This funding will be used to support three full-time positions at USAID to manage PMTCT activities and

provide technical leadership in the areas of maternal and child health (MCH). There will be three positions in

FY08 to support PMTCT: an MCH/PMTCT Advisor (Personal Services Contractor, or PSC), PMTCT

Technical Specialist (Locally Engaged Staff, or LES), and PMTCT Health Network Monitor.

The MCH/PMTCT Advisor will provide technical guidance for better integration of MCH issues with those

pertaining to PMTCT. Under general supervision, this Technical Advisor will take the lead in VCT, ANC,

tuberculosis (TB) testing, and referral for treatment, nutrition, and surveillance and monitoring as they relate

to MCH/PMTCT and the health program as a whole. The Advisor will also advise USAID senior health staff

in areas that include: policy and strategic development; program and project planning; implementation and

evaluation of MCH and PMTCT services; and integration of the Agency's health program activities.

The PMTCT Technical Specialist will work under supervision of the MCH/PMTCT Advisor and collaborate

closely with the rest of the HIV/AIDS Team. The PMTCT Technical Specialist and the PMTCT Health

Network Monitor will support the MCH/PMTCT Advisor in the management and monitoring of PMTCT

activities. The Specialist and Monitor will also coordinate with other Team members to enhance and support

linkages between PMTCT and other activity areas such as MCH, family planning, ARV, and OVC. This

funding will also be used to cover costs associated with any necessary PMTCT evaluations and technical

assistance from USAID/Washington and/or USAID/East Africa.

This funding will help support three full-time PEPFAR prevention positions at USAID. The Senior HIV/AIDS

Social Mobilization and Policy Program Specialist will serve as the technical lead in the facilitation and

support of a broad range of health-promotion activities to strengthen community-based responses to

HIV/AIDS, including behavior-change communications (BCC) and community empowerment activities. The

Program Specialist will liaise with USAID's Democracy and Governance Office and work closely with all

relevant donors and supporting agencies. The Program Specialist will assist the Ministry of Health and

HIV/AIDS Prevention and Control Office to support capacity development of civil society to aid in the

reduction of HIV/AIDS and stigma and discrimination.

The At Risk Population Advisor will provide technical leadership to PEPFAR for the implementation of

programs and activities that focus on or include at risk populations. The At Risk Population Advisor will

serve as an Activity Manager for relevant activities. The Advisor will collaborate with other members of the

Team in the development of sustainable services and activities that reach at risk populations. The

Prevention Administrative Assistant will assist the HIV/AIDS Team in the full range of secretarial and

administrative functions related to the area of Prevention. This funding will also support any needed short-

term technical assistance visits.

This funding will help support three, full-time PEPFAR prevention positions at USAID. The Senior HIV/AIDS

Social Mobilization and Policy Program Specialist will serve as the technical lead in the facilitation and

support of a broad range of health promotion activities to strengthen community-based responses to

HIV/AIDS, including behavior-change communications (BCC) and community empowerment activities. The

Program Specialist will liaise with USAID's Democracy and Governance Office and work closely with all

relevant donors and supporting agencies. The Program Specialist will assist the Ministry of Health and

HIV/AIDS Prevention and Control Office to support capacity development of civil society to aid in the

reduction of HIV/AIDS and stigma and discrimination.

The At-Risk Population Advisor will provide technical leadership to PEPFAR for the implementation of

programs and activities that focus on or include at-risk populations. The At-Risk Population Advisor will

serve as an Activity Manager for relevant activities. The Advisor will collaborate with other members of the

Team in the development of sustainable services and activities that reach at-risk populations. The

Prevention Administrative Assistant will assist the HIV/AIDS Team in the full range of secretarial and

administrative functions related to the area of HIV/AIDS prevention. This funding will also support any

necessary short-term technical assistance visits.

