53485 africa region The Route to Good Living HIV Prevention in the Transport Sector An overview of roles and responsibilities for HIV prevention strategies in transport sector projects the Route to Good Living Produced by The World Bank and EnCompass LLC The Route to Good Living About this pamphlet Cross-border trade is vital for Africa's economic growth. Increased mobility and longer travel routes also extend the reach of HIV and AIDS. Mobile workers such as truckers, construction workers, and project managers are among the most at-risk populations for HIV infection. HIV risk in communities near construction sites also increases because of contact with these outsiders and easier access once roads are complete. The risk of HIV infection associated construction. Government and other with new roads can be reduced. The donors should also incorporate World Bank Africa Transport Team such agreements into their standard gives high priority conditions of to the campaign key stakeholders: contract. against the HIV and World Bank Task Team Leaders You are strongly AIDS pandemic and Ministries of Transport / Line Ministry encouraged to we have pledged to Project Coodination Units work with the mainstream HIV National AIDS prevention activities Contractors/Supervision Consultants Coordinating within our transport NGOs / Implementers Authority (NACA) portfolio. within your country This pamphlet provides an overview to comply with the Three Ones of the roles and responsibilities Principles.1 This coordination should for you, the key actors within the start at the early stages of project transport sector, according to each identification and preparation and stage of a project cycle: continue through implementation. 1. Identification This pamphlet is a work-in-progress 2. Preparation and will be updated with your 3. Implementation/Supervision feedback and posted at www.worldbank.com/afr.ssatp. 4. Completion HIV prevention activities are 1The Three Ones Principles are: One agreed HIV and integrated into a middle range of AIDS action framework that provides the basis for coordinating the work of all partners, One National tasks and procurement contract AIDS Coordinating Authority with a broad-based multi-sector mandate, One agreed AIDS country-level clauses, which are part of the monitoring and evaluation system. bidding documents for road 1 project cycle 1. Identification WORLD BANK TEAM LEADERS What is your role as TTLs during As TTLs, you make sure that HIV prevention activities are integrated project identification? into the project. You review previous and current prevention efforts, in order to identify the program needs for the geographical area where the transport activities will be implemented. At what stage of the project do TTLs You begin discussions about HIV prevention activities during the start talking about HIV prevention project's identification and preparation phases. activities? What are you expected to do in a Before negotiations, particularly during the evaluation mission, you work Project Concept Note (PCN)? closely with the Bank HIV/AIDS focal person to incorporate HIV preven- tion activities into the project. You should be sure that HIV risks are part of the environmental assessment. What partnerships should we develop You develop and maintain partnerships with: and maintain? · National AIDS Coordinating Authority; · Focal Point in the Ministry of Transport; · Environment Specialist or equivalent in the Coordinating Unit; and · Key NGO's working in the field of HIV/AIDS and transport. Where, under civil works, do we You bundle it under the social component. include the HIV/AIDS subcomponent? What are the implementation costs of Because the HIV/AIDS subcomponent is embedded in the social com- the HIV/AIDS contract clauses ponent, it is difficult to know actual costs. The best cost estimate is from the initial baseline study in the action plan and budget Should every project have the same No. Each project is tailored to the environment. The baseline study type of HIV/AIDS component? determines the objectives, the strategy, and the goal. MINISTRIES OF TRANSPORT / LINE MINISTRY What is our role in the Ministry of The HIV/AIDS Focal Point is seated within the Ministry of Transport/line Transport/line Ministry? Ministry. Through the Focal Point, the Ministry is in contact with the National AIDS Coordinating Authority (NACA), Road Agencies, and the Coordinating Unit. Does this pamphlet only address Yes. issues relating to the implementation of HIV/AIDS contract clauses for road construction sites? What is the profile of the Focal Point? The Focal Point is an ad hoc group, committee, or individual working at a central level to represent the transport sub-sectors and/or any ministry that defines transport and public works policy. The Focal Point's mission is to initiate and coordinate the implementation of the Ministry's HIV and AIDS strategy. It also coordinates additional training to strengthen HIV and AIDS competencies. The Focal Point plays an essential advocacy