' Hl nTru:ru nl nr r du ,rpr'us-*-

Establishing H'II/ /AIDS Programs

in the Workplace: Outreach to
Factories in Pathtlm-Thani Province

Collaborating Agencies ASEAN Institute for Health Development,

Mahidol University and Provincial AIDS
Committee. Pathum Thani Province.
Supporting Agency The European Community's Program on
HIV/AIDS in Developing Countries.
Project Site Navanakorn Industrial Estate, Pathum Thani,
Thailand.
 Establlshing HIV/AIDS Programmes

Establishinsa HIV/AIDS Proqrammes in The Workplace :

Ouheach to Factories in Pathum*Thai Province.

ASEAN lnstitute for Health Development (AIHD)

Mahidol University, Salaya, Thailand

Project site Navanakorn Industrial Estate, Pathum Thani, Thailand

Supporting Agency The European Community's Programme on HIV/AIDS

Collaborating Agencies
in Developing Countries.
o Provincial AIDS Committee, Pathum Thani Province
o Provincial Health Office.
o Provincial Labour Protection and Welfare Office
o Provincial Industry Office.
o Collaboratir,e NGOs : CARE, PATH, CLIST, ACCESS
o Navanakorn Personnel Manager Forum.

Beneficiaries Immediate beneficiaries will be factory workers and

management level staff at 12 factories (6 large and 6

medium size) in the Navanakorn industrial Estate.

 Establishing HIV/AIDS Programmes

ASEAN Institute for Health Development (AIHD)

AIHD Mahidol AIHD is recognized for its international training programs and a

University Salaya, Master degree program on Primary Health Care Management,

for health professionals from developing countries, Particularly
Thailand.
ASEAN Countries. AIF{D also organizes training of trainers courses

in various areas for staff development, health promotion, and

operational research on a wide range of issue related to primary

health care and health development. It facilitates consultations

on policies regarding promotion of primary health care between
policy makers of the MOPH , other concerned ministries and
institutions. It promotes collaborations between government

institutions and n on - governmental or ganizations through roun d -

table discussions and workshops on various aspects of health .

In the area of HIV/AIDS, AIHD has organized research, edu-

cational programs, and study tours. Of specific value to this
project, AIHD collaborated with AIDSCAP on the Graduated
AIDS Volunteer (GAV) project (1993-1,995). This project fo-
cused on increasing awareness of industrial workers on HIV/
 Establlshing, HIV / AaDS Programmes

AIDS and motivating behavioral change for risk reduction through

peer education. Lessons learned from the GAV project have

been applied to this intervention to increase the project's

effectiveness.

Rationale: HIV/AIDS Thailand's economy and culture have traditionally been based

Situation in Thailand on agriculture and a rural lifestyle. As Thailand industrialized

and workers migrate from their villages to the city, they are
unprepared for life in densely populated urban area and are
unskilled in decision making in this new context. Also, much
of the traditional social and family support is disrupted, result-
ing in changes in priorities and morals. This is particularly true
regarding sexual relationships, as is evident from the epidemiol-

ogy of HIV/AIDS in Thailand. Fifty three percenl (53Vo) of

diagnosed AIDS cases are among labourers and twenty five
percent(2\To) are in agriculture workers. Eighty two percent

(827a) of Thailand's AIDS cases are in persons 20-44 years of

age, who are the more sexually and economically active of the

population.

3
Establlshing HIVIAIDS Programmes

Since 1984 until end of 1995, Thailand has had 31,439 re-
ported AIDS cases md 1,3,267 reported symptomatic HIV cases.

In the first ten years of the epidemic in Thailand, from 1984-

1993, 27.5Vo (8,630) of the total AIDS diagnoses were re-
ported, while 72.57o of the total AIDS cases were reported in
1994-1995 alone. Predictions for the future suggest that there
will be 500,000 to 800,000 cases of AIDS and approximately 2

to 4 million HIV infected people by the end of this century.

4
 Establlshing lllV/AIDS Programmes

Number of reported cases of Persons with AIDS by mode of hansmission,

1,984- 30 May 1,997

number of case

100,000
Sexual Transmlsslon

€ii_
10,000
IDU
+
1,000
blood donor

100
Malernal lrasmission

*
l0 unkonlvn
----i-
I

1984-1989 1990 1,991' 1992 1993 7994 1,995 '1996 1997

MOPH Weekly Epidimiological Surveillance Report, 13 June 7997 , Division of

Epidemiology, Office of the permanent Secretaty, Ministry of Public Health

 Establlshlng HIV/AIDS Programmes

AIDS and Navanakorn Pathum Thani, located 40 kilometers north of Bangkok and one

of six provinces which form Greater Bangkok, is a rapidly in-

dustrializing province with a high concentration of factories and
industrial estates. There are a total of 2,328 factories : 50 large
(more than 1,000 workers) 451 medium (1,00-999 workers)

and1,B27 small (fewer than 100 workers) size factories. Pathum

Thani factories employ 259,094 workers, Fifty six percent

(567o) of which are women. Approximately seventy eight per-

cent (787o) of workers work in small factories, twenty two

percent (20Vo) in medium-size factories, and two percent (27o)

in large factories. The distribution of workers in Pathum Thani

reflects that of the greater Bangkok and of the whole of Thai-
land

Most of the factory workers are young men and women from the

northeastern and northern Region of Thailand who have mi-

grated to Pathum Thani for work. Up to January 1,996 , 665
AIDS cases have been reported in Pathum Thani. Seventy one
percent (71% ) of which are due to heterosexual transmission.
The average HIV prevalence in Thailand among factory workers
Establishing HIVIAIDS Programmes

is less than 0.27o, The same appears to be true for Pathum

Thani. This relatively low prevalence among factory workers

make Pathum Thani a good location for prevention education.