Funding for USAID staff in the HBHC program area covers the following:

Care and Support Advisor:

The HIV/AIDS Care and Support Advisor provides technical leadership for USAID HIV/AIDS care and

support activities. The Advisor also serves as a member of the PEPFAR Care and Support Technical

Working Group and monitors all HIV/AIDS care and support activities. The HIV/AIDS Care and Support

Advisor provides technical, operational, and management support to PEPFAR Ethiopia and the USAID

Mission. The Advisor is involved in the planning, design, and implementation and evaluation of HIV/AIDS

care and support activities, as well as holding responsibility for assisting the Team achieve its PEPFAR

targets and Intermediate Results.

Psychosocial Support Advisor:

The Psychosocial Support Advisor will work with relevant stakeholders and partners in addressing the non-

physical suffering of individuals and family members, including mental health counseling; family care and

support groups; support for disclosure of HIV status; bereavement care; development and implementation

of culture- and age-specific initiatives for psychological care; and treatment of HIV-related psychiatric

illnesses, such as depression and related anxieties.

Sr. HIV/AIDS Nutrition Program Specialist

The HIV/AIDS Nutrition Advisor will provide leadership and technical oversight in the areas of food security,

nutritional support for adults and children living with HIV/AIDS, therapeutic and infant feeding,

micronutrients, counseling, nutritional assessments and related issues. The Advisor will liaise with USAID's

Title II Office and work closely with all relevant donors and supporting agencies. The HIV/AIDS Nutrition

Advisor will also play a pivotal role in the Care and Support and Treatment Technical Working Groups. As a

certified Cognizant Technical Officer (CTO), the Advisor will manage all USAID's treatment and care and

support activities related to HIV/AIDS nutrition.

Five Nutritionists:

The nutritionists will be engaged in HIV/AIDS-Nutrition program design, implementation and evaluation,

under the technical supervision of the Sr. HIV/AIDS Nutrition Program Specialist.

They will work with relevant stakeholders and partners in linking HIV/AIDS-Nutrition programs with existing

productive safety net and supplemental food programs. The nutritionists will be seconded to HIV/AIDS

Prevention and Control Office (HAPCO) and selected regions.

Alternative Livelihoods Team (ALT)/PEPFAR Program Officer (FSN)

The ALT/PEPFAR Program Officer will support and strengthen linkages between the ALT and PEPFAR

programs. This position will be a PEPFAR position but the Program Officer will be located in the ALT office

to further strengthen the connections between Title II and Health Programs. The ALT/PEPFAR Program

Officer will serve as the technical lead in the facilitation and support of a broad range of nutrition and food

security related activities to strengthen community-based support to persons affected by HIV/AIDS. The

ALT/PEPFAR Program Officer will work closely with all relevant donors and supporting agencies. The

Program Officer will assist the Ministry of Health and HAPCO to support capacity development in nutrition

and food security to facilitate increased nutritional and food support for persons affected by HIV/AIDS. S/he

will be responsible for assisting the HIV/AIDS Team achieve its PEPFAR targets and Intermediate Results.

HIV/AIDS Health Network Monitor

The PEPFAR HIV/AIDS Health Network field-based Monitor will contribute to ensuring the health of the

functioning networks by working on-site with all relevant partners at hospitals and health centers and in

communities. The HIV/AIDS Monitor will examine on-site operations, procedures, and performance of

partners and Government of Ethiopia staff, and provide critical feedback to the PEPFAR technical working

group. The Monitor will address all activities in the ART supply chain, linkages and referrals within and

across facilitates occur and to the broader community. Through written reports, the Monitors will conduct

follow-up at existing sites to ensure problems are addressed in a timely fashion.

USAID has removed the five Nutritionist positions that were under HBHC USAID M&S section and put the

funding into an implementing partner (TBD under Food by Prescription Activity# 5616.08).

Funding for USAID staff in the HVTB program area covers short-term technical assistance for essential

program design, monitoring, and other technical oversight.

