Efforts to Combat HIV/AIDS in EAP Transport

Christopher R. Bennett

30 April 2008

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HIV Activities in EAP Transport

• The importance of HIV/AIDS education in EAP Transport projects

• ProjectsChina: Shiman Highway, Jiangxi III

Highway, Inland Waterways V, Liaoning Urban Transport Projects

Cambodia: Provincial and Rural Infrastructure Project

Indonesia: Eastern Indonesia Regional Transport Project II

• Development Development and Piloting HIV IEC Toolkit

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• People at high risk (and their families) includeConstruction workers away from homePeople living along transport routesCommercial sex workers Employees in long-distance transport

Who is at Risk With Transport?

Our Focus

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Addressing HIV/AIDS in Transport

• Some TTLs included HIV/AIDS as part of environmental management

• Position strengthened with new Bank SBDs:HIV/AIDS education as part of ‘Health and

Safety’ clauses

• TTLs now have responsibility to ensure HIV/AIDS education programs are undertaken

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EAP - Modified SBD Clauses

• Bank’s HIV clauses adapted in EAP:Cater for (1) financed as provisional sum

and (2) grant projectsMade clarifications and simplified

• Translated, distributed to contractors and monitored in supervision missions

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Approach in China

• Clients do not see the need for HIV/AIDS education “road construction is my business not promoting

condoms”

• Unwilling to put major effort into activities

• Solution : obtain grant funding as ‘seed’ money Hire a provider to deliver training Ensures consistent standard of training throughout

project Minimizes efforts for highway agency (and TTLs)

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What Next?

• EAP Transport has adopted a regional HIV/AIDS strategy Vision: every project have an effective

HIV/AIDS campaign Developing standard approach and

education materials Adapt to each country

• China, Cambodia, Vietnam, and Papua New Guinea will pilot test the HIV IEC Toolkit and regional strategy

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Knowledge Transfer

• Methods to educate vulnerable populations AIDS-related posters, booklet and playing cards,

educational board, movies, etc. Text messages to all cell phone users Face to face education to construction workers

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Support Behavior Change

• Set up condom distribution sites & training on proper usage

• Activities & trainings at local recreational centers

• 100% condom use pilot program

• Local VCTs & onsite - consultation and testing

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The End