1. Transport and HIV/AIDS recent DFID activity
Peter Roberts, Senior Infrastructure Adviser
Rachel Yates, Senior Social Dev Adviser
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

2. Joint Infrastructure Initiative: Transport Against AIDS
DFID and HIV/AIDS
DFID has for many years given high priority to the challenge of rolling back HIV/AIDS:
Contribute to global programmes and international agencies
Support bilateral interventions
Encourage mainstreaming in relevant sectors
Strong response from the Infrastructure Sectors (particularly Construction and Transport
Constrained by reduced bilateral emphasis > supporting multilateral activity in infrastructure
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

3. Joint Infrastructure Initiative: Transport Against AIDS
DFID and HIV/AIDS
1996 DFID started innovative support in India leading to the Healthy Highways programme
drawing government and industry attention to AIDS transmission
Considerable recent field experience:
examples here from Africa – thanks to many from country teams who shared information frankly at short notice
2006 DFID membership of Joint Initiative for Infrastructure Against AIDS
Signed by ‘Minouche’ – now Permanent Secretary
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

4. Democratic Republic of Congo
existing road projects:
Rural roads near Kabinda town, south central DRC:
£4m through Belgium Technical Cooperation. Over 800km of rural roads rehabilitation now finishing.
HIV/AIDS awareness and prevention measures included - success unclear as monitoring was not sufficient.
Kisangani-Kindu road link:
£4.62m road rehabilitation and maintenance implemented through UNOPS. 
HIV/AIDS awareness and prevention programme - problems identifying baseline and monitoring so difficult to assess impact.  
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

5. Democratic Republic of Congo
PRO-ROUTES: Road Rehabilitation and Maintenance programme: 10 year multi-donor trust fund to re-open the majority of the national road network
Scoping study for HIV/AIDS services
four main groupings affected by road-building:
people employed in building and maintaining infrastructure;
those who work in the roads services;
professionals engaged in the management of the sector;
communities/passengers.
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

6. Joint Infrastructure Initiative: Transport Against AIDS
Lesotho
Likalaneng – Thaba Tseka Road Upgrading (31 km) : Pre-Contract, Supervision and Post-Contract Services
WSP Coordinator; CARE Social Dev Specialist - cascade approach
Construction Supervision Services including Gender Mainstreaming and Promotion of Awareness and Mitigation of HIV/Aids
preparation of Guidelines/Procedures relating to the Gender Mainstreaming and HIV/AIDS issues for used by the Roads Branch on future projects.
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

7. Joint Infrastructure Initiative: Transport Against AIDS
Mozambique
Unidade de Assuntos Sociais e Meio Ambiente (UASMA - Social and Environmental Unit): responsible to mainstream HIV/AIDS in the Roads Sector
major lessons from implementation are:
Weak mobilization and involvement of the leaderships
Weak advocacy initiatives
Lack of mobilization and education on Voluntary and Counselling Test
Isolated/ inconsistent interventions for behaviour change
Lack of a effective Monitoring and Evaluation mechanism
Weak supervision, support and mobilization
These issues have been dealt with through improved coordination and technical capacity of staff working on HIV/AIDS
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

8. Joint Infrastructure Initiative: Transport Against AIDS
Mozambique
Roads and Bridges Management and Maintenance Project – 2:
sector budget support
Includes assistance for the government to:
support efforts to reduce the spread of HIV/AIDS and improve road safety
Implement agreed HIV/AIDS prevention measures related to the road sector
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

9. Joint Infrastructure Initiative: Transport Against AIDS
Nigeria
Ekiti Rural Access Programme (ERAP):
rehabilitate and maintain 900km of rural roads in 6 Local Government Areas (LGAs) of the State (£3.1m for 2 years)
Establish a mechanism for raising awareness about HIV/AIDS with communities, contractors and transport operators (added during programme)
positive results from awareness campaigns and sensitisation workshops - participant interest in VCT and other HIV services.
Targeting decision-makers was strategic
PCR found “strong demonstration of HIV/ AIDS mainstreaming” - “HIV awareness had been raised, resulting in less stigmatization and further assistance requested by other [non-project] communities”
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

10. Joint Infrastructure Initiative: Transport Against AIDS
South Africa
One Stop Border Post (OSBP) programme: well under way
integrated HIV throughout the programme, inc the provision of Wellness Clinics
Regional Trade Facilitation Programme - Transport Corridors - recently approved
Truck drivers and communities at border post are identified as vulnerable populations
Wellness Clinics will focus principally on preventive services
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

11. Joint Infrastructure Initiative: Transport Against AIDS
CARE in Lesotho
Health Economics and HIV/AIDS Research Division, University of Natal, Durban
USAID Bureau for Africa, Office of Sustainable Development
World Bank:
country and regional experience
International Transport Workers’ Federation:
Global campaign – affiliates in nearly 150 countries
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

12. Joint Infrastructure Initiative: Transport Against AIDS
DFID does not have standardised checklists for appraising infrastructure programmes from an HIV/AIDS perspective
Country programmes address AIDS issues but some could improve
opportunities to be more systematic in designing infrastructure programmes taking into account how:
sector can contribute to the spread of HIV and AIDS
high levels of illness and death impact on the effectiveness of the sector.
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS

13. Joint Infrastructure Initiative: Transport Against AIDS
thank you
14 March 2008
Joint Infrastructure Initiative: Transport Against AIDS