Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5522
Country/Region: Ethiopia
Year: 2008
Main Partner: U.S. Peace Corps
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: enumerations.Peace Corps
Total Funding: $3,721,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $1,600,000

At the Government of Ethiopia's (GOE) request, and with support from the US Mission in Ethiopia, Peace

Corps returned to Ethiopia in FY07 with a program on HIV/AIDS. PC/ET received PEPFAR funding to

support GOE's strategy to create and strengthen a community- and family-centered HIV/AIDS prevention,

care, and treatment network model in Amhara and Oromiya regions, where high HIV prevalence and

population density are key factors influencing the GOE and USG anti-HIV/AIDS program.

In January 2007, PC/ET started its operations in Ethiopia. Host Country National staff members were hired,

and PC/ET will receive 40 Peace Corps volunteers (PCV), 30 PEPFAR-funded volunteers, and ten PCV

funded with appropriations in October 2007. Based on GOE requests and a subsequent field assessment,

PC/ET worked closely with the Ministry of Health (MOH) and the HIV/AIDS Prevention and Control Office

(HAPCO) to identify viable sites for PCV in eight zones in Amhara region and nine zones in Oromiya region.

A key criterion for site selection was the presence of ongoing PEPFAR activities, so that PCV could assist in

program linkages and coordination and ensure programs are reaching those in the community most in need

of services. PCV will be working with the zonal and district health offices, local partners, including PEPFAR

implementing partners, nongovernmental organizations (NGO), community-based organizations (CBO), and

faith-based organizations (FBO) to strengthen the coordination of HIV/AIDS services and to strengthen

capacity of communities and organizations to provide prevention, care, and treatment services. By working

at two levels, both directly with the community and with local health-coordination bodies, PCV have the

opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment-related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to PEPFAR globally. This comparative advantage—coupled with the urgent need for

prevention activities to respond to data revealing a concentrated epidemic, and the on-the-ground reality of

low coverage of services for high-risk groups—means that PCV will shift the focus of their activities primarily

towards meeting prevention needs.

PCV will address prevention gaps by supporting activities focusing on high-risk groups, including adult

populations that live along high-risk transportation corridors and semi-urban areas in Amhara and Oromiya.

They will also work with local HIV coordinating bodies to assist in prioritizing and linking various prevention

efforts so that activities are reaching priority populations. In addition to targeting adults and high-risk

populations, PCV will also strengthen and coordinate programs and services for youth. Due to PCV

reporting structures, although some AB-focused youth programming will be implemented by PCV, all

funding and targets for the span of their prevention efforts are funded and reported under HVOP.

In October 2008, PC/ET will receive 30 PEPFAR-funded PVC and 15 more PVC funded through

appropriations. This will bring the projected total of PEPFAR-funded PVC to 60 and appropriations-funded

PCV to 25, for a total of 85. During their overall PC training, which includes basic HIV/AIDS training, an

additional focus on prevention in Ethiopia will be a core component of preparing PCV. Sessions on the

epidemiology of HIV in Ethiopia will be conducted so that PVC get a sense of the priority needs in

prevention. Behavior-change communication basics will be taught, and specific approaches to addressing

transactional sex, concurrent partnerships, correct and consistent condom use, and positive prevention will

be covered.

Training will be conducted by the PC/ET training team. Information briefings on current programs working in

Amhara and Oromiya regions will be presented, and, where possible, materials for the PCV from existing

programs in the region will be shared. PC/ET will collaborate with the PEPFAR USG team to ensure that

during their training, PCV receive materials and technical expertise available through the USG PEPFAR

team and various PEPFAR partners in prevention.

In addition to technical training and access to existing PEPFAR resources, PCV will receive PEPFAR-

funded HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants.

PC/ET's VAST program is a PEPFAR-funded, small-grants and PCV training program. It supports small-

scale, capacity-building projects (including community-focused training) among CBO/FBO, and/or NGO that

work with, or provide services to, local communities to fight the HIV/AIDS pandemic. Through the VAST

program, PCV will support local projects that address pressing HIV prevention, care, and support needs at

the community level.