and leadership role in ad- dressing HIV and AIDS. PROJECT COORDINATION UNITS What is our role as the Project In the project identification phase, you: Coordinating Unit during project · Designate the counterpart for HIV/AIDS matters; identification? · Contact the Focal Point in the Ministry of Transport/line Ministry; · In collaboration with the contractor/consultant identify the NGOs and other implementing agencies working in the field of HIV/AIDS and transport; · Set criteria selection for the NGO (or other agency) including: · proper legal status, i.e. registration with a statutory authority; · capacity to deliver; · soundness of administrative and financial management systems; · a track record in HIV education, including a minimum of three years community level experience in HIV prevention; and, · liaison with the HIV/AIDS National Program. 2 project cycle 2. Preparation WORLD BANK TEAM LEADERS How are we involved in getting HIV As TTLs, you make sure that the baseline study includes HIV and AIDS- prevention into a project? related data, as well as an action plan, detailed budget, and timetable based on those data. The baseline study is critical for tailoring the goals, objectives, and strategy to the environment; for cost estimates; and for monitoring and evaluation. See environmental assessment information in the Supervision/ Implementation cycle. MINISTRIES OF TRANSPORT / LINE M INISTRY What is our Ministry of Transport/ You start developing a strategy to create collaboration and exchange line Ministry's role during project among all relevant stakeholders. Your Ministry also facilitates and main- preparation? tains communication to ensure effective project planning. PROJECT COORDINATION UNITS During project preparation, how NGOs submit proposals to the Consultant at the construction site and do we review NGO and other the Consultant sends them to the Project Coodination Unit (PCU). proposals for activities they will Within the PCU, the HIV and AIDS Specialist processes the proposal, implement during the project? scrutinizes it, provides technical and financial review, and meets with the NGO. All this happens before the World Bank provides comment. CONTRACTORS/SUPERVISION CONSULTANTS During project preparation, As the contractor, you are responsible for ensuring that HIV and AIDS what is our role in implementing education is provided to all construction site employees and their families contract clauses for HIV and AIDS throughout the life of the road construction. Activities are to include: education? · Face-to-face education using participatory group and peer-education methods, · Distribution of information, education, and communication (IEC) materials, · Male and female condom distribution, and · Referral (not direct services) to community based HIV and AIDS coun- seling, testing, care, and treatment. As the Contractor, are we expected No. Typically you will contract an experienced NGO or other implementing to conduct the HIV and AIDS agency to conduct the HIV and AIDS education. This agency should be education? selected in collaboration with the Coordination Unit. To identify an agency, you can request referrals for potential agencies from the donor, the Na- tional AIDS Coordinating Authority, or others involved in HIV prevention. Once you select an agency, develop detailed Terms of Reference. The Terms indicate when, how, and at what cost the agency will satisfy your require- ments and provide supporting documentation. You should include in the Terms of Reference HIV education for your own team. Who are the target groups for HIV HIV prevention activities target all contractor/consultant employees and prevention activities? their families. As the contractor, you may also decide to include local com- munities impacted by construction. How can we find the clauses or You can obtain contract clauses from the Project Coordination Unit. template contract for contracting with a service provider? Who is financially responsible for Costs for HIV and AIDS education are covered by the relevant clauses the costs of providing HIV and under the civil works contract. AIDS activities? NGO/IMPLEMENTING BODY What activities must we include The activities you conduct need to include: as part of the HIV education for · Face-to-face education using participatory group and peer-education workers and their families? methods, · Distribution of information, education and communication (IEC) materials, · Male and female condom distribution, and · Referral (not direct service) to HIV and AIDS counseling, testing, care and treatment. Where can we find tailor-made You can use the toolkit Road to Good Health: HIV in Infrastructure approaches for HIV prevention Projects. It includes training strategies, curricula for construction work- education for the transport sector? ers, community members and sex workers, sample IEC materials, and resources. Although the toolkit was designed for the East Asia and the Pacific Region, you can adapt the material to use anywhere in the world. Access the