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ROADS: Regional Outreach Addressing AIDS through Development Strategies. Gail Goodridge, ROADS Director Family Health International [email protected] 16 December 2008. The Importance of Transport Corridor Projects. Transport Corridor.

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roads regional outreach addressing aids through development strategies

ROADS:Regional Outreach Addressing AIDS through Development Strategies

Gail Goodridge, ROADS Director

Family Health International

[email protected]

16 December 2008

the importance of transport corridor projects
The Importance of Transport Corridor Projects

Transport Corridor

The areas of highest prevalence in Africa are along major transport corridors

  • The corridors are economic
  • lifelines and HIV infection
  • networks cutting through:
  • Kenya
  • Uganda
  • Rwanda
  • Burundi
  • DRC
  • Ethiopia
  • Sudan
  • Djibouti
  • Tanzania

Djibouti

Sudan

Ethiopia

Kenya

DRC

Tanzania

Rwanda

Burundi

Tanzania

Median ANC Prevalence,

2000-2002

key factors for hiv risk
Key Factors for HIV Risk
  • Men
  • Prevalence of truck drivers >2X general population
  • 60% spend <40 nights at home
  • Average 2.3 partners
  • Over 80% married
  • 62% report casual partners
  • Women & Sex Work
  • 40% of girls 15-19 had sex with truckers
  • 8600 FSW on corridor
  • 10% reached by HIV interventions
  • 80% of women in some communities engage in sex work
  • Mean of 13 clients/month; 54 liaisons
  • >50% partners are truckers and police
  • Hot Spots
  • 6000 trucks parked per night
  • 28% near VCT
  • 4800-9000 new infections/year

Source: Annual figures from Kenya and Uganda, Univ of Nairobi/Univ of Manitoba Strengthening STD/HIV Control Project 2005

slide4
ROADS Program OBJECTIVES:
  • Links mobile populations and communities along transport corridors to health and HIV services services
  • Identifies emerging technical issues, shares state-of-the-art practices
  • Tests new innovations through community-based, national and regional partnerships

Program VISION:

To leave communities stronger

what does safe t stop mean
People are safe & have skills to talk about and take action to address HIV/AIDS and health issues

Safeguard health through greater use of HIV/AIDS & health services

Reduction in unsafe use of substances such as alcohol

Women and children are safe from violence & sexual exploitation

Improved access to safetynets for mostvulnerable families & children

Increased ability to secure safe income

What does SafeTStop mean?
truck stop community structures
Truck stop/communitystructures

Local government (police, area chief, town council, district dev office…)

Faith-based

leaders

Business

leaders

Orphans & Children

Men, transport workers

Drug

Shop owners

Health and social Services

services for transport workers
Services for transport workers

Referrals to

community

services

HIV testing

Wellness centers

Adult education

Transport

workers

Alcohol-free recreation

Internet connectivity

Psycho-social/ spiritual support

roads accomplishments first three years
ROADS accomplishments: first three years
  • 27 branded SafeTStop towns in 8 countries [total population of 2.2 million]
  • 600 community groups with of 33,000 members leading & implementing programs
  • 1.2 million people reached with services
public private partnerships

Public/private partnerships

Michael Kibinge

Global Development Alliance Specialist

USAID/East Africa

slide13
Kenya

Ministry of Transport

billboard launch

February 2006

gdas are strategic win win
GDAs are Strategic & Win-Win

Business

Interests

Donor

Development

Goals

Development

Impact

- Alliances offer impact, scale and sustainability

- Increase development impact implies a furthering of SO’s

- 82% of all resource flows from the US to developing world come from the private sector

gda a type of ppp
GDA: A Type of PPP

A GDA is a strategic

type of public-private

partnership for the

purpose of achieving

significant

development impact

Public-Private

Partnerships

GDA

gda criteria
GDA Criteria
  • Jointly defined problem and solution
  • Shared resources, risks, responsibilities & rewards
  • Innovative approaches to working with new partners
  • 1:1 leverage of cash, expertise, systems, networks and other resources
opportunities for partnership
Opportunities for partnership
  • Information sharing
  • Health services through wellness centers
  • Space for wellness/resource centers at ports
  • Community outreach to protect workers families
  • Others?
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