This funding will be used to partially or fully support four positions at USAID to manage OVC activities and

provide technical leadership in this program area. The HIV/AIDS Orphans and Vulnerable Children (OVC)

Advisor serves as a resource person and is responsible for providing technical expertise to activities related

to the care and support of orphans and vulnerable children, with special emphasis on community

mobilization. This position will be responsible for coordinating OVC policy issues with the Government of

Ethiopia (GOE), other donors, and nongovernmental organizations (NGO) working in the areas of HIV/AIDS

and OVC. The Psychosocial Support Advisor will provide technical leadership in counseling and

psychosocial support on the HIV/AIDS team. This Advisor will work to ensure that case management

services are in place at health centers and at community level. The position will work closely with members

of the prevention team in the area of PMTCT and members of the care team in the area of OVC to support

programs addressing the psychosocial needs of OVC. The Advisor will also advise the HIV/AIDS Team on

policy and strategic development, program and project planning, implementation, and evaluation of the

Agency's psychosocial support program activities.

The OVC and Education Advisor will support the OVC Specialist in managing OVC activities that are linked

with the education sector. The Family/Community Service Advisor will provide technical, operational and

management support to the USAID HIV/AIDS Team. S/he will perform a full-range of consultative, advisory,

program planning, financial management, reporting, and monitoring and evaluation functions. The Advisor

will be responsible for providing direction and oversight to community services, health networks and the

integration of OVC, PMTCT, Pediatrics and community-focused VCT services within the HIV/AIDS

prevention activities. These last two positions are partially funded by PEPFAR OVC resources. This funding

will also support short-term technical assistance.

Funding for USAID staff in the HVCT program area covers one senior HIV/AIDS Counseling and

Testing/Most-at-Risk Populations Program Specialist, as well as short-term technical assistance for

essential program design, monitoring, and other technical oversight.

HIV/AIDS Counseling and Testing (CT) Specialist

The CT Specialist is responsible for the management and oversight of all USAID PEPFAR partners working

in counseling and testing. The specialist has expertise in the identification and targeting of high-risk groups

and linking them to care and support services. The specialist serves as a member of the PEPFAR technical

working groups and provides technical, operational, and management to PEPFAR Ethiopia and the USAID

Mission. S/he is involved in the planning, design, implementation, and evaluation of voluntary counseling

and testing activities. S/he is responsible for helping the Team achieve its PEPFAR targets and

intermediate results.

USAID staff supporting the ARV Drugs Program Area include one U.S. Direct Hire (USDH) HIV/AIDS

Officer (filled), one Foreign Service National (FSN) HIV/AIDS Health Network Monitor. Due to the

complexity of the program, additional monitoring and regional oversight is required, thus, six additional

positions have been proposed for COP08: one U. S. Personal Services Contractor (USPSC) Commodities

Supply Advisor and five FSN Supply Chain Management Monitors. The Commodities Supply Advisor will fill

a critical gap that includes ensuring resources for commodities across government and donor agencies-

Global Fund, CHAI, UNICEF, PEPFAR, etc—are well coordinated to maximize resources for greatest

impact and eventually lead to greater government driven sustainable programming. The five monitors

would be based regionally, supporting the roll-out and implementation of Ethiopia's Pharmaceutical

Logistics Master Plan (PLMP), critical for the successful functioning of all PEPFAR programs which depend

on commodities. Functional responsibilities for the USAID staff in the ARV Drugs Program Area are as

follows:

HIV/AIDS Officer ( USDH: filled)

The HIV/AIDS Officer plays a key role in overseeing and coordinating the program elements of PEPFAR

Ethiopia's prevention, care and support activities. The HIV/AIDS Officer supervises three FSNs and is

responsible for overseeing all aspects of the Partnership for Supply Chain Management/Supply Chain

Management System (PFSCMS/SCMS) program that includes supporting the Government of Ethiopia

(GOE) PLMP. He oversees the management of commodities for the HIV/AIDS program. He serves as the

principal USAID liaison for coordinating USG HIV/AIDS programs with the Global Fund To Fight AIDS,

Tuberculosis and Malaria (GFATM) Country Coordinating Mechanism (CCM) and is a member of the

interagency treatment working group. In addition, the HIV/AIDS Officer is a Cognizant Technical Officer

(CTO) and manages USAID programs responding to the Emergency Plan, ensuring that there is good

coordination between all USG partners.

