December 3, 2009 Stephen Brushett Lead Transport Specialist Latin America and the Caribbean Region The World Bank

 Transport as a sector most committed (with education) to mainstreaming HIV/AIDS  Transport as a vector, high vulnerabilities, with unequal gender impacts  Led by Africa region, now spreading to other continents, appropriately  Funding from Global HIV/AIDS helped us carry out studies in LAC region  Consider three cases where work has been done: Honduras, Haiti and Argentina

 Ongoing roads project, started from interest in introducing the contract clauses  But also … intervention covered: general strategic plan, developing programs and materials for agencies  … and work with micro-enterprises : overlap with proposal to increase female participation  Key elements in mainstreaming - reduce stigma, increase access to services, counseling  Women vulnerable as have less power in relationships

 KAP study – focused on 2 road corridors being improved with Bank funding.  Study group were truckers, sex workers and women ( years)  Women had lower knowledge on average  Women impacted by irregular condom use, truckers as high risk group  Low levels of testing women again (though not for sex workers)  Women focus on different strategies than men do  High levels of stigma in general

 Another KAP study involving truck workers in one corridor (Santa Fe province)  Gaps in knowledge persist – HIV transmission and availability of counseling and treatment  Married women may suffer more than single – truckers less likely to use condoms  Industry involved in developing services – use associations  Build social networks, cooperating with other mobile populations

 Interest, openness in public and private sector – recognize risks  First steps being taken for an organized, sector/agency response  Gender an important dimension of differentiation – though not only one  … may not always be fully considered in design of interventions