Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013

Details for Mechanism ID: 14308
Country/Region: Ethiopia
Year: 2012
Main Partner: Measure Evaluation
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,148,700

Despite the existence of tremendous community-based HIV/AIDS interventions, there has been no coordinated information system to address the data demands. The Federal HIV/AIDS Prevention and Control Office (FHAPCO), in collaboration with key stakeholders, has developed technical reference guidelines to be used for the monitoring of non-clinical HIV/AIDS routine programs by all implementing organizations in the country. This community-based HIV/AIDS information system (CBIS) tries to address the registration and reporting tools and data flow systems for community-based HIV/AIDS program indicators. This mechanism will support FHAPCO in subsequent implementation of the new HIV/AIDS community-based information system. When fully rolled out, this community information system is expected to address the relevant data demands for HIV/AIDS prevention, care and support programs (including OVC) at the community level. Federal level TA to FHAPCO is supposed to be provided by this program when it comes to regional implementation; CDC's partner will continue providing TA to Dire Dawa and Addis Ababa. Similarly, The Federal Ministry of Health has completed the design and pilot testing of a Family Folder (FF) that contains detailed information about the hygienic and environmental practices of each household. While the FFs are a rich source of information, capitalizing on this potential will require strengthening the health Extension Workers skills in creating and using evidence, as well as their capacity to pass these skills onto households and communities. This program will support the scaling up of the family folder in Southern Regional State (SNNPR), Tigray, Amhara and Oromia. The latter three regions added as per the request of the FMOH.

Funding for Strategic Information (HVSI): $1,148,700

Ethiopia faces challenges regarding data related to non-facility programs like community-based prevention, basic palliative care and OVC. Lack of a defined coordinating body and a Community Based Health Information System exaggerated the problem. PEPFAR/Ethiopia is having difficulty in harmonizing data regarding non-facility based programs.

The Government of Ethiopias Health Extension Program is now being expanded to the urban setting. Urban health extension workers (HEWs) and community volunteer workers are the cadres implementing HIV/AIDS community-based programs. The Federal Ministry of Health (MOH) has completed the design of, and pilot tested a Family Folder (FF) that contains detailed information about each household and its members, and training provided to the HEWs. While the FFs are a rich source of information, capitalizing on this potential will require strengthening the HEWs skills in creating and using evidence.

In addition, the Federal HIV/AIDS Prevention and Control Office, in collaboration with key stakeholders, has developed technical reference guidelines to be used for the monitoring of non-clinical HIV/AIDS routine programs by all implementing organizations in the country. This community-based HIV/AIDS information system (CBIS) tries to address the registration and reporting tools, and data flow systems for community-based HIV/AIDS program indicators. The designed system was pilot tested in a few selected local administrative units throughout all regions.

This program will support 1) the scaling up of the FF in SNNPR, 2) regional level taskforces composed of key stakeholders that oversee the overall implementation of the HIV/AIDS CBIS, 3) provision of technical assistance for the Federal and Regional Governments implementation of the HIV/AIDS community-based information system and the electronic database/data warehouse, 4) the training of community health workers and other M&E personnel at all levels who will be involved in the implementation of the HIV/AIDS CBIS, 5) the implementation of HIV/AIDS CBIS processes and tools, strengthening mechanisms for a smooth flow of HIV/AIDS CBIS data at all levels, and 6) the establishment of data assurance mechanisms for HIV/AIDS CBIS.

Subpartners Total: $0
John Snow, Inc: NA
Cross Cutting Budget Categories and Known Amounts Total: $300,000
Human Resources for Health $300,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services