Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 7567
Country/Region: Ethiopia
Year: 2010
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $507,840

The goal of this program is to provide costing tools and sustainability analysis models to key stakeholders including the MOH, FHAPCO, Federal Ministry of Finance (MOF) and others in order to assess HIV/AIDS program sustainability in Ethiopia. The program will work with key stakeholders from the MOH, FHAPCO, MOF, WHO, World Bank, UNAIDS, UNDP, UNICEF, and Gates Foundation, CHAI, JSI/RPM, ITECH, JPIEGO, Columbia University, civil society and other local organizations.

The objectives of the activity are to provide capacity building technical assistance to MOH, FHAPCO and other national and sub-national stakeholders on the use of available analytical tools and models for costing resource requirements to inform short, medium and long term policy decisions. In addition, the partner will conduct analysis of pricing and affordability of HIV/AIDS program services in the private and public facilities including unit cost of services. This will provide critical data on resource requirements for HIV/AIDS programs in short, medium and long term and under different policy scenarios. The results will inform the national health system in taking alternative policy decisions during planning, financing and resource allocations to ensure sustainability of HIV/AIDS programs in the country. The program will also build the capacity of local institutions to conduct periodic program costing and sustainability assessments for a more strategic decision making, which will ensure sustainability of the program. This may also have a spill over effect for other health programs and the strengthening of the health system management and leadership in general.

Finally, the partner will put in place an M&E system to track progress and a mechanism to ensure data quality during collection, reporting, analysis and dissemination of results.

Funding for Health Systems Strengthening (OHSS): $507,840

This is a continuing activity with the following modifications.

This activity represents a sustainability assessment of Ethiopia's HIV/AIDS program and limited technical assistance. PEPFAR Ethiopia supported the assessment of HIV/AIDS program sustainability analysis in COP 2009, using the HIV AIDS Program Sustainability Analysis Tool (HAPSAT). The technical assistance partner developed the HAPSAT, a computer-based tool for forecasting and analyzing the sustainability of HIV/AIDS programs. HAPSAT uses detailed epidemiological, demographic, and economic data to estimate the financial and human resources required to sustain and/or scale up a portfolio of HIV/AIDS programs.

The analysis in COP 2009 has provided PEPFAR Ethiopia with costing data under different policy scenarios to inform COP 2010 planning. In addition, it stimulated discussions on costing and sustainability of HIV/AIDS programs among GOE stakeholders, PEPFAR partners and other donors. In Ethiopia a number of models are used for costing components of different program areas. This has resulted in the generation of various data sets that can create confusion.

In COP 2010, the activity will support a synthesis of current models in order to maximize the benefits of the different analytical tools used in assessing HIV/AIDS program sustainability in Ethiopia. To effectively address the sustainability of HIV/AIDS program in Ethiopia, the MOH and HAPCO need to have the capacity to utilize the available analytical tools and models for costing resource requirements to inform short, medium and long term policy decisions. This activity will provide capacity building technical assistance to MOH, FHAPCO and other national and sub-national stakeholders. In addition, the activity supports the analysis of pricing and affordability of HIV/AIDS program services in private and public facilities including unit cost of services per individual.

Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000