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Transport Against HIV/AIDS in Cambodia. Maria Margarita Nunez EASTE 28 November 2007. Population: 14.07 million Extent Prevalence of HIV, total (% population ages 15 - 49) 1.64 12,000 children under the age of 15 living with HIV/AIDS
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Transport Against HIV/AIDS in Cambodia Maria Margarita Nunez EASTE 28 November 2007
Population: 14.07 million Extent Prevalence of HIV, total (% population ages 15 - 49) 1.64 12,000 children under the age of 15 living with HIV/AIDS More than 60,000 children have lost one or both parents to AIDS Cambodia: HIV/AIDS 2005 Statistics
Cambodia is particularly vulnerable to HIV/AIDS • Stigma and fear of HIV/AIDS carriers • Behavioral changes, more men are visiting sex workers • Highly mobile population
Cambodia: Need to reduce the HIV/AIDS threat • The road to reducing the epidemic in Cambodia is to intensify prevention efforts and targeting vulnerable groups • Drug users • Sex workers • Construction workers and truckers
Transport Sector Strategy • Reduce risks effectively with limited resources • Align to a multi-sector approach (coordinated efforts) • Make use of centralized delivery (mainstreaming national agenda)
Addressing HIV/AIDS in Transport • Inclusion of HIV/AIDS education activities in project design • HIV/AIDS education is part of ‘Health and Safety’ in the new Bank Standard Bidding Documents (civil works)
Work to Date • 2005 – Provincial and Rural Infrastructure Project • Funded by the RGC and the IDA Credit • 2007 – proposed Road Asset Management Project • Funded from IDA Credit ($160,000) and AusAID Grant (US$40,00)
Project Component Objectives • Raise awareness of HIV/AIDS and Sexual Transmitted Diseases (STDs); • Lower risk of HIV/AIDS and STD transmission; • Reduce rate of HIV/AIDS and STD infections, and • Support institutional strengthening within MPWT
Approach to HIV/AIDS Awareness • Develop Program • Conduct Rapid Assessment • Co-ordinate with other agencies • Develop materials • Deliver Program • Conduct field visits • Communicate knowledge and life skills on HIV/AIDS • Inform about the Voluntary Counseling and Testing (VCT) sites • Evaluate Results
Coverage (end-December 2006) • Covered 100% of the project area • Trained • 70% construction workers and administrative personnel • 17,489 village people in 22 villages in 4 target provinces • About 10% visited a VCT site for pre-test consulting services • About 10 people per month get tested for HIV/AIDS • 5,000 handouts and brochures each have been distributed • 20,000 condom have been distributed
Lessons Learned to Date • Include the local health department • Target Road agencies staff, administrative staff and workers of construction companies, and residents • Most villagers had never participated in a HIV/AIDS education – a short story works better than a video spot • Provide incentives for increased participation of male population
Lessons Learned (continued) • Encourage including at least one activity that includes someone living with HIV or AIDS as part of the training