Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013

Details for Mechanism ID: 14213
Country/Region: Ethiopia
Year: 2012
Main Partner: Save the Children
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,500,000

The Empowering New Generations in Improved Nutrition and Economic opportunities (ENGINE) program is the USG flagship nutrition program under the FTF and GHI Initiatives. The program is also funded with USAID/Ethiopia nutrition funds. The goal of the program is to improve the nutritional status of women and young children through sustainable, comprehensive, and coordinated evidence-based interventions. ENGINE will have four broad areas of intervention including: 1) strengthening the capacity and institutionalization of nutrition programs and policy, 2) improving the quality and delivery of nutrition and health care services, 3) improving prevention of undernutrition through community-oriented nutrition care and practices, and 4) adopting a rigorous and innovative learning agenda. In addition, as a cross-cutting area, the program aims to mainstream nutrition within GOE ministries and to promote rigorous monitoring and evaluation. The program will be implemented in 100 woredas in Amhara, Oromia, SNNPR, Tigray regions with a special focus on 100 woredas where FTF programs will be implemented. The program will target pregnant and lactating women and children under 5 in their households. Furthermore, the program will build on USAIDs experience and focus on prevention of undernutrition through the promotion and institutionalization of the Essential Nutrition Actions (ENA) framework and will aim to link it to treatment programs, particularly the community-based management of acute malnutrition (CMAM) to provide a continuum of care for nutritional support. ENGINE will expand the reach and coverage of PEPFAR programs and aim to mainstream and integrate CMAM and nutritional assessment, counseling and support (NACS) frameworks as well as the ENA.

Funding for Care: Adult Care and Support (HBHC): $1,500,000

The ENGINE program will operate in 100 rural woredas in the four most populous regions of the country for a period of five years. In COP 2012, the program will reach 47,500 beneficiaries infected and affected by HIV/AIDS in rural communities of Ethiopia including pregnant and lactating women, children less than 5 years and orphans and vulnerable children with nutrition services. Services will include nutritional counseling for pregnant and lactating mothers on appropriate infant and young child feeding practices using the Essential Nutrition Actions (ENA) framework, which has been adapted for the HIV/AIDS context. To ensure client retention and referrals ENGINE will collaborate closely with other PEPFAR implementing partners so that clientele receive the complete package of services. In addition, ENGINE will conduct community mobilization and awareness using a variety of media which will widen the nutrition coverage to include men and other decision-makers in the community. Of critical importance, the program is intrinsically linked to the USAID's funded support to the Government of Ethiopia's Agriculture Growth Program (AGP) as part of the Feed the Future (FTF). This co-location of programs will allow ENGINE to ensure that beneficiaries of nutrition services are also linked into economic and livelihood opportunities as well as participate in value chain activities and linkages to markets. Lastly, the program will expand on the Office of Foreign Disaster Assistance (OFDA) funded community-based management of acute malnutrition (CMAM) to provide treatment services to acutely malnourished beneficiaries. The program will reach 14,250 acutely malnourished HIV affected and infected persons with therapeutic foods. A large component of ENGINE is focused on a rigorous, research-driven learning agenda which will be complemented by surveys and sites visits that will feed into the overarching M&E goals. It must be noted that contributions from PEPFAR are wrapping around with FTF programs to create efficiencies and more integrated services.

Cross Cutting Budget Categories and Known Amounts Total: $1,500,000
Economic Strengthening $200,000
Food and Nutrition: Commodities $600,000
Food and Nutrition: Policy, Tools, and Service Delivery $700,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Child Survival Activities
Mobile Populations
Safe Motherhood