Publication: Transport Against HIV/AIDS : Synthesis of Experience and Best Practice Guidelines
Loading...
Published
2009-01
ISSN
Date
2014-03-28
Author(s)
Editor(s)
Abstract
The transport sector is especially vulnerable to HIV/AIDS. Transport workers including long distance truck drivers, seafarers, airline crews and infrastructure construction workers spend long periods of time away from home, often endure harsh working conditions, and may engage in unsafe behavior that can lead to infection. Their mobility makes it difficult to access health information and treatment, or to maintain drug regimen. Transport hubs and construction sites are often considered hot spots due to the influx and interaction that take place among the mobile workers. Furthermore, the sector works as a vector for HIV spread as the opening of new roads connects low and high prevalence areas. The World Bank transport group has been proactively mainstreaming HIV response by assisting client governments to design and implement sector-level interventions. Programs are most developed in the highest prevalence areas, initially in Sub-Sahara Africa and now also in Asia. Support to the sector includes organizing training events to increase staff awareness and knowledge, providing access to research materials, and securing funds to develop or scale up intervention programs. To institutionalize the response, explicit provisions for HIV prevention have been embedded in the standard bidding document. The group also collaborates with local workers organizations with the help of International Transport Workers Federation and the International Labor Organization. Some lessons learned are: (i) strategies must be crafted to meet the specific needs of the country in accordance with the local culture and unique epidemic situations; (ii) coordination with the health sector and the national AIDS authority is necessary for effective program design; and (iii) involving stakeholders from local communities is key to program success.
Link to Data Set
Citation
“World Bank. 2009. Transport Against HIV/AIDS : Synthesis of Experience and Best Practice Guidelines. Transport paper series;no. TP-25. © http://hdl.handle.net/10986/17461 License: CC BY 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Strengthening Monitoring and Evaluation of HIV/AIDS Components in Road Projects(World Bank, 2009-05-19)This report aims to strengthen the monitoring and evaluation (M&E) aspects of HIV/AIDS components in road projects. Result-based M&E helps decision makers assess whether and how goals are being achieved over time, while at the same time identify problems that need to be tackled. The report assesses the extent of M&E in current HIV/AIDS components in the portfolio of road projects financed by the World Bank. It provides an overview of work to date to identify core indicators for measuring results of HIV and AIDS prevention, specifically focusing on the monitoring of results of transport related activities, proposing a menu of HIV and AIDS indicators and a sample results framework.Publication Risky Business?(World Bank, Washington, DC, 2010-11)This study focuses on, what is believed to be, a key client group of sex workers: mobile workers. While several studies have been conducted in Turkey on sex workers, little evidence exists on their clients, the demand side of the commercial sex market. Research from other countries has shown that mobile workers, who are often working-age males spending significant time away from home, are more likely to have multiple sexual partners and visit sex workers (World Bank, 2009; Kulis et al., 2009; Marck, 1999). The objective of this study is to determine the HIV knowledge, awareness, and behaviors among four mobile worker groups in Turkey that may have elevated risks for HIV infection and transmission: sailors, truck drivers, construction, and tourism workers. International transportation, construction, and tourism are some of the fastest growing sectors of Turkey's economy, and mobile workers in these sectors are believed to be one of the main HIV transmission routes for future infections (Tumer and Unal, 2006). It is important to note two caveats of this study. First, no biomarker data (e.g., HIV testing) was collected from these workers, so conclusions regarding HIV prevalence or concentration of the epidemic cannot be made. Second, the sample did not include other at-risk groups or the general population, so it is difficult to know whether the behaviors are more or less risky in other population groups. Where possible, comparisons with other studies or countries are presented, but there are likely important differences in sampling and methodology. The major contribution of this study, however, is that it characterizes the risk factors within the mobile worker population in Turkey.Publication Truck Drivers and Casual Sex : An Inquiry into the Potential Spread of HIV/AIDS in the Baltic Region(Washington, DC, 2003-02-28)This study, perhaps the first of its kind in this region, is based on a study that explores the practice of casual sex among truck drivers and commercial sex workers in the border areas of Poland and Lithuania at a point of time, and uses this evidence to extrapolate the potential impact on