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The purpose of the paper is to provide recommendations for medium- and large-sized workplaces on how to support HIV-positive employees. Supporting HIV-positive workers is an issue of social responsibility and an economic necessity for employers. HIV-positive workers can remain productive and healthy for many years if able to access appropriate HIV management support.

Recent (2000-2010) academic and grey literature on HIV workplace management was reviewed and a qualitative study of nine workers receiving antiretroviral treatment (ART) in Zimbabwe was conducted by the authors. Results from both the literature review and qualitative study were used to develop recommendations.

Carefully considered organizational support is of primary importance in the following areas: workplace HIV policy, voluntary testing and counselling, HIV management, HIV treatment uptake and adherence, day-to-day assistance, peer education, nutrition support, opportunistic infection (OI) monitoring and support to temporary/contract workers. Confidentiality is a key element in achieving positive outcomes in all areas of organizational support for HIV-positive workers.

The paper provides a source of information and concrete advice for workplaces seeking to implement or augment HIV management and support services for their employees. The paper offers vital insight into workplace intervention strategies shown work best for workplaces and employees.

The paper fills a need for comprehensive documentation of strategies for effective HIV management at medium- and large-sized workplaces.

Prevalence of HIV/AIDS infection in the South African construction industry exceeds that of most other economic sectors. Voluntary counselling and testing is pivotal in combatting the spread of the disease. Little is known about the attitudinal fear of testing among construction workers, and the determinants thereof. The purpose of this paper is to address these shortcomings.

A conceptual integrated model of fear of testing is proposed. Demographic characteristics and behavioural and cognitive factors are posited to explain attitudinal fear of testing. Regression analysis and structural equation modelling are used to test the model, using data gathered from 512 site-based participants in a questionnaire survey.

Prejudice and lifestyle risk are the terminal predictors of fear of testing. Prejudice is determined by education level and HIV/AIDS transmission knowledge. Knowledge is predicted by education level and ethnicity. Lifestyle risk is determined by age, gender, harmful substance use, and knowledge. Harmful substance use is determined by age, gender, ethnicity, and employment type. The inter-relationship between knowledge about HIV/AIDS, prejudice towards HIV+ persons, and fear of testing is complex and nuanced.

Intervention strategies by firms should positively address attitudinal fear of testing. Employers should ensure that effective communication is established with workers. Interventions relating to harmful substance use by employees need particular attention. Awareness campaigns should be sensitive to ethnic and cultural values, and to inter-generational differences.

Harmful substance use and knowledge about HIV/AIDS transmission are indirect predictors of fear of testing. Education and ethnicity are critical dimensions of knowledge. The complex inter-relationship between knowledge, prejudice, lifestyle risk, and fear of testing is highlighted, providing guidelines for intervention management.

The New Partnership for Africa's Development (NEPAD) (2001) urges African leaders to take responsibility for revitalizing and extending the provision of education, technical training and health services with high priority given to tackling HIV/AIDS, TB and other communicable diseases. The International Labor Organization (ILO) and the World Health Organization (WHO) both agree that occupational health and safety in Africa needs strengthening. In support of this realization are the need to maintain and promote workers' health and working capacity. The fight against HIV/AIDS in the workplace is a continental priority. In the absence of any other definitive or similar study, this study aims to establish a valid baseline assessment of the levels of knowledge, types of attitudes, perceptions and beliefs of older construction workers in South Africa regarding HIV infection and AIDS. This paper reports only on findings concerning the level of knowledge and awareness of HIV/AIDS among older construction workers as determined during the first phase of an exploratory study commenced in August 2002. Older construction workers generally had acceptable levels of correct knowledge, perceptions and attitudes on most issues relative to the disease. However, their employers had not played a major contributory role. The study highlighted several areas where older workers either had incorrect and deficient knowledge and attitudes or demonstrated high levels of uncertainty.

Effective communication is a key factor in presenting Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) awareness and prevention campaigns, and delivering treatment programmes, particularly in South Africa where different ethnic groups and a diversity of languages and educational attainment levels are encountered. Language is an important element of such communication. The purpose of this paper is to examine the communication effectiveness of AIDS-related intervention messages.

