Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013

Details for Mechanism ID: 14359
Country/Region: Ethiopia
Year: 2012
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $1,148,283

The AIDSTAR-One project, Making Medical Injections Safer and Infection Prevention, contributes to the PF and GHI prevention goals and supports clinical activities with its cross-cutting focus. The project provides technical assistance to the GoE, in collaboration with local universities and colleges, with the goal of strengthening and expanding safe injection interventions in public and private health facilities. The mechanism will end in 2013 and its activities will be subsumed by the facility-based care and treatment partner (MSH). Program activities include ensuring appropriate supplies and equipment to support safe injection interventions and waste management; training and curriculum development to enhance provider skills; routine monitoring of injection safety practices; and technical assistance to GoE Ministry of Health to create and sustain a standardized infection prevention system. The target population will include health professionals at various levels of care, laboratory services and waste management. AIDSTAR-One will monitor and evaluate specific activities in commodity management, capacity building, behavior change, advocacy and policy platforms, and waste management. Furthermore, in COP12, AIDSTAR One will provide technical assistance for Amhara and Tigray Regional Health Bureaus to strengthen their capacity in the implementation of the accelerated PMTCT plan and the roll-out of the new PMTCT guidelines and conduct a rapid assessment to enable the RHBs to make informed decisions while developing the Regional Emergency Plan. The program will also support FMOH in coordinating regional activities through national forums like TWG and advisory group. The program estimates the purchase or lease of 2 vehicles to assist with activity implementation.

Funding for Biomedical Prevention: Injection Safety (HMIN): $766,131

With the goal of strengthening and expanding safe injection interventions in health centers throughout Ethiopia, AIDSTAR-Ones injection safety activities cover five technical areas: commodity management, capacity-building and training, behavior change communication and advocacy, policy, and monitoring and evaluation. This mechanism has transitioned health centers to CDC partners except in Amhara and Tigray regions and health centers in those two regions will be covered by MSH after 2013, when the mechanism ends. The AIDSTAR-One program will target health professionals in the public, private, and informal sectors, including sanitarians, laboratory technicians, health extension workers, waste management staff, and supervisors. AIDSTAR-One also assures an adequate supply of injection devices and appropriate stock use and management at various types of health service facilities. AIDSTAR-One will conduct regular safety and prevention assessments to help inform program activities. The program will also support technical pre-and in-service trainings for health workers responsible for administering injections. The AIDSTAR-One program will also address behavior change that target health care workers, decision-makers, clients, and the community. AIDSTAR-One collaborates with the FMOH and with other international donors working to refurbish health centers to assure high quality infection prevention and to address injection waste management issues such as incinerator maintenance and the provision of waste receptacles. AIDSTAR-One will also guide the development of standardized systems for safe waste management practices and offer workshops stressing systematic implementation. AIDSTAR-One regularly conducts monitoring and evaluation of health facilities to measure program progress.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $382,152

This activity will support the Federal Ministry of Healths (FMOH) Emergency Plan for PMTCT. The goal of the proposed AIDSTAR-One project is to provide technical assistance to strengthen the PMTCT intervention programs at the national level as well as in two large regions (Amhara and Tigray). The objectives to be achieved are to 1)Support Tigray and Amhara regional health bureaus (RHBs) to effectively coordinate, adopt and launch the FMOH Emergency PMTCT Plan by conducting a rapid needs assessment and coordinating resource mapping and site expansion activities; and 2)Support the FMOH in provision of ToT and coordination of the implementation of the new PMTCT Guidelines to selected health facilities in Amhara and Tigray regions; 3)Coordinate with partners about the availability of necessary PMTCT commodities through closely working with Tigray and Amhara RHBs, RPFSA and SCMS; and 4)Strengthen and/or establish a quality monitoring system for routine monitoring of the implementation at the RHB and the zonal health district level. With COP 2012 funds, AIDSTAR One will conduct a rapid assessment and properly organize information to enable the RHB to make informed decisions while developing the Regional Emergency Plan. The partner will support RHBs to establish working groups and coordinate the selection of expansion sites, map partners and draft a detailed PMTCT Operational Plan. In addition, AIDSTAR One will coordinate a consultative workshop to finalize the PMTCT Operational Plan and officially launch the Emergency Plan.

Cross Cutting Budget Categories and Known Amounts Total: $282,152
Human Resources for Health $282,152