The targeted location, Navanakorn Industrial Estate, was cho-

sen because of the concentration of factories and the existence of

the Navanakom Personnel Management Forum a business organi-

zation for the management of factories. The Forum facilitates
communication and action among managers regarding issues of
concern. Among the Forum's activities are providing funding for

day care for worker's children, housing subsidies for workers,

and community development projects (e.g. fund raising for local

schools). 101 factories are members of the Forum-15large,71

medium and 15 small. The forum will be instrumental in sus-

taining the project or expanding educational activities into other
factories within their group. This sort of business organization

does not yet exist in all industrial areas of Thailand, but the
model is envisaged to spread throughout the industrialized areas

of the countrv

7
 Establlehing HIVIAIDS Programmes

It is recognized that different environments require different

strategies for HIV/AIDS prevention. Small factories normally do

not have employee support such as a safety officer, health in-

surance, and onsite medical clinic, but do have a lesser-skilled

staff, possibly undocumented workers, and a large staff turn-

over. These factories are hard to reach, especially by govern-
mental agencies, and they are not likely to invest resources in
ongoing HIV/AIDS prevention. Medium and large factories have

a more stable work force and some support for employee. These

factories, with motivation and support, are more likely to incor-

porate HIV/AIDS prevention activities into their structure as

they can see the potential economic effects of HIV in their

workplace.

National Shategy National strategy for developing the social environment to be

conductive to prevention and alleviation of the AIDS problems

stated that "...stress will also be laid on raising the awareness of

the owners and managers of firms that it is wise and productive
to increase their employees' ability to avoid HIV infection and to
cope with the AIDS problem. The responsibility of employees to
 Establlshlng HIVIAIDS Programmes

participate fully in support of people living with HIV/AIDS and

their families will be made clear........'

Outreach For the past several years, efforts have been made to provide

communication strategy prevention education in work places in Thailand. There have

been several projects specifically aimed at factories, in accor-
dance with Thai government's National AIDS Prevention and

Control Plan (1997-2001). Government agencies, such as

MOPH's Division of Epidemiology and the Ministry of Labour

and Social Welfare's Department of labour protection and wel-
fare, are actively providing technical assistance, training for HIV/
AIDS educators, projects provide group lecture-type education
to workers. Others, like SWOP and the former AIHD GAV
project, have a peer education approach and outreach by Graduate

AIDS Volunteers. TBCA, intervened with management to en-

courage development of workplace HIV/AIDS policies and edu-
cation and to collaborate with other NGOs to provide education

to workers.

9
 Establlshing HIV/AIDS Programmes

In May 1996, AIHD sponsored a workshop for GO/NGOs ac-

tive at the workplace, to share experiences and give advice about

future projects. NGOs discussed the benefits of the active col-

laboration of the Provincial Health Office (PHO) both in gaining

the support of management and in supplying materials such as

condoms. Consistency and continuity of the educational mes-

sages were important issues raised by this workshop in order

to create sustainabilitv.

Shetagy for Establish The project aims to incorporate successful components of the

HTV/AIDS GAV model, i.e. small group and one-to-one participatory edu-

Programmes in the cation for workers, to utilize the Forum and the Provincial
Office of Health, Industry, and Labour Protection and Welfare,
factory
and to work with collaborative NGOs to assure accuracy and
consistency of all messages. The project also builds on lessons

learned from the GAV project in decreasing the number of out-

reach workers per factory, decreasing the amount of time out-

reach workers spend in each factory, and emphasizing the re-

cruitment and training of Resources Persons to help sustain
activities after the project is over. The model aims to increase

10
Btabllshlng lllV/AIDS Progmmmeg

sustainability by assisting business as to develop appropriate

written policies and by institutionalizing HIV/AIDS education
into the employee support structure of the workplace.

Although participants at the Outreach Workshop (May 1996)

agreed that the most effective means to encourage workers to
participate in HIV/AIDS education is to spend plenty of time

building confidence and rapport, replicability requires that rela-

tively less time is spent with workers by outreach workers. The

project therefore focuses on training and supporting factory Re-

source Persons. Evaluation of the feasibility of the model in both

Iarge and medium size factories will be made at the end of the
project.

11
 Establlshlng HIVIAIDS Programmee

Goal To maintain, and further reduce, the relatively low prevalence of

HIV and to increase safer sex and HIV risk reduction behaviors
in Pathum Thani.

