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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 PROJECTS?

  • 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 PROJECTS?

  • 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 PROJECTS?

  • 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: PROJECTS?

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.) PROJECTS?

  • 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.) PROJECTS?

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 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 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 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 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 Sectors

    • 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? SectorsQuestions?

    • 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?