Establishing HIV_AIDS Programs in the Workshop_Outreach

8/7/2019 Establishing HIV_AIDS Programs in the Workshop_Outreach

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Establishing H'II/ /AIDS Progin the Workplace: OutreaFactories in Pathtlm-Thani Pro


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Establishins HIV/AIDS Proqrammes in The Workplace :aOuheach to Factories in Pathum*Thai Province.

Establlshing HIV/AIDS Programmes

ASEAN lnstitute for Health Development (AIHD)Mahidol University, Salaya, Thailand

Project siteSupporting Agency

Collaborating Agencies

Navanakorn Industrial Estate, Pathum Thani,The European Community's Programme on Hin Developing Countries.o Provincial AIDS Committee, Pathum Thao


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AIHD MahidolUniversity Salaya,Thailand.

Establishing HIV/AIDS Programmes

ASEAN Institute for Health Development (AIHD

AIHD is recognized for its international training proMaster degree program on Primary Health Care Mfor health professionals from developing countries,ASEAN Countries. AIF{D also organizes training of traiin various areas for staff development, health prooperational research on a wide range of issue relatehealth care and health development. It facilitates con policies regarding promotion of primary health cpolicy makers of the MOPH , other concerned m


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Rationale: HIV/AIDSSituation in Thailand

Establlshing, HIV / AaDS ProgrammesAIDS and motivating behavioral change for risk reductipeer education. Lessons learned from the GAV prbeen applied to this intervention to increase theffectiveness.

Thailand's economy and culture have traditionally bon agriculture and a rural lifestyle. As Thailand indand workers migrate from their villages to the cityunprepared for life in densely populated urban areunskilled in decision making in this new context. Aof the traditional social and family support is disrupt


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Establlshing HIVIAIDS Programmes

Since 1984 until end of 1995, Thailand has hadported AIDS cases md 1,3,267 reported symptomatiIn the first ten years of the epidemic in Thailand,1993, 27.5Vo (8,630) of the total AIDS diagnosported, while 72.57o of the total AIDS cases were1994-1995 alone. Predictions for the future suggewill be 500,000 to 800,000 cases of AIDS and appto 4 million HIV infected people by the end of th


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Establlshing lllV/AIDS Programmes

Number of reported cases of Persons with AIDS by mode of hansmission1,984- 30 May 1,997

number of case100,000

10,000

1,000

100

Sex

b

Mal


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AIDS and Navanakorn

Establlshlng HIV/AIDS Programmes

Pathum Thani, located 40 kilometers north of Bangof six provinces which form Greater Bangkok, is adustrializing province with a high concentration of industrial estates. There are a total of 2,328 factori(more than 1,000 workers) 451 medium (1,00-9and1,B27 small (fewer than 100 workers) size factoThani factories employ 259,094 workers, Fifty(567o) of which are women. Approximately sevencent (787o) of workers work in small factories,percent (20Vo) in medium-size factories, and two pin large factories. The distribution of workers in Pa


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Establishing HIVIAIDS Programmes

is less than 0.27o, The same appears to be true foThani. This relatively low prevalence among factomake Pathum Thani a good location for prevention e

The targeted location, Navanakorn Industrial Estate,sen because of the concentration of factories and the ethe Navanakom Personnel Management Forum a businezation for the management of factories. The Forumcommunication and action among managers regardingconcern. Among the Forum's activities are providing fday care for worker's children, housing subsidies fo


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Establlehing HIVIAIDS Programmes

It is recognized that different environments requstrategies for HIV/AIDS prevention. Small factoriesnot have employee support such as a safety officesurance, and onsite medical clinic, but do have a lstaff, possibly undocumented workers, and a largeover. These factories are hard to reach, especiallymental agencies, and they are not likely to investongoing HIV/AIDS prevention. Medium and large faa more stable work force and some support for empfactories, with motivation and support, are more likeporate HIV/AIDS prevention activities into their


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Establlshlng HIVIAIDS Programmes

participate fully in support of people living with HIVtheir families will be made clear........'

Outreach For the past several years, efforts have been madecommunication strategy prevention education in work places in Thailand.

been several projects specifically aimed at factoriesdance with Thai government's National AIDS PrevControl Plan (1997-2001). Government agencieMOPH's Division of Epidemiology and the Ministryand Social Welfare's Department of labour protectionfare, are actively providing technical assistance, trainin


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Shetagy for EstablishHTV/AIDS


In May 1996, AIHD sponsored a workshop for GOtive at the workplace, to share experiences and givefuture projects. NGOs discussed the benefits of thelaboration of the Provincial Health Office (PHO) bothe support of management and in supplying matecondoms. Consistency and continuity of the educasages were important issues raised by this workshto create sustainabilitv.