Objectives 1. To increase safer sex, decrease other HIV risk behaviors, and

increase acceptance, support, and care of people with HIV/

AIDS among f.actory workers at project sites.
2. To institutionalize HIV prevention education into the em-
ployee support structure at project sites.

3. To establish a Health Education Support Team (HEST) of

provincial government staff to provide ongoing support to

factories' HIV/AIDS prevention programs.

4. To compare the efficacy of the project model in large and
medium size factories in terms of cost effectiveness and worker

KABP/risk awareness and managerial adoption of Minimum

Package of Activities.

1,2
 Establlshing HIVIAIDS Programmes

Project Model The project will compare the efficacy and feasibility of a model
to encourage and support factory management to establish and
maintain HIV/AIDS policies, procedures and prevention educa-
tion programs for employees in large size and medium size
factories

The intervention aims to institutionalize HIV / AIDS education

into the rvork site by training two Resource Persons in each

factory, establishing a corps of prer educator volunteers and

organizing awareness raising and problem solving activities for

managemenlin order to mobilize management to adopt the Mini-

mum Package of Activities (MPA).

Mnimum Package of Activities (MPA)

o Issue HIV/AIDS policy
o Adopt and sustain peer education unit
o Establish an HIV/AIDS coordinating unit to maintain
o Ongoing education activities, and provide materials such

as condoms and written pamphlets

13
 Establishin g HIV / AIDS Programmes

Expected Results 1. 20,000 f.actory workers in large and medium size factories
will receive large group (3O/group) or one to one/small group

(1-5 group) education. In addition, all workers in interven-

tion sites will receive mass media education through bill-
boards and special events activities

2. Health education support team (HEST) formed of staff from

provincial health office, labour protection and welfare. The
team will have four members.

3. 20 Resources Persons identified, trained, and supported in

12 factories. RP's provide referral for HIV/AIDS testing,

counseling, and other service; assist peer educator volunteers

to plan and implement HIV/AIDS activities, keep manage-

ment informed of activities; liaise with Provincial Health
Office for material (condoms) and technical supports
4. Volunteer Corps of peer and formal leaders established (807o

of intervention sited). Volunteer plan and implement HIV/

AIDS education activities.
 5. 10 factories (807o of intervention sites) establish written
policies and procedures regarding HIV/AIDS in the work
place.

5. 10 factories (80Vo of intervention sites) establish and maintain

minimum package of activities.

Project sustainability Sustainability has three components

a Financial sustainability: activities can continue without

donor support
o Institutional sustainability: capacity of the institution factory
to continue project activities.
o Political sustainability: willingness of the political structure
to support and maintain the activities.

-
,T,-'...,+C i',iiii:
:: . -* fLJ ',"::.
 Establlshing HIVIAIDS Programmes

Project Personnel and Four main groups of personnel for implementation of the project

Collaborative agencies
Resource persons (RP) 1. Resource persons (RP) are factory staff, usually medical staff
personnel managers, safety staff, etc, who will facilitate and

provide technical support to volunteer's HIV education/support

activities, act as the contact person for employees regarding
HIVAIDS prevention, act as counselors for PWA or those at risk
make referrals for service. Resource Persons will be a link
between workers and management regarding HIV activities.

Criteria forselection are determined by the Baseline/Needs

Assessment. Two RPs are selected from each factory by the

management.

Peer volunteers 2. Peer educator volunteers are volunteer from factory workers,
in a model of peer education and support, will organize and
implement HIV activities for workers. Volunteers from manage-
ment will participate in some activities and will make linkages
between workers and management. Criteria for selection will
be determined by the Resource Persons (RPs) and FOWs. A core

of 10 volunteers per factory will be recruited and trained

1,6
 Establlshlng HIV/AIDS Ptogtammes

Health Education Support 3. The Health Education Support Team (HEST), is composed of

Team (FIEST) four staff from Provincial Health Office, Labor Protection and
Welfare office. The team is to set up to provide technical support

through collaboration between local government and the project.

The primary role is to give support to FOWs to conduct educa-
tion campaign in target factory workers. This includs the
establishment of factorv volunteers.

Factory Outreach Workers 4. Factory Outreach Workers (FO!V) are composed of one field

GOID coordinator and four FOWs lvho have direct responsibilities in

implementing HIV/AIDS prevention education activities in the
intervention factories with linkages and support from RPs, HEST
and the factory volunteers.

AII Project personnel have been trained by tlie project's l'arious

initial TOT training, follow up training and in-services training
course what ever reguired for

1,7
 ffiffi'ffi,,Wffiffiffi'W
HIV Education lngease Awareness I Intent to use *l Condom

Intervention Shategy
Small i two way communication i smaller group
i reaches into life style with communication

h-depth I individual basis I able to reach and learn

more about target group's life style and social
network I risk behaviour i social formulation
li identify alternative for each target group

At length i implementing the project communication

activities on a continual basis.

