North Star Alliance RWC map



The project was funded by the Global Fund for HIV/AIDS.
It was to establish mobile clinics at 32 border sites in Southern Africa; serving the corridor traffic and communities within a 50 kms radius of the sites.

Sites were:

  • Angola:  Namakunde
  • Botswana:  Kazungula, Tlokweng
  • DRC:  Kasumbalesa, Lubumbashi
  • Lesotho:  Maputsoe, Maseru
  • Malawi:  Mchinji, Mwanza, Izumbwe-Mphoi
  • Mozambique:  Machipanda, Namaacha, Zobue
  • Namibia:  Oshikango, Wenela
  • South Africa:  Ficksburg, Ladybrand, Oshoek, Zeerust
  • Swaziland:  Ngwenya, Lomahasha
  • Tanzania:  Mbeya, Tunduma
  • Zambia:  Chirundu, Mwami, Livingstone, Nakonde, Sesheke
  • Zimbabwe:  Beitbridge, Chirundu, Forbes, Victoria Falls

North Star Alliance was identified as the main contractor, with establishing mobile clinics at 29 sites.  Walvis Bay Corridor Group was given 3 sites, though they would seek assistance from North Star for one of these.

The project was initiated as far back as March 2010, but only started in 2011.

The first phase of the project required the establishment of mobile clinics at 6 sites by the end of the 1st quarter of 2012.  Then 7 by the end of the 2nd quarter, then 8, then 8.

WBCG was establishing 2 in Namibia and 1 in Zambia in the 1st quarter of 2012.

Only three of the countries (Swaziland, Zambia and Namibia) had signed MOUs with SADC, for the establishment of the mobile clinics.  This was mainly for the supply of medication.

There was an urgent need for the remaining MOUs to be signed, since, without the MOUs, it would not be possible to establish and manage the sites.

The first part of the project was to assess the 32 border sites.

This contract was given to Maromi Health Research, based in KZN.

17 sites were assessed in Maromi’s first phase.

These were:  Beitbridge, Chirundu x 2, Maseru, Ladybrand, Machipanda, Forbes, Oshikango, Wenela, Sesheke, Tlokweng, Zeerust, Maputsoe, Ficksburg, Kazungula, Livingstone and Victoria Falls.

The sites were chosen for logistics reasons, ie they were more easily accessible from Durban, than some of the sites in Tanzania, DRC, Mozambique, etc.

Some of the objectives of the assessment were:

Assess the health structures, identify the hot spots, assess the road and transport infrastructure, assess the accessibility to the communities to be serviced, assess the services in the area, etc.

The findings of the assessment were:

  • Mobile clinics were welcomed by the proposed clientele,
  • The mobile clinics could become fixtures in the future,
  • Border sites did not have adequate health or ambulance services,
  • Condoms were not available,
  • There was a need for collaboration between authorities and North Star,
  • The clinics should focus on primary health care rather than AIDS,
  • They were good for truck drivers because the drivers couldn’t access the local clinics,
  • Also good for sex workers,
  • The roads were generally good, but there could be problems with the rainy season.

At the time of this report, Maromi was assessing the remaining 12 North Star sites.

Two pre-bid meetings had been held for potential bidders supplying the mobile clinics.

At the Project Steering Committee meeting (FESARTA being a member) on 24th January, it was agreed that the specifications for the vehicles might not have been suitable for some of the roads in the rainy season.  4 x 4 might have been required.
From the assessments, 4 sites required 4 x 4s, 1 site could require a 4 x 4, 8 sites had no requirement for 4 x 4s and there was no information for the remaining 4 sites.
Further information on road conditions was requested from Maromi.

3 bids for the supply of the mobile clinics were then received and were being adjudicated at the time of this report.

The first 8 clinics were to be delivered by end June.  9 months was allocated for the delivery of all the clinics.

FESARTA would give information on the NRTAs to Maromi, since Maromi could need information on transport matters in the different countries.
FESARTA was requesting the NRTAs to be pro-active with the assistance to the project in general and Maromi in particular, since not only was their input valuable to the project, but the project would ultimately benefit the road transport industry throughout the region.

Barney Curtis.

NRTA Members

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