The implementation of HIV/AIDS workplace programme in the Ministry of Education in Zambia

[摘要] ENGLISH ABSTRACT: The aim of this research is to establish the factors influencing the implementation of the Ministry ofEducation HIV/AIDS workplace programme in Zambia in order to provide guidelines to make itsustainable. This study is important to identify why the implementation of the workplaceProgramme has been difficult. This research was based on document analysis, direct observationsand the use of semi structured interviews with key staff involved with the implementation of theworkplace programme. The findings from this research provide evidence that the workplace HIVand AIDS programme is implementing a continuum of prevention, care and support programmesand most of these are contracted out. Impact mitigation programmes are not being implemented, thedonors are funding most of the programmes, and there is lack of leadership and commitment fromthe leaders in the ministry. The main conclusions drawn from this study are that in the long termHIV and AIDS in the workplace will not be fully managed as only a few of the Ministry ofEducation staff are benefiting from the workplace programme; some care and support interventionshave the potential of increasing the spread of HIV and the lack of leadership and commitment hasled to the ministry receiving inadequate funding, becoming heavily dependent on donor funding andthe HIV unit having no staff to coordinate HIV/AIDS programmes. This dissertation recommendsthat leadership and commitment of the leaders in the ministry for HIV and AIDS be built, HIV andAIDS impact mitigation strategies be implemented, the provision of the continuum of services tothe Ministry of Education staff be scaled up through leveraging of private sector resources, linkagesbe developed with local NGOs and health service providers, and the medical scheme policy andnutritional support for staff living with HIV be reviewed so that it does not send wrong messagesthat would potentially increase new HIV infections. Finally, the implementation of HIV and AIDSservices should continue being contracted.

[发布机构] Stellenbosch University