The project aims to incorporate successful componGAV model, i.e. small group and one-to-one partici


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Btabllshlng lllV/AIDS Progmmmeg

sustainability by assisting business as to develop awritten policies and by institutionalizing HIV/AIDSinto the employee support structure of the workplace.

Although participants at the Outreach Workshop (M


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Goal

Establlshlng HIVIAIDS Programmee

To maintain, and further reduce, the relatively low pHIV and to increase safer sex and HIV risk reductiin Pathum Thani.

To increase safer sex, decrease other HIV risk beincrease acceptance, support, and care of peoplAIDS among f.actory workers at project sites.To institutionalize HIV prevention education inployee support structure at project sites.To establish a Health Education Support Teamprovincial government staff to provide ongoing

Objectives 1.

2.

3.


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Project Model


The project will compare the efficacy and feasibilityto encourage and support factory management to esmaintain HIV/AIDS policies, procedures and preventtion programs for employees in large size and mfactories

The intervention aims to institutionalize HIV / AIDSinto the rvork site by training two Resource Persofactory, establishing a corps of prer educator volunorganizing awareness raising and problem solving amanagemenlin order to mobilize management to adopt


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Expected Results 1.

Establishin g HIV / AIDS Programmes20,000 f.actory workers in large and medium swill receive large group (3O/group) or one to one(1-5 group) education. In addition, all workerstion sites will receive mass media education thboards and special events activitiesHealth education support team (HEST) formed oprovincial health office, labour protection and wteam will have four members.20 Resources Persons identified, trained, and su12 factories. RP's provide referral for HIV/AIDScounseling, and other service; assist peer educato

2.

3.


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Project sustainability Sustainability has three components

5. 10 factories (807o of intervention sites) establishpolicies and procedures regarding HIV/AIDS inplace.

5. 10 factories (80Vo of intervention sites) establish anminimum package of activities.

a Financial sustainability: activities can continue wdonor supportInstitutional sustainability: capacity of the institu


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Project Personnel andCollaborative agenciesResource persons (RP)


Four main groups of personnel for implementation o

1. Resource persons (RP) are factory staff, usually mpersonnel managers, safety staff, etc, who will fprovide technical support to volunteer's HIV educaactivities, act as the contact person for employeHIVAIDS prevention, act as counselors for PWA ormake referrals for service. Resource Persons will bebetween workers and management regarding HIV aCriteria forselection are determined by the BaselineAssessment. Two RPs are selected from each factor


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Health Education SupportTeam (FIEST)

Factory Outreach WorkersGOID

Establlshlng HIV/AIDS Ptogtammes

3. The Health Education Support Team (HEST), is cofour staff from Provincial Health Office, Labor ProtWelfare office. The team is to set up to provide technicthrough collaboration between local government and tThe primary role is to give support to FOWs to condution campaign in target factory workers. This includestablishment of factorv volunteers.

4. Factory Outreach Workers (FO!V) are composed ocoordinator and four FOWs lvho have direct responimplementing HIV/AIDS prevention education activit


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ffiffi'ffi,,Wffiffiffi'Wlngease Awareness I Intent to use *l CondomHIV Education

Intervention ShategySmall i two way communication i smalleri reaches into life style with communich-depth I individual basis I able to reach a

more about target group's life style andnetwork I risk behaviour i social formli identify alternative for each target

At length implementing the project communica


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Shatqgies for Change Increase awareness ii intent to change to safeProtection i if not protected, what willI contracting STD.... unsi pregnant, must be on lI if having abortion done

happen next?I how to use condom, wwoman do.i protect f

pregnanI preventHIV

o Mdivation

oo


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,,,, Eetabllshlng HIV,/AIDS PrcErammer

Conceptual Framework for Behavioral Change ModelModel for Understanding behavior

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


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BASNEF

Beliefs

Attitude

Subjective Norm

Health homotion

Skills building (provide moreCreate a supportive environm

Create a supportive environmStrengthen community actionRe-orient health services

Create a supportive environmStrengthen community action

aa

a


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Eetabllshlng HIV/AIDS Prcgrammes

The Project incorporated from BASNEF Model Concepts

Skill Building o Provide information to the workers by lxge groupSmall group discussion, one to one discussion anmaterials

o Peer educator volunteers were recruited and traiCreating a supportive o Management of factories asked permission to devEnvironment AIDS education programme in the workplace.o Resource Persons were recruited and trained.


