Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12300
Country/Region: Ethiopia
Year: 2010
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $1,565,840

formerly mech 00603_1

Funding for Health Systems Strengthening (OHSS): $1,565,840

The goal of USAID/UHEP is to support at scale, implementation and monitoring of the Government of Ethiopia's Urban Health Extension Program (UHEP) and improve access to and demand for health services.

The organizing principle of the UHEP is provision of "household-centered" services with strong referral linkages to public sector health facilities. Urban HEWs will be placed in the health centers so as to bridge households, communities and the Health Center. Overall, it is expected that more than 6,400 UHEWs will be recruited, trained and deployed. This activity will continue to support the launching of the UHEP beyond Addis Ababa including supporting pre-service and in-service training focusing on key HIV/AIDS messages and information including: provision of counseling to community members, provider initiated HCT, home based care and support, PMTCT, syndromic management of STI, adherence counseling (and defaulter tracing) for ART and TB. The activity will also focus on providing UHEWs skills and capacity to work with and engage their communities. The activity will alsgo support pre-service and in-service training of UHEW supervisors including adaptation/development of tools to promote timely and supportive supervision. Community mobilization and BCC for health prevention, promotion and risk reduction will be key to increasing demand for public health services to promote improved health seeking behavior by communities and more specifically targeted towards at risk population.

What is the systems barrier/s that this mechanism/activity addresses? In Ethiopia the highest concentration of people living with HIV/AIDS is in the urban areas. Due to high levels of stigma and low levels of income, at risk groups in urban areas have some of the lowest rates of access to health services.

How does mechanism/activity address this barrier? Through provision of technical support, this activity will work to enhance the capacity of the GOE to implement the UHEP effectively. To this effect, the activity will provide technical support in areas such as: developing the skills of UHEWs on how to work with communities, and specifically MARPs and developing the skills of UHEWs on how to collect, analyze and use data for decision.

Key Issues Identified in Mechanism
Malaria
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning