ROADS: Regional Outreach Addressing AIDS through Development Strategies

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ROADS Regional Outreach Addressing AIDS
through Development Strategies

• Gail Goodridge, ROADS Director
• Family Health International
• ggoodridge_at_fhi.org
• 16 December 2008

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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
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Key Factors for HIV Risk

• Men
• Prevalence of truck drivers gt2X general
  population
• 60 spend lt40 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
• gt50 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
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• 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
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ROADS I Sites
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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

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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
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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
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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

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Public/private partnerships

• Michael Kibinge
• Global Development Alliance Specialist
• USAID/East Africa

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Working with local private sector
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Kenya Ministry of Transport billboard
launch February 2006
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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 SOs
- 82 of all resource flows from the US to
developing world come from the private sector
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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
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GDA Criteria

• Jointly defined problem and solution
• Shared resources, risks, responsibilities
  rewards
• Innovative approaches to working with new
  partners
• 11 leverage of cash, expertise, systems,
  networks and other resources

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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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Thank you! ggoodridge_at_fhi.org mkibinge_at_usaid.gov