Efforts to Combat HIV/AIDS in EAP Transport Christopher R. Bennett 30 April 2008

2 HIV Activities in EAP Transport The importance of HIV/AIDS education in EAP Transport projects Projects  China: Shiman Highway, Jiangxi III Highway, Inland Waterways V, Liaoning Urban Transport Projects  Cambodia: Provincial and Rural Infrastructure Project  Indonesia: Eastern Indonesia Regional Transport Project II Development  Development and Piloting HIV IEC Toolkit

3 People at high risk (and their families) include  Construction workers away from home  People living along transport routes  Commercial sex workers  Employees in long-distance transport Who is at Risk With Transport? Our Focus

4 Addressing HIV/AIDS in Transport Some TTLs included HIV/AIDS as part of environmental management Position strengthened with new Bank SBDs:  HIV/AIDS education as part of ‘Health and Safety’ clauses TTLs now have responsibility to ensure HIV/AIDS education programs are undertaken

5 EAP - Modified SBD Clauses Bank’s HIV clauses adapted in EAP:  Cater for (1) financed as provisional sum and (2) grant projects  Made clarifications and simplified Translated, distributed to contractors and monitored in supervision missions

6 Approach in China Clients do not see the need for HIV/AIDS education “road construction is my business not promoting condoms” Unwilling to put major effort into activities Solution : obtain grant funding as ‘seed’ money  Hire a provider to deliver training  Ensures consistent standard of training throughout project  Minimizes efforts for highway agency (and TTLs)

7 What Next? EAP Transport has adopted a regional HIV/AIDS strategy  Vision: every project have an effective HIV/AIDS campaign  Developing standard approach and education materials  Adapt to each country China, Cambodia, Vietnam, and Papua New Guinea will pilot test the HIV IEC Toolkit and regional strategy

8 Knowledge Transfer Methods to educate vulnerable populations  AIDS-related posters, booklet and playing cards, educational board, movies, etc.  Text messages to all cell phone users  Face to face education to construction workers

9 Support Behavior Change Set up condom distribution sites & training on proper usage Activities & trainings at local recreational centers 100% condom use pilot program Local VCTs & onsite - consultation and testing

10 The End