Transport and HIVAIDS recent DFID activity

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Transport and HIV/AIDSrecent DFID activity

• Peter Roberts, Senior Infrastructure Adviser
• Rachel Yates, Senior Social Dev Adviser

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DFID and HIV/AIDS

• DFID has for many years given high priority to
  the challenge of rolling back HIV/AIDS
• Contribute to global programmes and international
  agencies
• Support bilateral interventions
• Encourage mainstreaming in relevant sectors
• Strong response from the Infrastructure Sectors
  (particularly Construction and Transport
• Constrained by reduced bilateral emphasis gt
  supporting multilateral activity in
  infrastructure

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DFID and HIV/AIDS

• 1996 DFID started innovative support in India
  leading to the Healthy Highways programme
• drawing government and industry attention to AIDS
  transmission
• Considerable recent field experience
• examples here from Africa thanks to many from
  country teams who shared information frankly at
  short notice
• 2006 DFID membership of Joint Initiative for
  Infrastructure Against AIDS
• Signed by Minouche now Permanent Secretary

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Democratic Republic of Congo

• existing road projects
• Rural roads near Kabinda town, south central DRC
  
• 4m through Belgium Technical Cooperation. Over
  800km of rural roads rehabilitation now
  finishing.
• HIV/AIDS awareness and prevention measures
  included - success unclear as monitoring was not
  sufficient.
• Kisangani-Kindu road link
• 4.62m road rehabilitation and maintenance
  implemented through UNOPS. 
• HIV/AIDS awareness and prevention programme -
  problems identifying baseline and monitoring
  so difficult to assess impact.  

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Democratic Republic of Congo

• PRO-ROUTES Road Rehabilitation and Maintenance
  programme 10 year multi-donor trust fund to
  re-open the majority of the national road network
  
• Scoping study for HIV/AIDS services
• four main groupings affected by road-building
• people employed in building and maintaining
  infrastructure
• those who work in the roads services
• professionals engaged in the management of the
  sector
• communities/passengers.

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Lesotho

• Likalaneng Thaba Tseka Road Upgrading (31 km)
  Pre-Contract, Supervision and Post-Contract
  Services
• WSP Coordinator CARE Social Dev Specialist -
  cascade approach
• Construction Supervision Services including
  Gender Mainstreaming and Promotion of Awareness
  and Mitigation of HIV/Aids
• preparation of Guidelines/Procedures relating to
  the Gender Mainstreaming and HIV/AIDS issues for
  used by the Roads Branch on future projects.

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Mozambique

• Unidade de Assuntos Sociais e Meio Ambiente
  (UASMA - Social and Environmental Unit)
  responsible to mainstream HIV/AIDS in the Roads
  Sector
• major lessons from implementation are
• Weak mobilization and involvement of the
  leaderships
• Weak advocacy initiatives
• Lack of mobilization and education on Voluntary
  and Counselling Test
• Isolated/ inconsistent interventions for
  behaviour change
• Lack of a effective Monitoring and Evaluation
  mechanism
• Weak supervision, support and mobilization
• These issues have been dealt with through
  improved coordination and technical capacity of
  staff working on HIV/AIDS

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Mozambique

• Roads and Bridges Management and Maintenance
  Project 2
• sector budget support
• Includes assistance for the government to
• support efforts to reduce the spread of HIV/AIDS
  and improve road safety
• Implement agreed HIV/AIDS prevention measures
  related to the road sector

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Nigeria

• Ekiti Rural Access Programme (ERAP)
• rehabilitate and maintain 900km of rural roads in
  6 Local Government Areas (LGAs) of the State
  (3.1m for 2 years)
• Establish a mechanism for raising awareness about
  HIV/AIDS with communities, contractors and
  transport operators (added during programme)
• positive results from awareness campaigns and
  sensitisation workshops - participant interest in
  VCT and other HIV services.
• Targeting decision-makers was strategic
• PCR found strong demonstration of HIV/ AIDS
  mainstreaming - HIV awareness had been raised,
  resulting in less stigmatization and further
  assistance requested by other non-project
  communities

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South Africa

• One Stop Border Post (OSBP) programme well under
  way
• integrated HIV throughout the programme, inc the
  provision of Wellness Clinics
• Regional Trade Facilitation Programme - Transport
  Corridors - recently approved
• Truck drivers and communities at border post are
  identified as vulnerable populations
• Wellness Clinics will focus principally on
  preventive services

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• CARE in Lesotho
• Health Economics and HIV/AIDS Research Division,
  University of Natal, Durban
• USAID Bureau for Africa, Office of Sustainable
  Development
• World Bank
• country and regional experience
• International Transport Workers Federation
• Global campaign affiliates in nearly 150
  countries

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• DFID does not have standardised checklists for
  appraising infrastructure programmes from an
  HIV/AIDS perspective
• Country programmes address AIDS issues but some
  could improve
• opportunities to be more systematic in designing
  infrastructure programmes taking into account
  how
• sector can contribute to the spread of HIV and
  AIDS
• high levels of illness and death impact on the
  effectiveness of the sector.

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thank you