Detailed Mechanism Funding and Narrative

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

Details for Mechanism ID: 12321
Country/Region: Ethiopia
Year: 2013
Main Partner: University of Gondar
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $159,699

This is a continuing activity. Gondar University (GU) is a local university PEPFAR partner located in north-west Amhara region of Ethiopia, which has the second highest prevalence of HIV. GU provides higher education to various health cadres contributing to the development of a skilled-health human resources workforce. GUs teaching hospital provides health services to the Amhara region population and serves as a technical support lead to regional health institutions and other health facilities providing HIV services. GU partners with the University of Washington (I-TECH) to build its own capacity to provide technical leadership, technical assistance and services to the region. A key focus for GU is to strengthen both medical pre- and in-service training. Ultimately, the goal is to have GU take over the responsibility to deliver a majority of the HIV/AIDS technical support to the region. GU documents best practices and analyzes its performance data regularly to guide program implementation and ensure cost effectiveness. The GU 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.

Funding for Health Systems Strengthening (OHSS): $97,377

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 ever increasing 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 13, Gondar University (GU) will collaborate with ITECH will develop annual plans to improve the quality of medical education and retention of students. GU will strive to improve the quality of medical education by implementing different strategies such as faculty development, improving skill laboratories, strengthening e-learning systems, securing sufficient teaching equipment and books, organizing extra tutorial sessions for students and developing a performance monitoring system. Gondar University will build the capacity of academic staff through the establishment of a resource center to improve its pedagogical and effective communication skills. GU will also support the other new medical schools within the region with skilled instructors to improve the quality of education of the New Medical Education Initiative and IESO.

In-service training (IST) is recognized as 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. Historically, PEPFAR Ethiopia has supported IST for large numbers of health care workers to improve the quality of HIV clinical service in the country. In COP 2013, Gondar University will strengthen its IST unit in partnership with ITECH and the Amhara RHB, will jointly develop an annual IST work plan. The university will also conduct a training needs assessment and identify priority HIV/AIDS IST areas in order to develop an annual work plan. Additionally the university will establish a training information system to monitor IST implementation. The university 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 GU will closely work with its partner to transition all pre and in-service training activities and implement all programs with minimal technical support from ITECH.

Funding for Treatment: Adult Treatment (HTXS): $62,322

This is a continuing activity. GU will build its capacity to provide the necessary technical assistance to Amhara regional health bureau and health institutions found within the region. GU has a student body whose members approaching 16,000, of whom nearly 5,000 are in the faculty of medical health sciences. The 400-bed GU hospital serves a catchment population of 5 million and currently has nearly 4,000 patients on ART. The university having its own teaching hospital can get the necessary skills by providing mentoring and training activities to GU hospital staff before expanding its program to other health facilities within the catchment area. The university will strengthen its working relationship with I-TECH to benefit from their technical assistance. I-TECH will support the establishment of a training unit that helps to provide in-service trainings in partnership with the Amhara regional health bureau. The university will also strengthen the pre-service education for medical and other health professionals. Moreover, as the number of students using the clinic increases over time, it will be necessary to further enhanced the capabilities of the clinic and make it youth friendly. In addition to mainstreaming the HIV/AIDS program within the university community, GU will use the already existing mini media (AIDS resource center) to create awareness among students on the availability of ARV services across multiple campuses. Moreover, GU will continue strengthening the youth friendly STI/RH clinics under the university and increase the promotion and provision of condom use and HTC services across the university population. TB/HIV screening and management will be strengthened at GU student/staff clinics. GU will collaborate with I-Tech to initiate and conduct program evaluations and surveillance activities to generate data and improve performance of the HIV/AIDS program within the hospital and catchment areas. The grantee will document its activities, share best practices, undertake monitoring and evaluation of the program and play its part in the implementation of GHI.

Cross Cutting Budget Categories and Known Amounts Total: $55,077
Gender: Gender Based Violence (GBV) $14,373
Human Resources for Health $40,704
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
Child Survival Activities
Tuberculosis
Workplace Programs