Swtained I creating sustainable HIV prevention activities to

create behavioural changes among workers.

ffiilffirs ffi,fl
Shatqgies for Change o Increase awareness ii intent to change to safer behaviors
o Protection i if not protected, what will happen ?
I contracting STD.... unsafe sex.
i pregnant, must be on leave?
I if having abortion done,....what
happen next?
o Mdivation I how to use condom, what shall
woman do.i protect from getting

pregnant

I prevent the STD/

HIV
Social value and ) reducing night life activities

appropriate I false beliefs such as "visiting

prostitutes is like altematives

drinking yog,rt for good health and

also to have girl friend.

Delay the first i how?

Sexual contact i what should be our responsible act?

i what should be appropriate age

for first dating?

'19
 Establlshing HIV/AIDS Programmes

o Promote negotiating and life skill

a Promote good role models

O Have correct information on HIV infected people

20
 ,,,, Eetabllshlng HIV,/AIDS PrcErammer

Conceptual Framework for Behavioral Change Model

Model for Understanding behavior

BASNEF Model (Belief/Attitude/Subjective Norm/Enabling Factors)

21
BASNEF Health homotion

Beliefs Skills building (provide more knowledge)

Create a supportive environment

Attitude Create a supportive environment

a Strengthen community action
a Re-orient health services

Subjective Norm Create a supportive environment

a Strengthen community action
a Build healthy public policy

Enabling Factors Create a supportive environment

a Strengthen community action
a Re-orient health services
Build healthy public policy

'r,l
I
22
 Eetabllshlng HIV/AIDS Prcgrammes

The Project incorporated from BASNEF Model Concepts

Skill Building o Provide information to the workers by lxge group education,

Small group discussion, one to one discussion and printed

materials
o Peer educator volunteers were recruited and trained

supportive o
Creating a Management of factories asked permission to develop HIV/

Environment AIDS education programme in the workplace.

o Resource Persons were recruited and trained.

Strengthening Communiry o Encourage Peer educator volunteer to organize group

Action activities in the factory

o Encourage Resource Persons to organize group activities

(eg. Navanakorn Friend to Friend Forum)

o Cooperate with Navanakorn Personnel Manager Forum to be

involved in project activities.

o Involve participation in public events

'23
 Establishing HIVIAIDS Programmes

Re-orienting health Inclusion of reproductive and sexual health education into

services the intervention
. Services from Health Education Support Team (HEST)

Building healthy o The management factory support Minimum Package of

public policy Activities

,ilil$ ffi{ ll {ft fr fi fr { h il fr ifr fr $$t$dm$ir

Selection of Intervention There Ne 163 factories with 72,560 workers scattered in three
Factories zones of Navanakorn Industrial Estate. In order to be accessible
by Factory Outreach Worker (FOWs) and able to receive the

spill over effect of HIV education intervention, target factories

are selected either from the same zone or within the same
vicinity. This would also ease the travel time of FOWs who have
an office near the zone area as well.
 Establlshing HIV/AIDS Programmes

Criterial for Selection 1. Six large factories (more than1,000 workers) and six
medium size factories (between 100-900 workers) minimal
exposure to HIV education in the last year.
2. There is an existing employees' support programme (e.g' on

site medical care, health education, counseling, etc') whereby

project activities can be integrated.

3. Management is willing to participate in project activities'

Selection Procedwe Project staff together with Health Education Support Team con-

tacted workplaces to introduce the project and sought their will-

ingness to participate in the project activities. Objectives of the
project including basic information on the structure and sizes of

the workplace were also explained. Twelve factories that met

the above-mentioned criteria were selected.

Targeted factories are six medium size factories with between

Resr-rlts
250-9OO workers, and six large size factories with 1,300-
8,930 workers. Maiority of the workers are female

'25
 Establlshing HIVIAIDS Plogrammes

Name of participating Factory and Number of Male and Female workers

Fadories Nunber of Workers

lvhle Female Total
Medium size factories

1. Takacom (Thailand) CO.,LTD 56 320 376

2. KDK. Fujikura (Thailand) CO.,LTD 1,40 400 540
3. Carton Optical (Siam) CO.,LTD 744 133 277
4. Nitsuko Thai LTD. r1,2 306 418
5. H.R. Silvine Electronic (Thailand) LTD. 1.25 125 250
6. Rohm Apollo Electronics (Thailand) CO.,LTD 500 400 900
Total of medium size factories '1.,077 "1,6U 2761
Large size factory

7. Matsushita Electric Works (Thailand) LTD. 289 2,781 3,070

B. Tostem Thai CO..LTD 700 600 1,300
9. Seikosha (Thailand) CO.,LTD 300 1,200 1,500
10. Fujikura (Thailand) CO.,LTD 539 2,961 3,500
11. Fujisu (Thailand) CO., LTD 974 7,956 R q?n

1,2. JVC. Manufacturing (Thailand) CO.,LTD 430 1,673 2,103

Total of large size factories 3,232 17,174 20.403
Total of 12 factories 43@ 1&855 ?3,1&
 Establlshlng HIV/AIDS Programmes

Intervention Activities Factory Outreach Workers (FOWs) with coordination and sup-
port of Resourse Persons (RPs) and Health Education Support
Team (HEST) planned and implemented the HIV prevention
education based on the results of KABP survey and baseline
assessment of managment launched in Iate January 1997 in
the 1,2 intervention factories. The HIV education campaign

provide large group education activities, small group education

activities, demonstations, information board & Q.A. (Ques-
tion& Answers), lunch programme, newsletters, printed mate-
rial, condom distribution, Radio programme and HOPE line for
counselling .

