ROADS: Regional Outreach Addressing AIDS through Development Strategies

1. ROADS:Regional Outreach Addressing AIDS through Development Strategies Gail Goodridge, ROADS Director Family Health International ggoodridge@fhi.org 16 December 2008

2. The Importance of Transport Corridor Projects Transport Corridor The areas of highest prevalence in Africa are along major transport corridors • The corridors are economic • lifelines and HIV infection • networks cutting through: • Kenya • Uganda • Rwanda • Burundi • DRC • Ethiopia • Sudan • Djibouti • Tanzania Djibouti Sudan Ethiopia Kenya DRC Tanzania Rwanda Burundi Tanzania Median ANC Prevalence, 2000-2002

3. Key Factors for HIV Risk • Men • Prevalence of truck drivers >2X general population • 60% spend <40 nights at home • Average 2.3 partners • Over 80% married • 62% report casual partners • Women & Sex Work • 40% of girls 15-19 had sex with truckers • 8600 FSW on corridor • 10% reached by HIV interventions • 80% of women in some communities engage in sex work • Mean of 13 clients/month; 54 liaisons • >50% partners are truckers and police • Hot Spots • 6000 trucks parked per night • 28% near VCT • 4800-9000 new infections/year Source: Annual figures from Kenya and Uganda, Univ of Nairobi/Univ of Manitoba Strengthening STD/HIV Control Project 2005

4. ROADS Program OBJECTIVES: • Links mobile populations and communities along transport corridors to health and HIV services services • Identifies emerging technical issues, shares state-of-the-art practices • Tests new innovations through community-based, national and regional partnerships Program VISION: To leave communities stronger

5. ROADS I Sites

6. People are safe & have skills to talk about and take action to address HIV/AIDS and health issues Safeguard health through greater use of HIV/AIDS & health services Reduction in unsafe use of substances such as alcohol Women and children are safe from violence & sexual exploitation Improved access to safetynets for mostvulnerable families & children Increased ability to secure safe income What does SafeTStop mean?

7. Truck stop/communitystructures Local government (police, area chief, town council, district dev office…) Faith-based leaders Business leaders Orphans & Children Men, transport workers Drug Shop owners Health and social Services

9. Services for transport workers Referrals to community services HIV testing Wellness centers Adult education Transport workers Alcohol-free recreation Internet connectivity Psycho-social/ spiritual support

10. ROADS accomplishments: first three years • 27 branded SafeTStop towns in 8 countries [total population of 2.2 million] • 600 community groups with of 33,000 members leading & implementing programs • 1.2 million people reached with services

11. Public/private partnerships Michael Kibinge Global Development Alliance Specialist USAID/East Africa

12. Working with local private sector

13. Kenya Ministry of Transport billboard launch February 2006

14. GDAs are Strategic & Win-Win Business Interests Donor Development Goals Development Impact - Alliances offer impact, scale and sustainability - Increase development impact implies a furthering of SO’s - 82% of all resource flows from the US to developing world come from the private sector

15. GDA: A Type of PPP A GDA is a strategic type of public-private partnership for the purpose of achieving significant development impact Public-Private Partnerships GDA

16. GDA Criteria • Jointly defined problem and solution • Shared resources, risks, responsibilities & rewards • Innovative approaches to working with new partners • 1:1 leverage of cash, expertise, systems, networks and other resources

18. Opportunities for partnership • Information sharing • Health services through wellness centers • Space for wellness/resource centers at ports • Community outreach to protect workers families • Others?

19. Thank you! ggoodridge@fhi.org mkibinge@usaid.gov