Commodities Supply Advisor (USPSC)

The Commodities Supply Advisor will be supervised by the HIV/AIDS Technical Officer and will have overall

responsibility for planning and coordination of all activities related to the procurement and distribution of

HIV/AIDS related supplies. The Advisor will represent USAID at national quantification meetings and other

related events with the Ministry of Health, the HIV/AIDS Prevention and Control Office (HAPCO), the

Ethiopian Health and Nutrition Research Institute (EHNRI) and other relevant agencies. The Advisor

promotes collaboration and best practices in the forecasting, procurement, storage, distribution, and

information management of ARVs and related HIV/AIDS commodities. The Advisor will also play a key

liaison role with USAID regional staff, particularly the Supply Chain Management Monitors at Regional

Health Bureaus (RHBs), as well as the ART Network and HIV/AIDS Health Network Monitors.

Responsibilities also include the development of technical strategies and work plans, monitoring and

evaluation of programs.

Supply Chain Management Monitors (5: Regional Support/FSN)

The Supply Chain Management Monitors will be stationed at Regional Health Bureaus (RHBs), supporting

the roll-out of the PLMP, and providing critical support to RHBs and PEPFAR partners implementing supply

chain management activities in the regions. They will be Ethiopian government staff and directly

supervised by RHBs. Close coordination with key PEPFAR partners such as the Supply Chain

Management System (SCMS), Management Sciences for Health/Rational Pharmaceutical Management

Plus (MSH/RPM PLUS) and USAID ART Network and HIV/AIDS Health Network Monitors will be a major

feature of their activities. The Commodities Supply Advisor will be their primary liaison point at USAID, and

will coordinate activities closely with these staff.

HIV/AIDS Health Network Monitor (1: Regional Support/FSN)

The field-based PEPFAR HIV/AIDS Health Network Monitors will contribute to ensuring the health of the

functioning networks by working on-site with all relevant partners at hospitals and health centers and in

communities. The HIV/AIDS Monitors will examine on-site operations, procedures, and performance of

partners and GOE staff, and provide critical feedback to the PEPFAR technical working groups. The

Monitors will address all activities in the ART supply chain, sharing findings and coordinating follow-up

activities with the Supply Chain Management Monitors, and will promote linkages and referrals within and

across facilities, and to the broader community, ensuring that these occur. Through written reports, the

Monitors will define needed follow-up activities at existing sites to ensure problems are addressed in a

timely fashion. They will liaise closely with all PEPFAR partners, RHBs, zones and woredas (districts), and

will work closely with other regionally based USAID and PEPFAR staff, including Nutritionists and Health

Resources Capacity Advisors, in addition to the Supply Chain Management Monitors.

PEPFAR Ethiopia will reprogram $161,535 in costs for five Supply Chain Monitors from USAID M&S under

HTXD to CDC/Nastad.

USAID staff supporting the ARV Treatment Services Program Area include two Foreign Service National

(FSN) ART Network Monitors (Filled), and one FSN HIV/AIDS Health Network Monitor. No new positions

are proposed for COP08. The field-based HIV/AIDS Health Network Monitor supports the implementation

of PEPFAR's programs through the health network model, and provides additional support for Ethiopia's

Pharmaceutical Logistics Master Plan (PLMP), critical for the successful functioning of all PEPFAR

programs which depend on commodities. Functional responsibilities for the USAID staff in the ARV

Services Program Area are as follows:

ART Network Monitors (2: FSN/Filled)

ART Network Monitors based at USAID will support the effective implementation of health networks through

support for national and regional level processes such as prioritization, costing, and work planning. They

will also support regional processes through attendance at national, regional, zonal and woreda (district)

level meetings, catchment area meetings, and other pertinent events. They will provide key support to the

five HIV/AIDS Health Network Monitors based regionally, accompanying this staff at times on field visits.