Case-based semi-structured interviews, with 42 employees from three construction organisations, and with six telephone counsellors from a service provider, were used to explore language in the HIV/AIDS context in the construction industry in the Western Cape region.

Workers’ knowledge about HIV (a key element in prevention and willingness to engage in treatment regimes) tended to align with their level of education. African cultures may inhibit the use of plain language about AIDS. Graphic posters with text in different languages were the most preferred communication media, but need periodic refreshment to remain effective. For toolbox talks and other company presentations, a comprehensive approach to language differences is limited, and appropriate confirmatory feedback loops are not used – the message sent is not always the message received. The recruitment and training processes for service provider counsellors ensure a more comprehensive grasp of HIV knowledge and a more consistent approach to communication.

Construction organisations should be more careful in their HIV/AIDS campaigns and programmes, ensure better targeting of audiences and pay more nuanced and sensitive attention to language needs, gender differences and cultural contexts with respect to communicating with workers in ways that engage them more fully about HIV/AIDS, stigma and disclosure.

Communication effectiveness is pivotal in the provision of intervention management by construction firms. Ineffective language and communication processes directly and adversely influence HIV/AIDS intervention management success.

Attempts to address the gap in literature on the experiences of HIV/AIDS care workers in Africa through studies of professional care givers in Lome, Togo. Uses a pilot study of 30 care givers and examines the roles, services and coping mechanisms of these individuals. Presents the demographics characteristics of the care givers and the type of services provided. Discusses how they cope with stress and their feeling regarding the prevention of HIV. Concludes they face enormous demands which may affect their own health and families. Suggests that a support network would be helpful.

Since the first case of AIDS was reported in 1986, several HIV/AIDS intervention program operates at the national and regional level in India, to control the spread of this epidemic. The purpose of this paper is to evaluate one intervention program in a major city of India – Kolkata that targets specifically the commercial sex-workers challenged with socio-economic-health disparities. This intervention program called the Durbar Mahila Samanwaya Committee (DMSC) is located in the Sonagachi area and nicknamed as the “Sonagachi Project.”

The behavioral change of about 500 sex-workers participating in the survey was studied in 2005. The data were collected from the focus groups of the sex-workers; official records and DMSC officials were also interviewed to collect data. The “short-term” outcome and the “long-term” impact of the program were compared with a baseline survey conducted in 1992 by another study.

Participants experienced increased awareness of the disease, increased literacy rate and increased social and economical empowerment. The incidence of HIV/AIDS has gone down significantly among this high-risk group due to safe-sex practice.

This community-based organization adopts a unique method of engaging the sex-workers as peer educators to train other sex-workers about safe-sex practices and has become the role model for sex-workers in other parts of the world to fight socio-economic-health disparities.

This research was conducted by directly contacting the program directors and members of the Sonagachi project and in that sense is first hand information. It gives valuable insights into the struggles these sex-workers had to go through to gain social and economic empowerment.

For decades, northern Thailand has been a hub for migration in the Greater Mekong Sub-region, particularly for migrants from Myanmar. HIV prevalence among Myanmar/Burmese migrants is higher than in the general Thai population. This study aims to focus on Shan migrants living with HIV in Chiang Mai, the metropolitan centre of northern Thailand and to examine two related aspects: migrants’ sexual risk behaviour and their HIV knowledge and beliefs. The study aims to understand circumstances in which mobility increases HIV risk behaviour and prevalence.

Using a qualitative study, the authors conducted in-depth interviews in 2017 with 43 HIV-infected Shan migrants (21 males and 22 females), and 29 health-care providers who work in district hospitals in Chiang Mai.

The authors found that social and economic vulnerability associated with migration, and AIDS-related mortality, increased migrants’ likelihood of having multiple serial partners. Confusion about HIV symptoms, stigmatization of HIV positive women and low risk perceptions, particularly among men, increased their risk behaviours.