Once at their sites, PCV will support prevention efforts on several fronts. At the community level, they will

support behavior-change interventions geared towards adults that focus on the risks of both multiple and

concurrent partnerships and on transactional and commercial sex. The interventions will also promote and

provide skills-building for correct and consistent condom use. PCV in the community will have access to out

-of-school and other high-risk youth in need of comprehensive services. Though adults and high-risk

populations will be a major emphasis of their efforts, they will also support youth-focused prevention with

the PC Life Skills curriculum, as well as other community-level efforts to address youth prevention.

PCV also have the opportunity to engage community leaders and community members in discussions about

the social norms that heighten the risk for HIV infection. They will be able to assist in organizing community

events and discussions that focus on harmful and protective norms and help communities develop policies,

action plans, and other methods of eliminating harmful social practices. PCV will work with local anti-AIDS

clubs, groups for people living with HIV/AIDS (PLWH), and Idirs (local community institutions) to reach

youth and adults. Cross-generational sex, gender-based violence, prevention for positive people, and

transactional sex will likely be topics for community-level action.

In addition to focusing on primary prevention, PCV are in the unique position of focusing on positive

prevention, as they support PLWH and their families through their care and treatment activities. They

address issues of disclosure, discordance, correct and consistent condom use, partner reduction, etc. PCV

will assist in referring partners and family members of PLWH for testing as a potential entry point to care.

Activity Narrative: Beyond direct interaction with the community, and direct support and implementation of particular

prevention programs, PCV will work with district- and zonal-level coordinating bodies in order to support

prevention programming that addresses key epidemiologic priorities at a higher level. PCV will: bring

together different programs to discuss linkages, referrals, and common goals; strengthen zonal and district

efforts in prevention; and help to eliminate duplication of efforts or conflicting messages, which can be

confusing to beneficiaries. PCV will also be able to advocate for broader adaptation of innovative

approaches in their communities, and can provide organizational development, training, and implementation

support to CBO and local government to design and implement prevention programs for at-risk youth and

adults. PCV will be a key force in coordinating local efforts to work towards common goals, deliver

complementary messages, and build off of one another's efforts.

Assuming that 64 PCV will train local partners and their counterparts to promote HIV/AIDS-prevention

programs through comprehensive prevention programming, a total of 1,920 individuals will be trained.

This activity contributes to the overall PEPFAR goal of supporting GOE's strategy for accelerated access to

HIV/AIDS prevention, care, and treatment. To maintain continuity as PC/E is moving out of treatment and

into prevention, during FY07 PCV will continue to work on linking prevention and care services to ART

services and training health workers and lay-health workers on ART service delivery.

PC/ET's unique talent is reaching people at the grassroots, community level—an area that narrows the gap

of people reached and trained in Ethiopia, as few other implementers operate where PCV live and work

over a two-year period. Peace Corps has a two-pronged approach to strengthen the linkages of PEPFAR

program areas and other programs, including wraparound activities. They are: 1) Where possible, PCV will

work in clusters with different skills to work in the same geographic catchment area (i.e., zone) but with

different communities and different organizations to take advantage of the PCV presence to promote

information-exchange and sharing of best practices. They will assist in creating networks among and

between service providers and communites and build local organiztional capacity. 2) PCV will work through

zonal, district, or town health office HIV/AIDS units to strenghten the overall coordination of HIV/AIDS

services and to strengthen the linkages between prevention, care, and treatment services, including

wraparound activities.

PCVs will be assigned to various implementing, outreach or coordinating entities such as government

Health Office, HIV/AIDS Unit or an NGO, FBO, or CBO engaged in work targeting providers of Prevention

services. Volunteers will also work with Idirs, Anti-AIDS Clubs, and local structures engaged in prevention

services as a means of scaling-up and expanding outreach capabilities.

All PCV will be tasked with bringing different programs (Prevention, OVC, HBHC, and Treatment) together

to discuss linkages, referrals, and common goals.

Funding for Care: Adult Care and Support (HBHC): $800,000

This is a continuation of the same activity from FY07.

BACKGROUND

In January 2007, PC/ET started its operations in Ethiopia. Staff have been hired and PC/ET will receive 43

Peace Corps Volunteers (PCV) in October 2007 (33 PEPFAR-funded and ten funded with appropriations).

Based on requests from the Government of Ethiopia (GOE) and a subsequent field assessment, PC/ET

worked closely with the Ministry of Health (MOH) and the HIV/AIDS Prevention and Control Office (HAPCO)

to identify viable sites for PCV in eight zones in Amhara region and nine zones in Oromiya region. A key

criterion for site selection was the presence of ongoing PEPFAR activities, so that PCV could assist in

program linkages and coordination and ensure programs are reaching those in the community most in need

of services. PCV will be working with the zonal and district health offices, local partners, including PEPFAR

implementing partners, nongovernmental organizations (NGO), community-based organizations (CBO), and

faith-based organizations (FBO) to strengthen the coordination of HIV/AIDS services and to strengthen

capacity of communities and organizations to provide prevention, care, and treatment services. By working

at two levels, both directly with the community and with local health-coordination bodies, PCV have the

opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment-related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to PEPFAR globally. This comparative advantage—coupled with the urgent need for

prevention activities to respond to data revealing a concentrated epidemic, and the on-the-ground reality of

low coverage of services for high-risk groups—means that PCV will shift the focus of their activities primarily

towards meeting prevention needs.

PCV HOME-BASED CARE OVERVIEW

PCV will be assigned to government health offices, NGO, FBO, or CBO to strengthen the delivery of

palliative-care services to people living with HIV/AIDS (PLWH) and their caregivers. PCV will work in

collaboration with their counterparts to identify gaps and strengthen services to those chronically ill with

HIVAIDS or other opportunistic infections. This may include training in different components of home-based

care (HBC) or palliative-care work to connect families or individuals to services such as food or nutrition

supplements, healthcare services, or livelihood activities. PCV will engage in additional wraparound

activities in support of this programmatic area, including: promotion of food security and improved nutrition

through perm culture (low-energy gardens), OVC services, promotion of positive living and health

education, and PMTCT.

PCV TRAINING

In October 2008, PC/ET will receive 30 more PEPFAR-funded PVC and 15 more PVC funded through

appropriations. This will bring the projected total of PEPFAR-funded to 63 and appropriations-funded PCV

to 25, for a total of 88 PCV. During their pre-service training, PCV will receive training in basic HIV/AIDS

care, with an additional focus on palliative care and community-based/home-based care services. Training

will be conducted by the PC/ET training team. Information briefings on current programs working in Amhara

and Oromiya regions will be presented, and, where possible, materials for the PCV from existing programs

in the region will be shared. PC/ET will collaborate with the PEPFAR USG team to ensure that during their

training, PCV receive materials and technical expertise available through the USG PEPFAR team and

various PEPFAR partners in prevention.

In addition to technical training and access to existing PEPFAR resources, PCV will receive PEPFAR-

funded HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants.

PC/ET's VAST program is a PEPFAR-funded, small-grants and PCV training program. It supports small-

scale, capacity-building projects (including community-focused training) among CBO/FBO, and/or NGO that

work with, or provide services to, local communities to fight the HIV/AIDS pandemic. Through the VAST

program, PCV will support local projects that address pressing HIV prevention, care, and support needs at

the community level.

