SCALE-UP OF HIV PREVENTION ALONG

TRANSPORT CORRIDORS
WE ARE SUPPORTING
THE KENYAN
GOVERNMENT
IN SCALING UP
COMBINATION HIV
PREVENTION ALONG
TRANSPORT CORRIDORS
Nearly 30 years ago, the
Plv epldemlc was rsL
ldenued as a ma[or
problem along East
Africas road axes. While
transport corridors are
no longer the primary
source of new lnfecuons
in Kenya, they remain
a slgnlcanL drlver
of the epidemic. The
CovernmenL of kenya
has Lherefore prlorluzed
populauons along
transport corridors
as among the most
important most-at-risk
populauons LhaL are noL
adequaLely covered by Lhe
nauonal Plv prevenuon
strategy (NACC, 2009).
The phenomenon of
mobile men with
money, socio-economic
dlsparlues, and
vlbranL nlghL llfe along
corridors encourages
both men and women
in large numbers to
engage in unsafe sex,
including long-term
muluple concurrenL
partnerships where
condom use is stubbornly
low and lnfecuvlLy ls
higher.
30 are Lruck drlvers
As [usL 30 per cenL of Lhe
clients of sex workers
along corridors are truck
drlvers, prevenuon eorLs
need to focus beyond
the transport sector to
include sex workers and
Lhelr dlverse cllenLele
(IOM, 2008; GoK, 2005).
uaLa provlded by Lhe
lnLernauonal Crganlzauon
for Mlgrauon (lCM) and
other sources indicates
that although numerous
agencles are provldlng
varlous Plv-relaLed
servlces
along the
corridors, the
collecuve
impact of this
work is minimal.
In a recent response
analysis, 70 per cent of
the 600 sex workers and
Lruck drlvers lnLervlewed
aL ve kenyan Lruck
sLops had never recelved
lnformauon on Plv (lCM
& NACC, 2010).
Lack of coordlnauon
Although approximately
30 agencles are lnvolved
ln Plv behavlour change,
durlng ve weeks
ln Lhe eld, noL a
slngle behavloural
lnLervenuon or Plv
counselling and
Lesung campalgn
was witnessed
by the study
team.
IOM IN ACTION
- 1he programme spans ve
years, ending in December
2013
- SLrengLhenlng coord|nanon
and capacity building: IOM
has seconded a HIV and
mobility consultant to both
NACC and NASCOP
- uevelopmenL of a nauonal
prevennon strategy along
transport corridors: to be
valldaLed ln !uly 2011
- Generanng strateg|c
|nformanon: a response
analysis was undertaken in
2010
- Imp|emennng p||ot acnv|nes:
IOM upgraded a wellness
centre in Busia on the Kenyan/
ugandan border, Largeung sex
workers and their clients
- kesource mob|||zanon:
advocaung for scale-up
- Deve|op|ng trans-border
programmanc ||nkages: IOM is
supporung an ldenucal process
in Uganda
KENYA
HEALTHY MIGRANTS IN HEALTHY COMMUNITIES
International Organization for Migration
Regional Mission for East & Central Africa
Church Road o Rhapta Road, Westlands
PO Box 55040 00200, Nairobi, Kenya
Tel: +254 20 444 4174
Email: migrationhealthnairobi@iom.int
www.nairobi.iom.int
8oulenecks Lo eecuve
Plv prevenuon
programming include a
lack of consistent funding,
and weak coordlnauon
and collaborauon. 1hough
well-meaning, agencies
are engaged in a tug-
of-war, each pulling in
a dlerenL dlrecuon
and the response not
maklng slgnlcanL
sLrldes. lmproved
quality assurance
and accountability
mechanisms are also
needed.
A three-pronged approach
lCM advocaLes for
a three-pronged
comblnauon prevenuon
approach, including, 1)
cllnlcal servlces LhaL meeL
Lhe speclc needs of
boLh vulnerable men and
women; 2) strengthening
messaging and
lnLenslfylng behavlour
change communlcauon,
and; 3) addressing priority
structural issues, such as
making quality condoms
avallable. Clear consensus
among stakeholders
is required in terms of
general approach, as well
as on semng slmple, bold,
and achlevable prevenuon
ob[ecuves, such as
promoung 100 per cenL
knowledge of HIV status
(GFATM, 2008).
A nauonal sLraLegy
1hrough an lncluslve
process, lCM ls asslsung
NACC and NASCOP to
faclllLaLe Lhe developmenL
of a nauonal Plv
prevenuon sLraLegy along
transport corridors that
wlll be valldaLed by all
stakeholders in 2011. A
minimum package will
be developed lncludlng
LargeLed behavlour
change communlcauon,
male and female friendly
minimum clinical
packages, priority
sLrucLural lnLervenuons,
for example condom and
lubrlcanL promouon,
quality assurance, and
capacity building. This
process will facilitate
gap ldenucauon and
evenLual resource
moblllzauon.
"We want to see c||n|cs peppered a|| a|ong
the transport corr|dor, but th|s can on|y be
ach|eved w|th coord|nated partnersh|p"
rofessor A||oys Crago,
D|rector, Nanona| AIDS Contro| Counc|| (NACC)
8LA8Lu: !unL 2011
WL ASSIS1:
WITH THANKS TO OUR
Ak1NLkS:
Some men refuse to wear a condom. Some
already have Plv, so Lhey [usL don'L care.
Sarah Namakula is a 19 year-old female sex worker from
uganda. She earns [usL $3 per "shoL" (sexual Lransacuon).
SedaLe and soly spoken, Sarah's sLory ls Lraglcally
common. Per faLher dled when she was [usL 13 years old,
followed by her mother at 15; both from AIDS. Sarah had
no cholce buL Lo leave her small vlllage ln wesLern uganda
ln search of work. 1ravelllng across Lhe border Lo kenya,
she found sex work her only vlable opuon.
Some men refuse to wear a condom, mainly because the
man ls drunk. Some are vlolenL. Some already have Plv, so
Lhey don'L care abouL proLecuon," sLaLed Sarah. "l Lrled
Lo nd oLher work, buL how can l brlng up my famlly on
$10 per monLh? l had Lo lle Lo my [a[[a (grandmoLher). She
thinks I am in Kenya working as a cleaner.

- lemale sex workers

- Moblle populauons
- CllenLs of sex workers