Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3799
Country/Region: Ethiopia
Year: 2008
Main Partner: Hawassa University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $90,000

Funding for Treatment: Adult Treatment (HTXS): $90,000

HIV/AIDS (ART) Program Implementation Support

This is a continuing activity from FY06 and FY07

Debub University (DU) located in Awassa, the seat of the Southern Nations, Nationalities and Peoples

Region (SNNPR), is offering training in general medical practice, public health, and a number of mid-level

training courses for health professionals. It is currently the hub of public health education for SNNPR and

the adjoining regions and is actively participating in various activities of the Regional Health Bureau (RHB).

The DU teaching hospital is evolving as a referral facility for the heavily populated southern part of the

country. DU is scaling up its response to the HIV/AIDS epidemic by utilizing opportunities and resources via

numerous national and international initiatives, and it is also expanding its support to the regional HIV/AIDS

program, including ART services. It is increasingly involved in various HIV/AIDS and related activities both

at regional, district, and site levels. This includes in-service training of health workers to meet the high

human resource needs to implement HIV/AIDS, tuberculosis (TB), and sexually transmitted infections (STI)

program activities in SNNPR.

In FY06 and FY07, through technical support from PEPFAR Ethiopia implementing partners, DU is

strengthening HIV/AIDS activities and is currently contributing to the regional effort to mitigate the spread of

the epidemic. The process of institutionalizing HIV/AIDS-related activities has been strengthened by the

structure (HIV/AIDS Affairs Unit) and by assigning a focal person at the Awassa College of Health Sciences.

The Unit is directly accountable to DU's President and oversees and coordinates the university-wide

HIV/AIDS response. An anti-AIDS clubs association led by the students' council has been well established,

with branches in all five campuses. The DU Gender Office is coordinating activities to address the specific

needs of female university members. The Association is evolving as a major movement aspiring to form a

region-wide youth movement to support regional and national efforts by networking with other local

universities and similar institutions abroad.

In FY07, through the support of Johns Hopkins University, DU is coordinating its efforts to limit HIV

transmission and mitigate the effects of AIDS. The university and its teaching hospital will work with the

health networks delivering care and treatment services in SNNPR region. It has established a functional

network with regional HIV/AIDS Prevention and Control Offices (HAPCO), RHB, nongovernmental

organizations like Tilla (regional association of people living with HIV), and private-sector institutions. It is

currently working with these partners and providing technical assistance (TA) that will enable these partners

work towards achieving targets set for FY07. The support from PEPFAR Ethiopia has afforded the

university and its teaching hospital with opportunities, not only to strengthen it anti-HIV/AIDS activities within

the university community, but also enabled it to build its capacity to support health networks in SNNPR.

For DU to establish itself as a long-term technical support center, managerial and leadership capacities

need to be built further in FY08. There is a need for deliberate action to establish managerial and technical

capabilities by offering the university the opportunity as well as the challenge to handle directly the

administration and management of the technical and logistical arrangements required to support the health

networks delivering ART and other HIV/AIDS-related services. In FY08, DU will strengthen its support for in-

service training and direct TA to SNNPR Regional Health Bureau and provide pre-service training on

HIV/AIDS, including ART. DU will be involved in targeted evaluation of HIV/AIDS program implementation

and in regional activities related to data processing, documentation of best practices, and dissemination of

scientific information. The university will work closely with and get intensive technical support from Columbia

University, but will also have an opportunity to engage directly in managing its HIV/AIDS program. The

university will also be involved in direct technical support and management of funds through a cooperative

agreement with CDC Ethiopia—a process that will enable it to establish the required experience. This will

allow DU to strengthen its engagement in managing its HIV/AIDS program and its support to national and

regional programs. DU will collaborate with Johns Hopkins University's Technical Support for the Ethiopia

HIV/AIDS ART Initiative and Management Sciences for Health and also undertake review meetings with

other local universities and stakeholders. This will also help the university be in a position to takeover

smoothly in the long haul the technical support currently provided by Johns Hopkins University.