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ARE WE MITIGATING HIV/AIDS TRANSMISSION IN TRANSPORT PROJECTS?

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ARE WE MITIGATING HIV/AIDS TRANSMISSION IN TRANSPORT PROJECTS?. Gisela Geisler Principal Gender Specialist AfDB. Content of Presentation. HIV/AIDS in Africa AfDBs approach to HIV/AIDS Joint Initiative by Development Agencies to Mitigate the Spread of HIV/AIDS in the Infrastructure Sectors

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are we mitigating hiv aids transmission in transport projects

ARE WE MITIGATING HIV/AIDS TRANSMISSION IN TRANSPORT PROJECTS?

Gisela Geisler

Principal Gender Specialist

AfDB

content of presentation
Content of Presentation
  • HIV/AIDS in Africa
  • AfDBs approach to HIV/AIDS
  • Joint Initiative by Development Agencies to Mitigate the Spread of HIV/AIDS in the Infrastructure Sectors
  • HIV/AIDS mitigation in AfDB transport sectors
  • Challenges
  • Questions?
hiv aids in africa
HIV/AIDS in Africa
  • An estimated 22.5 million people are living with HIV/AIDS in sub-Saharan Africa;
  • Almost 90% of the 16.6 million children orphaned by AIDS live in sub-Saharan Africa;
  • Infection rates vary between 24.8% (Botswana) and 0.7% (Mauretania);
  • In SSA around 59% of those living with HIV are female.
afdb approach to hiv aids
AfDB approach to HIV/AIDS
  • HIV/AIDS Strategy Paper (2001)
    • Assist RMCs to develop and implement multi- sector HIV/AIDS control activities;
    • Support UN specialized agencies;
    • Promote political commitment and synergy;
    • Support sector responses which promote decentralization, community participation and ownership.
afdb approach to hiv aids cont
Operations applied:

stand-alone projects in health sector, both at country and multinational levels

Mainstreaming mainly in social, agriculture and transport sectors

Institutional capacity building;

Technical assistance

Support to multi-sector responses;

Advocacy, partnership and alliances

AfDB approach to HIV/AIDS (cont.)
afdb approach to hiv aids cont1
AfDB approach to HIV/AIDS (cont.)
  • In 2008 (MTS) strategic shift of AfDB to infrastructure, governance, private and higher education sectors;
  • Concurrent shift to greater attention to mainstreaming HIV/AIDS in these priority sectors;
  • In 2010 Guidelines for Mainstreaming HIV/AIDS were developed:
    • The approach includes both external (projects) and internal (workplace) mainstreaming both in AfDB and in institutions in RMCs;
    • As the epidemic evolves the responses must remain relevant and effective.
    • Proposed activities must be time-bound and measurable.
afdb approach to hiv aids cont2
AfDB approach to HIV/AIDS (cont.)

Operations must consider:

  • How the epidemic can affect the success of a project/program;
  • How the project/program can contribute to the fight against the epidemic;

Principles include:

  • Use of existing frameworks and institutions;
  • Continuous training/advocacy at all levels in the AfDB and in RMC;
  • Ownership.
joint initiative to mitigate hiv aids in the infrastructure sectors
Joint Initiative to mitigate HIV/AIDS in the Infrastructure Sectors
  • Signed in 2006 by WB, ADB, Afdb, DFID,JBIC, and KfW.
  • Seeks to strengthen inter-agency cooperation in combating HIV/AIDS in Infrastructure Sector;
  • Advocates mainstreaming approach;
  • Considers prevention and treatment;
joint initiative to mitigate hiv aids in the infrastructure sectors cont
Joint Initiative to mitigate HIV/AIDS in the Infrastructure Sectors(cont.)
  • Focuses on
  • large-scale construction projects which mobilize many workers, service providers and communities;
      • increased transport activity which might facilitate the spread of HIV infections.
  • Calls on use of HIV/AIDS mitigation clauses in bidding documents used for large-scale civil works requiring contractors to take appropriate measures;
  • Proposes
        • sharing of good practice;
        • up-scaling of initiative to include projects funded by partner governments and other development partners;
        • Joint assessments.
hiv aids mitigation in afdb transport sectors
HIV/AIDS Mitigation in AfDB Transport Sectors

Why focus on Transport sector?

  • Often imports large male foreign workforce;
  • Workers have salaries to spend and are away from home;
  • Local population is poorer and young women are vulnerable to promises of money and unable to negotiate safe sex;
  • Long-distance truck drivers have higher HIV/AIDS prevalence rates
  • Opens previously isolated communities
hiv aids mitigation in afdb transport sectors1
HIV/AIDS Mitigation in AfDB Transport Sectors
  • AfDB construction projects increasingly use HIV/AIDS intervention clauses in standard tender documents for civil works include for example provisions for:
      • sub-contracting HIV/AIDS activities to service providers approved by Road Authorities;
      • oversight and responsibility for implementation of HIV/AIDS activities with the Road Authority;
      • HIV/AIDS and STI awareness, prevention activities for workforce, their families and communities in the project area
hiv aids mitigation in afdb transport sectors2
HIV/AIDS Mitigation in AfDB Transport Sectors
  • Budget for HIV/AIDS activities;
  • A HIV/AIDS liaison committee including representatives of district government sector ministries, national AIDS committee, local leaders, women’s and youth leaders, local NGOs and CBOs and FBOs;
  • Participatory monitoring of project impact;
  • Action and monitoring plans;
  • Link into ongoing activities;
  • Training of peer educators and contractor staff;
  • Provision of care and financial assistance to AIDS affected staff
hiv aids mitigation in afdb transport sectors3
HIV/AIDS Mitigation in AfDB Transport Sectors
  • A number of AfDB road construction projects made provision for the preferential use of local work force and women to reduce risk of foreign workers;
  • The Arusha-Namanga Road Project in Tanzania carries HIV/AIDS information into the classrooms of nearby schools;
  • The Nacala Road Corridor Project in Zambia seeks to increase the impact of HIV/AIDS mitigation with gender sensitization and capacity building of community organizations.
  • The Wacha-Maji Road Projects In Ethiopia calls for a social sector specialist in the contractor management team to dialogue with communities, also regarding HIV/AIDS prevention;
  • One-stop border posts reduce border-crossing time.
challenges
Challenges
  • Transport sector is not enough – branch out to other infrastructure projects;
  • HIV/AIDS activities start too late and end too early;
  • Contractors lack sufficient social/health expertise;
  • HIV/AIDS activities are not sufficiently monitored by supervision consultant;
  • Projects do not address the economic vulnerability of many women.
questions questions
Questions?Questions?
  • Can activities start before the workforce arrives?
  • How can HIV/AIDS activities be sustained beyond construction phase?
  • How can HIV/AIDS be mainstreamed in other sectors?
  • Can transport sector projects address women’s economic empowerment to reduce their vulnerability to transmission?
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