is on one of the farm compounds
Contact Details:
Barbara RijksRegional HIV AdvisorInternational Organization for MigrationRegional Office for Southern AfricaTel: +27 12 342 2789Email: [email protected]