Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 10558
Country/Region: Ethiopia
Year: 2010
Main Partner: Ministry of National Defense - Ethiopia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $1,100,000

The overall objective of Ethiopia National Defense Force HIV/AIDS program in COP 2010 is to avert new HIV infection among soldiers of the Ethiopian National Defense Force, ranging in age from 18 to 40, and create access for soldiers and their family members to HIV/AIDS services including HIV testing, STI treatment, other opportunistic infections and antiretroviral treatment.

Ethiopian soldiers are among those groups that are at high risk: the majority of the soldiers are young, mobile, and sexually active and have close interactions with other most at risk populations surrounding the military barracks. Research conducted in 2004 among 72,000 urban and rural male army recruits indicated high HIV prevalence among the armed forces: an overall 7.2% among urban and 3.8% among rural recruits. This data clearly shows that the prevalence of HIV/ AIDS among the soldiers is high. The specific behavioral outcomes under this project include, but are not limited to, increasing correct and consistence use of condoms, increase use of HIV treatment, STI, HCT services; reduction in number of multiple sexual partners; and improve the soldier's ability to discuss risk and stigma associated with HIV/AIDS.

In COP 2010 Ethiopian National Defense Ministry will continue to use different strategies to reach more than 100,000 soldiers and their family members all over the country. Strategies include Modeling and Reinforcement to combat HIV/AIDS (MARCH), IEC/BCC material production and distribution, entertainment education, capacity building, training, provision of prevention commodities and treatment services to avail a comprehensive HIV/AIDS services.

Monitoring and evaluation is the major component of the project to assess progress of implementation. All these strategies listed above will be supported by a number cross cutting programs such as male gender norms, initiatives against gender based violence, and stigma and discrimination to avert new HIV infection in the National Defense Force. The overall prevention strategy uses structured peer-group discussions of smaller groups (5-15) that are based on stories in comic books. The peer outreach also uses mobilizing military anti-AIDS clubs, coffee ceremonies and health education on specific topics.

The prevention activities use entertainment and comics in the printed serial drama, which show benefits of positive and responsible sexual behaviors and consequences of irresponsible and unsafe sexual practices to shape the behavior of soldiers. Soldier peer discussions that happen regularly every two weeks will give the soldiers the opportunity to relate the stories to their personal and social lives. Tailored and evidence based IEC/BCC materials on the lives of soldiers, serving as glue between service seekers and HIV related services, will support the speeding up the behavior change.

Under this activity culturally sensitive and tailored IEC/BCC material such as posters, brochures, leaflets, will be produced and properly disseminated to reach soldiers. Capacity building through training soldiers and support staff in the areas of strategic health communication, health project management, financial management, helps the Ministry of National Defense Force to have trained and equipped soldiers and support staff to react to the versatile challenges of HIV/AIDS. Systematic referral system plays a big part to sustainable challenge the problem of HIV and AIDS in the National Defense Force; consultation and workshops are to be organized among the different stakeholders working on soldiers to strengthen service linkages. Over all, this activity more strengthen and consolidate service linkage and integration among the different stakeholders working to reach Ethiopian soldiers to support the national effort of reducing the prevalence of new HIV infection and mitigating HIV/AIDS impact.

All prevention programs are rigorously monitored to assess the progress of the project implementation. Periodic reports of peer group discussions, supportive site supervision, and number of education entertainment programs are the major program indicators of the National Defense comprehensive HIV/AIDS prevention project. In COP 2010, the National Defense Force of Ethiopia will finalize MARCH outcome evaluation, and the results will be useful in reviewing, strengthening (designing) the HIV/AIDS prevention and control strategies that were used among the uniform services target population.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $110,000

None

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $990,000

None

Cross Cutting Budget Categories and Known Amounts Total: $65,000
Gender: Gender Based Violence (GBV) $15,000
Human Resources for Health $50,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Military Populations