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Re-orienting healthservices

Building healthypublic policy


Inclusion of reproductive and sexual health educthe intervention. Services from Health Education Support Team

o The management factory support Minimum PackActivities


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Criterial for Selection 1.


Six large factories (more than1,000 workers) anmedium size factories (between 100-900 workerexposure to HIV education in the last year.There is an existing employees' support programsite medical care, health education, counseling, etproject activities can be integrated.Management is willing to participate in project a

Project staff together with Health Education Supporttacted workplaces to introduce the project and soughtingness to participate in the project activities. Objec

2.

3.

Selection Procedwe


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Establlshing HIVIAIDS Plogrammes

Name of participating Factory and Number of Male and Female workFadories Nunber of Workers

lvhle Female ToMedium size factories1. Takacom (Thailand) CO.,LTD 56 320 32. KDK. Fujikura (Thailand) CO.,LTD 1,40 400 53. Carton Optical (Siam) CO.,LTD 744 133 24. Nitsuko Thai LTD. r1,2 306 45. H.R. Silvine Electronic (Thailand) LTD. 1.25 125 26. Rohm Apollo Electronics (Thailand) CO.,LTD 500 400 90Total of medium size factories '1.,077 "1,6U 27Large size factory


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Intervention Activities

Establlshlng HIV/AIDS Programmes

Factory Outreach Workers (FOWs) with coordinationport of Resourse Persons (RPs) and Health EducatiTeam (HEST) planned and implemented the HIVeducation based on the results of KABP survey aassessment of managment launched in Iate Januathe 1,2 intervention factories. The HIV educationprovide large group education activities, small grouactivities, demonstations, information board & Qtion& Answers), lunch programme, newsletters, pririal, condom distribution, Radio programme and HOcounselling .


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Methodology

Large Group Training

The content

The structure of the program utilize social learnsuch as participatory education. Two- ways comm. Large group haining (Each goup not to exeed 3Schedules of each education programe was set ufactory. In accordance and planned with manaresource persons in the factories. Luge group educatiowere then classified into two types: one, or two-hoEach curriculum was designed based primarily onand readiness of each factory site.


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Small Group Discussion

Eetablfshin g HIV / AIDS ProgtammesThis was done by having FOWs stationed at the10.00 - 17.00 hour. FOWs would be stationdesignated area allowed by the factory such as in tor at the book reading corner. The place must be accworkers. It all serves as a condom and prindistributing center, and counseling service sitereach target persons (1-5 persons) to give information talk by using the Talking Poster, Flip CharVideo /condom demonstration. They can held at luon break time.


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oO

Recruited and allowed the peer educator volunteera 1, day TOT training course.. Integrated HIV education programme into the Sacampaign.Integrated HIV education programme into the yearprograme. Such as orientation session to the newIntegated HIV eduacation dissemination into factletters.Some materials for information boards.Support peer educators activities, such as suppoeducators to organize AIDS peer educator grou


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ffi,ffi,ffi,ffiffiffiffiThe evaluation will be performed at the two levelsment and factory workers

Pre-Post intervention KABP surveys among factPre-post need assessment surveys on managemeobstacle and support to HIV prevention educatioin their factories.

3. A study to compare effectiveness betweenmedium-size factories

ProJect Evaluation

1.2.


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Establishing HIV,/AIDS Programmes

Output indicators1. Rate and number of workers directly education by2. Quality of services of Project personnel in rende

knowledge and counseling to the target populatio3. Causes of not being to access to the serviceInput indicators1. Plan project personnel2. activities during the inter.vention.


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Baseline KABP Survey ofFactory Workers

Establlshlng HIV,/AIDS Proglrammes

The baseline on KABP of workers was conductedmonth of November 1996 and focus discussions foafter. The baseline assessment of management's aundertaken during late December 1,996.

