HIV AIDS Prevention in the Infrastructure Sector 14 March

HIV/AIDS Prevention in the Infrastructure Sector 14 March 2008 Sector Strategy Development Department, Japan Bank for International Cooperation (JBIC)

Japanese ODA Loan Brief • ODA loan commitments of 2006, approx. US$ 6. 5 billion • About one third of the total ODA Loan was provided to the transportation sector • Provided mainly to Asia 84%, Africa 13%

Trend in Japan’s Loan Assistance and Transportation Sector (Billion Yen) (Fiscal Year)

JBIC’s Response to HIV/AIDS in Infrastructure Projects 2001 HIV/AIDS prevention program implemented at Sihanoukville Port Urgent Rehabilitation Project (Cambodia) as a first pilot response for JBIC-funded infrastructure projects 2004 HIV/AIDS Prevention conducted in the Second Mekong International Bridge Construction Project (Thailand, Lao PDR) March 2005 HIV/AIDS clauses incorporated in the sample bidding document for civil works to be used for JBIC-funded projects August 2006 Signed, with five other donors, the Joint Initiative for the Infrastructure Sector to Mitigate the Spread of HIV/AIDS at International AIDS Conference August 2007 Joint Presentation on Infrastructure, Mobility and AIDS with ADB in the High Level Meeting at the 8 th ICAAP Present HIV/AIDS prevention programs/components included in about 40 ongoing and approved infrastructure projects

Status of the Projects with HIV/AIDS Prevention • Completed Projects 1. Sihanoukville Port Urgent Rehabilitation Project (Cambodia) 2. The Second Mekong Int’l Bridge Construction Project (Thailand Lao PDR) 3. Delhi Mass Transportation Project (V）(India) →continued in the next phase • On-going 1. O Mon Thermal Power Plant and Mekong Delta Transmission Network Project (Vietnam) 2. Sondu/Miriu Hydropower Project (II) (Kenya) • Under preparation and agreed projects & projects to be approve in the fiscal year 2007 Over 50 projects

Examples of JBIC’s HIV/AIDS Programs in Infrastructure Projects Project 1. The Second Mekong Int’l Bridge Construction Project Thailand / Lao PDR USD　70 M Country Project Loan Amount (approx. ) Number of 1, 344 Workers Program Period 2004 -(Ongoing in Lao) Funding Sources Japan Trust Fund at International Planned Parenthood Federation (IPPF) Program PPAT (IPPF JTF-funded) Executor Local health authorities 2. Delhi Mass Transportation Project India USD　1480 M More than 3, 000 Jan - Sept 2005 DMRC’s own fund Modicare Foundation　 (Local NGO) Program Objective. To improve awareness and promote behavior change to prevent HIV/AIDS/ Sexually Transmitted Infections (STIs) Target Groups - Construction workers - Construction Workers - Health care providers

Key Challenges at Entry How challenges were overcome Achievements -Importance of the program not fully recognized by infrastructure agencies (why needed? why us? ) -Continuing dialogues with EA to generate their buy-in and commitment -Strong commitment and leadership of EA management and staff shown -Creating catalytic environment among different partners by: -Capacity of local NGOs and EA for planning and implementation utilized -Contents and implementing mechanism of the program not duly articulated -Experiences and expertise not sufficient in EAs/contractors - Funding sources not fully secured (i) linking concerned ministries and other partners (health depts. , contractors, NGOs, donors. ); (ii) aligning interests, funds, and expertise of different players -EAs’ own budget/ donor fund arranged - Contractors/ consultants awareness and commitment raised

Issues Concerned in JBIC ü Implementation & Coordination Structure and Function of Each Stakeholder; Government counterparts/consultants of civil work/contractors/local health authorities/ or NGOs (contract-out) ü Standardized Process to Formulate the Programs; ü Cost of the Programs (who will bear the cost? ); Gov. counterparts/ from the Loan/JBIC/other financial resources ü Program Activities; Beyond prevention (testing, treatment, care) , other health components (i. e. , TB), referral, minimum package ü Evaluation and Lessons Learned; Sustainability and Replicability of the Efforts ü Role and capacity of the JBIC field offices and coordination with HQs;

Efforts made so far • Commitment of Gov counterpart (i. e. , India) for funding & seeking for possible funding sources (i. e. , IPPF Japan Trust Fund) • Efforts on standardized procedure and program activity • Information-sharing and communication among field offices and HQs

Aid Harmonization • HIV/AIDS prevention measures in the infrastructure/transport projects (not only on policy and strategy aspect but also on technical aspect) →Standardized process to formulate the HIV/AIDS program →The minimum package of the HIV/AIDS activities →Simple and standardized monitoring and evaluation tools and mechanism

Aid Harmonization • Joint HIV/AIDS program formulation, monitoring and evaluation with JI Partners, i. e. , in the cofinanced projects with ADB or Af. DB. • Cooperating with JI partners on policy discussion with Gov counterparts to streamline the HIV/AIDS prevention in infrastructure • Assisting Gov counterparts for possible funding, i. e. , Global Fund