HIV/AIDS A MAJOR DEVELOPMENT CONCERN FOR THE AFRICAN DEVELOPMENT BANK March 2008

2 OUTLINE OF PRESENTATION OVERVIEW OF HIV/AIDS IN AFRICA - MAGNITUDE - ECONOMIC IMPACT ROLE OF AfDB HIV/AIDS STRATEGY PAPER FOR BANK GROUP OPERATIONS OBJECTIVES GUIDING PRINCIPLES PRIORITY AREAS STRATEGIES BANK’S EXPERIENCE MAINSTREAMING OF HIV/AIDS INTO BANK GROUP OPERATIONS HEALTH SECTOR-SPECIFIC PROJECTS TRANSPORT PROJECTS

3 MAGNITUDE Estimated 26 million people living with HIV/AIDS. More than 23 million have died as a result of infection. Sub-Saharan Africa accounts for > 60% of the people living with HIV/AIDS. Women represent a of new infections. Young people are at high risk. Rising rates in North Africa. In sub-Saharan Africa, by 2025 HIV/AIDS would Be Responsible for 18 million additional Deaths and 27 Million orphans. UNAIDS Website

4 ROLE OF THE AFRICAN DEVELOPMENT BANK The Bank’s assistance to the Regional Member Countries for HIV/AIDS prevention and control falls within its mandate for poverty reduction, as articulated in the Vision Statement approved by the Board of Governors in 1999.

5 BANK’S HIV/AIDS STRATEGY: OBJECTIVES 1.Assist Regional Member Countries to develop and implement multi-sectoral HIV/AIDS prevention and control activities; and 2.Support programmes prepared and led by the UN specialized agencies and other development partners in the fight against HIV/AIDS.

6 BANK’S HIV/AIDS STRATEGY: GUIDING PRINCIPLES  Long-term action  Technical reliability  Stressing vulnerability  Principles of empowerment  Support and not rejection  Rights of the individual  Participation & partnership  National autonomy  Avoiding new structure

7 BANK’S HIV/AIDS STRATEGY: PRIORITY AREAS  Promotion of political commitment at all levels;  Support to sectoral responses for a more efficient focus on vulnerability factors and on efforts to reduce risks; and  Strengthening of coordination for greater synergy of the HIV/AIDS prevention and control actions.

8 BANK’S OPERATIONAL EXPERIENCES Mainstreaming of HIV/AIDS into Bank wide operations Health sector specific projects Transport projects

9 MAINSTREAMING OF HIV/AIDS INTO BANK OPERATIONS Analysis of HIV/AIDS in the PRSPs and Bank Country Strategy Papers; Assessment of the impact of HIV/AIDS on key sectors in the context of economic & sector work; Screening of project & programme proposals so as to ensure that HIV/AIDS dimensions are fully taken into account and reflected in project design; All Education, Agriculture, and Infrastructure Projects include HIV/AIDS activities; and In 2006 the Bank signed the “Joint Initiative by Development Agencies for the Infrastructure Sectors to Mitigate the Spread of HIV/AIDS” with six other development partners (AsDB, DFID, JBIC, Kfw, and WB).

10 HEALTH SECTOR SPECIFIC PROJECTS 1.Currently the Bank is funding about 60 health interventions throughout the continent for a total sum of UA 565 million [USD 835 million]. 2.HIV/AIDS represents approximately 15% of the health sector investment (UA 85 million or USD 125 million). *UA = Units of Account; I UA = USD 1.48

11 TRANSPORT SECTOR & HIV/AIDS In line with the its HIV/AIDS Strategy Paper, the Bank’s sectoral operations (including transport) are expected to continue to incorporate appropriate HIV/AIDS prevention, care and impact mitigation activities that especially target youth, women and other disadvantaged groups of society. Both Infrastructure and Human Development Departments will collaborate together to incorporate HIV/AIDS activities into infrastructure interventions, especially in the following two areas: (i) large-scale construction projects which mobilize many construction workers who could be vulnerable to HIV/AIDS, or (ii) long-distance transport activities which may facilitate the spread of HIV infection.

12 TRANSPORT PROJECTS INVENTORY OF HIV/AIDS ACTIVITIES IN TRANSPORT PROJECTS

13 SCALE UP THE EFFORTS TO MITIGATE THE SPREAD OF HIV/AIDS IN TRANSPORT Strengthen collaboration and partnership between the Human Development Department and Infrastructure departments in mainstreaming HIV/AIDS in the Bank’s operations; Nominate two persons in both departments as focal persons; Carry out joint interventions as early as the identification stage of the project cycle of new infrastructure (i.e. transport) interventions. Select one or two transport projects planned for Board presentation in 2008 as part of the collaborative effort. This will provide the opportunity to assess and scale up the joint effort to mainstream HIV/AIDS activities in transport projects;

14 SCALE UP THE EFFORTS TO MITIGATE THE SPREAD OF HIV/AIDS IN TRANSPORT On-going projects, the Bank to ensure inclusion of HIV/AIDS mitigation clauses in the sample/standard bidding documents used for large-scale civil works funded by the Bank. Under these clauses contractors are required to take necessary measures to raise the awareness of construction workers and other employees of behavior to prevent HIV/AIDS transmission; Organize jointly workshops to sensitize staff of both departments on the importance of the transport sub-sector in tackling the spread of HIV/AIDS; Establish close cooperation with other partners, such as the World Bank, Asian Development Bank, UNAIDS, Global Fund, etc.; and Seek to scale up this collaborative initiative to other sectors in the Bank.

15 … THANK YOU!