Content of HIV Attifudes. Its covered attitude toward AIDS, problems and
Education covers impact, sexuality, emotional behaviour, gender,living
with AIDS, understanding and being nonjudgmental.
Ktowledge.This included basic information such as knowledge
of AIDS, safer sex practice, sources of service &
welfare, blood testing

skill Involved analysis life style, how to assess and reduce

risk, protection and safer sex practice.

Z7
Methodology The structure of the program utilize social learning strategy
such as participatory education. Two- ways communication.

Large Group Training . Large group haining (Each goup not to exeed 30 persons)
Schedules of each education programe was set up by each
factory. In accordance and planned with managment and
resource persons in the factories. Luge group education programe
were then classified into two types: one, or two-hour courses .

Each curriculum was designed based primarily on the needs

and readiness of each factory site.

The content of Orientation to the project's concept and reviewing of AIDS

Two -Hour haining knowledge
covened the following
Brainstorming session:basis of AIDS knowledge, sexual
topics
relationship and prevention
a Water Exchange game: the spread of AIDS, sexual intercouse
transmittion, reducing risk, safer sex.
o Demonstration of condom use (male and female)
o Impact of blood test and living with AIDS
o Brainstorming exercise: What will you do in AIDS ?
 Eetablfshin g HIV / AIDS Progtammes

Small Group Discussion This was done by having FOWs stationed at the factory from
10.00 - 17.00 hour. FOWs would be stationed at the

designated area allowed by the factory such as in the infirmary

or at the book reading corner. The place must be accessible to all

workers. It all serves as a condom and printed materiai

distributing center, and counseling service site. FOW is to

reach target persons (1-5 persons) to give informative educa-

tion talk by using the Talking Poster, Flip Chart / booklet/
Video /condom demonstration. They can held at lunch time or
on break time.

Factory Conhibution The factory gives full collaboration by providing

A regular one to two hours of work and evening over time

of work for training session.Or gave lunch time and breaking

time to conduct training. The training content was divided

into two-three sessions according to the time provided.

Recruited and allowed the Resource Persons (RPs) to attend

a 3 day TOT training course.

29
 Recruited and allowed the peer educator volunteers to attend
a 1, day TOT training course.
. Integrated HIV education programme into the Safety Week
campaign.

Integrated HIV education programme into the yearly training

programe. Such as orientation session to the new employee.

Integated HIV eduacation dissemination into factory news-
letters.
o Some materials for information boards.
O Support peer educators activities, such as support the peer
educators to organize AIDS peer educator group in the
factory.

Manangment staff to participate focus group activities and

the Managment Forum to sharing ideas for prevention
and control HIV/AIDS encourage in the workplace.

--
===
 ffi,ffi,ffi,ffiffiffiffi
ProJect Evaluation The evaluation will be performed at the two levels manage-

ment and factory workers

1. Pre-Post intervention KABP surveys among factory workers

2. Pre-post need assessment surveys on management's attitude

obstacle and support to HIV prevention education campaign

in their factories.

3. A study to compare effectiveness between large and

medium-size factories

Indicators Outcome indicators

1. KABP of target population

2. KABP for living with AIDS among target population
3. Policy or plan of action to solve HIV/AIDS problem
Establishing HIV,/AIDS Programmes

Output indicators

1. Rate and number of workers directly education by the Project

2. Quality of services of Project personnel in rendering

knowledge and counseling to the target population.

3. Causes of not being to access to the service

Input indicators
1. Plan project personnel
2. activities during the inter.vention.

32
 Establlshlng HIV,/AIDS Proglrammes

Baseline KABP Survey of The baseline on KABP of workers was conducted during the

Factory Workers month of November 1996 and focus discussions followed there
after. The baseline assessment of management's attitude was
undertaken during late December 1,996.

The purpose of this survey was to collect baseline information

on knowledge, attitude and behavior associated with AIDS. The
survey result was to be used primary for developing detailed
program activities at various implementing stages. It would also
be used for comparing any changes occurred after the project
reaches its completion. Sample size composed of 533 males
and, 1,467 f.emales workers. Results showed that a sample
group of workers are between the age of 20-29 years old, had
at least high school education, has been working in the factory
for over 2 years, and over 40Vo of them were from the north-
east. Majority of them worked during regular working hour with

2-3 hours of overtime work daily. The opportunity for workers

to talk during working hours is small. Thel usually talked or

discussed things after work.

33
Rerulb on Almost all respondents thought that they had some knowl-
HIV/AIDS Knowledge edge on transmission of HIV and.how to prevent it, but still
not enough. The main source of knowledge was the televi-
sion.

