title: "HIV is irrelevant to our company": everyday practices and the logic of relationships in HIV/AIDS management by Japanese multinational corporations in northern Thailand.
abstract: Multinational corporations (MNCs) are important participants in workplace initiatives on HIV/AIDS as they collaborate with international organizations to globally promote various policies and guidelines. To date, MNCs have enacted the majority of such initiatives in North America, Europe and South Africa, but we have little information on how MNCs elsewhere, especially in Japan, have responded to the issue of HIV/AIDS in the workplace. This study examines the actual on the ground situation of HIV/AIDS management in Japanese MNCs, specifically investigating everyday corporate practices in the context of internal interactions and relationships and the resulting practices and outlook concerning HIV/AIDS. It is based on a secondary analysis of ethnographic case studies conducted in 10 Japanese-affiliated companies in northern Thailand. Japanese managers, Thai managers and ordinary Thai workers all considered HIV/AIDS to be "irrelevant" to their company and/or themselves. HIV/AIDS measures in the companies were limited to provision of information. This perception and management of HIV/AIDS developed from their everyday interactions governed by the logic of relationships in the companies. In these interactions, they categorized others based on their ascriptive status, primarily based on class, ethnicity and nationality. They sought scapegoat groups that were lower than them in the class- and ethnicity/nationality-based hierarchical system, and cast the risk of HIV infection upon the scapegoat groups, thus reducing their own sense of risk. The paper shows that the relational logic, not ideals or principles, influences their views of and actions concerning HIV/AIDS management in the companies. This is why Japanese companies are unable to deal with HIV/AIDS in terms of international policies and guidelines that are based on the logic of human rights and the logic of business principles. The results suggest a need for international policymakers to pay more attention to everyday practices in the actual field of policy dissemination.
authors.affiliation: Center for Medical Education, Sapporo Medical University, Sapporo, Hokkaido 0608556, Japan. michinor@sapmed.ac.jp
authors.forename: Ryoko
authors.initials: R
authors.lastname: Michinobu
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology; D000884:Anthropology, Cultural; D001294:Attitude to Health / Q000208:ethnology*; D003132:Commerce; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D007564:Japan; D016272:Occupational Health; D019982:Organizational Case Studies; D013785:Thailand / Q000453:epidemiology; D017132:Workplace / Q000523:psychology*