Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 7566
Country/Region: Ethiopia
Year: 2012
Main Partner: Columbia University
Main Partner Program: International Center for AIDS Care and Treatment Programs
Organizational Type: University
Funding Agency: USAID
Total Funding: $333,113

The goal of the Malaria Diagnosis and Monitoring (MLDM) project is to strengthen the malaria diagnostic capacity of laboratories in Oromia by providing technical, strategic, managerial and operational support. This is a PEPFAR cross-cutting project with the Presidents' Malaria Initiative (PMI) with the following objectives: 1) Strengthen the linkage between malaria and HIV diagnostic and treatment services at health centers in Oromia and 2) Assess the burden of malaria/ HIV co-infections in HIV and malaria patients attending health facilities in Oromia. This project contributes to the PF as well as GHI strategies in terms of system strengthening for sustainable health care service delivery. The project strategy improves cost-efficiency by addressing the laboratory diagnostic issues for malaria as well as HIV care. Since this capacity building intervention is carried out in public health facilities, a number of trainings and TA is provided to enable local health facilities to conduct quality laboratory services. Training is provided for clinic staff on chronic HIV care, malaria case management, laboratory diagnosis and malaria HIV-co infection care. Rapid HIV testing standard operating procedures (SOPs) are being used in PEPFAR-supported facilities and this project is adapting them to be used in the PMI-supported facilities. In collaboration with Oromia regional laboratories, ICAP conducts quarterly monitoring supervision visits and collects slides to strengthen the HIV External Quality Assurance (EQA) and to integrate with the malaria EQA scheme. The HIV/ malaria co-infection assessment is being conducted in selected facilities.

Funding for Laboratory Infrastructure (HLAB): $333,113

Through the Malaria Laboratory Diagnosis and Monitoring (MLDM) project, PEPFAR/ Ethiopia supports a number of clinical laboratories to strengthen the linkage between malaria and HIV diagnostic and treatment services at health centers in Oromia. ICAP is providing technical, strategic, managerial and operational support in 57 laboratories which would benefit individuals who need malaria and HIV care and treatment. Staff from HIV care clinics are trained on malaria/HIV diagnostics, the integration of malaria/HIV QA/QC systems, and strengthening mentoring and supervision. The EQA scheme is implemented in 51 MLDM project facilities. The overall agreement of the slide reading in the first EQA round was on average 87%. In collaboration with IMAD, ICAP initiated the introduction of a Malaria Microscopy Accreditation Course (MMAC) in an effort to transition accredited laboratory services to in-country partners. Due to the planned expansion of MLDM activities to 113 new facilities, COP 2013 funding for this mechanism is estimated to be $650,000.

Cross Cutting Budget Categories and Known Amounts Total: $50,000
Human Resources for Health $50,000
Key Issues Identified in Mechanism
enumerations.Malaria (PMI)