Sex practices and o singte male workers ) SOEI reported condom use during

preventive behaviors every sex act with prostitutes.

(during the previous Q g}qo reported of no condom use

while having sex with lovers or

year)
fiances

9 more thmTOVo believed that they

were not at risk

o single female wqkers 4 SOEI reported of no condom use

while having sex with lovers and

believed they were not be at risk.

ffiffi* ffim
Establlshing HIVIAIDS Programmes

o married workers 4 t O 7o of male workers believed their

wives had extramarital sex

4 50Eo of female workers believed their

husbands had extramarital sex.

4 more than half of the couples never

had communication with their

partners about HIV/STD transmission

through having sex with other

partners.

35
 Establishing HIVIAIDS Programmes

Collaborative Networking

Provtnclal AIDS cornmlttee

a Provtnclal Health ofice
O Provlnclal labour
Protectlon and welfare
office etc.

Minimum Package of Activities (MPA)

- Navanakorn
Personnel
- stafi AIHD
Project nrnrnger Forum
) (NPM)
'ou*ouJ4
[^
\+""*.* P"tsf Navanakorn
Frlend to Frlend

n'pf" Forum

-|}
UPo-ker9

36
 Eetabllshing HIVIAIDS Programmes
Summary of project
activities during the first
10 months
(Od. 1996-July1ee7)
3.
1. Guidelines and decision made by Executive Board and Steering
Committee had directed and project main activities i.e.
identification and selection of twelve intervention factories,
recruitment of project personnel i.e. four factory Outreach
rvorkers (FOWs), twenty four Resource Persons (RPs) and
four Health education Supports Team (HEST)
Training curricula were designed by lvorking group (con-
sist of project staff and collaborative NGO's ) for TOT
techniques on AIDS training of factory management,
factory lvorkers and peer educator volunteers.
Initial training for FOWs/RPs/HEST rvas conducted in
December 7996 using participatory training methodology for
TOT techniques on AIDSeducation. Two following-up
training courses were undertaken in December 1996 and
March 1997 . Pre and post training assessments were carried
out for each training session.
37
4. Pre-intervention survey on KABP of workers in the 12
factories and the baseline assessment of management's
attitude support or obstacles to HIV intervention education
were undertaken in November and December '1996.
The results were used in planning and campaign on HIV
prevention education for factory management and workers.
5. FOW's with coordination and support from RPs and HEST
planned and implemented the intervention activities on HIV
prevention education,.in all 12 factories siRce l.ate January
1,997. almost all workers reported that FOWs/FIEST/RPs
provide knowledge on HIV/AIDS. This included information

on appropriate strategies on motivation for change of

attitude and of riskv behaviors.

According to the need assessment of management's attitude

on support to the Project HIV prevention education cam-
paign, personnel staff agreed to participate at various level of

activities as follows

38
The project could implementing large group education ac-
tivities in seven medium and large size factories at the end
of January and three additional factories by February. Large

group education activities could not be implemented in 3

mediums size factories mainly because the factories were not

ready. They were in the stage of constant manufacturing of

products and workers had no free time to attend education

activities. However, the project provided small group educa-

tion activities at break time for these types of factories.

In the case of small group education , the project was able to

perform the task as planned in majority of the factory sited.
There were certain factories that hesitated to allow outsider
to station in the factory and to give education to small group
of workers. By using focus group discussion techniques among

medium factory management, the project was able to further

project concepts, clarify objectives, and implementing activi-

ties for the project in early April.

,.ffiffi se ffi*fl**t
Establishing HIVIAIDS Programmes

6. Recruitment of 120 peer educator volunteers among factory

workers was carried out by RPs and FOWs with support of

factory management. Initial training was conducted in Muy

and June 1997

7. Monthly monitoring and supervising were conducted by

project staff and HEST. Monthly meeting among FOWs/

HEST and project staff was convened for improvement of

intervention activities.

40
 Estabf lshf n g HIV / AIDS Programmes

Achievement of HIV intervention activities, January to July 1997.

Fadory Tdal Number of Number % Peer

number workers of worker ampaign educator

who who volunteer

Note
of Correrage

workers reeived reeived s hained l.direct HIV education refers to

dircd HM indircd large group and small group HIV

education education
prevention education
Medium size
2.indirect HIV education refers to,
Takacom 356 BB 300 100V0 10
Luncheon campaign programme
KDK Fujikura* 539 516 350 100Vo 10

Carton* 277 177 200 100Vo 11

exhibitions, training integrated

Nitsuko thai 418 100 360 > 50Vo into other scheduled training ses-

H.R. Silvine 250 BB 170 > 50Vo sions and distribution of printed
Rohm Apollo 900 109 12Vo materials.
I-arge size
3.percentage of campaign cov-
JVC* 2,103 1,092 300 > 60Vo 10
erage refers to estimated number
Matsushita* 3,070 549 400 > 30Vo 10
of factory workers accessed to
Tostem 1,300 454 324 < 60Vo 10

10
project intervention activities.
Selkosha 1,500 274 lBVo

Fujikura* 3,500 413 1,240 > 40Vo 1)

