Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5534
Country/Region: Ethiopia
Year: 2007
Main Partner: Defence University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $100,000

Funding for Treatment: Adult Treatment (HTXS): $100,000

HIV/AIDS (ART) Program Implementation Support

This is a continuing activity from FY06 and relates to ITECH activities: Technical Support for ART Scale-up (5664), Counseling and Testing (5728), TB/HIV (5754), Palliative Care (5618), PMTCT (5641), STI Services (5800), Laboratory Support (new) as well as activities implemented through the Twinning Initiative (5678).

The Defense University, located in Addis Ababa, is the only university providing training and technical support for the military and their dependents. It provides training for general medical practitioners (MD), public health officers and a number of mid-level training courses for other cadres of health professionals. It is currently supporting in-service training for health workers from the military health services as well as health workers from other public health services. It has VCT, PMTCT, and ART service facility within its teaching hospital, the Armed Forces General Teaching Hospital. This has been used as a demonstration site for many HIV/AIDS related services. The university teaching hospital is the major referral facility for the military and dependents and currently handling a huge patient load, including those with HIV/AIDS.

In FY06, the teaching hospital, as one of the 89 ART hospitals implementing ART services supported by PEPFAR Ethiopia and moving at a fast rate in terms of recruiting eligible patients. As the military (and the uniformed services including the police), which constitute a high risk group for HIV/AIDS, are scaling up their response to HIV/AIDS epidemic by utilizing opportunities and resources through numerous national and international initiatives, Defense University has developed a strategic plan to develop the required human resources by mainstreaming HIV/AIDS interventions into its training programs. Through the support from PEPFAR Ethiopia implementing partners, the Defense University has initiated institutionalizing HIV/AIDS related activities. It has established a structure that will coordinate HIV/AIDS related activities. Tangible measures have been taken to coordinate activities with Addis Ababa University. Currently there is much collaboration between the two universities in terms of training, research and service related activities.

In FY07, through the support of UCSD, the Defense University will continue to coordinate and scale up the response to HIV/AIDS it has initiated in collaboration with its partners. The university will build on previous support and the achievements gained through its collaborative activities with PEPFAR Ethiopia, particularly experience gained in FY06. The University and its teaching hospital will work with the military health networks in Operation Zone 4 (military and police health networks) delivering care and ART services. It will establish a functional network with MOH, HIV/AIDS Prevention and Control Office (HAPCO), RHB, and NGO to implement activities planned for FY06.

FY07 will afford the university and its teaching hospital opportunities to build its capacity to support facilities in the military health network. For the university to establish itself as a training and technical support center, it needs to upgrade its managerial capacities in FY07. It needs to work closely with UCSD as this will present a unique opportunity to directly handle the administration and management of the technical and logistical arrangements required to support health networks delivering ART and related services. The university will, therefore, need to be provided with direct financial and technical support that will enable it to establish the required services through a cooperative agreement with CDC-E. This will allow the university to strengthen its engagement in managing its HIV/AIDS program and its support to the national and regional programs. This will help the university be in a position to takeover the technical support smoothly currently provided by UCSD.