Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 10518
Country/Region: Ethiopia
Year: 2013
Main Partner: Defence University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $40,000

This is a continuing activity. The Uniformed Services of Ethiopia (USE) includes the military, the police forces, and the prisons throughout all regions of Ethiopia and is considered a high-risk population for HIV infection. The Defense University (DU) is an institute of higher learning that provides health sciences training for USE and technical support to USE facilities providing HIV/AIDS care and treatment services. The DUs Armed Forces General Teaching Hospital (AFGH), which provides HIV counseling and testing (HTC), prevention from mother to child transmission (PMTCT), and antiretroviral therapy (ART) services, is an HIV/AIDS demonstration site and a major referral facility for the military and dependents, handling a large patient load, including those with HIV/AIDS. The goal of the DU program is to build its capacity to provide training and technical support to USE institutions to improve their delivery of HIV/AIDS services. The DU will partner with and receive technical assistance from another USG implementing partner, the University of California San Diego (UCSD), who will provide capacity building support to the DU to establish the DU as the USE HIV/AIDS training and technical support center. The DU program is in line with and supports the goals of the GOE's National Strategic Plan (SPMII) as well as the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. The DU has a system in place for routine performance monitoring and reporting.

Funding for Health Systems Strengthening (OHSS): $30,800

The government of Ethiopia has placed emphasis on increasing the number of physicians and other cadres of health workers to be trained and deployed in all health facilities to meet clinical service needs.

The purpose of this support is to increase the quantity, quality and retention of medical graduates with specific skills in order to address the health needs of the country. Health science and medical colleges/schools are the major contributors to the development of skilled human resources for Ethiopias health workforce.

In COP 2013, Defense University (DU will collaborate with other USG implementing partners to develop annual plans to synergize existing activities. DU will work with MEPI to improve the quality of medical education by implementing different strategies such as faculty development, improving skill labs, strengthening e-learning systems, securing sufficient teaching equipment and books, organizing extra tutorial sessions for students and development of a performance monitoring system. Defense University will build the capacity of academic staff through the establishment of a resource center to improve their pedagogical and effective communication skills. Through this activity, DU also supports improvement in the quality of HO and nursing education.

In-service training (IST) is recognized as a key strategy for sustaining the competencies, morale and quality of the health workforce as they gain knowledge and skills that will improve their performance to achieve the desired national/regional objectives. In COP 2013, Defense University will strengthen its IST unit and will develop an annual IST work plan with its partners. DU will conduct a training needs assessment and identify priority HIV/AIDS IST areas to incorporate into its annual work plan. Additionally DU will establish a training information system to monitor IST implementation, and will coordinate with partners to facilitate PEPFAR supported web based continuing medical education at the university, in the community and elsewhere in the region. In COP 2013, DU will closely work to transition all pre and in-service training activities in house and implement all programs with minimal technical support from outside.

Funding for Treatment: Adult Treatment (HTXS): $9,200

Under COP2012, the DU will establish a training unit to build capacity of teaching and management staff as well as improve pre-service and in-service training for health workers serving the USE. Training topics for teaching/management staff will include both computer training, teaching methodologies, and integration of HIV/AIDS topics into existing curriculum. Training topics for pre-service / in-service health workers will include basic and comprehensive ART, HIV/TB, care and support, PMTCT, HTC, and infection prevention, and laboratory training on CD4 and chemistry. DU aims to train 100 health workers on different HIV/AIDS topics during the first year that the training unit is established. In addition, two AIDS Resource Centers (ARCs) will be established on two of the Defense College of Health Sciences campuses in Addis Ababa and Debre Zeit to make available HIV/AIDS resources to teachers and students. The DU will also conduct mini media events, such as running an audio program on the speaker system of the Debre Zeit campus, to provide information on key HIV/AIDS topics to students and staff. The UCSD will provide "hands on" technical assistance to the DU as the DU implements these activities. Simultaneously, the UCSD will implement other activities on the DU campuses (refer to the UCSD implementing mechanism for further details) to compliment the activities that the DU will implement directly. Over time, these UCSD HIV/AIDS related activities will be transferred to the DU.

Cross Cutting Budget Categories and Known Amounts Total: $13,600
Gender: Gender Based Violence (GBV) $3,600
Human Resources for Health $10,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection
Military Populations
Mobile Populations
Tuberculosis
Workplace Programs