Fujitsu* R q?n 640 1.000 lBVo 1a

Management of factory accepted Package of Activities (MPA)

41
 Establishing HIVIAIDS Programmes

Workplan for planned activities/Plan of Project activities

Acti!ities Oct Dec lan Feb Mar API Muy Jun July Aug Oct De Jan Feb Mar

96 96 95 97 97 97 97 97 97 97 97 97 97 97 97 98 98 9B

Period time

Executive Board Vtg x/o

Working group Vtg. xtr
/o
Pre-Posi KABP
survey

Training of

FOWs x/o x/o x/o x/o x

RPs x/o r/o

HEST x/o x/o x/o
Peer Educater x/o
Oificial Opening o

Factory lnteruenlion

).4edium size

LarSe size ::::: :

Post activities \/a

seminar for mgt

Fmus group for x/o

manager

Lesson learned x/o I

seminar

FOWs/RPs/HEST

Interim report \/a x

Final reporl ;
Seminar for Proj. to

Navanakorn

x planned activities
o actual activities

42
 Order of MnisQr of Public Health

No. 'I0f,9 /2539

Order from the Ministrv of Public Health

Appointing Executive Board Member for Factory Outreach Workers Project

The Factory Outreach Workers Project is a research intervention project with the following
objectives:

1. to increase the capacity of various agencies on HIV/AIDS prevention and control in

Industrial factories.
2. to implement activities as planned

Therefore, the Ministry would like to appoint the following persons to be on the Executive

Board.

1. Dr. Paitoon Boonwat, Provincial Governor, Chairperson. i

2. Dr. Veerachai Pitawan, Provincial Health Officer, Vice-Chairperson.

3. Mrs. Chariya Khanthavit, Director of Labour Protection and Welfare Division,
Member.
 ffi,ffi',ffi'mmffi"ffi
4. Mrs. Saichol Kareepoj, Representative from the Industrial Affairs Office of
Pathum Thaini, Member.
5. Representative from Provincial Labour Protection and Welfare Office,
Pathum-Thani, Member.
5. Dr. Pakpimol Prasert, Representative from the AIDS Division,
Department of Communicable Disease Control, Member.

7. Mr. Samug Songsawanage, Chairperson from Navanakhon Personnal Manager Forum,

Member.

8. Ivliss Rachita Na'Pattd*g, Director of the.@ffice for Popuhtion".T.eehnical,."Assistanc.e

Team, Member.
9. Mr. Pramboon Panichapak, Director of CARE International in Thailand, Member,
10.Mr. Montree Pakannan, Deputy Director of Planned Parenthood fusociation of
Thailand, Member.

##*rere
11.Assoc. Prof. Pantyp Ramasoon, Deputy Director of AIHD, Member.
12. Assoc. Prof. Yawarat Porappkkham, Project Director, Member and Secretariat.

Henceforth, the Executive Board Members should give recommendation to for implementation

and improving the project

27 November 1,995

(signed)

Dr.Vitura Sangsingkao

Permanent Secretary

Ministry of Public Health

ffi1pi'i,'i +s ffiffi
 EstablishinE HIVIAIDS Programmes

Name of Executive Board

Name Current Portfolio Position

1. Dr. Paitoon Boonwat Government of Pathum-Thani Ch a irperson
2. Dr. Veerachai Potawan Director, Provincial Health Office Deputy
Pathum - Thani Chairperson
3. Mrs. Chariya Kanthavit Director, Provincial Health Office Member
Pathum - Thani
4. Mrs. Saichol Kareepot Office of Provicial Industry Member
Pathum - Thani
5. Mr. Anon Intarasooksri Office of Provincial labour Member
Protection and Welfare
6. Dr.Pakpimol Prasert AIDS Division, Ministry of Public Member
Health
7. Mr. Samak Sonngsawong Chairman of Navanakorn Member
Personnel Forum, Pathum-Thani
8. Ms. Rachita Na-Pattaluns Director of the Population Member
Technical Assitance Team
9. Mr.Promboon Panichpak Director of Care International Member
10. Mr. Mintree Pakanan Deputy Director, Planned Member
Parenthood Association of Thailand
(PPATH)
ll. Assoc. Prof. Pantyp Deputy Director, AIHD Mahidol Member
Ramasoont a University
12. Assoc. Prof. Yawarat Project Director Member &
Porapakkham S ecretariat

M
 Establlshlng HlVrrAlDS Programmes

Name of Factory Ouheach Workers (FOW)

1. Ms. Wanna Supachaijareankul, 24 years old, Bachelor of Education

2. Ms. Somphet Lawnugoon, 24 years old, Bachelor of Education
3. Ms. Lawan Pemsukrungrong, 23 years old, Bachelor of Education
4. Idr. Perayout Hanchana, 25 years old, Bachelor of Education

Name of Health Education Support Team (HEST)

Name Health Educafion Sup'port Position

Team ([IEST)

1. Mrs. Kruatip Janthaneewat Profession Nurse, AIDS and STD control division

Provincial Health Office Pathum-Thani

2. Ms. Kanokporn Disease Control technical officer. AIDS and STD

Trusabunggong control division Provincial Health Office,

Pathum-Thani
3. Mrs. Sasiporn Rojaya Health educator, Health education division
Provincial Health Office, Pathum-Thani

4. Mr. Neatit Prasertwons Labour relation, Provincial Labour Protection and

Welfare Office. Pathum -Thani.