PCV ACTIVITIES

Once at their sites, PCV will support home-based care (HBC) activities and will help to coordinate HBC

services on several fronts. At the community level, PCV, their counterparts (CP) and local partners will

support community-level activities to organize a coordinated approach to HBC services. They will support

the capacity of local organizations and communities to provide HBC services, and strengthen the myriad of

social care services. They will support leadership development within PLWH associations and prevention

services as well as developing linkages to food support and income-generating programs. PCV will work

with their CP to build capacity of HBC service providers and beneficiaries by linking organizations and

individuals to locally available resources or PEPFAR-funded programs. At the service level, PCV and CP

will work with HBC clients and their families to ensure there are linkages to prevention services, drug-

adherence programs, OVC services, and access to food support and income-generating activities. PCV will

organize community events to help lessen stigma and discrimination towards PLWH and to strengthen the

capacity of communities to advocate and adequately respond to PLWH needs. They will also work with local

anti-AIDS Clubs, PLWH groups, and Idirs (local community institutions) to reach OVC and their caregivers.

In addition, PCV will work with government organizations, NGO, FBO, or CBO engaged in HBC services

and work with PLWH associations. They will encourage local partners and communities to strengthen HBC

services in at least two of the five areas: clinical/medical care, psychological care, social care services,

spiritual care, and prevention care.

PCVS AS COORDINATORS

Beyond direct interaction with the community and direct support and implementation of particular prevention

programs, PCV will work with district- and zonal-level coordinating bodies in order to support prevention

Activity Narrative: programs that address key epidemiological priorities at a higher level. They will assist in bringing different

organizations and programs together to discuss linkages, referrals, and common goals in order to

strengthen zonal and district efforts as a whole in HBC, and through this approach, help eliminate

duplication of efforts or conflicting messages. PCV will advocate for broader adaptation of innovative

approaches in their communities, and will provide organizational development, training, and implementation

support to community-based organizations and local government to design and implement appropriate

programs for HBC and their caregivers. PCV will act as facilitators in coordinating local efforts to work

towards common goals and build off one another's efforts.

TARGETS

Assuming that 40 PCV and their CP will each train ten individuals in HIV-related palliative care services, this

will result in 420 Ethiopians trained. Forty-three PCV will each assist one HIV-related palliative service outlet

(i.e., government organization, NGO, or community group) for a total of 42 HBC outlets. Forty-three PCV

will link 20 individuals to HIV-related palliative care services, reaching a total of 840 individuals.

This activity contributes to the overall PEPFAR plan to support the GOE's strategy for accelerated access to

HIV/AIDS prevention, care, and treatment in Ethiopia. PC/ET's unique talent is reaching people at the

grassroots, community level—an area that narrows the gap of people reached and trained in Ethiopia, as

few other implementers operate where PCV live and work over a two-year period. Peace Corps has a two-

pronged approach to strengthen the linkages of PEPFAR program areas and other programs, including

wraparound activities. They are: 1) Where possible, PCV will work in clusters with different skills to work in

the same geographic catchment area (i.e., zone) but with different communities and different organizations

to take advantage of the PCV presence to promote information-exchange and sharing of best practices.

They will assist in creating networks among and between service providers and communites and build local

organiztional capacity. 2) PCV will work through zonal, district, or town health office HIV/AIDS units to

strenghten the overall coordination of HIV/AIDS services and to strengthen the linkages between

prevention, care, and treatment services, including wraparound activities.

PCV will work either with government health office HIV/AIDS units or NGO, FBO, or CBO targeting HBC

providers or services. PCV will also work with PLWH associations, Idirs, and anti-AIDS clubs engaged in

HBC services.

In conclusion, all PCV will be tasked with bringing different programs (Prevention, OVC, HBHC, and

Treatment) together to discuss linkages, referrals, and common goals.

Funding for Care: Orphans and Vulnerable Children (HKID): $800,000

This is a continuation of activities from FY07.

BACKGROUND

In January 2007, PC/ET started its operations in Ethiopia. Staff have been hired and PC/ET will receive 40

Peace Corps volunteers (PCV—30 PEPFAR-funded volunteers and ten volunteers funded through

appropriations) in October 2007. Based on Government of Ethiopia (GOE) requests and a subsequent field

assessment, PC/ET worked closely with the Ministry of Health (MOH) and the HIV/AIDS Prevention and

Control Office (HAPCO) to identify viable sites for PCV in eight zones in Amhara region and nine zones in

Oromiya region. A key criterion for site selection was the presence of ongoing PEPFAR activities so that

PCV could assist in program linkages and coordination, and assure programs are reaching those in the

community most in need of services. PCV will work with the zonal and district health offices, local partners,

including PEPFAR implementing partners, nongovernmental organizations (NGO), community-based

organizations (CBO), and faith-based organizations (FBO) to strengthen coordination of HIV/AIDS services

and to strengthen capacity of communities and organizations to provide prevention, care, and treatment

services. By working at two levels, both directly with the community and with local health-coordination

bodies, PCV have the opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment-related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to PEPFAR globally. This comparative advantage—coupled with the urgent need for

prevention activities to respond to data revealing a concentrated epidemic, and the on-the-ground reality of

low coverage of services for high-risk groups—means that PCV will shift the focus of their activities primarily

towards meeting prevention needs.

There are more than five million orphans in Ethiopia—nearly one million of whom are believed to have been

orphaned by AIDS.. The Amhara and Oromiya regions have the highest number of orphans in the country

between the ages of 0-17. The need to support and care for OVC is great in several areas in the two

regions.

PCV ORPHAN AND VULNERABLE CHILDREN OVERVIEW

PCV will facilitate linking services to OVC between the ages of 0-17 and strengthening community

institutions to provide adequate care and support of OVC. PCV and their counterparts will train local

partners in developing an appropriate response to the needs of OVC in communities. Based on the

PEPFAR indicators and the PEPFAR Ethiopia draft standards-of-services for OVC, PCV will assist

communities to address OVC needs in one or more of the following areas of support: food/nutrition,

shelter/care, protection, healthcare, psychosocial services, education and vocational training, and economic

strengthening. PCV will also work with local HIV coordinating bodies to assist in prioritizing and linking

prevention, care, and treatment efforts to further expand services to OVC and their families.

PCV TRAINING

In October 2008, PC/ET will receive 30 more PEPFAR-funded PCV and 15 more more PVC funded through

appropriations. This will bring the total of PEPFAR-funded PCV to 60 and 25 appropriations-funded PCV,

for a total of 85 PCV. PC/ET pre-service training includes basic HIV/AIDS training with additional focus on

the needs of OVC and the PEPFAR standard-of-services will be a core component. Sessions on the status

of OVC in Ethiopia will be conducted to prepare the PCV to assist local communities in developing

appropriate, sustainable activities that adequately fulfill the needs of OVC. Training will be conducted by the

PC/ET training team. Information briefings on current programs working in Amhara and Oromiya regions will

be presented, and, where possible, materials for the PCV from existing programs in the region will be

shared. PC/ET will collaborate with the PEPFAR USG team to ensure that during their training, PCV receive

materials and technical expertise available through the USG PEPFAR team and various PEPFAR partners

in prevention.

In addition to technical training and access to existing PEPFAR resources, PCV will receive PEPFAR-

funded HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants.

PC/ET's VAST program is a PEPFAR-funded, small-grants and PCV training program. It supports small-

scale, capacity-building projects (including community-focused training) among CBO/FBO, and/or NGO that

work with, or provide services to, local communities to fight the HIV/AIDS pandemic. Through the VAST

program, PCV will support local projects that address pressing HIV prevention, care, and support needs at

the community level.

PCV ACTIVITIES

Once at their sites, PCV will support OVC activities through coordination of OVC services on several fronts.