The purpose of this survey was to collect baseline on knowledge, attitude and behavior associated withsurvey result was to be used primary for developprogram activities at various implementing stages. Ibe used for comparing any changes occurred aftereaches its completion. Sample size composed of


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Rerulb onHIV/AIDS Knowledge

Sex practices andpreventive behaviors(during the previousyear)

Almost all respondents thought that they had somedge on transmission of HIV and.how to prevent it,not enough. The main source of knowledge was thsion.

o singte male workers ) SOEI reported condomevery sex act with prQ g}qo reported of no cowhile having sex witfiances9 more thmTOVo believe


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o married workers 4 t O 7o of male workers bewives had extramarital s4 50Eo of female workers behusbands had extramarita4 more than half of the couhad communication withpartners about HIV/STD tthrough having sex withpartners.


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Collaborative Networking

Provtnclal AIDS cornmltteea Provtnclal Health oficeO Provlnclal labourProtectlon and welfareoffice etc.

Project stafi AIHDNavanPersonrnrng

-Minimum Package of Activities (MPA)


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Summary of projectactivities during the first10 months(Od. 1996-July1ee7)

Eetabllshing HIVIAIDS Programmes

Guidelines and decision made by Executive Board aCommittee had directed and project main aidentification and selection of twelve interventionrecruitment of project personnel i.e. four factoryrvorkers (FOWs), twenty four Resource Personsfour Health education Supports Team (HEST)Training curricula were designed by lvorking grosist of project staff and collaborative NGO'stechniques on AIDS training of factory managemfactory lvorkers and peer educator volunteers.Initial training for FOWs/RPs/HEST rvas co

1.

3.


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4. Pre-intervention survey on KABP of workers infactories and the baseline assessment of maattitude support or obstacles to HIV interventionwere undertaken in November and December '1The results were used in planning and campaigprevention education for factory management anFOW's with coordination and support from RPsplanned and implemented the intervention activiprevention education,.in all 12 factories siRce l.a1,997. almost all workers reported that FOWs/Fprovide knowledge on HIV/AIDS. This included

5.


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The project could implementing large group edtivities in seven medium and large size factoriesof January and three additional factories by Febrgroup education activities could not be implemmediums size factories mainly because the factoriready. They were in the stage of constant manuproducts and workers had no free time to attenactivities. However, the project provided small grtion activities at break time for these types of f

In the case of small group education , the project


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6.

7.


Recruitment of 120 peer educator volunteers amworkers was carried out by RPs and FOWs withfactory management. Initial training was conductand June 1997Monthly monitoring and supervising were condproject staff and HEST. Monthly meeting amongHEST and project staff was convened for improvintervention activities.


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Estabf lshf n g HIV / AIDS ProgrammesAchievement of HIV intervention activities, January to July 1997.

Fadory Tdalnumber

ofworkers

Number ofworkers

whoreeived

dircd HMeducation

Numberof worker

whoreeivedindircd

education

%ampaignCorrerage

Peereducator

volunteers hained

Medium sizeTakacom 356 BB 300 100V0 10KDK Fujikura* 539 516 350 100Vo 10Carton* 277 177 200 100Vo 11Nitsuko thai 418 100 360 > 50Vo

Notel.direct HIV educatilarge group and smalprevention education2.indirect HIV educatiLuncheon campaignexhibitions, traininginto other scheduled tr


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Workplan for planned activities/Plan of Project activities

Acti!ities Oct96 96

Dec95

lan97

Feb97

Mar97

API97

Muy97

Jun97

July97

Aug97 97

Oct97 97

Period timeExecutive Board Vtg x/oWorking group Vtg. xtr /oPre-Posi KABPsurveyTraining of

FOWs x/o x/o x/o x/o xRPs x/o r/oHEST x/o x/o x/oPeer Educater x/o

Oificial Opening oFactory lnteruenlion

).4edium sizeLarSe size ::::: :

Post activities \/a


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Order of MnisQr of Public HealthNo. 'I0f,9 /2539Order from the Ministrv of Public Health

Appointing Executive Board Member for Factory Outreach Workers ProjectThe Factory Outreach Workers Project is a research intervention project with theobjectives:1. to increase the capacity of various agencies on HIV/AIDS prevention and con

Industrial factories.2. to implement activities as planned


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5.

7.

8.

ffi,ffi',ffi'mmffi"ffi4. 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.Dr. Pakpimol Prasert, Representative from the AIDS Division,Department of Communicable Disease Control, Member.Mr. Samug Songsawanage, Chairperson from Navanakhon Personnal ManaMember.Ivliss Rachita Na'Pattd*g, Director of the.@ffice for Popuhtion".T.eehnical,."Team, Member.

