HIV/AIDS Prevention Components in Transport Projects, EASTR Chris Bennett Sr. Transport Specialist, EASTR Natalya Stankevich Consultant, EASTR November 1, 2005

IEF, April Ongoing EASTR HIV/AIDS projects CHINA: HIV/AIDS Prevention and Education Program for Shiman Highway project, Hubei Province –TTL: Chris Bennett CAMBODIA: HIV/AIDS Awareness and Preventive Programme for Construction Workers and Local Communities, Provincial and Rural Infrastructure Project, –TTL, Maria Margarita Nunez

IEF, April China: HIV/AIDS Statistics in China (2003) China’s pop: 1.3 billion Official prevalence rate: 840,000 or 0.1% (excluding those who had died) AIDS-related deaths: 30,000 IDUs: 44% Plasma donation: 24% Sexual transmission: 20% in Hubei province (2005) Province’s pop: million Official prevalence rate: 2,262 HIV/AIDS cases or 0.004% Plasma donation: 61.3% Others: sex and IDUs If HIV/AIDS is not made a priority in China – 10 million affected by 2010 and serious social and economic challenges to the country

IEF, April Shiman HIV/AIDS Prevention “Improve the level of HIV/AIDS knowledge of road workers, administrative staff and local communities and prevent them from HIV infection” Funding: $50k from Global HIV/AIDS Fund Start: July 2005

IEF, April Why Targeting Road Workers? International experience shows high risk group Large number of migrant workers (estimated 120 million) Existing China HIV/AIDS campaigns targeting: –Sex workers –Blood donors –IV drug users

IEF, April Migrant Workers 50 weeks away from families Working in hard conditions Staying in same sex dormitories/camp sites Little access to HIV/AIDS prevention information and services Easy targets for drug sellers Have ample opportunities to interact with commercial sex workers Thus, they may become a “bridge” for spreading the HIV from high-prevalence to low-prevalence areas

IEF, April Shiman Road Worker Survey 2% of the construction workers and administrative staff involved in the Shiman project were surveyed 99% - men of 40 or younger days a year of not seeing their families/partners 99% - junior high school education level

IEF, April Shiman Road Worker HIV/AIDS Awareness 16.2% aware of HIV/AIDS transmission methods 39.5% HIV/AIDS transmitted by mosquitoes’ bites 71.4% know how to use condoms 35.1% never and 26% rarely use condoms 32.6% know where HIV/AIDS counselling and blood testing services are available 23.2 % believe that people infected with HIV/AIDS should be isolated from society

IEF, April 20059

10 Shiman Outputs Training of 15 health and medical workers Educational training on HIV/AIDS at 4 constructions sites: –200 (5%) road workers –120 (25%) administrative staff –50 (1%) villagers Dissemination of educational materials, pictures and discussion of stigma and discrimination problems Literature show by some educational team members, road workers and villagers Educational programs related to HIV/AIDS subject Interview on television

IEF, April Shiman Success Factors First such project in China Dedicated team with experts and celebrities on board –Professor Gui Xien, first physician to uncover HIV/AIDS infected patients through plasma donation; national recognized; expert adviser to the MOH and CDC Full support of all parties –Highway agency –Project team –Construction companies Political support –Provincial officers –Shiyan Government (including Vice Mayor and General Director of Shiyan Health Bureau) Extensive provincial and local mass media coverage

IEF, April Cambodia HIV Programme “Increase HIV/AIDS awareness among construction workers, local communities along the construction roads, and commercial sex workers in local entertainment centers” “Provide opportunities to the contractor’s employees to participate in the discussion of HIV/AIDS awareness and preventive programme in the course of their employment in PRIP Project” Funding: 50% by IDA and 50% by Royal Government of Cambodia Start: September 2005