They will liaise closely with all PEPFAR partners, Regional Health Bureaus (RHBs), zones and woredas,

and will work closely with other regionally based USAID and PEPFAR staff, including Supply Chain

Management Monitors, Nutritionists and Health Resources Capacity Advisors.

HIV/AIDS Health Network Monitor (1: Regional Support/FSN)

The field-based PEPFAR HIV/AIDS Health Network Monitors will contribute to ensuring the health of the

functioning networks by working on-site with all relevant partners at hospitals and health centers and in

communities. The HIV/AIDS Monitors will examine on-site operations, procedures, and performance of

partners and GOE staff, and provide critical feedback to the PEPFAR technical working groups. The

Monitors will address all activities in the ART supply chain, sharing findings and coordinating follow-up

activities with the Supply Chain Management Monitors, and will promote linkages and referrals within and

across facilities, and to the broader community, ensuring that these occur. Through written reports, the

Monitors will define needed follow-up activities at existing sites to ensure problems are addressed in a

timely fashion. They will liaise closely with all PEPFAR partners, RHBs, zones and woredas (districts), and

will work closely with other regionally based USAID and PEPFAR staff, including Supply Chain

Management Monitors, Nutritionists and Health Resources Capacity Advisors.

Funding for USAID staff in the HVSI program area covers one Senior HIV/AIDS Quality Assurance Program

Specialist, a Locally Engaged Staff.

The HIV/AIDS Quality Assurance Program Specialist will be the liaison to the PEPFAR technical working

groups. The Quality Assurance Advisor will also collect and analyze monitoring reports from field monitors

and make recommendations to the technical teams on a biweekly basis. The Quality Assurance Advisor will

further contribute by providing leadership to improve program monitoring, evaluation and dissemination

efforts by all relevant partners and stakeholders.

Funding for U.S. Agency for International Development (USAID) staff in the Other Policy Development and

System Strengthing program area covers one senior Private Sector Advisor (US/TCN Personal Services

Contract, or PSC); one Private Sector Advisor (Third Country National, or TCN); one Gender Specialist

(Locally Engaged Staff, or LES); one Healthcare Finance Advisor (US/TCN PSC); one Health and HIV/AIDS

Programs Evaluator (LES PSC); one Program Officer to provide liaison between PEPFAR and the USAID

Business Environment Agriculture Trade (BEAT) Office (LES); one Sustainability Advisor (US/TCN PSC);

one Supervisory and 11 regional Health Resource Capacity Advisors (all LES), and short-term technical

assistance as required. Position summaries follow.

Senior Private-Sector Advisor

The Senior Private-Sector Advisor actively participates in all public health efforts to strengthen the private-

sector response to HIV/AIDS, and supervises the Private-Sector Advisor, Sustainability Advisor, and

BEAT/PEPFAR Program officer. S/he provides day-to-day technical management oversight for HIV/AIDS

project activities in prevention, care and support, and treatment. Further, the Advisor oversees and

facilitates communication and collaborative working relationships with mid- to senior-level government

officials of the HIV/AIDS Prevention and Control Office, the Ministry of Labour and Social Affairs, and other

government officials and nongovernmental organisations, particularly the commercial sector.

Private-Sector Advisor (US/TCN PSC)

The Private-Sector Advisor actively participates in all public health efforts to strengthen the private-sector

response to HIV/AIDS. S/he provides technical, operational, and management support to the USAID

HIV/AIDS team, and is involved in the planning, design, implementation, and evaluation of HIV/AIDS

activities. S/he provides day-to-day technical management oversight for HIV/AIDS project activities in

prevention, care and support, and treatment. The Private-Sector Advisor is supervised by the Senior Private

-Sector Advisor for HIV/AIDS, and acts as the technical lead in the expansion of private-sector services in

HIV/AIDS care, prevention, and treatment for PEPFAR. In addition, the Specialist will be responsible for

working closely with the Ministry of Health (MOH) to increase the private-sector response to HIV/AIDS.

