1 / 11

Transport and HIV/AIDS: A survey of the issues at stake

Transport and HIV/AIDS: A survey of the issues at stake. Transport and Social Responsibility Thematic Group Julie Babinard (TUDTR) and Nina Schuler (TUDUR) May 5, 2004. Outline & Objectives. Summary review of issues and activities relating to HIV/AIDS in Transport

KeelyKia
Download Presentation

Transport and HIV/AIDS: A survey of the issues at stake

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Transport and HIV/AIDS:A survey of the issues at stake Transport and Social Responsibility Thematic Group Julie Babinard (TUDTR) and Nina Schuler (TUDUR)May 5, 2004

  2. Outline & Objectives • Summary review of issues and activities relating to HIV/AIDS in Transport • Jocelyne do Sacramento (AFTTR): Africa region experience on HIV/AIDS in Transport • Suggest areas where further work and exploration may be needed Transport and Social Responsibility

  3. AIDS/HIV at a glance • Unique disease (scale; incubation) • A threat to public health & economic development • Effects of infection felt at various levels (household; community; sector; country) • Occurrence  Treatment • Sexual transmission  use of condoms • Bloodstream  donor screening; needles sterilization • Mother to child • About 42 million people living with HIV/AIDS Transport and Social Responsibility

  4. Adults & Children Estimated to be living with HIV/AIDS, end 2003 EasternEurope & CentralAsia WesternEurope North America 1.2 – 1.8 million 790 000 – 1.2 million EastAsia& Pacific 520 000 – 680 000 700 000 – 1.3 million Caribbean 350 000 – 590 000 North Africa & Middle East South & South-East Asia 470 000 – 730 000 4.6 – 8.2 million LatinAmerica 1.3 – 1.9 million Australia & NewZealand Sub-SaharanAfrica 25 – 28.2 million 12 000 – 18 000 Total: 34 – 46million Source: AIDS epidemic update, Dec. 2003. UNAIDS. Transport and Social Responsibility

  5. Impact of HIV/AIDS on transport • Role of transport for economic development • Compromises effectiveness & reliability of transport – decline in productivity • People at high risk and their families include • Construction workers • Employees who maintain infrastructure • Workers in railways, roads, airlines… • Professionals engaged in maintenance • Population living along roads & highways • Commercial sex workers • Locally based government employees • Mobile populations, refugees Transport and Social Responsibility

  6. Transport and spread of HIV/AIDS • Transport is major vector: • Movement of people • Behaviors associated with transport sector workers and transportation hubs 42% of truck drivers report indulging in commercial sex while traveling; 33% of those who have casual sex don’t use condoms Survey results, Poland and Lithuania border areas (World Bank, 2003) Transport and Social Responsibility

  7. HIV Prevalence prior to and post construction/improvement transport corridors Highway routes HIV prevalence prior to activity post activity Myanmar:1997 Injecting drug users Injecting drug users Mandalay-Muse HighwayHIV+, 1996 HIV+, 1998   Mandalay 51% 88%   Lashio 34% 74%   Muse 86% 92% China: 1996 construction Number of HIV+ Number of HIV+ Yunnan-Nanning, Guangxicases 1995 cases 1998   Guangxi 10 525 Viet Nam: Number of HIV+ Number of HIV+ Highway one: Ho Chi Minh City cumulative cases cumulative cases (HCMC)-Hanoi highway improvement1997 1998   Hanoi 51-100 101-1,000   Hai Phong 11-50 101-1,000   HCMC >1,000 >1,000 Source: Lee-Nah Hsu (UNDP 2001)

  8. The Bank’s response in a snapshot • Support HIV/AIDS prevention, care, mitigation from mandate to reduce poverty • Policy dialogue, lending, analytical work, and global programs • US$2.21 billion committed (Jan. 2004) • Multi-Country AIDS program for Africa • $1 billion to scale up existing activities and strengthen implementation • Flexible and rapid funding • Roughly half of MAP are allocated directly for use by communities and civil society • Sub-regional and cross HIV/AIDS initiatives through MAP 2 Ex: Abidjan-Lagos Corridor • Other region: Caribbean MAP; health projects focus on HIV/AIDS Transport and Social Responsibility

  9. The Transport HIV/AIDS response Within World Bank • SSA • HIV/AIDS Abidjan-Lagos Transport Corridor project • SA • Indian Highway to HIV/AIDS prevention External • UNDP: Multisectoral responses to Mobile Populations’ HIV vulnerability Transport and Social Responsibility

  10. Mainstreaming HIV/AIDS within transport Within World Bank • SSA • Ethiopian Road Sector Development Project • Mali Transport Corridors Improvement Project • Chad national Transport Program Support Project • MENA • The Djibouti International Road Corridor Rehabilitation Project • EAP • Cambodia Provincial and Rural Infrastructure Project (PRIP) • Papua New Guinea Highlands Highway Rehabilitation Project External • UNDP: Preventing HIV/AIDS on road projects in Yunnan Province, China Transport and Social Responsibility

  11. Implementing HIV/AIDS measures within transport -- Recommendations • A transport response should include components that consider • How to change behavior/ conditions that affect behavior • Which groups to target • The sector entry points • Food for thought: • How to link transport with existing HIV/AIDS projects? • How to integrate HIV/AIDS into transport projects? • External partners/ resources: UNDP; USAID Transport and Social Responsibility

More Related