Gender, HIV/AIDS and Infrastructure: Mitigating Risk in the Greater Mekong Subregion

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  • 8/8/2019 Gender, HIV/AIDS and Infrastructure: Mitigating Risk in the Greater Mekong Subregion

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    The views expressed in this paper/presentation are the views of the author and do not necessarilyreflect the views or policies of the Asian Development Bank (ADB), or its Board of Governors, or thegovernments they represent. ADB does not guarantee the accuracy of the data included in this paperand accepts no responsibility for any consequence of their use. Terminology used may not necessarilybe consistent with ADB official terms.

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    SomeKeyGenderIssuesinHIVPrevention Culturalnormsaboutfemaleandmalesexual

    behaviour,motherhood

    and

    marriage

    Womenseconomicdependence:lackofpowertonegotiatesafesexwithhusbandsorinsexwork.

    Womensphysiologymakesthemmoresusceptible

    WomenslowerlevelofeducationlimitsaccesstoinformationonHIVprevention.

    Womenhavefewornoinheritanceright:increasesfemaleinsecurity likelytoresultinhighriskbehaviour.

    StigmalinkingHIVtopromiscuity

    Mobile

    men

    with

    money

    risky

    behaviour Malephysicalandsexualviolence@women

    increasesriskofinfection

    ProjectGenderActionPlanOutput1:Leadershipsupportandassociatedinstitutionalpolicies

    foraddressingHIVrisksinthecontextofinfrastructuredevelopment

    Addressgenderspecificneedsoftargetpopulationsinpolicyandplans,crossbordercollaboration,etc.

    Integrategendersensitizationinallcapacitydevelopmentinterventionsforgovernmentofficialsatvariouslevels,crossborderpolice,constructionmanagers,etc.

    Includediscussionongenderissues,progressandrecommendationsinmidandendprojectworkshops,GMSforums.

    MonitoringIndicators: #ofgendersensitiveHIV/STIadvocacystrategies/policiesdeveloped/

    strengthened #ofestablishmentswithgendersensitiveHIV/AIDSrelatedworkplace

    policies/programsdevelopedorstrengthened #ofgendertrainingprovidedtogovt.staff,constructionmanagers,etc #ofmenandwomentrainedinprojectsupportedtraining

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    ProjectGenderActionPlanOutput

    2:

    Improved

    awareness

    of

    HIV/AIDS,

    STI

    and

    human

    traffickinginaffectedcommunities BaselinestudiesorBCCassessmentsincludeseparate

    consultationwithmenandwomen. DevelopIEC/BCCmaterialsthatpromotegenderresponsive

    behaviourandbreakdowngenderstereotypes. Genderpreferencesrelatedtomedia,outreachactivities,

    timeframeetc,integratedincommunicationstrategies. 3050%social/peermobilizers,groupfacilitatorsarewomenMonitoringindicators: IncreasedpercentageofMMPs,sexworkersandcommunity

    residentsdisaggregatedbysexwhocorrectlyidentifywaysofpreventingHIVtransmission

    #ofmenandwomenreachedthroughevents,communityoutreach,

    etc.

    Awarenessmaterialsavailablein#andtypeofvenuesfrequentedbywomen

    ProjectGenderActionPlanOutput3:ReadyavailabilityofHIV/STIpreventioncommodities

    (eg.condoms)andassociatedsocialmarketingcampaigns

    Providefemaleworkersatconstructionsiteswithaccesstocondomsaspartofoccupationalhealthandsafetyprogramsforeachrelevantsubproject(target100%ofallwomen).

    Ensurethatcondomsareavailableinsettingswherewomenareemployed(e.g.,bars,karaokebars,beergardens).

    Providecondomswithinacomprehensivepackageofsexualandreproductivehealthcareforwomenandmenindifferenttargetgroups.

    Ensure

    site

    selection

    for

    the

    randomly

    selected

    retail

    survey

    is

    based

    onwomensandmensaccesstothesites.

    MonitoringIndicators:

    Condomsavailablein#ofentertainmentandothersettingswherewomenareemployed

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    ProjectGenderActionPlanOutput

    4

    :

    Improved

    and

    expanded

    HIV

    and

    STI

    testing,

    treatment

    and

    careservicesusedbyaffectedcommunities

    AllprotocolsonHIV,STIandVCTstrengthenedandupdatedintegrategenderissues.

    3050%femalesingendertrainingprovidedtoallgovernmenthealthstaffandprojectvolunteers

    WorkwiththeDOHofhealthtoestablishconfidentialfacilities/serviceswherewomencanaccesssexualandreproductivehealthservices,includinginformationonHIVandSTIs.

    Administerfeedbackmechanism/exitsurveyformaleandfemaleclientswhohavereceivedHIV,STIandVCTservices(facilitybasedormobile)todeterminequalityofcareandassociatedstigma.

    MonitoringIndicators:

    #ofprovincialhealthdepartmentswithgendersensitiveupdatedprotocolsinSTIandHIV,VCT, treatment,careandsupport.

    Increased

    percentage

    of

    women

    and

    men

    with

    STI

    who

    went

    to

    a

    facilityforexamination.

    #ofmenandwomenreachedthroughmobileclinicorotheroutreachservices

    ProjectGender

    Action

    Plan

    Output5:ImprovedcapacityforHIVandSTImonitoringwithM&EindicatorsforHIVpreventioninprojectarea

    ProjectM&Etoincludegenderspecificindicatorsandsexdisaggregateddatabyethnicgroup

    Monitoringindicators:

    #ofprojectswithgenderspecificindicatorsandsexdisaggregateddatabasewhichareintegratedinlocalgovernmentunitsandpartnerinstitutions.

    #ofprojectsupportedmeetingsandreports(quarterly,

    midand

    end

    term)

    which

    integrate

    sex

    disaggregated

    datatoreportonmonitoringindicators.

    #ofgovernmentstafftrainedonM&Edisaggregatedbysex

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    ProjectGender

    Action

    Plan

    Output6:KnowledgeproductsandadvocacymaterialsandeventsrelatedtoHIVpreventionininfrastructureprojects

    Integratereportingongenderissuesandlessonslearntindisseminationworkshops,policydialogue,advocacymaterialsandreports.

    Monitoringindicator:

    #ofIEC,advocacymaterialsandknowledgeproductswhich

    addressgender

    issues

    developed

    and

    disseminated

    through#ofworkshops.

    OtherActions Allsubcontractorsrecruitedtoimplementthe

    subprojectstohaveatleast40%femalerepresentation,especiallyinimplementationteamsatthecommunitylevel.

    Genderactionsandrequiredresourcestoimplementtheactionareintegratedwithintheoverallimplementationandmonitoringframework

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    UpdateonImplementationofGenderActionPlansGroup

    work

    by

    each

    Sub

    Project

    team

    Reviewthegenderactionplanandkeymonitoringindicators.

    Providebothquantitativeandqualitativeupdatesoneachactivity discuss achievementsandchallenges

    Giventheremainingtimeframeprioritizegenderactions,identifyneededresourcesandproposewayforwardwithtimeframetorealizethekeymonitoringindicators.

    25minutesforgroupworkand5minutesforgallerypresentation

    Inputsrelatedtowayforwardongenderactionplanstobeintegratedingrouppresentationsonwaysforwardandfinetunedduringoneononeconsultationswiththesubprojectsongendermatters.

    THANKYOU