Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13929
Country/Region: Ethiopia
Year: 2012
Main Partner: Dire Dawa City Administration Health Bureau
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $250,000

This is a continuing activity to enhance transition to local partners. The Dire-Dawa City Administration Health Bureau (DDAHB) was previously a sub-grantee under Columbia University ICAP (CU ICAP) to build its capacity to implement HIV/AIDS activities. The DDAHB is a government institution and oversees all public sector health care within Dire Dawa city and surrounding rural areas with a total population of 341,834. The goal of the DDAHB HIV/AIDS program is to prevent new HIV infections by increasing access to and improving the quality of a comprehensive package of HIV/AIDS services both hospital and health center-based. The program will be linked with community-level activities. Additional funding will be leveraged from other sources. The program will be coordinated with other USG partner activities to minimize cost and reduce duplication of effort. With COP2012/2013 funding, it is anticipated that one vehicle will be purchased at a cost of US$55,000 for the life of this mechanism for the purpose of coordinating facility-level HIV services in the region. The DDAHB program supports the goals of the GOE's National Strategic Plan (SPMII) and is aligned with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. In addition, the DDHAB program supports the GOEs national effort to address the Human Resources for Health (HRH) issues in Ethiopia. DDAHB has in place a system to routinely monitor and regularly report on program performance. Additional technical assistance will be provided by Columbia University-ICAP to support DDAHBs capacity to implement these activities solely by itself in the long-term.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?(No data provided.)

Funding for Treatment: Adult Treatment (HTXS): $250,000

The DDHAB HIV/AIDS activities initially implemented through a sub-grant with Columbia University ICAP are continuing under the primary direction of the DDHAB. Columbia University ICAP will continue to provide technical assistance as the DDHAB fully assumes the role of lead implementer. DDHAB currently provides ART to ~4,000 patients at 11 sites. Under COP2012, specific activities to be implemented directly by the DDHAB include improving the health network and referral system within the public sector health care system to ensure efficient delivery of the continuum of HIV care and treatment services to PLHIV in the Dire Dawa area; strengthen catchment area meetings; improve functioning of multi-disciplinary ART teams within care and treatment facilities; implement quality improvement activities; and improve use of site-level data. The DDHAB will conduct regular on-site supportive supervision to monitor service delivery at health facilities and improve functioning of health network and referral systems. Quarterly review meetings will be led by the DDHAB to discuss issues and identify solutions. The DDHAB will provide minor renovations, furnishings, maintenance, and restoration within health facilities. The DDHAB will support GOE efforts to address HRH issues in Ethiopia by supporting and coordinating HIV in-service training of different cadres of health providers and strengthen on-site mentoring. The DDAHB will work closely with NEP+ in implementing case management to improve ART adherence and retention of HIV patients in care and treatment services, as well as strengthen linkages among facilities and with community-based organizations implementing HIV/AIDS care and support activities.

Cross Cutting Budget Categories and Known Amounts Total: $50,000
enumerations.Construction/Renovation $30,000
Human Resources for Health $20,000