Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12980
Country/Region: Ethiopia
Year: 2011
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

This is a new Implementing Mechanism to local partner(s) for transitioning of "track 1.0" PEPFAR-funded HHS/CDC and HHS/HRSA HIV program activities. This mechanism will replace the existing "track 1.0" mechanism which is planned to terminate in February 2012.

The activities in this mechanism will be implemented by a local, indigenous partner and will continue and build on the accomplishments of the "track 1.0" program in Ethiopia. The geographic area, populations served, and the RHB and care and treatment facilities supported by this mechanism are the same as that of the "track 1.0" program. The activities to be undertaken by the local partner(s) will be complimentary to that of the existing "track 1.0" partners and (after the end of the track 1 mechanism) to the International Implementing Partner (IP) that would be funded by the new mechanism. This implementing mechanism will allow successful transition of the "track 1.0" activities to local partner(s) with close support and mentoring by an external international IP so that the quality of service delivery will not be compromised and there will not be any untoward disruption of services during the transition process.

The local partner implementing the activities of this new mechanism would have the experience and capacity in planning and implementing some aspects of a comprehensive HIV prevention, care and support, and treatment program in Ethiopia in collaboration with local governmental institutions, international partners, and other stakeholders. The partner will plan, harmonize and coordinate the implementation of regional HIV activities with that of its counterpart International IP while building its capacity for implementation of a comprehensive and sustainable HIV program. The local partner will work closely with the international IP to integrate HIV activities with related health programs and takeover the responsibilities of the International IP in a purposeful, phased and incremental manner.

The partner will work with the counterpart International implementing partner to jointly develop an operational plan to implement transition of organizational and technical functions in all program activities to its program portfolio.

Through the support of the international IP and the funding agency, in the long term, the partner will plan, organize and implement the full continuum of HIV related services including HIV counseling and testing, adult and pediatric care and treatment, Prevention of Mother to Child transmission (PMTCT), TB/HIV integration, integrated STI/HIV services, integrated malaria/HIV services, quality laboratory services, Monitoring and Evaluation (M & E) of program activities, support sites to implement the nationally approved health management information system(HMIS), peer workers and outreach program, and community engagement in integrated HIV program activities.

In COP 11, specific activities that will be implemented by the partner are:

- Conducting annual review and planning meeting,

- Quarterly site supportive supervision visits

- Hiring and deployment of supernumerary staff

- Supporting sample transport system

- Planning and managing minor renovation activities

- Distributing teaching aids, guidelines and provider support tools ensuring their use on site

- Utilize awarded funding as planned and submitting financial reports in time and according to the requirements of the US financial management systems.

The partner will work to alleviate the human resource constraint that adversely affects the overall program implementation at regional and facility levels. It will support and consolidate task shifting activities and other incentives for clinical and program staff. It will strengthen collaboration with local universities to support training, program supervision and mentoring activities.

The local partner will harmonize and coordinate HIV activities with child survival initiatives and support relevant MNCH interventions to reduce maternal and neonatal mortality. It will work to scale-up access and availability of Insecticide Treated Bed Nets (ITN) to all HIV infected individuals living in malaria endemic areas. It will work with other partners and initiatives to scale-up malaria diagnosis and treatment, and safe drinking water to HIV clients.

The partner will work with local governmental institutions, other local and international partners and stakeholders to strengthen the monitoring and evaluation systems at different levels. It will work to strengthen recording and reporting systems to improve data quality and information flow. The partner will develop a joint plan to monitor the purposeful transitioning of responsibilities from the International IP. The partner will support improved maternal and neonatal emergency services to increase demand for ANC and delivery and thereby improve PMTCT uptake.

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

This is a new activity in COP 2011 for the transition of "track 1.0" mechanism activities to local partners. This activity will be funded through a new mechanism that will replace the track 1.0 mechanism when it terminates in February 2012. Local partner(s) funded by the new mechanism and undertaking this activity will take over (transition) specific, selected activities from the existing track 1.0 partner(s) based on capacity to perform, ability to absorb funds, and readiness to work according to the financial management and reporting requirements of the US Government (USG) as prime partner(s). The transition of activities should be smooth and will be facilitated by the close support and mentoring of the US based implementing partner so that quality of service delivery will not be compromised and there will not be any untoward disruption of services.

The purposeful and planned transition to local partners strengthens program ownership and ensures sustainability of the program for the continued provision of HIV/AIDS Prevention, Care & Support, and Treatment services that have been initiated under the PEPFAR-funded HHS/CDC and HHS/HRSA HIV clinical services and antiretroviral treatment programs.

The partner will work with the US based counterpart implementing partner to jointly develop an operational plan to implement transition of organizational and technical functions in all program activities to its program portfolio.

In COP 11, specific activities that will be implemented by the partner are:

- Conducting annual review and planning meeting,

- Quarterly site supportive supervision visits

- Hiring and deployment of supernumerary staff

- Supporting sample transport system

- Planning and managing minor renovation activities

- Distributing teaching aids, guidelines and provider support tools ensuring their use on site

- Utilize awarded funding as planned and submitting financial reports in time and according to the requirements of the US financial management systems.

Cross Cutting Budget Categories and Known Amounts Total: $0
Construction/Renovation $0
Human Resources for Health $0
Key Issues Identified in Mechanism
Malaria
Child Survival Activities
Mobile Populations
Tuberculosis