Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 8222
Country/Region: Ethiopia
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

Prevention APS

ACTIVITY UNCHANGED FROM FY2008

This APS is restricted to programs that will strengthen and expand the PEPFAR/Ethiopia Prevention

program in urban, peri-urban, and high prevalence "hotspot" areas by ensuring those at high risk for HIV

transmission have access to a full range of prevention services. The goal of this APS is to provide support

for the design, implementation and evaluation of prevention interventions and services that address the

risks associated with the full spectrum of transactional sex in urban centers and "hotspots." For the

purposes of this APS, transactional sex is defined as the full spectrum of exchanging sex for money or

goods, from a self-identified commercial sex worker in a brothel to a woman who does not identify as a sex

worker, but who occasionally or frequently exchanges sex for necessary goods or luxury goods permitting

upward social mobility.

This APS will focus on reaching adults and young people engaged in transactional sex. The following

venues are illustrative examples of where prevention programs should target their interventions for reaching

women and men engaged in formal & informal transactional sex:

Bar and disco based

Café house based

Street based

Workplace based, from mobile work settings to government offices

Brothel based, specifically for formal sex workers

Marketplaces

Hotspots near military posts

The targeted program areas will include

•The prevention of HIV transmission in urban settings and "hotspots".

•The development, implementation and evaluation of tailored prevention interventions

•The conduct of rapid and formative monitoring and evaluation of activities to increase the knowledge of risk

behaviors and the context for high risk populations.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18711

Continued Associated Activity Information

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

System ID System ID

18711 18711.08 U.S. Agency for To Be Determined 8222 8222.08 APS

International

Development

Table 3.3.03:

Funding for Care: Orphans and Vulnerable Children (HKID): $0

APS/Integrated Community Systems to Mitigate HIV/AIDS Impact on Children /Round 3

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS

This represents activities of selected winning partners from round three from the Annual Program

Statement, Integrated Community Systems to Mitigate HIV/AIDS Impact on Children of 2008. The request

for funding will continue to fund these TBD projects in FY 2009. PEPFAR/Ethiopia will inform OGAC on the

selected partners in the coming months and provide the names of the new partners and their project

descriptions.

COP08 NARRATIVE

This Annual Program Statement (APS) is restricted to programs that will strengthen and expand the

PEPFAR/Ethiopia Orphans and Vulnerable Children (OVC) program in underserved, urban areas with high

HIV prevalence. This activity will maintain partners' programs selected in 2007 and allow PEPFAR Ethiopia

to select additional partners in 2008. The Year One budget for COP08 will support 3-5 programs ranging

between $500,000 to $2,000,000 per year. The 2008 APS funding will cover the mortgage of existing 2007

partners and allow PEPFAR Ethiopia to fund additional OVC activities.

Family and community-based responses must be strengthened to meet the age and developmental

appropriate needs of children. Family and community-based responses must ensure that OVC have a

genuine role in defining both their needs and the appropriate solutions. Increased linkages are needed

among OVC programs, child survival, food security, palliative care, and prevention programs. Additionally,

referrals must be strengthened between community-based OVC programs and health facility programs for

counseling and testing, integrated management of child illness (IMCI), ART, nutrition, and general health

services. Given the high rate of under age five child morbidity and mortality, OVC programs must expand

partnerships with child survival programs, especially to improve clinical support for the children made even

more vulnerable due to HIV/AIDS.

To address the above, PEPFAR Ethiopia will solicit applications from prospective partners to reinforce

family and community responses to providing quality, comprehensive, and coordinated care for children

affected by or living with HIV and their families. APS applicants will acknowledge existing service provision

to OVC and present strategies for addressing gaps in the areas of access to education and life skills, food

and nutrition, psychosocial support, economic strengthening, shelter, legal/protection, and referral to health

services (e.g., IMCI services, malaria treatment, immunization, HIV counseling and testing, palliative care,

ART). Achieving sustainable coordinated community care for OVC will include the application of service

standards and approaches to improving and assuring quality of care. APS recipients will need to support

community capacity building and mobilizing of local resources especially through community volunteers,

caregivers, family members, and local Ethiopian organizations. Increasing community linkages between

OVC programs and other PEPFAR and USG partners will be central to the new award. Technical

assistance will be needed to support local OVC programs in developing or improving referral systems to

and from health facilities, government services, and other community child services. Health facilities should

be able to refer HIV-affected OVC to community services supported or strengthened by APS recipients.

Community-based OVC programs under this APS will need to plan and budget in order to absorb the OVC

referred to them. An additional component of the APS will be supporting community data collection to

monitor progress in OVC wellbeing and using data to inform activity modifications. This may require

development and alignment of OVC partner indicators based on service standards and desired outcomes.

Community data management will support and feed into larger GOE efforts to monitor and report on

services to OVC. APS recipients will be expected to provide support to GOE to strengthen capacity in

monitoring information systems.

New partners selected under this APS will be able to use the existing tools and forms developed under the

PC3 Program. New partners will apply the Standards of Services for OVC in Ethiopia and PEPFAR's OVC

Programming Guidance, July 2006. New partners will also have access to technical assistance through

Population Council and EngenderHealth to incorporate strategies for addressing gender issues into OVC

programming. Preventing and mitigating impacts of gender-based violence and early marriage will be

emphasized. Achieving wraparounds will other sector activities will be demonstrated by APS recipients,

especially in the areas of food and education. APS recipients will partner with PEPFAR-supported clinical

partners to ensure linkages to health services, especially for HIV-exposed or infected infants and their

families.

During the first year of operation, activities under this APS will provide support to an estimated 160,000

OVC and their families, with an emphasis on filling gaps in provision of household support under PEPFAR.

An estimated 20,000 caregivers and other community members will be trained to provide OVC quality

coordinated care services. New partners will be required to develop sustainable community-based activities

with graduation strategies in place. Recipients will also be monitored to ensure that OVC and their families

are actively engaged in the programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16600

Continued Associated Activity Information

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

System ID System ID

16600 10508.08 U.S. Agency for To Be Determined 8222 8222.08 APS

International

Development

10508 10508.07 U.S. Agency for To Be Determined 5474 683.07 *

International

Development

Table 3.3.13: