1. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info $ 30 Billion investment in oil terminals and natural liquid gas production Large industrial sites and construction works with many permanent and temporary staff 30,000 indigenous people plus 50 to 150,000 immigrants and mobile populations Major development issues (poverty, unemployment, education, water, sanitation, etc.) Bonny Island: IBANISE Partnership

2. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info General findings of rapid needs assessment Medical records and reports are unavailable or incomplete. Some evidence suggests that 1 in 10 adults may be HIV+ Medical records and reports are unavailable or incomplete. Some evidence suggests that 1 in 10 adults may be HIV+ An “invisible” epidemic; evidence of denial, silence and stigma An “invisible” epidemic; evidence of denial, silence and stigma No PLWA groups No PLWA groups High risk behaviours, much commercial sex High risk behaviours, much commercial sex Many “outside” or temporary residents without families Many “outside” or temporary residents without families Traditional beliefs about illness Traditional beliefs about illness Ineffective prevention measures (esp. condoms) Ineffective prevention measures (esp. condoms) Inadequate HIV testing; AIDS treatment is costly and difficult Inadequate HIV testing; AIDS treatment is costly and difficult

3. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info HIV testing results at the Bonny Island General Hospital HIV+ 27% HIV- 73% HIV- 81% HIV+ 19% men women

4. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Indigenous population Indigenous population Teachers Teachers Youth (in –and out of school) Youth (in –and out of school) Clergy Clergy Vulnerable trades Vulnerable trades –Commercial sex workers –Okada drivers –Boat drivers Women’s groups Women’s groups Uniformed forces Uniformed forces Expatriate and Nigerian workforces Expatriate and Nigerian workforces Target groups in community

5. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Local leadership and accountability Local leadership and accountability Inclusion of all stakeholders Inclusion of all stakeholders Sustainability and financial independence of communities and individuals Sustainability and financial independence of communities and individuals Guiding Principles of the IBANISE Partnership

6. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Finance & Administration Monitoring & Evaluation Program management IBANISE HIV AIDS Partnership Board of Trustees (BKDC, JIC, other stakeholders) Donors NGOs Health care sector Proposed structure of the IBANISE Partnership Proposed structure of the IBANISE Partnership Technical Advisory Team Industry Facilities Informal sector Youth & education

7. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Establish coordinating and operational structure Establish coordinating and operational structure and processes Fundraising Fundraising –Industry –Bilateral and multi-lateral arrangements In-depth needs assessment In-depth needs assessment –Epidemiology –Health care –Schools –Community groups –Industrial sites Quick wins Quick wins Medium-term ideas Medium-term ideas Long-term ideas Long-term ideas Strategy of the IBANISE Partnership

8. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Mutual Dependency in partnerships Dependence Interdependence 2 Begin with the End in Mind 1 Be Proactive 3 Put First Things First Independence Source: “The 7 habits of highly effective people, Powerful lessons in personal change”, Stephen R. Covey, pg. 53 Think Win/Win 4 Seek to understand …Then to be Understood 5 Synergize 6 Private Victory Public Victory

9. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.infoChallenges Getting the private partners engaged Getting the private partners engaged Overcoming skepticism and disillusionment in the community vis à vis the private sector and of the private sector vis à vis government Overcoming skepticism and disillusionment in the community vis à vis the private sector and of the private sector vis à vis government Mainstreaming HIV/AIDS within the private sector Mainstreaming HIV/AIDS within the private sector