Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations

Comprehensive HIV and AIDS workplace programmes made use of substantial lottery incentives in HIV counselling and testing drives to promote HIV testing at four companies in the automotive industry in the Nelson Mandela Bay Municipality. The main aim was to use lottery incentives to increase uptake f...

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Main Authors: Martin Weihs, Anna Meyer-Weitz, Friederike Baasner-Weihs
Format: Article
Language:English
Published: South African Medical Association 2017-07-01
Series:South African Journal of Bioethics and Law
Online Access:http://www.sajbl.org.za/index.php/sajbl/article/download/531/521
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author Martin Weihs
Anna Meyer-Weitz
Friederike Baasner-Weihs
author_facet Martin Weihs
Anna Meyer-Weitz
Friederike Baasner-Weihs
author_sort Martin Weihs
collection DOAJ
description Comprehensive HIV and AIDS workplace programmes made use of substantial lottery incentives in HIV counselling and testing drives to promote HIV testing at four companies in the automotive industry in the Nelson Mandela Bay Municipality. The main aim was to use lottery incentives to increase uptake for HIV testing. This would help to define company HIV prevalence and ensure timely support, care and treatment of employees. In total, 1 324 employees, making up about 90% of the total staff, were tested for HIV in the four companies during wellness testing days. In order to gain an understanding of employees’ experiences of the lotteries as part of the HIV counselling and testing drive, quantitative data were collected among a total of 414 employees, and 17 interviews were conducted in the four companies. In this article, we investigate the issue of whether the lotteries unduly influenced the employees’ participation in workplace HIV testing, and an approach to resolving an identified ethical dilemma is presented. The ethical question as to whether lottery incentives contribute to undue coercion was explored using both a utilitarian and a deontological approach. The analysis concluded that the use of lotteries to encourage HIV testing in the workplaces of the automotive industry in the Nelson Mandela Bay Municipality can be deemed morally acceptable.
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spelling doaj.art-18e6dc3a64cb4465a6330b3cf0159d942024-01-02T11:16:01ZengSouth African Medical AssociationSouth African Journal of Bioethics and Law1999-76392017-07-01101111410.7196/sajbl.531Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerationsMartin WeihsAnna Meyer-WeitzFriederike Baasner-WeihsComprehensive HIV and AIDS workplace programmes made use of substantial lottery incentives in HIV counselling and testing drives to promote HIV testing at four companies in the automotive industry in the Nelson Mandela Bay Municipality. The main aim was to use lottery incentives to increase uptake for HIV testing. This would help to define company HIV prevalence and ensure timely support, care and treatment of employees. In total, 1 324 employees, making up about 90% of the total staff, were tested for HIV in the four companies during wellness testing days. In order to gain an understanding of employees’ experiences of the lotteries as part of the HIV counselling and testing drive, quantitative data were collected among a total of 414 employees, and 17 interviews were conducted in the four companies. In this article, we investigate the issue of whether the lotteries unduly influenced the employees’ participation in workplace HIV testing, and an approach to resolving an identified ethical dilemma is presented. The ethical question as to whether lottery incentives contribute to undue coercion was explored using both a utilitarian and a deontological approach. The analysis concluded that the use of lotteries to encourage HIV testing in the workplaces of the automotive industry in the Nelson Mandela Bay Municipality can be deemed morally acceptable.http://www.sajbl.org.za/index.php/sajbl/article/download/531/521
spellingShingle Martin Weihs
Anna Meyer-Weitz
Friederike Baasner-Weihs
Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations
South African Journal of Bioethics and Law
title Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations
title_full Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations
title_fullStr Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations
title_full_unstemmed Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations
title_short Incentives for HIV testing at the workplace in the automotive industry in the Nelson Mandela Bay Municipality: Ethical considerations
title_sort incentives for hiv testing at the workplace in the automotive industry in the nelson mandela bay municipality ethical considerations
url http://www.sajbl.org.za/index.php/sajbl/article/download/531/521
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AT annameyerweitz incentivesforhivtestingattheworkplaceintheautomotiveindustryinthenelsonmandelabaymunicipalityethicalconsiderations
AT friederikebaasnerweihs incentivesforhivtestingattheworkplaceintheautomotiveindustryinthenelsonmandelabaymunicipalityethicalconsiderations