At the community level, PCV and local counterparts (CP) and/or local partners will support community-level

advocacy activities to address OVC needs and support the capacity of OVC and the caregivers' access to

life and livelihood skills. PCV will work with their CP to build the capacity of caregivers to adequately care

for OVC through strengthening the linkages with schools, healthcare providers, and other local support

institutions. They will also engage community leaders and community members in discussions about

developing a broad strategic-services plan for OVC and their families. At the caregiver level, PCV and CP

will work with caregivers and OVC to develop appropriate income-generation activities and sustainable food

-security activities. They will also help OVC access education services. PCV will assist in organizing

community events to help lessen the stigma and discrimination toward OVC and to strengthen the capacity

of communities to advocate and respond adequately to OVC needs. PCV will work with local anti-AIDS

clubs, groups for people living with HIV/AIDS (PLWH), and Idirs to reach OVC and their caregivers.

PCV will work with government organizations, NGO, FBO or CBO engaged in work targeting OVC and their

caregivers. They will encourage local partners and communities to develop services in at least two of the

seven areas: food/nutrition, shelter/care, protection, healthcare, psychosocial; education and vocational

training; and economic strengthening.

PCV AS LOCAL COORDINATORS

Activity Narrative:

Beyond direct interaction with the community and direct support and implementation of particular prevention

programs, PCV will work with district- and zonal-level coordinating bodies to support prevention

programming that addresses key epidemiologic priorities at a higher level. Bringing different programs

together to discuss linkages, referrals, and common goals will strengthen zonal and district efforts as a

whole in the OVC program, and will help eliminate duplication of efforts or conflicting messages, which are

confusing to beneficiaries. PCV will assist in advocating for broader adaptation of innovative approaches in

their communities, and can provide organizational development, training, and implementation support to

CBO and local government departments to design and implement appropriate programs for OVC and their

caregivers. PCV will be a key force in coordinating local efforts to work towards common goals, support

delivery of one or more of the OVC services, and build off one another's efforts.

TARGETS

PC/ET assumes that 42 PCV and their CP will reach 20 OVC for a total 840 OVC served. The same 42

PCV will each train ten individuals in OVC care services (e.g., psychosocial support, education, food

security, income generation), training a total of 420 individuals.

This activity contributes to overall PEPFAR efforts to support the GOE strategy for accelerated access to

HIV/AIDS prevention, care, and treatment services.

PC/ET is unique in its ability to reach people at the grassroots, community level—an area that narrows the

gap of people reached and trained in Ethiopia, as few other implementers operate where PCV live and work

over a two-year period. Peace Corps has a two-pronged approach to strengthen the linkages of PEPFAR

program areas and other programs, including wraparound activities. They are: 1) Where possible, PCV will

work in clusters with different skills to work in the same geographic catchment area (i.e., zone) but with

different communities and different organizations to take advantage of the PCV presence to promote

information-exchange and sharing of best practices. They will assist in creating networks among and

between service providers and communites and build local organiztional capacity. 2) PCV will work through

zonal, district, or town health office HIV/AIDS units to strenghten the overall coordination of HIV/AIDS

services and to strengthen the linkages between prevention, care, and treatment services, including

wraparound activities.

In conclusion, all PCV will be tasked with bringing different programs (Prevention, OVC, HBHC, and

Treatment) together to discuss linkages, referrals, and common goals.

PCV will work either with government health office HIV/AIDS units or NGO, FBO, or CBO engaged in OVC

services. PCV will also work with PLWH associations, Idirs, and anti-AIDS clubs engaged in OVC services.

Adults and high-risk populations, including high-risk youth, are the key target populations for PCV

prevention efforts.

Funding for Treatment: Adult Treatment (HTXS): $0

This Peace Corps Ethiopia (PC/ET) activity relates to HIV-related Treatment (10591 and Prevention

(10582 ?).

PEPFAR resources allow PC/ET to strengthen the HIV/AIDS expertise of both Peace Corps

volunteers' (PCV) and the communities they serve. Those resources also augment PCV's ability to serve

host communities effectively. In its 2007 HIV/AIDS health program, PC/ET received PEPFAR funding to

participate in the treatment pillar. As such, PCV will engage in treatment-related activities and these activity

targets will be reported on both 2007 and 2008 PEPFAR semiannual reports.

