Presentation on theme: "ARE WE MITIGATING HIV/AIDS TRANSMISSION IN TRANSPORT PROJECTS?"— Presentation transcript:
1ARE WE MITIGATING HIV/AIDS TRANSMISSION IN TRANSPORT PROJECTS? Gisela GeislerPrincipal Gender SpecialistAfDB
2Content of Presentation HIV/AIDS in AfricaAfDBs approach to HIV/AIDSJoint Initiative by Development Agencies to Mitigate the Spread of HIV/AIDS in the Infrastructure SectorsHIV/AIDS mitigation in AfDB transport sectorsChallengesQuestions?
3HIV/AIDS in AfricaAn 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.
4AfDB 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.
5AfDB approach to HIV/AIDS (cont.) Institutional capacity building;Technical assistanceSupport to multi-sector responses;Advocacy, partnership and alliancesOperations applied:stand-alone projects in health sector, both at country and multinational levelsMainstreaming mainly in social, agriculture and transport sectors
6AfDB 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.
7AfDB 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.
8Joint 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;
9Joint Initiative to mitigate HIV/AIDS in the Infrastructure Sectors (cont.) Focuses onlarge-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;Proposessharing of good practice;up-scaling of initiative to include projects funded by partner governments and other development partners;Joint assessments.
10HIV/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 ratesOpens previously isolated communities
11HIV/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
12HIV/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
13HIV/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.
14ChallengesTransport 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.
15Questions? 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?