Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 12313
Country/Region: Ethiopia
Year: 2013
Main Partner: Network of Networks of HIV Positives in Ethiopia
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $254,741

This is a continuing activity. Ethiopias network of PLWHA (NEP+) implements activities as part of the Greater Involvement of People Living with HIV/AIDS (GIPA). NEP+ aims to build capacity of nine regional PLWHA associations in managing and implementing HIV activities, support involvement of PLWHA, strengthen indigenous organizations and promote transition of activities to indigenous partners, maximize programmatic efficiency, support ART service provision through standardized case management, facilitate linkages between community services and facilities, improve retention of patients in care and treatment services to optimize ART adherence, and fight stigma and discrimination. NEP+'s target population is all ART patients enrolled in care and treatment services in all nine regions. It supports national level case management in policy, training, and development of guidelines, curriculum/manuals, M&E tools, and coordination. NEP+ collaborates with FMOH, RHB, implementing partners and stakeholders in planning and implementing the case management program for better efficiency. The NEP+ program supports the goals of the GOE's National Strategic Plan II (SPMII) as well as the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. NEP+ has a system in place for routine performance monitoring and reporting. NEP+ plans to procure 3 vehicles with COP2012 funding and 5 vehicles with COP2013 funding at an estimated unit cost of $40,000 each. Vehicles will be used by central and regional NEP+ offices to implement and monitor the case management activities.

Funding for Treatment: Adult Treatment (HTXS): $254,741

The Network of Networks of HIV Positives in Ethiopia (NEP+) is an indigenous organization which is an umbrella network for the associations of people living with HIV (PLHIV) in Ethiopia. NEP+ is important to the USG transition strategy from US based partners who employ cases managers to support patients with various issues including treatment adherence. NEP+ is currently implementing the case management program at HIV care and treatment sites in all the regions and supports the program at national level. It works with the existing PEPFAR ART implementing partners and the RHB in the respective regions to eventually transition their case management activities to NEP+. It trains case managers and adherence supporters, and deploys them in the care and treatment providing facilities. NEP+ will eventually be supporting the overall training, deployment, and payment of salary to the case managers/adherence supporters.

Through this activity, NEP + will improve retention of ART (and pre-ART) patients in care and treatment services, and optimize adherence. The case managers and adherence supporters trained and deployed by NEP + work on adherence counseling, facilitating linkages between services, and identification and tracking of ART patients who are lost-to-follow-up, which are critical in minimizing patient attrition and optimizing adherence to ART. Case management activities contribute to fighting stigma and discrimination, and further strengthen activities in preventing HIV transmission to other uninfected individuals through enhancing disclosure, achieving virologic suppression by optimizing adherence, and promoting responsible healthy living.

NEP+ implements the program according to the national HIV/AIDS Case Management Guidelines and standards. It conducts regular on-site supportive supervision to ensure compliance with guidelines and monitor performance. It will review the program regularly. The program will have its own monitoring and evaluation plan and reporting system.

This activity further strengthens the Greater Involvement of People Living with HIV/AIDS (GIPA) in Ethiopia. It promotes transition of HIV program activities to local ownership and ensures long term sustainability of these activities.

Cross Cutting Budget Categories and Known Amounts Total: $78,969
Gender: Gender Based Violence (GBV) $20,379
Human Resources for Health $58,590
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Mobile Populations