Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 8370
Country/Region: Ethiopia
Year: 2007
Main Partner: U.S. Agency for International Development
Main Partner Program: Central Commodity Fund
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $2,000,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,000,000

Condom Procurement

This is a continuing commodity procurement activity linked with TBD/Targeted Condom Promotion for program implementation.

The USG has been the largest supplier of condoms to Ethiopia since 1996. Since 2004, the USG has supplied 128 million condoms to a local partner for use in a condom social marketing program. Based on new EDHS and ANC information, the USG is developing a new Targeted Condom Promotion activity funded with COP06 Supplemental focusing on most at risk populations. This activity will be underway by January 2007. This represents a transition from PEPFAR Ethiopia's previous donation of commodities to a multi-donor condom general social marketing program based on a shift in prevention strategy to focus fully on most at risk populations.

Several bilateral donors, (DFID, Development Cooperation Ireland and the Royal Netherlands Embassy) maintain an agreement covering operational costs and condom donation. In FY06, approximately 40 million condoms were provided under a social marketing brand "Sensation", which is marketed as a more expensive, upscale product. The UN Mission to Ethiopia and Eritrea, a UN peace-keeping mission, provides donations to the National Defense Forces of Ethiopia. Private donors support small scale donations to local non-governmental organizations.

In COP07, we anticipate the USG to remain a major condom donor to support HIV prevention to most at risk populations nationwide. A multi-donor general social marketing program is expected to function at levels similar to FY06. With a funded COP06 targeted promotion activity, the USG will build on momentum of a new branded condom product to support outreach and BCC messaging about correct consistent condom use, risk reduction, HIV burden among young girls and cross generational and transactional sex. In COP07, HIV prevention activities will expand beyond current programming approaches to include greater outreach to most at risk populations. Condom commodities remain a vital aspect of PEPFAR Ethiopia prevention activities.

This activity has two components:

Supplying condoms to HIV clinical settings nationwide in a consistent fashion;

Utilizing PSCMS, condom commodities will be cleared and distributed to regional branches and drop points throughout the country. Based on a pre-determined quantification, PSCMS will integrate a percentage of this procurement into the ARV and medical commodity logistics system for delivery to VCT, ART and Pre-ART clinics and case managers within the ART health network, including hospitals and health centers. USG partners in facilities will work with local authorities to support distribution to clinical settings at facilities.

2) Supplying condoms to USG HIV prevention activities, the National Defense Forces of Ethiopia supported by DOD and five refugee camps supported under PRM.

Utilizing a TBD Contractor implementing the Targeted Condom Promotion activity, condom commodities will be distributed in-country to partners conducting outreach activities to most at risk populations. This will include work under the U.S. Department of Defense and State/Population, Refugee and Migration Bureau.

Needs quantification is based on support to the Defense Forces, projected requirements within non-clinical and clinical settings amount to 44,000,000 units. This procurement will provide approximately 38,684,719. Additional condoms may carry over from COP06 due to the arrival date of supplemental funds.

The USG envisions substantial donations to uniformed services (approx. 10,000,000), refugee camps (approx. 500,000) and several USG partners conducting community outreach (approx. 15,000,000). Condom procurement is anticipated to occur through the USAID/Global Health/Central Commodities Fund mechanism.