Knowledge, attitude and practices of employers should they discover that their domestic worker is HIV positive : Cashan, Rustenburg

Abstract

BACKGROUND : Infection with human immunodeficiency virus (HIV) is an epidemic that has become the leading cause of morbidity and mortality in South Africa. HIV/AIDS threatens productivity, profitability and the welfare of employees and their families. Some employers insist on knowing the HIV status of their domestic workers, and there have been reports of discrimination and unfair dismissal when they are found to be infected. METHODS : This qualitative study describes the knowledge, attitudes and practices of employers towards HIV-positive domestic workers in Rustenburg. In-depth interviews and a focus group discussion were conducted with 10 purposefully selected participants, all employers of domestic workers. RESULTS : It was found that employers had reasonable knowledge about HIV and AIDS and positive views on accepting and accommodating an HIV-positive domestic worker. While they would not consider dismissal on the basis of HIV status, they were not aware of legal aspects related to HIV-positive domestic workers or how to offer support. They were also not aware of universal precautions to use to prevent HIV transmission. CONCLUSION : There is a need to provide more information to employers to ensure that HIV-positive domestic workers are reasonably accommodated in their work and have access to appropriate services.