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Report No.43075-AFR
Lessons Learned from Mainstreaming HIV/AIDS in Transport
Sector Projects in Sub-Saharan Africa
June 30, 2008
Africa
Transport Sector (AFTTR)
Document of the World Bank ACRONYMS AND ABBREVIATIONS
AIDS Acquired Immune Deficiency Syndrome
ALCO Abidjan-Lagos Corridor Organization
AFA Agenda for Action 2007–11
AFTTR Africa Technical Transport Sector Unit
AFTH2 Africa Technical Human Development 2
AFTSN Africa Technical Sustainable Development
ARV Antiretroviral
ART Antiretroviral Therapy
BCC Behavior Change Communication
CBO Community-Based Organization
CIDA Canadian International Development Agency
DfID U.K. Department for International Development
EMB Environmental Monitoring Branch
ESW Economic Sector Work
GFATM Global Fund for HIV/AIDS, TB, and Malaria
GTZ Gesellschaft für Technische Zusammenarbeit
HIV Human Immunodeficiency Virus
HIPC Heavily Indebted Poor Countries
IBRD International Bank for Reconstruction and Development (The World Bank Group)
IDA International Development Association
IDPC Internally Displaced People’s Camp
IEC Information, Education, and Communication
ILO International Labour Organization
KIIQ Key Informant Interview Questionnaire
OPCS Operations Policy and Country Services
MAP Multi-Country HIV/AIDS Program for Africa
MDG Millennium Development Goal
M&E Monitoring and Evaluation
MNSSD Middle East and North Africa Sustainable Development MoT Ministry of Transport
MSM Men having sex with Men
NAC National AIDS Commission
NGO Nongovernmental Organization
NSF National Strategic Framework
PAP Project-Affected Population
PEPFAR U.S. President’s Emergency Plan for AIDS Relief
PLHA Person Living with HIV and AIDS
ROMARP Road Maintenance and Rehabilitation Project
RSDSP Road Sector Development Support Program (Ethiopia)
RAFU Road Agency Formation Unit
SIDA Swedish International Development Cooperation Authority STI Sexually Transmitted Infection
SSA Sub-Saharan Africa TTL Task Team Leader
TOR Terms of Reference
SADC Southern African Development Community
UNAIDS Joint United Nations Program on HIV/AIDS
USAID United States Agency for International Development
VCT Voluntary Counseling and Testing
WB World Bank
Vice President: Obiageli K. Ezekwesili
Country Director : Mark D. Tomlinson
Sector Manager: C. Sanjivi Rajasingham
Task Team Leader: Jocelyne O. do Sacramento ACKNOWLEDGMENTS This work has been cofinanced by HDNGA (Human Development Network Global HIV/AIDS), AFTHV (ACTAfrica), and AFTTR (Africa Transport Sector Unit). It was led by Jocelyne O. do Sacramento (AFTTR), and supported by Ekong Emah, John Stephen Osika, and Marie Diop (consultants).

The authors are grateful to the following for their availability to provide significant advice when needed throughout the process: Stephen Brushett, Lead Transport Specialist (LCSTR); Nadeem Mohammad, Senior Operations Officer (AFTHV); and Andy Chi Tembon, Coordinator (AFTH2).

This assessment of the Africa transport portfolio was made possible through the participation and assistance of numerous individuals: Alain Labeau, Sector Program Coordinator (AFTTR); Julie Babinard, Consultant (ETWTR); Pierre Pozzo di Borgo, Senior Transport Specialist (AFTTR); Elizabeth Ninan, Young Professional (AFTHV); Nilufar Egamberdi, Consultant (AFTHV); Carolyn Shelton, Consultant, (AFTHV), Vivien Foster, Lead Economist (AFTSN); Peter Nigel Freeman, Lead Evaluation Officer (IEGSG); Abdelmoula Ghzala, Lead Infrastructure Specialist (MNSSD); Gaël Raballand, Transport Economist (AFTTR); Gylfi Palsson, Senior Transport Specialist (AFTTR); and Shalonda Robinson, Team Assistant (AFTTR). Table of Contents FORWARD

EXECUTIVE SUMMARY ..................................................................................................... i SECTION I. BACKGROUND...
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