materials at www.theroadtogoodhealth.com 3 project cycle 3. Supervision/Implementation WORLD BANK TEAM LEADERS As TTLs, what is our role during the During this phase, you supervise Monitoring & Evaluation activities project's supervision/implementation (see Completion section). phase? MINISTRIES OF TRANSPORT / LINE MINISTRY What is our supervisory role? The Ministry provides on-going monitoring to make sure every- thing is carried out according to the signed contract. Monitoring is achieved through regular meetings with the NGO, the Consultant, and the Focal Point. The Ministry ensures that the NGO or other implementing agency produces timely and relevant reports. Which partners are involved during In the Ministry of Transport/line Ministry, you ensure that these implementation? partners are involved: · Donors, · Ministries and all departments involved in the project, · Construction Contractors and Consultants, · National AIDS Coordinating Authority (NACA), · Coordinating Unit, and · NGOs and other agencies implementing HIV prevention projects. The implementing agency works closely with the National AIDS Coor- dinating Authority to comply with the "Three Ones Principle." What role does the National Road The National Road Authority endorses the program, maintains a Authority play? good coordination mechanism, helps forge partnerships with the private sector, and provides necessary capacity building for staff. What mechanisms has the World A Social Environmental Specialist is commonly involved in the imple- Bank put in place to ensure that road mentation of HIV prevention activities. construction HIV and AIDS funds are An Environmental Assessment process is a vehicle for HIV and AIDS used in the right way? assessment and management. This is a logical approach because: · The Environmental Assessment process follows a project from initiation to implementation; · The Environmental Assessment includes human health issues, and there is already a track record with HIV and AIDS issues incorporated into Bank-funded projects; · Linking HIV and AIDS issues to the Environmental Assessment mitigates the need for development projects to undergo an ad- ditional assessment process. PROJECT COORDINATION UNITS How often should we review the You will conduct project supervision in the field on a regular basis. project as it is implemented? Periodically, you report to Bank missions on progress achieved in meeting project indicators. Missions evaluate progress. Why doesn't the World Bank give The role of the World Bank is technical assistance. The Bank does not more specific direction about how provide specific requirements for HIV and AIDS education; rather the to implement HIV and AIDS worker Bank relies on coordination with NACA and other partners to guide education? country-specific activities. While road construction is a time- Coordination of efforts with all stakeholders, in accordance with the bound project, road usage increases Three Ones Principles, during the preparation and implementation and HIV/AIDS and poverty remain. phases of the project will result in sustainable structures for contin- How can the World Bank transport ued education when road construction ends. sector support sustainable prevention measures? Who supervises the HIV education As the Project Coordinating Unit, you supervise HIV prevention activities? education, in collaboration with the Supervision Consultant. What is the sanction if contractors do Contract terms must stipulate all required actions relating to HIV and not follow the contract clauses that AIDS worker education. When service is not adequately rendered, require provision of HIV and AIDS this should be specified and tied to the first payment. The contract education to workers? penalty can be applied. 3 project cycle 3. Supervision/Implementation (continued) CONTRACTORS/SUPERVISION CONSULTANTS As the Contractor, how can we See the Completion section of this pamphlet for guidance on moni- effectively monitor the HIV and AIDS toring and evaluation. As the Contractor, you ensure that activities are education activities? carried out according to the Terms of Reference of the contract. You conduct monitoring in coordination with the Project Coordinating Unit, and the Focal Point at the Ministry of Transport/line Ministry. Is treatment provided in the project No. The transport sector can only provide HIV prevention activities for STIs and HIV and AIDS? and referrals for care and treatment. How can contractors/consultants, You can: who do not have experience with · Work with NGOs or other agencies that have expertise and track HIV and AIDS, get help to supervise records in HIV prevention education, and monitor the performance of the · Collaborate with the National AIDS Coordinating Authority to service provider? ensure compliance with the "Three Ones Principle," · Use the Toolkit prepared for the East Asia and Pacific Region Transport Sector. Find it at www.theroadtogoodhealth.com, and · Use the M&E data collection sheet and Quarterly Report form (found at www.worldbank.com/afr.ssatp ) to report on the project's progress to the Project Coordinating Unit. NGO/IMPLEMENTING BODY What kind of reporting are we As the NGO/Implementing Body, you collaborate with the Project required to submit? Coordination Unit to submit a baseline study, conduct regular program and financial monitoring and evaluation, to submit quarterly reports, and an end-of-project completion report. 