ROADS: Regional Outreach Addressing AIDS through Development Strategies Gail Goodridge, ROADS Director Family Health International 16 December 2008

The Importance of Transport Corridor Projects Transport Corridor The areas of highest prevalence in Africa are along major transport corridors Sudan DRC Tanzania Kenya Ethiopia Median ANC Prevalence, Tanzania Rwanda Burundi Djibouti The corridors are economic lifelines and HIV infection networks cutting through: Kenya Uganda Rwanda Burundi DRC Ethiopia Sudan Djibouti Tanzania

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

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

ROADS I Sites

What does SafeTStop 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 safety nets for most vulnerable families & children  Increased ability to secure safe income

Truck stop/community structures People living with AIDS Low- income women Youth Faith- based leaders Business leaders Drug Shop owners Health and social Services Local government (police, area chief, town council, district dev office…) Men, transport workers Orphans & Children

Services for transport workers Transport workers HIV testing Wellness centers Alcohol- free recreation Adult education Internet connectivity Psycho- social/ spiritual support Referrals to community services

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 Michael Kibinge Global Development Alliance Specialist USAID/East Africa

Working with local private sector

Kenya Ministry of Transport billboard launch February 2006

GDAs are Strategic & Win-Win - 82% of all resource flows from the US to developing world come from the private sector - Increase development impact implies a furthering of SO’s - Alliances offer impact, scale and sustainability Business Interests Donor Development Goals Development Impact

GDA: A Type of PPP GDA Public-Private Partnerships A GDA is a strategic type of public-private partnership for the purpose of achieving significant development impact

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  Information sharing  Health services through wellness centers  Space for wellness/resource centers at ports  Community outreach to protect workers families  Others?

Thank you!