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Working with road contractors to prevent HIV infection : experience and lessons from the Ethiopia roads sector program (English)

The Africa Region Transport Group (AFTTR) led the way in the World Bank when it included HIV/AIDS mitigating provisions within standard clauses for works contracts. Getting contractors to comply with the clauses has been challenging. The Ethiopian Road Sector Development Project (RSDP), implemented by the Ethiopian Roads Authority (ERA), was the first World Bank project to work closely with road contractors to include HIV prevention clauses into road contracts. The ERA implemented HIV prevention activities within its own workplaces and also reached out to contractors and communities near project worksites. These initiatives tested approaches to designing HIV prevention activities in road construction projects. Appropriate personnel, skills and funding are basic requirements for implementing HIV prevention activities.

Details

  • Author

    Lema, Antoine; Riverson, John; Lewi, Negede;

  • Document Date

    2008/10/10

  • Document Type

    Brief

  • Report Number

    46699

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    World,

  • Region

    The World Region,

  • Disclosure Date

    2010/07/01

  • Disclosure Status

    Disclosed

  • Doc Name

    Working with road contractors to prevent HIV infection : experience and lessons from the Ethiopia roads sector program

  • Keywords

    prevention activities;AIDS prevention activities;Information, Education and Communication;prevention needs;material need;risk of infection;distribution of condoms;corporate social responsibility;aids prevention strategy;health care facilities;impact of aid;people with aid;policy work;high risk group;health care facility;spread of hiv;awareness raising activity;national roads authority;penalties for noncompliance;access to treatment;aids prevention approach;lack of ownership;Financial Management System;access to condoms;local health authorities;Sexually transmitted diseases;access to health;aids program;Host Communities;contract clause;peer educator;condom distribution;prevention strategies;aids policy;truck driver;road work;female condom;health clinic;aids pandemic;changing attitude;civil works;social safeguard;Contractual obligations;road investment;mitigation measure;preventive activities;road operation;participating country;construction activities;sexual partner;health clinics;lump sum;institution need;reasonable precautions;take time;transport authority;transport access;reporting form;individual level;behavior change;local ngo;treatment effectiveness;social worker;work material;adequate information;ambulance service;regular contract;construction area;awareness program;operational level;fund activity;company profits;construction company;annual meetings;sexual behavior;international contractor;road corridor;focus group;language barrier;qualitative data;sexual intercourse;transport worker;working age;workplace policy;prevention program;monthly salary;antiretroviral drug;treatment programs;voluntary counseling;baseline survey;vehicle inspection;budget line;entire contract;medical cost;aids mitigation;cultural taboo;aids interventions;road sector;construction work;social issue;awareness activity;aids funding;prevention work;worker safety;client ownership;national language;transport route;standard clause;work contracts;road contracts;basic requirement;sexual relationship;casual partners;transport operation;hygiene requirements;work force;strategic partnerships;

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Citation

Lema, Antoine; Riverson, John; Lewi, Negede;

Working with road contractors to prevent HIV infection : experience and lessons from the Ethiopia roads sector program (English). HIV/AIDS - getting results Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/498671468140968392/Working-with-road-contractors-to-prevent-HIV-infection-experience-and-lessons-from-the-Ethiopia-roads-sector-program