ROADS: Regional Outreach Addressing AIDS
through Development Strategies
Gail Goodridge, ROADS DirectorFamily Health International
[email protected] 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
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
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
Opportunities for partnership
Information sharing Health services through wellness
centers Space for wellness/resource centers
at ports Community outreach to protect
workers families Others?