9. Mr. Pramboon Panichapak, Director of CARE International in Thailand, M


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11.Assoc. Prof. Pantyp Ramasoon, Deputy Director of AIHD, Member.12. Assoc. Prof. Yawarat Porappkkham, Project Director, Member and Secretaria

Henceforth, the Executive Board Members should give recommendation to for impland improving the project

27 November 1,995

(signed)


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EstablishinE HIVIAIDS Programmes

Name of Executive BoardName Current Portfolio Pos1. Dr. Paitoon Boonwat Government of Pathum-Thani Ch a irpers2. Dr. Veerachai Potawan Director, Provincial Health Office

Pathum - ThaniDeputyChairpers3. Mrs. Chariya Kanthavit Director, Provincial Health Office

Pathum - ThaniMember

4. Mrs. Saichol Kareepot Office of Provicial IndustryPathum - Thani Member5. Mr. Anon Intarasooksri Office of Provincial labourProtection and Welfare

Member

6. Dr.Pakpimol Prasert AIDS Division, Ministry of PublicHealth

Member

7. Mr. Samak Sonngsawong Chairman of Navanakorn Member


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Establlshlng HlVrrAlDS Programmes

Name of Factory Ouheach Workers (FOW)

1. Ms. Wanna Supachaijareankul, 24 years old, Bachelor of Education2. Ms. Somphet Lawnugoon, 24 years old, Bachelor of Education3. Ms. Lawan Pemsukrungrong, 23 years old, Bachelor of Education4. Idr. Perayout Hanchana, 25 years old, Bachelor of Education

Name of Health Education Support Team (HEST)

Name Health Educafion Sup'port Position


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Name of Resource Persons in Factories

F"ctory Name Current Post1. Fujitsu (Thailand)

CO.,LTD1. Ms.Poolsin Langptrachaveng2. Ms.Patama Virojphan

Chief, Personnal & WeDivision Chief, Trainingsection.

2. Seikosha 3. Mrs.Penanpa Anuchiwong4. Mrs.Kanokporn Burapan

Chief, Admin, SectionAst. Chief. PersonnelSection

3. Matsushita 5. Mr.Watchara Boonloan5. Ms.Potjaman Soneserm

Personnel Senior StaffPersonnel Senior Staff

4. NC '7 Mr.Somsak Maon Personnel Senior Staff


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Factory Name Cunent PostB. Takacom 1. Mr.Suoan Pongpaew2. Mrs.Boonchoo Musopin Ast. Manger PersonnelAdmin

Senior Leader ProductionDivision

9. Nitsuko Thai 3.4.

Ms.supaporn UtsaMs.Aim-on Yimpin

Products Section StaffPersonnel Admin Staff

10.Carton Optical 5. Mrs.Ampai Chalermrit5. Ms.Nisa KedhilunChief Personnel AdminScc.Admin Staff

11.H.R. Silvine 7. Ms.Ratharinya HansakulB. Mr.Tawee Chantree

Training Officer StaffSafety Office

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


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Tital

Conhactor

Director of AIHDManager of ECIAIHDAIDS Project

Establishing HIV/AIDS Programme in the Workplato Factories in Pathum Thani Province.(Factory Outreach Project)ASEAN Institute for Health Development (AIHD)Mahidol University, Salaya CampusPhutamonthon, Nakorn Pathum, 73't70Prof. Dr. Som-fuch Wongkhomthongfusoc. Prof. Dr. Boongium Tragoonvongse


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For more information please contact

Factory Ouheach Project :Office

Navanakom Office:

Asean Institute for Health DevelopmeMahidol University, Salaya CampusPhutamonthon, Nakorn Pathom 73'17Tel. (02) 41-9739 , 441,- 9040-3Fax : (02) 441,-973984/13 Thai- Thani village Soi 41Tambol Klong Nueng , Klong Luang DPathum- Thani Province '12120


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ffi,ffi,,m,mmffi"n

Pl{070 Ess(t


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Establishlng HIVIAIDS Programmes

Exhibition HIV/AIDS campaign in the factory



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Dtstrlbuttng pamphlets, Boollet,condoms

Smdl group cducaroles of RPs


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Establishing HIV,/AIDS Programmes

Large group training .....HIV games

Small group discussi



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



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][

Sharing ideas from Management Forum


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Documents

Establishing HIV_AIDS Programs in the Workshop_Outreach