Guidelines for effective workplace HIV/AIDS intervention management by construction firms

Construction firms have an important role in combating HIV/AIDS in the South African construction industry. The HIV/AIDS intervention management practices of 12 construction firms in Cape Town are examined through interviews and documents. From thematic analysis, five themes emerged: construction firms' perceptions of HIV/AIDS as a threat to the firm; construction firm interventions; barriers to the success of interventions; the role of service providers; and state-led interventions. A tension exists in managing HIV/AIDS interventions as firms are concerned with productivity and profit maximization, but are becoming more engaged with corporate social responsibility and a higher duty of care towards employees. Interventions should extend beyond awareness and prevention campaigns to include testing and treatment programmes. A guideline checklist for such interventions is proposed. Partnering with specialized service providers is recommended, as well as engaging closely with public sector services. Firms successfully managing their HIV/AIDS response should share their experience with others struggling to respond. Employee issues of stigma and reluctance to disclose need to be addressed. Attention should be paid to the employment structure of the construction industry and to the needs of the informal sector.