Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3805
Country/Region: Ethiopia
Year: 2009
Main Partner: Defence University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $126,000

Funding for Treatment: Adult Treatment (HTXS): $126,000

ACTIVITY UNCHANGED FROM FY2008

HIV/AIDS (ART) Program Implementation Support

This is a continuation of activity from FY08. The partner does not have cooperative agreement with CDC

and has not received funds so far. It is in the process of securing a cooperative agreement with CDC.

The Defense University (DU), located in Addis Ababa, is the only university providing training and technical

support for members of the military and their dependents. It provides training for general medical

practitioners (MD), public health officers, and a number of mid-level training courses for other cadres of

health professionals. It is currently supporting in-service training for health workers from the military health

services, as well as health workers from other public health services. It has voluntary counseling and testing

(VCT), PMTCT, and ART service facilities within its teaching hospital, the Armed Forces General Teaching

Hospital (AFGH), which has been used as a demonstration site for many HIV/AIDS-related services. The

DU teaching hospital is the major referral facility for the military and dependents and currently handles a

huge patient load, including those with HIV/AIDS.

As the military (and the uniformed services, including police), which constitutes a high-risk group for

HIV/AIDS, is scaling up its response to the HIV/AIDS epidemic by utilizing opportunities and resources

through numerous national and international initiatives, DU has developed a strategic plan to develop the

required human resources by mainstreaming HIV/AIDS interventions into its training programs. With support

from PEPFAR Ethiopia's implementing partners, DU has begun institutionalizing HIV/AIDS-related activities

and has established a structure that will coordinate them. Tangible measures have been taken to coordinate

activities with Addis Ababa University. Currently there is much collaboration between the two universities in

terms of training, research, and service-related activities.

The number of individuals who ever received ART at AFGH as of June 2007 was 1,089. From June 2006 -

June 2007, 2,302 individuals had counseling and testing for HIV and have received their results.

These activities will be continuing in FY08 and DU plans to include technical support for ART scale-up

(3000 patients ever started), counseling and testing (5000 clients), TB/HIV (750 patients), palliative care

(4000 patients), PMTCT (500 pregnant woman), and STI services (500 patients).

In FY08, through the support of the University of California, San Diego (UCSD), DU will continue to

coordinate and scale up the response to HIV/AIDS it has initiated in collaboration with its partners. The

university will build on previous support and the achievements gained through its collaborative activities with

PEPFAR Ethiopia, particularly experience gained in FY06 and FY07. The university and its teaching

hospital will work with the military and police health networks in delivering care and ART services. It will

establish a functional network with the Ethiopian Ministry of Health, the HIV/AIDS Prevention and Control

Office, the regional health bureaus, and nongovernmental organizations to implement activities planned for

FY07.

FY08 will afford the university and its teaching hospital opportunities to build its capacity to support facilities

in the military health network. For the university to establish itself as a training and technical support center,

it needs to upgrade its managerial capacities in FY08. It will also undertake review meetings with other local

universities and stakeholders. It needs to work closely with UCSD, as this will present a unique opportunity

to handle directly the administration and management of the technical and logistical arrangements required

to support health networks delivering ART and related services. DU will, therefore, need to be provided with

direct financial and technical support that will enable it to establish the required services through a

cooperative agreement with CDC Ethiopia. This will allow the university to strengthen its engagement in

managing its HIV/AIDS program and its support to the national and regional programs. It will also help DU

to be in a position to take over the technical support currently provided by UCSD.

DU will focus in areas where its staff will gain experience in the administration and management of the

technical and logistics of the HIV/AIDS program for future sustainability. These include:

1)Scale-up of HIV/AIDS programs

2)Training (Pre -service and in- service)

3)Curriculum strengthening by integrating HIV/AIDS

4)Facilitating conditions with partners to enable AFGH to become one of the centers of excellence for the

different HIV/AIDS programs in the country

5)Building up AFGH laboratory capacity to the level of referral site for other Defense hospitals

6)Supportive supervision and clinical mentoring

7)Site-level support

New/Continuing Activity: Continuing Activity

Continuing Activity: 16705

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16705 5676.08 HHS/Centers for Defense University 7514 3805.08 IS for HIV/AIDS $140,000

Disease Control & ART Program

Prevention through Local

Universities in

the FDRE under

PEPFAR

10559 5676.07 HHS/Centers for Defense University 5534 3805.07 $100,000

Disease Control &

Prevention

5676 5676.06 HHS/Centers for Defense University 3805 3805.06 $100,000

Disease Control &

Prevention

Table 3.3.09: