Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7598
Country/Region: Ethiopia
Year: 2009
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,652,314

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,652,314

Targeted Condom Promotion

ACTIVITY CHANGED IN THE FOLLOWING WAYS:

This is an ongoing activity funded in the FY06 supplemental that began in late FY07.

Using existing behavioral and HIV prevalence information, the activity will support targeted condom-

promotion activities including market analysis, materials production, and technical leadership and technical

assistance to USG partners on condom programming to reach targeted most-at-risk populations (MARPs),

and specific high-risk settings and geographic areas in several regions. In these areas intensive promotion

to MARPs, accessible and subsidized condoms, abstinence, be faithful, consistent and correct condom use

(ABC) messaging, and linkages to HIV and other prevention, care, and treatment services will be available.

Partnering with local civil society service providers and clinics in urban areas, the implementing partner will

focus on sexually active youth and adults for targeted condom promotion. Specific emphasis will be placed

on reaching at-risk populations engaging in high-risk activities. The partner will establish presence in

several towns along corridors to supplement existing at-risk population programming. The implementing

partner will collaborate closely with other PEPFAR partners to achieve coverage of targeted areas and

populations. Furthermore, several faith-based organization (FBO) partners have requested USG support to

create independent referral points for sexually active youth receiving AB services; these will be developed

by the implementing partner.

This activity has four components:

(1) Support targeted condom promotion activities with market analysis and branding, materials adaptation

and distribution, communications activities and network referral linkages for MARPS. Condom promotion

activities are expected to include strategic use of communications including selected print, radio, billboard

and other advertising means , point-of-sale promotion, experiential communications and peer-group

(interpersonal communications) programs largely implemented by USG partners. Themes will draw from the

following principles: correct, consistent condom use by men and by women; women's right to say no to sex;

sanctioning coercive sex; and cross-generational and transactional sex. In addition, specialized

communications for people living with HIV/AIDS (PLWH) will be supported to ensure knowledge and

practice of secondary prevention and positive living. The implementing partner will work collaboratively with

partner organizations, bilateral agencies and appropriate Government of Ethiopia agencies to facilitate

targeted promotion programs and correct and consistent condom use elements of partner behavior-change

and communication (BCC) interventions.

(2) Collaborate with USG HIV-prevention activities, including the National Defense Forces of Ethiopia and

five refugee camps.

The implementing partner will collaborate with PEPFAR implementing partners to assure distribution of

condom commodities to MARPs. This will include work with PEPFAR partners working with the Ethiopia

Defense Forces, refugee camps, and Ethiopian universities to prevent persistent stockouts.

The implementing partner will collaborate with PEPFAR partners to assure targeted outreach and

distribution in central marketplaces/entertainment districts in cities, and in towns along transportation

corridors with target populations defined as commercial sex workers (CSW), women not self-identifying as

CSW but involved in transactional sex (i.e. vendors), men and women in cross-generational relationships,

and those with multiple, concurrent partners.

USG-supported targeted condom outlets and outreach programs will be provided with consistent supplies of

condoms, information-education-communication (IEC) materials and point of distribution/sales training

(including referral skills) to support condom programming elements and to discuss ABC comprehensively.

(3) Collaborate with the national logistics system implemented by PHARMID to integrate unbranded

condoms into HIV clinical settings nationwide in a uniform fashion. PHARMID will integrate condoms into

the ARV and medical-commodity logistics system for delivery to voluntary counseling and testing (VCT),

ART, and pre-ART clinics and to case managers within the ART health network, including hospitals and

health centers. USG partners in facilities will work with local authorities to support distribution to clinical

facilities. The targeted promotion implementer will facilitate the production of condom IEC materials in the

broader context of a behavioral-change campaign with objectives specific to increasing condom use among

at-risk groups.

(4) Provide technical assistance to several government bodies with capacity building to implement evidence

-informed HIV-prevention activities to at-risk populations. Government bodies include: the Drug

Administration and Control Authority and several National and Regional HIV/AIDS Prevention and Control

Offices and Health Bureaus.

The implementing partner will address male norms and behaviors surrounding condom use, promoting

consistent and correct use in instances of high-risk sexual encounters and in long-term relationships. In

addition, the implementing partner will provide tools for civil society implementers to better integrate

discussions on condoms into their HIV-prevention programs.

In the process of implementation, the partner will subcontract and provide technical assistance to

indigenous advertising/marketing companies to strengthen their capacity to participate in public health

programming.

This additional funding is being reprogrammed from the Interagency APS for Prevention. The increase in

funding will allow the new partner PSI to expand efforts to reach at-risk populations in urban settings; this is

an HIV prevention priority in Ethiopia. There are no changes to the narrative or targets set for this activity.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16594

Continued Associated Activity Information

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

System ID System ID

16594 6631.08 U.S. Agency for Population 12031 12031.08 $2,652,314

International Services

Development International

10404 6631.07 U.S. Agency for Population 12026 12026.07 $1,500,000

International Services

Development International

6631 6631.06 U.S. Agency for USAID Central 8369 8369.06 USAID Central $1,000,000

International Commodity Fund Commodity

Development Fund

Table 3.3.03: