PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2005 2006 2008 2009
Management and Staffing
THERE HAS BEEN NO CHANGE IN STAFFING SINCE COP 08
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). The three positions in FY09 to
support PMTCT: an MCH/PMTCT Advisor (Global Health Fellow), PMTCT Technical Specialist (Locally
Engaged Staff, or LES), and PMTCT Health Network Monitor. In addition, there is a HIV/ Malaria Specialist
whose time is split between PMTCT and Pediatric Care and Support.
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/PICT,
ANC, tuberculosis (TB)/PMTCT linkages 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, fluent in local languages/dialects, 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 USAID/East Africa.
HIV/Malaria Specialist on HIV/AIDS Team works to "wrap-around" HIV/AIDS activities with activities
supported by PMI to provide greater leverage and support to strengthen both initiatives. The HIV/Malaria
Specialist liaises with Ethiopia's National Malaria Control Program (NMCP), the Ethiopian Health and
Nutrition Institute (EHNRI), Ministry of Health (MOH), HIV Prevention and Control Office (HAPCO) and other
government ministries and agencies, as well as in a wide range of civil society and private organizations,
other donor and international organizations, and other United States Government (USG) entities working on
HIV and Malaria prevention and control.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18715
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18715 18715.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $386,398
International International
Development Development
Table 3.3.01:
THERE HAS BEEN NO STAFFING CHANGE FROM COP08
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.
Continuing Activity: 18718
18718 18718.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $80,187
Table 3.3.02:
THERE HAS BEEN NO STAFFING CHANGE FROM FY 2008
This funding will help support three, full-time PEPFAR prevention positions at USAID. The Senior HIV/AIDS
support of a broad range of health promotion activities to strengthen community-based responses to
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
Team in the development of sustainable services and activities that reach at-risk populations. The
administrative functions related to the area of HIV/AIDS prevention. This funding will also support any
necessary short-term technical assistance visits.
Continuing Activity: 18721
18721 18721.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $128,727
Table 3.3.03:
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).
Continuing Activity: 18724
18724 18724.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $502,782
Table 3.3.08:
THERE HAS BEEN NO CHANGE IN STAFFING FROM COP08
USAID staff supporting the ARV Treatment Services Program Area includes two Direct Hires, two Foreign
Service National (FSN) ART Network Monitors. No new positions are proposed for COP09.
HIV/AIDS Officer (USDH)
The HIV/AIDS Officer, works 70 % time in this area, and plays a key role in overseeing and coordinating the
program elements treatment activities. The HIV/AIDS Officer is responsible for overseeing the delivery of
HIV/AIDS commodities at site level. He coordinates 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.
HIV/AIDS Office (USDH: Non-PEPFAR Funded)
The USDH, who is not PEPFAR funded, focuses on designing, implementing, monitoring and evaluating
facility-based programs with emphasis on strengthening primary care services, including Provider Initiated
Counseling and Testing (PICT), Adult & Pediatric Treatment, ART, facility-based PMTCT, pharmacies, labs
and clinic-based nutritional programs (food by prescription). She is responsible for the medical dimensions
of palliative care (both basic health care and TB/HIV) including other opportunistic infections, and linkages
with related health services such as maternal and child health, reproductive health, malaria, tuberculosis
and other infectious diseases.
HIV/AIDS Health Network Monitor (2: Regional Support/FSN)
The field-based PEPFAR HIV/AIDS Health Network Monitors contributes to ensuring the health of the
communities. The HIV/AIDS Monitors 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.
Continuing Activity: 18734
18734 18734.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $154,086
Table 3.3.09:
Funding for USAID Staff in the PDCS Program Areas
ACTIVITY HAS CHANGED IN THE FOLLOWING WAYS
PDCS - Since this is a new technical area in COP09, staff in this section have been reposition from other
sections in the portfolio.
COP08 NARRATIVE
Funding for USAID staff in the PDCS program area covers the following two positions:
The Pediatric Care Advisor provides technical leadership and technical oversight to PEPFAR Ethiopia in the
implementation of pediatric HIV/AIDS Care and Treatment programs and links them to the USAID Health
maternal and child health portfolio. The Program Advisor advises PEPFAR in the areas of contact tracing
and linkages USAID Health portfolio that includes maternal and child health, postnatal care for newborns,
family focus care and linkages to improve quality services to orphans and vulnerable children. At services
will clinical care and community-based services. Further, the Program Advisor serves as the focal person
for providing oversight in the scale-up of pediatric treatment and care services, and collaborate with the
Global Fund to Fight AIDS, TB and Malaria (GFATM), Clinton HIV/AIDS Initiative (CHAI), World Bank and
other donors to support the GOE's pediatric HIV/AIDS program. The Program Specialist will also be a lead
participant in the facilitation of relevant networks and partnerships, and work with the GOE to ensure best
practices on pediatric ART are utilized by PEPFAR implementing partners.
