16th International AIDS Conference


Toronto, Canada - August 13 - 18, 2006

PRIVATE-PUBLIC PARTNERSHIP TO SCALE UP RESPONSE IN THE TRANSPORT SECTOR

Int Conf AIDS. 2006 Aug 13-18;16 Abstract No. ThAd0102

Jenkin J.1, Landis R.2, Matthew P.3
1 TNT Express, Commercial Affairs, Melbourne, Australia, 2 World Food Programme, HIV/AIDS Service, Rome, Italy, 3 Ikaheng HR Services, Johannesburg, South Africa

ISSUES: In southern Africa, where humanitarian crises result in huge quantities of food being transported by road, saving lives and risking lives oddly intertwine. Sexual networks flourish along transport routes placing long distance truck drivers, including those moving food aid for the World Food Programme (WFP), at the heart of the action. TNT, the global transport/logistics company, recognized that industry practices can endanger drivers and fuel the epidemic. With core business of each linked to both problem and solution, WFP and TNT overcame different corporate cultures and objectives to work together to increase industry accountability and protect the lives of drivers and their sexual partners.

DESCRIPTION: TNT and WFP contacted Ikaheng, managers of 11 roadside Wellness Centres in South Africa, to help start one in Mwanza, Malawi, on the border with Mozambique. Wellness Centres, shipping containers turned into clinics placed at "hotspots" on transport corridors, are staffed by a clinician and an outreach worker who provide free counseling, HIV/STI prevention, condoms, STI diagnosis and treatment, treatment for common ailments, referral to HIV/TB treatment programmes, and VCT services. WFP leveraged its country presence while TNT used its international business standing to unite a wide range of stakeholders who never before worked together including transport owners, unions, associations, government health and transport ministries, UN agencies, donors and health NGOs.

LESSONS LEARNED:

  1. Stakeholders will support a new intervention but are often reluctant to lead.
  2. Wellness Centres are evidence-based, action research with potential for regional and global replicability.
  3. Sustainability will ultimately depend on ownership by the road transport industry.

RECOMMENDATIONS:

  1. Shift ownership of existing Centres to industry stakeholders and expand to additional sites in Malawi.
  2. Scale up Wellness Centres in the region to ensure continuity of services.
  3. Create multisectoral "Foundation" for resource mobilization, industry buy-in and global scale up.

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2006-08-13
ThAd0102

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