Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 12321
Country/Region: Ethiopia
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

This is a sole-source TBD for Gondar University since the current CoAg will expire in 2010. Gondar University (GU), one of the oldest universities in Ethiopia and the only one in the north-west, trains various health cadres and other professionals using curricula that particularly focus on community-oriented practical education tailored to address the trained human resources needs of the country. GU has a student body approaching 16,000 students, of whom nearly 5,000 are in the health sciences. The teaching hospital of the university is a referral hospital providing health services to people coming from different areas of the Amhara region, the second-largest region in Ethiopiaand the one where HIV/AIDS is most prevalent. As of October 2009, the teaching hospital had 3,175 patients still on ART. It is also strategically placed to support the Afar region, which along with Tigray and Amhara constitute ART Operational Zone 1 in PEPFAR Ethiopia's regionalized support to the national ART program. Direct funding to a local institution like GU fosters ownership of the national response, improves prospects for sustainability, and achieves certain cost-efficiencies and flexibility for allocating resources to address HIV.

Through support from PEPFAR Ethiopia, the university is systematically institutionalizing HIV/AIDS services to the students and community, and building capacities that will enable it to provide assistance to the regional health bureaus (RHB) and the health networks in Amhara, Tigray and Afar regions. Using the well-established collaboration with the University of Washington (ITECH) through support from PEPFAR Ethiopia, GU will strengthen its anti-HIV/AIDS response and ability to provide technical assistance (TA) to regional activities. Through support from ITECH, GU will be supported to accommodate large increases in health student intake, especially for medical education. GU is also supported by the Ethiopia Public Health Association (EPHA) to conduct mortality surveillance at the community, an important activity for strategic information since there is no vital registration system in Ethiopia. Such information is useful for decision-makers to address existing and emerging public health threats.

For GU to establish itself as a long-term technical support center for its ART operation zone, it needs to build adequate managerial and leadership capacities. There is a need for deliberate action to establish managerial and technical capabilities by offering the university the opportunity and challenge to handle directly the administration and management of the technical and logistical arrangements that are required to support the health networks delivering ART and other HIV/AIDS-related services. The university will strengthen its support for in-service training and direct TA to Amhara RHB and initiate pre-service training on HIV/AIDS, including ART. GU will be involved in regional activities related to data processing, documentation of best practices, and dissemination of scientific information. GU will collaborate with University of Washington (I-TECH) and Management Sciences for Health (MSH), and also undertake planning and review meetings with other local universities and stakeholders as appropriate. By closely working with and getting intensive technical support from I-TECH, GU will be provided with an opportunity to engage directly in managing its HIV/AIDS program and its support to the national and regional health networks. This will help the university to continue building the capacity it will need to take over the technical support currently provided by I-TECH, when the latter transitions its support through a well thought-out exit strategy.

Funding for Treatment: Adult Treatment (HTXS): $0

This is a continuing activity previously carried out under a Cooperative Agreement with Gondar University (GU). This Cooperative Agreement has expired and is being re-announced with limited eligibility. GU trains various health cadres and other professionals using curricula that focus on community-oriented practical education tailored to address the human resources needs of the country. The teaching hospital of GU is a referral hospital providing services to people coming from different areas of the Amhara Region, the second-largest region in Ethiopia and the one with the highest HIV prevalence. It is also strategically placed to support the Afar Region, which along with Tigray and Amhara constitute ART Operational Zone 1 in PEPFAR Ethiopia's regionalized support to the national ART program.

Through support from PEPFAR, GU is systematically institutionalizing HIV programs and building capacities that will enable it to provide assistance to the Regional Health Bureaus (RHBs) and the health networks in Amhara, Tigray and Afar regions. Using the collaboration link the university has established with the University of Washington (I-TECH), a PEPFAR partner, it will strengthen its anti-HIV response and technical assistance (TA) in the regions.

For GU to establish itself as a long-term technical support center, it needs to expand its managerial and leadership capacities. The university will strengthen its support for in-service training and direct TA to Amhara RHB and initiate HIV pre-service training, including ART. GU will be involved in regional activities related to data processing, documentation of best practices, and dissemination of scientific information. By closely working with and getting intensive technical support from I-TECH, GU will be provided with an opportunity to more directly manage its HIV program and its support to national and regional health networks. This will help the university to continue building the capacity it will need to take over the technical support currently provided by I-TECH, when the latter phases out its support through a well thought-out exit strategy. The partner being within PEPFAR will play its part in Global Health Initiative.

Cross Cutting Budget Categories and Known Amounts Total: $0
Human Resources for Health $0
Key Issues Identified in Mechanism
Workplace Programs