To the best of the authors’ knowledge, this paper is the first to study the way of life, sexual behaviour and HIV knowledge and beliefs of Shan Migrants from Myanmar Living with HIV in Thailand.

The purpose of this paper is to identify and discuss Asian hospitality and catering (H&C) human resource managers' (HRMs') perceptions of employing human immunodeficiency virus (HIV)‐infected applicants and examines the treatment of HIV‐infected employees in their workplaces.

Primary data are collected from 32 English speaking Asian hospitality managers who responded to a postal questionnaire; 12 of them agree to participate in follow‐up telephone interviews. Transformed raw data are analysed using both qualitative and quantitative analytical methods.

Although Asian H&C HRMs are sympathetic to the plight of HIV‐infected people, they maintaine that hiring HIV‐infected employees incurs increased operating costs. This generally unsubstantiated claim appears to be linked to lack of understanding of the difference between HIV and acquired immune deficiency syndrome. HRMs do not appear to perceive or comprehend any benefits to be generated from hiring HIV‐infected employees.

The sensitive nature of the topic, exacerbated by the Asian cultural dimension, generates only 32 respondents and, therefore, impacts on the external validity of the study.

Asian H&C HRMs are advised to implement the recommendations and guidelines in this paper to avoid lawsuits that can arise as a result of unfair employment or treatment of HIV‐infected applicants and employees.

This exploratory study provides a platform for the discussion of some sensitive HIV‐related issues in an Asian context. It also supplements the sparse literature addressing the contribution of HIV to the discrimination and stigmatisation of hospitality applicants and employees in their workplaces.

This exploratory study aims to determine Asian hospitality managers' (AHMs') perceptions of HIV education in their workplaces and their knowledge of HIV.

A mixed‐methodology research design gathered quantitative data from 32 English‐speaking AHMs, selected using probability and non‐probability sampling techniques, through a postal questionnaire. In addition, 12 of them agreed to participate in follow‐up telephone interviews to further investigate this research topic. Transformed raw data were analysed using both qualitative and quantitative analytical methods.

AHMs supported HIV education with a strong understanding of the transmission and treatment of HIV. In addition, they revealed an acceptable level of knowledge regarding its effects on individuals and societies. However, their understanding of its nature, extent and general effects was weak. Based on the imperfection of AHMs' HIV knowledge, they appear to be disseminating incorrect information to their peers and subordinates.

The external validity of the study is affected due to its sensitive nature to generate quantitative data based on 32 respondents.

The development and implementation of workplace education and training programmes required immediate consideration to eradicate misunderstandings regarding the acquisition, transmission and development of HIV.

The exploratory study supplemented the sparse literature addressing HIV knowledge of AHMs and the need of HIV education for hospitality employers and employees in their workplaces to curb the spread of HIV.

This paper is a part of a series of papers seeking insight into a holistic perspective into the lives, experiences and vulnerabilities of male-to-female transgender persons (from here on referred to as “transgender persons”/“Ladyboys”) within the sex industry in Southeast Asia. “Ladyboy” in Thai context specifically refers to the cultural subgroup, rather than the person’s gender identity and is not seen as an offensive term. Among the minimal studies that have been conducted, the majority have focused on sexual health and the likelihood of contracting or spreading HIV/AIDS, while often ignoring the possibility of other vulnerabilities. The paper aims to discuss this issue.

The study interviews 60 transgender persons working within red light areas of Bangkok. The final research instrument was a questionnaire of 11 sub-themes, containing both multiple choice and open-ended questions.

This study found that 81 percent of participants had entered the sex industry due to financial necessity. There was also a high vulnerability among transgender sex workers to physical and sexual violence. This includes nearly a quarter (24 percent) who cite being forced to have sex and 26 percent who cite physical assault within the last 12 months.

These findings can aid the development of programs and social services that address the needs of ladyboys, looking beyond gender expression and social identity to meet needs and vulnerabilities that often go overlooked.

This survey provides deeper understanding of the vulnerability of transgender sex workers, including their trajectory into sex work and potential alternatives.