Table 3.3.10:
PDTX - Since this is a new technical area in COP09, staff in this section have been included from other
Funding for USAID staff in the PDCS program area covers the following position:
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
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
communities. The HIV/AIDS Monitors will examine on-site operations, procedures, and performance of
Table 3.3.11:
There has been no change in staffing from FY 2008
The TB/HIV Specialist provides technical, management, and coordination services in support of
USAID/Ethiopia's PEPFAR program. The Specialist is responsible for a broad range of planning,
monitoring, coordination, capacity building, and implementation of tasks related to TB/HIV in Ethiopia,
namely strengthening institutions, training health providers and assist in rapid scaling - up of access to
TB/HIV care. The Specialist also is responsible to continue working with national governments and partners
to improve the policy environment for TB/HIV coordinated activities. The Specialist works on decreasing
morbidity and mortality by increasing case detection and treatment success of pulmonary TB patients with
more focus on five major areas: 1) Advocacy; 2) DOTS expansion; 3) Public Private mix; 4) TB/HIV; 5)
Human Resource Development in USAID priority countries. TB/HIV Specialist is supervised by the Care
and Support Advisor. In addition, the Specialist will provide extensive technical assistance to the Federal
Ministry of Health (MoH), regional and local governments of Ethiopia.
In addition, funding for USAID staff in the HVTB program area covers short-term technical assistance from
Washington and/or USAID/East Africa including program evaluation.
Continuing Activity: 18727
18727 18727.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $300,000
Table 3.3.12:
THE ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
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. This funding will also support short-term technical assistance.
Continuing Activity: 18729
18729 18729.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $434,717
Table 3.3.13:
There has been no change in staffing from COP 08
Funding for USAID staff in the HVCT program area covers one HIV/AIDS Counseling and Testing
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 with an emphasis on Most-At-Risk Populations. 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.
Continuing Activity: 18730
18730 18730.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $328,333
Table 3.3.14:
USAID staff supporting the ARV Drugs Program Area includes one U.S. Direct Hire (USDH) HIV/AIDS
Officer, one Third Country National (PSC) and one Foreign Service National (FSN) HIV/AIDS Health
Network Monitor. Functional responsibilities for the USAID staff in the ARV Drugs Program Area are as
follows:
HIV/AIDS Officer (USDH: filled)
The HIV/AIDS Officer, works 30 % time in this area, and plays a key role in overseeing and coordinating the
program elements of PEPFAR Ethiopia's treatment activities. The HIV/AIDS Officer 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 coordinates 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 (TCN/PSC)
The Commodities Supply Advisor is 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.
HIV/AIDS Health Network Monitor (FSN)
partners and GOE staff, and provide critical feedback to the PEPFAR technical working groups. Through
written reports, the Monitor defines needed follow-up activities at existing sites to ensure problems are
addressed in a timely fashion. He works 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.
Continuing Activity: 18733
18733 18733.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $550,586
Table 3.3.15:
THIS ACTIVITY REMAINS UNCHANGED IN FY09
Funding for USAID staff in the HVSI program area covers one HIV/AIDS SI Advisor and one HIV/AIDS
Quality Assurance Program Specialist, a Locally Engaged Staff.
The Strategic Information (SI) Advisor provides technical, operational, and management support to USAID
PEPFAR activities. He is involved in the planning, design, data management and reporting of project
activities and results. He oversees data quality from all partners and is responsible for helping the PEPFAR
Team achieve specific targets established by the Department of State/Office of the Global AIDS
Coordinator, as well as for supporting office-wide monitoring and evaluation activities. He serves on the
GOEs National HMIS Steering Committee and the PEPFAR SI Technical Working Group. As a certified
CTO, he also manages several PEPFAR programs.
The HIV/AIDS Quality Assurance Program Specialist is the liaison to the USAID/PEPFAR technical working
groups. The Quality Assurance Advisor collects and analyzes monitoring reports from field monitors and
make recommendations to the technical teams on a biweekly basis. The Quality Assurance Specialist
further contributes by providing leadership to improve program monitoring, evaluation and dissemination
efforts by all relevant partners and stakeholders.
Continuing Activity: 18749
18749 18749.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $25,935
Table 3.3.17:
There have been changes in staffing from COP 08 - Regional positions have been removed.
Funding for U.S. Agency for International Development (USAID) staff in the Other Policy Development and
System Strengthening program area covers one Senior Private Sector Advisor (US/TCN Personal Services
Contract); one Private Sector Specialist (LES); one Gender Specialist (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 Health Resource Capacity Advisors (US/TCN), and
short-term technical assistance as required. Position summaries follow.
Senior Private-Sector Advisor (US/TCN PSC)
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 Labor and Social Affairs, and other
government officials and nongovernmental organizations, particularly the commercial sector.
Private-Sector Advisor (LES)
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 (LES)
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 (US/TCN PSC)
The Advisor assists the USG country team to analyze and monitor healthcare financing reforms supported
by the USG. The advisor also supports and ensures 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, and
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 (LES)
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 PSC):
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 systems; 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
Activity Narrative: 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
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.
