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  1. 1

    Meeting the needs: El Salvador. Health services in the factories.

    FORUM. 1997 Jul; 13(1):20-1.

    This article describes the activities of the Asociacion Demografica Salvadorena (ADS) in provision of family planning services and education in El Salvador. ADS works directly with UNFPA to provide sexual and reproductive health services to the working class population. The programs operate with El Salvador government funding and technical and financial support from UNFPA and are operated by a nongovernmental organization. Program efforts include operating public education programs, training of volunteers in sexual and reproductive health from a gender perspective, training for couples and individuals in decision-making, and raising women's levels of self-esteem and decision-making capabilities. The program operates 25 Reproductive Health Units (UDESARs) within various companies. Trained staff offer family planning, counseling services, testing for cervical and uterine cancer, breast self-exams, and HIV and sexually transmitted disease prevention and reduction of reproductive risk. UDESARs use volunteer disseminators who educate and motivate coworkers on a variety of sexual and reproductive health issues. ADS initiated program operations by first sensitizing and motivating company owners. Only 1 in 3 companies was willing to cooperate, provide office space for services, and allow worker motivators. UDESAR total staff includes 25 counselors and 82 disseminators for 12,500 workers. 80% of workers are women, and about 80% are aged <30 years. Industry will benefit from better planned pregnancies, fewer absences, and shorter maternity leave. Workers gain from family stability, increased proximity of services and improved health, greater gender equity, and reduced risk.
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  2. 2

    Services for factory workers. Meeting the needs: St. Lucia.

    FORUM. 1996 Dec; 12(2):14.

    While the government of St. Lucia actively supports family planning and the Ministry of Health maintains a service delivery program, the Saint Lucia Planned Parenthood Association (SLPPA) is also involved in getting family planning messages and a variety of services to the public at minimal cost. The work schedules of factory workers in St. Lucia's manufacturing sector prohibit them from visiting family planning clinics, doctors' offices, and distribution posts to obtain contraceptives. SLPPA staff members therefore go to 12 selected factories to provide female employees with family planning information and contraceptive methods. 90% of employees at these factories are female. The outreach team of one nurse midwife, a counselor, and a trained factory distributor visit the factories twice each month during which they also teach women on sexual and reproductive health, responsible family life, and relationships. More than 2000 factory workers currently have access to SLPPA services. In 1996, more than 1000 workers had individual counseling sessions on sexual and reproductive health. The SLPPA also reaches women through other non-contraception initiatives such as the early detection of cervical and breast cancer.
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  3. 3

    Consultation on AIDS and the workplace.

    World Health Organization [WHO]. Global Programme on AIDS

    AIDS ACTION. 1988 Dec; (5):3-4.

    The 1988 Consultation on Acquired Immunodeficiency Syndrome (AIDS) and the Workplace, organized by the World Health Organization (WHO), addressed 3 issues: 1) risk factors associated with human immunodeficiency virus (HIV) infection in the workplace, 2) the response of businesses and workers to the AIDS epidemic, and 3) use of the workplace for AIDS education. There is no evidence to suggest that HIV can be transmitted by casual, person-to-person contact in the workplace. The central policy issue for businesses concerns protection of the human rights of workers with HIV infection. Most workers with HIV/AIDS want to continue working as long as they are able to, and they should be enabled to contribute their creativity and productivity in a supportive occupational setting. Consistent policies and procedures should be developed at national and enterprise levels before HIV-related questions arise in the workplace. Such policies should be communicated to all concerned, continually reviewed in the light of scientific and epidemiologic evidence, monitored for their successful implementation, and evaluated for their effectiveness. Pre-employment HIV/AIDS screening, whether for assessment of fitness to work or for insurance purposes, should not be required and raises serious concerns about discrimination. Moreover, there should be no obligation on the worker's part to inform his or her employer if HIV infection develops. Information and educational activities at the workplace are essential to create the climate of collective responsibility and mutual understanding required to protect individuals with HIV or AIDS from stigmatization and discrimination by co-workers, employers or clients, and unions.
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