the spread of HIV/AIDS in these countries. After the Introduction which provides background, Section 2 reviews similar studies carried out elsewhere in the world. Section 3 describes the methodology employed in this study, followed by a brief description of the data in Section 4. Section 5 contains a discussion of the results and policy implications.Publication Nepal and Bangladesh - Transport and HIV Portfolio Review and Situation Analysis(World Bank, 2010-08-13)This review report focuses on the HIV component of the World Bank Bangladesh and Nepal transport infrastructure projects as at the end of 2009. This report is prepared with the following three objectives: 1) knowledge improved and lessons learned from HIV and AIDS activities developed within the road projects financed by the World Bank in Bangladesh and Nepal as of the end of 2009; 2) knowledge base built on current HIV and AIDS programs in the transport sector in Bangladesh and Nepal to serve as a reference for future World Bank projects in the transport sector in South Asia; 3) guidance provided to the draft regional strategy for HIV prevention in the transport sector of the Bank's South Asia region. The World Bank has a comparative advantage in promoting the inclusion of a transport sector response within the new national AIDS strategies being formulated for Bangladesh in 2010 and Nepal in 2011. The Bank may consider making the model HIV clause in the transport projects mandatory, consistent with other funders, such as the Asian Development Bank (ADB), to improve aid effectiveness.Publication 20 Years of HIV in Bangladesh(World Bank, Washington, DC, 2009-12)This report synthesizes data from surveillance, behavioral surveys and published and unpublished research to better understand emerging patterns and trends in the HIV epidemic in Bangladesh. Taking stock of 20 years of experience with HIV in Bangladesh, this report summarizes what is known about the coverage and impact of HIV prevention services, including knowledge on risk and protective behaviors. The report is divided into nine chapters. Chapter one provides a brief introduction and an overview of the methodology used for this exercise. Chapter two discusses the risks and vulnerabilities of the high risk groups including female sex workers, injecting drug users, male who have sex with male, hijra and overlapping populations, while chapter three discusses the trend of the infection amongst partners of high risk groups. Bangladesh continues to report low condom use, which is analyzed and discussed in chapter four. Structural factors including macro level and intermediate level factors that affect HIV interventions in Bangladesh are addressed in chapter five. The national HIV response is discussed in chapter six. The report concludes with a discussion of the main findings, with recommendations for the future in chapter seven, and chapter eight and nine are annexes and references.
Users also downloaded
Showing related downloaded files
Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Quantitative Analysis of Road Transport Agreements (QuARTA)(Washington, DC: World Bank, 2013-04-13)Road freight transport is indispensable to international economic cooperation and foreign trade. Across all continents, it is commonly used for short and medium distances and in long distance haulage when minimizing time is important. In all instances governments play a critical role in ensuring the competitive advantage of private sector operators. Countries often have many opportunities to minimize the physical or administrative barriers that increase costs, take measures to enhance the attractiveness and competitiveness of road transport, or generally nurture the integral role of international road freight transport in the global trade logistics industry. Road freight transport is critical to domestic and international trade. It is the dominant mode of transport for overland movement of trade traffic, carrying more than 80 percent of traffic in most regions. Generally, nearly all trade traffic is carried by road at some point. Therefore, the cost and quality of road transport services is of critical importance to trade competitiveness of countries and regions within countries. In fact, road transport is fundamental to modern international division of labor and supply-chain management.Publication World Development Report 2017(Washington, DC: World Bank, 2017-01-30)Why are carefully designed, sensible policies too often not adopted or implemented? When they are, why do they often fail to generate development outcomes such as security, growth, and equity? And why do some bad policies endure? This book addresses these fundamental questions, which are at the heart of development. Policy making and policy implementation do not occur in a vacuum. Rather, they take place in complex political and social settings, in which individuals and groups with unequal power interact within changing rules as they pursue conflicting interests. The process of these interactions is what this Report calls governance, and the space in which these interactions take place, the policy arena. The capacity of actors to commit and their willingness to cooperate and coordinate to achieve socially desirable goals are