However, recognizing Peace Corps' comparative advantage of having PCV living and working with host

organizations and counterparts at the community level, and in coordination with the USG PEPFAR office,

PC/ET will shift its focus away from treatment in 2007 and into prevention in 2008 and beyond. Additional

rationale for the 2008 prevention focus is that, as articulated by Ministry of Health (MOH) representatives, it

is believed there is a significant gap in prevention activities in semi-urban and rural areas. This comparative

advantage—coupled with the urgent need for prevention activities to respond to data revealing a

concentrated epidemic, and the on-the-ground reality of low coverage of services for high-risk groups—

means that PCV will shift the focus of their activities primarily towards meeting prevention needs.

To maintain continuity as PC/ET is moving out of treatment and into prevention, in FY07 PCV will continue

to work on linking prevention and care services to ART services and training health workers and lay-health

workers on ART service delivery.

As reflected in the targets for FY07 and FY08, PCV's roles were originally envisioned to have a significant

focus on treatment-related activities, such as building the organizational capacity of treatment facilities,

forming networks and linkages between treatment facilities and other services, and providing training to

treatment-service providers. However, after further analysis and discussions with stakeholders on how

Peace Corps can best contribute to the strategy of the USG Mission and priorities of the MOH, PC/ET has

determined that PCV can play a significant role in meeting the need to scale up targeted prevention

activities. The MOH has identified an urgent need for prevention activities for high-risk groups in low-

coverage areas to respond to data revealing a concentrated epidemic with high HIV prevalence in the

Amhara and Oromiya regions. In addition, the USG Mission's prevention strategy targets high-risk groups

along transport corridors. The placement of PCV along or near the major transport corridors in the Amhara

and Oromiya regions, coupled with Peace Corps' extensive experience in the area of prevention, makes this

an ideal area for PC/ET to support. While PCV will still work with treatment facilities to build referral

networks and form linkages with prevention and care services, PC/ET will shift funding from HIV/AIDS

Treatment (HXTS) to Other Prevention (HVOP) in FY08 to reflect the significant role PCV will play in

meeting the need to scale up prevention services in the identified priority areas.

Funding for Management and Operations (HVMS): $521,000

Management and Staffing: Peace Corps

Budget Details

This is a continuation of activity from FY07.

In October 2008, PC/ET will receive 30 PEPFAR-funded and 15 Peace Corps-funded volunteers. This will

bring the projected total of PEPFAR-funded volunteers to 60 and Peace Corps-funded volunteers to 25, for

a total of 85 volunteers. In 2008, all the volunteers will continue to work in Amhara and Oromiya regions and

PC/ET will explore other geographic areas for expansion of volunteer placements. All volunteers receive

PEPFAR-funded HIV/AIDS training and have access to Volunteer Activities Support and Training (VAST)

funds to support community-initiated HIV/AIDS activities.

In order to support the current number of 40 volunteers, Peace Corps will need to continue to support 17

personal-service contractor (PSC) positions. These include one each of the following: Executive Secretary,

Safety and Security Coordinator, Training Manager, Emergency Plan Coordinator, Medical Officer

(USPSC), Medical Secretary, Administrative Assistant, Voucher Examiner, Information Technology

Specialist, Receptionist, General Service Manager, General Services Assistant, and Janitor. It also includes

four Drivers.

In order to support the additional group of volunteers, the program will need to hire an Assistant Peace

Corps Director (APCD) for Health, a part-time Medical Officer, a Volunteer Records Clerk, and one Driver.

Necessary office equipment (e.g., furniture, computers) will be procured. Peace Corps will need to purchase

an additional vehicle to support the four new staff, as well as a bus to transport the volunteers. Management

and Staffing funds will also be used to support technical assistance from key Peace Corps headquarters

offices on program expansion and implementation, volunteer site development, and programmatic planning

for future fiscal years, as well as on ICASS services.

This activity contributes to the overall PEPFAR to support the GOE strategy for accelerated access to

HIV/AIDS prevention, care, and treatment in Ethiopia.