47
 Establishing HIVIAIDS Programmes

Name of Resource Persons in Factories

F"ctory Name Current Post

1. Fujitsu (Thailand) 1. Ms.Poolsin Langptrachaveng Chief, Personnal & Welfare

CO.,LTD 2. Ms.Patama Virojphan Division Chief, Training

section.

2. Seikosha 3. Mrs.Penanpa Anuchiwong Chief, Admin, Section

4. Mrs.Kanokporn Burapan Ast. Chief. Personnel
Section

3. Matsushita 5. Mr.Watchara Boonloan Personnel Senior Staff

5. Ms.Potjaman Soneserm Personnel Senior Staff
4. NC '7 Mr.Somsak Maon Personnel Senior Staff
Mr.Nopparat Pongkam Generai Affairs Staff
(Safety Officer)

5. Tostem 9. Mrs.Soontra Ruedeeniyom Admin Personnel Staff

10. Mrs.Somsri Nurse

5. Fujikura 11" Ms.Kalaya Wongkaenchan Senior Staff

1 2. Mr.Anuythan Triratphan Safety Office
13. Mr.Tawatch Pimkkarn Safety Office
7. KDK. Fujikura 1 4. Mr.Samart Klinkhajorn Senior Engineer Staff
15. Ms.Ketkaew Sueunnakam Officer
Safety Staff
 Establlshing HIVIAIDS Programmes

Factory Name Cunent Post

B. Takacom 1. Mr.Suoan Pongpaew Ast. Manger Personnel

2. Mrs.Boonchoo Musopin Admin
Senior Leader Production
Division

9. Nitsuko Thai 3. Ms.supaporn Utsa Products Section Staff

4. Ms.Aim-on Yimpin Personnel Admin Staff

10.Carton Optical 5. Mrs.Ampai Chalermrit Chief Personnel Admin

5. Ms.Nisa Kedhilun Scc.

Admin Staff
11.H.R. Silvine 7. Ms.Ratharinya Hansakul Training Officer Staff
B. Mr.Tawee Chantree Safety Office

12.Rohm Apollo 9. Ms.Laddawan Rodrean Supervisor Labour relation

1 O. Ms.Nongkran Thanomboon Ast.Manager Labour

relation

49
Tital Establishing HIV/AIDS Programme in the Workplace Outreach
to Factories in Pathum Thani Province.
(Factory Outreach Project)

Conhactor ASEAN Institute for Health Development (AIHD)

Mahidol University, Salaya Campus
Phutamonthon, Nakorn Pathum, 73't70

Director of AIHD Prof. Dr. Som-fuch Wongkhomthong

Manager of ECIAIHD fusoc. Prof. Dr. Boongium Tragoonvongse
AIDS Project
Assisstant manager of Mrs. Somjai Pramanpol
EC76nP AIDS Project
Project staff Assoc. Prof. Yawarat Porapakkham Project Director
Mrs. Wlaiwan Koykaewpring Project Manager
Mrs. Chongkolnee Chutimatawin Project monitoring

& Supervision
Mrs. Varaporn Pinitpuvadol Project researcher
Ms. Hatairat Suda Field Coordinator
Ms. Jittiya Patip Proiect Secretariat

50
ffiffiflffiffi ffiffiilil ffiffiW
For more information please contact

Factory Ouheach Project : Asean Institute for Health Development (AIHD)

Office Mahidol University, Salaya Campus

Phutamonthon, Nakorn Pathom 73'170

Tel. (02) 41-9739 , 441,- 9040-3
Fax : (02) 441,-9739

Navanakom Office: 84/13 Thai- Thani village Soi 41

Tambol Klong Nueng , Klong Luang District
Pathum- Thani Province '12120
Tel (02) 909-5044

ffiffi" iffiffi
 ffi,ffi,,m,mmffi"n

Pl{070 Ess(tr

##'ffi=
L
 Establishlng HIVIAIDS Programmes

Exhibition HIV/AIDS campaign in the factory

Lunch Program

53
 Establlshing HIV/AIDS Programmes

Dtstrlbuttng pamphlets, Boollet, Smdl group cducatlon :

condoms roles of RPs

Role of Peer Educator Volunteer

54
 Establishing HIV,/AIDS Programmes

Large group training ..... Small group discussion

HIV games

Group of Peer Educator

Group of Resource Persons Volunteers

55
 Establishing HIVIAIDS Programmes

i-r:

ffiil$d$ &-*E=;:e==

Collaboration :
Navanakorn Personnel
Manager Chairpersons
 Establlshing HIVIAIDS Programmes

][

Sharing ideas from Management Forum

,ir jll ! i

57