Gender Specialist

The Gender Specialist works with senior Mission management and provides up-to-date information on the

implications of socioeconomic trends and relationships as they relate to gender. She provides information

on gender integration matters pertinent to the Government of Ethiopia's Sustainable Development and

Poverty Reduction Plan, the Mission's Integrated Strategic Plan, and USAID sector strategies. In addition,

she monitors the development strategies and plans of other major donors to Ethiopia, including the

multilateral institutions and UN specialized agencies. The Gender Specialist focuses special attention on

gender issues affecting livelihoods improvements, male norms, and the vulnerability of women to HIV

transmission and access to HIV/AIDS services.

S/he provides technical, operational, and management support to the USAID HIV/AIDS team on gender

issues, and is involved in the planning, design, implementation, and evaluation of HIV/AIDS activities. She

is a key member of targeted evaluation and PHE planning and review committees. S/he provides day-to-

day technical management oversight for selected HIV/AIDS project activities in prevention, care and

support, and treatment.

Healthcare Finance Advisor

The Advisor assists the USG country team to analyze and monitor healthcare financing reforms supported

by the USG. The advison also supports and ensure the financial sustainability of health services, including

HIV/AIDS care and treatment programs. The Healthcare Finance Advisor will support the implementation

and consolidation of healthcare financing reforms in hospitals and health centers throughout the country.

Operating under the national framework, the Advisor will support implementation by regional health bureaus

(RHB) and district health offices. The activities include, but are not limited to, fee retention, waivers,

exemptions, out-sourcing of non-clinical activities, fee revisions, and facility board management services.

Furthermore, the Advisor will provide technical assistance in the design and implementation of national

health insurance, both social and community initiatives, and the implementation of performance-based

financing, where applicable.

Health Systems Strengthening Advisor

The Advisor assists the USG country team to analyze and monitor existing PEPFAR programming that

supports the MOH's programs in health-sector development and healthcare financing reform. The Advisor

will provide project-management and advocacy skills to the USG country team. The Advisor will ensure the

alignment of PEPFAR portfolios to national public health programs, specifically health-sector development.

The Advisor will focus on non-clinical operating systems (i.e., management information systems and human

resource systems), and policy issues. Further, the Advisor will supervise implementation of the technical

components of performance-based financing that are currently implemented in health centers by PEPFAR's

Care and Support Program.

Health and HIV/AIDS Programs Evaluator (LES):

The Health and HIV/AIDS Programs Evaluator provides in-country support to the Mission in the design and

implementation of evaluations, and works closely with external and internal evaluation teams. The Evaluator

is responsible for ensuring that comprehensive evaluations are well designed, and that data are properly

collected, analyzed, and disseminated to key stakeholders in a timely manner. In FY08, the Evaluator will

coordinate the following HIV/AIDS evaluations: HIV/AIDS prevention activities along transport routes in

Ethiopia; the HIV/AIDS Private Sector Program; the logistics sytems; and programs dealing with OVC,

PMTCT, and health center renovations.

BEAT/PEPFAR Program Officer (LES)

The BEAT/PEPFAR Program Officer will support and strengthen linkages between the BEAT and PEPFAR

programs. This position will be a PEPFAR position but the Program Officer will be located in the BEAT

office to further strengthen the connections between the two program areas. The BEAT/PEPFAR Program

Officer will work on developing activities related to improved livelihoods for persons affected by HIV/AIDS,

and serve as the technical lead in the facilitation and support of a broad range of business, economic

growth, agriculture, and trade activities to strengthen the livelihoods and economic status of persons

affected by HIV/AIDS. The Program Officer will work closely with all relevant donors and supporting

agencies. S/he will be responsible for helping the Team to achieve its PEPFAR targets and intermediate

Activity Narrative: results.

Sustainability Advisor (US/TCN PSC)

The Sustainability Advisor will be supervised by the Senior Private-Sector Advisor and provide technical

direction in the area of sustainability in all facets of USAID's HIV/AIDS activities to implement PEPFAR.