4 project cycle 4. Completion WORLD BANK TEAM LEADERS and MINISTRIES OF TRANSPORT What should be included about the The following should be included in the project's ICR: HIV/AIDS subcomponent in the · Feedback from concerned parties and stakeholders, project's Implementation Completion · Information from reports of the NGO or other implementing agency, Report (ICR)? · Conclusions of an assessment review, and · Summarized findings. Who is responsible for the Monitoring The Project Coordinating Unit is responsible for putting in place a & Evaluation (M&E) component? process that provides regular and consistent monitoring and evaluation that can be reported to Bank and Ministry officials. How should the M&E mechanism be For guidance on monitoring & evaluation of HIV prevention projects for implemented? the Africa transport sector see: http://www.worldbank.org/afr/ssatp. In planning, consider existing M&E frameworks used by other stake- holders, including the National AIDS Coordinating Authority, UNAIDS, and others. During the baseline phase determine what to measure, select indicators of quality/success, and identify sources of data. Determine capacity for M&E processes, internal and external resources for collecting, analyzing and disseminating data, and adjust M&E expec- tations accordingly. Collect data and information through periodic surveys and other data collection for quarterly, mid-term, and completion reviews. Utilize data analysis to improve the program. Should M&E procedures be Where activities and desired results are similar, a standardized M&E standardized? framework can help build an evidence base for promising practices and help shape policy. At the same time, there may be varying capacity for M&E and projects may differ. How can impact be measured? An impact evaluation measures changes in knowledge, skills, attitudes, and behaviors that have occurred because of the intervention. A baseline must be established at the onset of the program, so that change can be measured later. In this way, indicators can go beyond counting how many pamphlets, condoms, or training sessions were delivered. The Route to Good Living Resources / References For more information please visit http://www.theroadtogoodhealth.org the Route to http://www.worldbank.org/afr/ssatp Good Living http://www.worldbank.org/afr/aids Project Team Ajay Kumar, Lead Transport Consultants/NGOs/Ministries: Economist, Africa Region Frieda Boss, Ibis, Maputo, Lead: Transport Group, AFTTR Mozambique Jocelyne O. do Sacramento, HIV/AIDS & Transport Ann Raynal May, Information Major Rubaramira Ruranga, Specialist, Africa Region Specialist, Africa Region National Guidance and Transport Group (AFTTR) Transport Group (AFTTR) Empowerment Network of people John Riverson, Consultant, Africa living with HIV/AIDS (NGEN+), Consultant: Region Transport Group, AFTTR Uganda Marie Diop, Consultant HIV/AIDS Robert A. Robelus, Consultant, Dr. Mamadou Seck, International Support: Africa Region Environment & Consultant, Dakar, Senegal Shalonda Robinson, Task National Resource Management, Assistant, Africa Region Transport AFTEN Partners Group (AFTTR) Richard Seifman, Consultant, Dr. Asif Altaf, International AIDS Campaign Team for Africa Transport Workers' Federation, Reference Group (ACT Africa-AFTHV) HIV/AIDS Coordinator World Bank: Silue Siele, Senior Transport Robin Landis, Program Advisor, Specialist, Africa Region North Star Foundation Julie Babinard, Environmental Transport Group (AFTTR) and Social Developmental Dr. Justin Koffi, Executive Ntombie Siwale, Senior Program Secretary, Abidjan-Lagos Specialist, Energy Water and Assistant, Africa region Transport Transport Corridor (ALCO) Transport Department Group (AFTTR) Christopher R. Bennett, Juliana Victor-Ahuchonu, Editing and Graphic Design Senior Transport Specialist, Monitoring and Evaluation Europe and Central Asia Region EnCompass LLC Specialist, Quality, Knowledge, Stephen J. Brushett, Lead Result and Learning (AFTRL) Transport Specialist, Latin America and Caribbean Region Road agency/Project Coordination Photographs by Curt Carnemark, Yosef Hadar, Eric Miller, Trevor Samson, Scott Wallace; Anca Dumistrescu, Senior Unit/Ministries: courtesy World Bank. Cover by Eric Miller. Transport Specialist, Africa Vera Cruz, HIV/AIDS Focal Point Region Transport Group ANE Mozambique (AFTTR) Salimata Dembele, Transport Fabio Galli, Lead Transport Sector Project, PST-2 Dakar, Specialist, Africa Region Senegal Transport Group, AFTTR Ernest Kologo, Focal Point, Yizhak A, Kamhi, Consultant, Africa Ministry of Transport, Region Transport Group, AFTTR Burkina Faso