what matter for effectiveness. However, who bargains, who is excluded, and what barriers block entry to the policy arena determine the selection and implementation of policies and, consequently, their impact on development outcomes. Exclusion, capture, and clientelism are manifestations of power asymmetries that lead to failures to achieve security, growth, and equity. The distribution of power in society is partly determined by history. Yet, there is room for positive change. This Report reveals that governance can mitigate, even overcome, power asymmetries to bring about more effective policy interventions that achieve sustainable improvements in security, growth, and equity. This happens by shifting the incentives of those with power, reshaping their preferences in favor of good outcomes, and taking into account the interests of previously excluded participants. These changes can come about through bargains among elites and greater citizen engagement, as well as by international actors supporting rules that strengthen coalitions for reform.Publication Poverty, Prosperity, and Planet Report 2024(Washington, DC: World Bank, 2024-10-15)The Poverty, Prosperity, and Planet Report 2024 is the latest edition of the series formerly known as Poverty and Shared Prosperity. The report emphasizes that reducing poverty and increasing shared prosperity must be achieved in ways that do not come at unacceptably high costs to the environment. The current “polycrisis”—where the multiple crises of slow economic growth, increased fragility, climate risks, and heightened uncertainty have come together at the same time—makes national development strategies and international cooperation difficult. Offering the first post-Coronavirus (COVID)-19 pandemic assessment of global progress on this interlinked agenda, the report finds that global poverty reduction has resumed but at a pace slower than before the COVID-19 crisis. Nearly 700 million people worldwide live in extreme poverty with less than US$2.15 per person per day. Progress has essentially plateaued amid lower economic growth and the impacts of COVID-19 and other crises. Today, extreme poverty is concentrated mostly in Sub-Saharan Africa and fragile settings. At a higher standard more typical of upper-middle-income countries—US$6.85 per person per day—almost one-half of the world is living in poverty. The report also provides evidence that the number of countries that have high levels of income inequality has declined considerably during the past two decades, but the pace of improvements in shared prosperity has slowed, and that inequality remains high in Latin America and the Caribbean and Sub-Saharan Africa. Worldwide, people’s incomes today would need to increase fivefold on average to reach a minimum prosperity threshold of US$25 per person per day. Where there has been progress in poverty reduction and shared prosperity, there is evidence of an increasing ability of countries to manage natural hazards, but climate risks are significantly higher in the poorest settings. Nearly one in five people globally is at risk of experiencing welfare losses due to an extreme weather event from which they will struggle to recover. The interconnected issues of climate change and poverty call for a united and inclusive effort from the global community. Development cooperation stakeholders—from governments, nongovernmental organizations, and the private sector to communities and citizens acting locally in every corner of the globe—hold pivotal roles in promoting fair and sustainable transitions. By emphasizing strategies that yield multiple benefits and diligently monitoring and addressing trade-offs, we can strive toward a future that is prosperous, equitable, and resilient.Publication World Development Report 2008(Washington, DC, 2007)The world's demand for food is expected to double within the next 50 years, while the natural resources that sustain agriculture will become increasingly scarce, degraded, and vulnerable to the effects of climate change. In many poor countries, agriculture accounts for at least 40 percent of GDP and 80 percent of employment. At the same time, about 70 percent of the world's poor live in rural areas and most depend on agriculture for their livelihoods. World Development Report 2008 seeks to assess where, when, and how agriculture can be an effective instrument for economic development, especially development that favors the poor. It examines several broad questions: How has agriculture changed in developing countries in the past 20 years? What are the important new challenges and opportunities for agriculture? Which new sources of agricultural growth can be captured cost effectively in particular in poor countries with large agricultural sectors as in Africa? How can agricultural growth be made more effective for poverty reduction? How can governments facilitate the transition of large populations out of agriculture, without simply transferring the burden of rural poverty to urban areas? How can the natural resource endowment for agriculture be protected? How can agriculture's negative environmental effects be contained? This year's report marks the 30th year the World Bank has been publishing the World Development Report.