Working closely with the Global Fund for AIDS, Malaria, and Tuberculosis (GFATM) and the private sector,

the Advisor will also play a role in coordinating and collaborating with other USG and international agencies

and with donor partners in the region on PEPFAR program activity development and implementation.

USAID Management & Staffing

Summary

USAID-managed activities under the PEPFAR program have rapidly expanded. In FY004, USAID had eight

technical and one administrative positions to manage the $27M program. By 2007, this had grown to 11

technical and one administrative positions for the $147M program. The proposed FY08 USAID-managed

budget of $208M will place increased demands on this dedicated but overstretched staff. As USAID-

managed programs continue to evolve and expand geographically and technically to meet PEPFAR country

objectives, USAID staffing must expand to provide prudent USG oversight and direction. In addition,

Ethiopia is a PEPFAR Food Focus Country which entails greater complexity in food and nutrition

programming for therapeutic feeding and longer-term household support.

Management and Staffing: Staffing For Results (SFR)

In August 2007, USAID presented the following core competencies to the SFR Team:

-Strengthening national health systems, in coordination with other health donors including the Global Fund

to Fight AIDS, Malaria, and Tuberculosis and the World Bank.

-Improving community health and care services with regional and district health offices through performance

-based contracting, capacity building, and strengthening local partners

-Expanding health services through non-state actors, such as civil society and the private commercial

sector. Leveraging private resources, specifically mobilizing professionals and expanding service delivery

for public health goals, including using healthcare financing, private pharmacies, and training institutions to

supplement local capacity.

-Mobilizing communities beyond the facility level on public health issues, through community and faith-

based networks

-Maximizing opportunities for wraparounds to strengthen inter-linkages with food security, economic growth,

good governance, and gender programming

In addition, USAID presented its program management objectives to the SFR team:

- Focus on distinct requirements of primary healthcare and community-based care programming

- Support implementation by regions and district health offices with technical assistance and direct

financing, specifically in policy, planning, training, and supportive supervision activities

-Maintain technical leadership in: food and nutrition; OVC; primary care; community services; logistics;

condom programming; private sector programming; gender; national health management information

system (HMIS) strengthening; and malaria

-Maintain in-country contracting capabilities to design and administer bilateral programming

-Leverage resources from other USG programs, specifically long-established, health-sector programs (e.g.,

family health, tuberculosis (TB), malaria) and other programs, such as PL 480 Title II food assistance, basic

education, and economic growth

-Maintain strong collaboration with USAID/East Africa and USAID/Washington for technical assistance and

services

USAID's Proposed Staffing Patterns for FY08

Program expansion requires technical and administrative expansion to meet the growing financial and

technical oversight required of a complex program. Past restrictions on USAID staffing levels because of

plans for relocation to the new Embassy compound drastically limited the ability to add staff. This resulted in

an overstretched USAID technical team and inadequate technical monitoring. Senior program management

has determined that it is essential to expand USAID staff to meet the needs of the rapidly growing program,

and has committed to find space for additional technical personnel. The FY08 program-management plan

includes several additional technical advisors to be based in Addis Ababa, as well as field monitors and

additional administrative support staff. In addition, FY08 includes provision for USAID funding for technical

specialists based at regional health bureaus (RHB) to support increased nutrition, commodity security, and

systems strengthening.

Management structures to permit this expansion are being phased into the PEPFAR country team. Within

the PEPFAR country team, USAID's own team is structuring itself into four management clusters: 1) clinical

services; 2) community services; 3) cross-cutting systems strengthening (logistics, private sector, gender,

healthcare financing, quality assurance); and 4) program services (e.g., contracting, financial management,

management services). The division of "clinical" and "community" services applies to all PEPFAR program

areas, and staff would participate in SFR technical working groups accordingly, enriching the overall country

team.

The proposed management structure maximizes potential for wraparounds with USAID's technical

specializations in economic growth, education, and PL480 Title II food assistance. A major emphasis will be

to build stronger linkages with other bilateral and multilateral donor programs and leverage non-PEPFAR

USG development-assistance funding.

