ROADS: Regional Outreach Addressing AIDS

through Development Strategies

Gail Goodridge, ROADS DirectorFamily Health International

ggoodridge@fhi.org16 December 2008

The Importance of Transport Corridor The Importance of Transport Corridor ProjectsProjects

Transport Corridor

The areas of highest prevalence in Africa are along major transport corridors

Sudan

DRC

Tanzania

Kenya

Ethiopia

Median ANC Prevalence, 2000-2002

TanzaniaRwandaBurundi

Djibouti The corridors are economiclifelines and HIV infectionnetworks cutting through:

•Kenya•Uganda•Rwanda•Burundi•DRC•Ethiopia•Sudan•Djibouti•Tanzania

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

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

ROADS I Sites

What does SafeTStop mean? 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 safety nets for most vulnerable families & children

Increased ability to secure safe income

Truck stop/communitystructures

People living with AIDS

Low-income women

Youth

Faith-based

leadersBusiness

leaders

Drug

Shop owners

Health and social Services

Local government (police, area chief, town council, district dev office…)

Men, transport workers

Orphans & Children

Services for transport workers

Transport

workers

HIV testing

Wellness centers

Alcohol-free

recreation

Adult education

Internet connectivityPsycho-

social/ spiritual support

Referrals to community

services

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

Public/private partnerships

Michael KibingeGlobal Development Alliance Specialist

USAID/East Africa

Working with local private sector

Kenya

Ministry of Transport

billboard launch

February 2006

GDAs are Strategic & Win-Win

- 82% of all resource flows from the US to developing world come from the private sector

- Increase development impact implies a furthering of SO’s

- Alliances offer impact, scale and sustainability

BusinessInterests

Donor Development

Goals

DevelopmentImpact

GDA: A Type of PPP

GDA

Public-Private Partnerships

A GDA is a strategictype of public-private

partnership for the purpose of achieving

significant development impact

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

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are needed to see this picture.

Opportunities for partnership

Information sharing Health services through wellness

centers Space for wellness/resource centers

at ports Community outreach to protect

workers families Others?

Thank you!

ggoodridge@fhi.org

mkibinge@usaid.gov