1. HIV/AIDS Prevention in the Infrastructure Sector 14 March 2008 Sector Strategy Development Department, Japan Bank for International Cooperation (JBIC)

2. Japanese ODA Loan Brief ODA loan commitments of 2006, approx.US$ 6.5billion About one third of the total ODA Loan was provided to the transportation sector Provided mainly to Asia 84%, Africa 13%

3. Trend in Japan’s Loan Assistance and Transportation Sector (Fiscal Year) (Billion Yen)

4. JBIC’s Response to HIV/AIDS in Infrastructure Projects 2001HIV/AIDS prevention program implemented at Sihanoukville Port Urgent Rehabilitation Project (Cambodia) as a first pilot response for JBIC-funded infrastructure projects 2004HIV/AIDS Prevention conducted in the Second Mekong International Bridge Construction Project (Thailand, Lao PDR) March 2005HIV/AIDS clauses incorporated in the sample bidding document for civil works to be used for JBIC-funded projects August 2006 at International AIDS Conference Signed, with five other donors, the Joint Initiative for the Infrastructure Sector to Mitigate the Spread of HIV/AIDS August 2007Joint Presentation on Infrastructure, Mobility and AIDS with ADB in the High Level Meeting at the 8 th ICAAP PresentHIV/AIDS prevention programs/components included in about 40 ongoing and approved infrastructure projects

5. Status of the Projects with HIV/AIDS Prevention Completed Projects 1. Sihanoukville Port Urgent Rehabilitation Project (Cambodia) 2. The Second Mekong Int’l Bridge Construction Project (Thailand and Lao PDR) 3. Delhi Mass Transportation Project (V ） (India) →continued in the next phase On-going 1. O Mon Thermal Power Plant and Mekong Delta Transmission Network Project (Vietnam) 2. Sondu/Miriu Hydropower Project (II) (Kenya) Under preparation and agreed projects & projects to be approve in the fiscal year 2007 Over 50 projects

6. Examples of JBIC’s HIV/AIDS Programs in Infrastructure Projects Project 1. The Second Mekong Int’l Bridge Construction Project 2. Delhi Mass Transportation Project CountryThailand / Lao PDRIndia Project Loan Amount (approx.) USD 70 MUSD 1480 M Number of Workers 1,344More than 3,000 Program Period2004-(Ongoing in Lao)Jan - Sept 2005 Funding SourcesJapan Trust Fund at International Planned Parenthood Federation (IPPF) DMRC’s own fund Program ExecutorPPAT (IPPF JTF-funded) Local health authorities Modicare Foundation (Local NGO) Program Objective To improve awareness and promote behavior change to prevent HIV/AIDS/ Sexually Transmitted Infections (STIs) Target Groups- Construction workers - Health care providers - Community population - Commercial Sex Workers (CSWs) - Construction Workers

7. Key Challenges Challenges at EntryHow challenges were overcome Achievements -Importance of the program not fully recognized by infrastructure agencies (why needed? why us?) -Contents and implementing mechanism of the program not duly articulated -Experiences and expertise not sufficient in EAs/contractors - Funding sources not fully secured -Continuing dialogues with EA to generate their buy-in and commitment -Creating catalytic environment among different partners by: (i) linking concerned ministries and other partners (health depts., contractors, NGOs, donors.); (ii) aligning interests, funds, and expertise of different players -Strong commitment and leadership of EA management and staff shown -Capacity of local NGOs and EA for planning and implementation utilized -EAs’ own budget/ donor fund arranged - Contractors/ consultants awareness and commitment raised

8. Issues Concerned in JBIC Implementation & Coordination Structure and Function of Each Stakeholder; Government counterparts/consultants of civil work/contractors/local health authorities/ or NGOs (contract-out) Standardized Process to Formulate the Programs; Cost of the Programs (who will bear the cost?); Gov.counterparts/ from the Loan/JBIC/other financial resources Program Activities; Beyond prevention (testing, treatment, care), other health components (i.e.,TB), referral, minimum package Evaluation and Lessons Learned; Sustainability and Replicability of the Efforts Role and capacity of the JBIC field offices and coordination with HQs;

9. Efforts made so far Commitment of Gov counterpart (i.e., India) for funding & seeking for possible funding sources (i.e., IPPF Japan Trust Fund) Efforts on standardized procedure and program activity Information-sharing and communication among field offices and HQs

10. Aid Harmonization HIV/AIDS prevention measures in the infrastructure/transport projects (not only on policy and strategy aspect but also on technical aspect) →Standardized process to formulate the HIV/AIDS program →The minimum package of the HIV/AIDS activities →Simple and standardized monitoring and evaluation tools and mechanism

11. Aid Harmonization Joint HIV/AIDS program formulation, monitoring and evaluation with JI Partners, i.e., in the co- financed projects with ADB or AfDB. Cooperating with JI partners on policy discussion with Gov counterparts to streamline the HIV/AIDS prevention in infrastructure Assisting Gov counterparts for possible funding, i.e., Global Fund