USAID's proposal to expand technical staffing will:

-Expand systems-level support to the Federal Ministry of Health and RHB with the placement of technical

specialists

-Improve program implementation and oversight with additional field monitors

-Strengthen the PEPFAR team in food and nutrition programs, primary care, community services, logistics,

local organizational capacity-building, and quality assurance

-Strengthen program services for USAID-managed activities

-Maximize collaboration and potential for wraparounds with non-PEPFAR programs

USAID Management and Staffing program-area funding covers four full-time US Direct Hire (USDH)

positions: the HIV/PEPFAR Team Leader, the HIV/AIDS Facility/Community Services Advisor, the

Executive Officer, and 70% time of a Contracting Officer. These key, supervisory positions oversee the

functioning of all technical and management positions covered in earlier program areas, as well as the key

Activity Narrative: management and administrative staff discussed below.

Key Personnel

The HIV/AIDS Team Leader for USAID Ethiopia has overall responsibility for USAID's contribution to

PEPFAR implementation, in collaboration with other USG agencies. Within the Health, AIDS, Population,

and Nutrition (HAPN) office, the HIV/AIDS Team Leader serves as deputy and acts in the absence of the

Chief.

In addition, based on guidance from the Office of the Global AIDS Coordinator (OGAC), several technical

personnel operating in multiple program areas are included in HVMS as detailed below:

The HIV/AIDS Medical Specialist and Deputy Team Leader supervises several locally engaged staff (LES)

within Care and Support services and plays a critical role in the planning, design, implementation, and

evaluation of USAID PEPPFAR activities, and provides operational oversight to the entire portfolio. S/he

represents the Agency at high-level meetings with the Government of Ethiopia (GOE) and serves as the

Chair of the PEPFAR Interagency Care and Support Working Group. S/he serves as the lead USAID

advisor on TB/HIV and supports some aspects of the treatment portfolio.

The Senior Prevention Advisor provides technical, operational, and management support to the USAID

HIV/AIDS Team and is responsible for providing direction, management, technical assistance and oversight

to the portfolio of HIV/AIDS prevention projects and activities in the HAPN Office.

The Strategic Information (SI) Advisor provides technical, operational, and management support to USAID

PEPFAR activities. S/he is involved in the planning, design, data management, and reporting of project

activities and results.

The Family/Community Service Advisor will provide technical, operational, and management support to the

USAID HIV/AIDS Team.

The Contracting Officer (CO) has delegated authority to execute all acquisition and assistance instruments

and serves as a critical member of the PEPFAR team. The CO, supported by two Acquisition and

Assistance Management Specialists, provides technical expertise for procurement and related aspects of

the administration of contracts and assistance instruments.

One Program Development Advisor will sit in the HAPN office and support program and financial actions,

oversee audits, and work closely with the Contracting Office to process and monitor awards. Funding is also

provided for one Budget Analyst, two Financial Management Specialists, a Financial Analyst, and a

Voucher Examiner.

The PEPFAR Executive Officer oversees all administrative and management support for the PEPFAR

program. The Executive Officer supervises seven PEPFAR drivers.

A new PEPFAR Communications Officer, teamed with the non-PEPFAR Communications Officer will

support public diplomacy programs.

Funding in this program area also includes $1,193,986 for office equipment and $1,195,000 for other costs,

in addition to modest, short-term, technical assistance for program management purposes.

USAID reprograms $400,000 from (Activity ID 18898.08) as well as $50,000 from (Activity #18896.08) from

a Small Grants activity to be used to cover unpaid bills from the last PEPFAR Coordinator and to cover the

currently unbudgeted costs for a new PEPFAR Coordinator. The remaining $622,972 in additional funding

will be reprogrammed from SCMS (Activity ID 10532.08) to cover USAID Operating Expenses (OE).

Cost of Doing Business

USAID's costs of doing business for FY08 are $665,605 for International Cooperative Administrative

Support Services (ICASS), IRM, and other taxes.