Organizational Capacity Advisor (LES)
The Organizational Development Specialist carries out a range of responsibilities for planning,
implementing, monitoring and overseeing capacity building initiatives related to PEPFAR activities. The
Specialist supports PEPFAR Ethiopia goals to increase the number of indigenous organizations receiving
USG support and to ensure that adequate capacity is built to strengthen their ability to manage technical
and financial elements of their programs. The incumbent focuses on supporting indigenous organizations to
ensure sustainability of HIV/AIDS activities post-donor support. The incumbent is responsible for
addressing administrative, managerial, and programmatic and technical capacities at federal and regional
levels, including at regional health bureaus, non-governmental organizations (NGOs), community-based
organizations (CBOs), and faith-based organizations (FBOs).
The Human Resource Capacity Advisor (US/TCN PSC)
The Human Resource Capacity Advisor works in the USAID Capacity Development and Policy Cluster,
which is part of the HIV/AIDS Team in the Health, Population, AIDS and Nutrition (HAPN) Office. The
Advisor liaises with USG partners, multilateral and bilateral donors on issues related to the implementation
of Ethiopia's Human Resources for Health Strategy. In addition, at the national level, facilitate regional and
district planning activities to ensure appropriate involvement of all relevant partners including PEPFAR
partners promote integration of human capacity development initiatives supported by partners, including in-
service and pre-service training. Further activities are focused on strengthening pre initiatives to strengthen
health policy, human resources for health, donor coordination, health financing, organizational capacity,
public/private partnerships and governance of the health sector.
Continuing Activity: 18751
18751 18751.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $1,409,420
Table 3.3.18:
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.
Continuing Activity: 16609
16609 10659.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $665,605
Table 3.3.19:
USAID Management & Staffing
HVMS -- There has been no change in staffing from COP 08
Summary
In FY08, over the course of several months, a series of meetings were held to map existing skill sets across
USG agencies to determine critical staffing gaps and avoid duplication. Country level consensus was
reached through a three-tiered process (TWG, Collaborative Team, and Executive Council) in consultation
with the Ministry of Health on where strategic staff additions were most needed. In COP 2008, we
established a dedicated interagency task-force to address ongoing SfR implementation issues in
consultation with the host country. Reviews of SfR have been linked to the annual progress reporting of
results and modifications in staffing have considered by the SfR task force as needed. Approval of our
COP08 occurred in April, 2008. No major changes in the USAID staffing pattern have occurred since the
approval of COP08. The USG team has worked diligently on addressing staffing issues for the COP09
program.
Historically, USAID-managed activities under the PEPFAR program have rapidly expanded. In FY004,
USAID managed a $27M program. By 2008, funding and the portfolio had grown to $215 million. The
proposed FY09 USAID-managed budget continues to place increased demands on this dedicated team's
contribution to the countries goal to provide universal access by 2010. USAID-managed programs have
evolved and expanded geographically and technically to meet PEPFAR country objectives. USAID, with
other USG colleagues, continue to be challenged by the complexity of the program, including the number of
non-PEPFAR donors working in the same arena which require extensive coordination and continual
adjustments to the PEPFAR program to ensure efficiencies in donor harmonization and overall country
impact.
In February 2008, 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
- Strengthen linkages and referrals across health networks, including child survival, family planning and
malaria programming
-Coordinate MCH activities with international donors, including Gates and Buffet Foundations
-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 FY09
In FY08, senior program management determined that it was essential to expand USAID staff to meet the
needs of the rapidly growing program, and beginning June 2008 began hiring staff to meet the demanding
program and targets and objectives.
The USAID team has structured itself into seven management clusters: 1) Logistics and Facility Readiness;
2) Capacity Development and Policy; 3) Strategic Information; 4) Prevention; 5) Family and Community
Services; 6) Facility-based Clinical Care; and 7) HIV Extended Team. This management structure
maximizes potential for wraparounds with USAID's technical specializations in economic growth, education,
and PL480 Title II food assistance. A major emphasis has been building stronger linkages with other
bilateral and multilateral donor programs and leverage non-PEPFAR USG development-assistance funding.
USAID's technical staffing will continue to:
-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
Activity Narrative: 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
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 and procurement activities, 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 PEPFAR Coordinator, who is the primary point of contact with the Office of the Global AIDS
Coordinator and is the coordinator of activities and plays a critical role in the planning, implementation, and
reporting of program performance of inter-agency programs.
The 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 on various interagency technical
working groups.
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.
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 three Acquisition and
Assistance Management Specialists, provides technical expertise for procurement and related aspects of
the administration of contracts and assistance instruments.
The Program Officer works provides administrative and management oversight linking COP, Malaria
Operational Plan (MOP), and the Operational Plan (OP). The Officer is also responsible for agency audits
related to PEPFAR and managing coordination with the Ethiopia Ministry of Finance and Economic
Development.
One Program Development Advisor sits 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.
Staffing in this section also supports five administrative/secretary support staff and five drivers.
Funding in this program area also includes $1,720,910 for office equipment and $112,000 for cost of doing
business.
Continuing Activity: 16608
16608 5573.08 U.S. Agency for US Agency for 7479 118.08 USAID M&S $5,442,888
10405 5573.07 U.S. Agency for US Agency for 5475 118.07 $3,033,735
5573 5573.06 U.S. Agency for US Agency for 3748 118.06 $2,104,000
