Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 13932
Country/Region: Ethiopia
Year: 2013
Main Partner: Haramaya University
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $267,760

This is a new award / mechanism for limited eligibility to support Haromaya University (HU), in eastern Ethiopia, which is one of the local university PEPFAR partners and provides support to 4 regions of the country: Oromia, Harari, Somali, and Dire Dawa Administrative Council. HU is a major contributor to skilled health workforce development for Ethiopia. Through its cooperative agreement with HHS/CDC, HU strengthened its HIV/AIDS services to the university community. Health sciences faculty have spearheaded HIV/AIDS program-related initiatives. HU works closely with PEPFAR implementing partner Columbia University ICAP (CU ICAP) to build capacity and engage in programmatic activities such as pre-service and in-service trainings and HIV counseling and testing campaigns. For this university to establish itself as a long-term technical support center, managerial and leadership capacities need to be further enhanced. The TBD partner will strengthen HU's capacity to support regional health bureaus by providing in-service training and direct technical assistance. The TBD partner will provide pre-service training on HIV/AIDS, including ART, for medical and other health professionals. In collaboration with the zonal health departments, the TBD partner will help HU provide outreach support to health facilities in the surrounding communities for STI/HIV services. The TBD partner will assist HU in conducting monitoring and evaluation activities including conducting site visits, holding joint meetings and issuing reports to document best practices and analyze performance. The TBD program to support HU is aligned with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. The TBD partner will have in place a monitoring system.

Funding for Health Systems Strengthening (OHSS): $100,000

The government of Ethiopia has put emphasis on increasing the number of physicians and other cadres of health worker 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 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 COP2013, Haramaya University (HU), in collaboration with ICAP and MEPI, will develop annual plans to synergize existing activities. HU 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 the development of a performance monitoring system. Haramaya University will build the capacity of academic staff through establishment of a resource center to improve their pedagogical and effective communication skills.

Also, HU will support the new medical schools within Oromia region and the Harar City Administration 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. In COP 13, Haramaya University will strengthen their IST unit in partnership with ICAP and jointly develop an annual IST work plan with ICAP and the Oromia regional health bureau and the Harar City Administration. The university, in collaboration with these respective health bureaus and ICAP, will conduct a training needs assessment and identify priority HIV/AIDS IST areas in order to develop an annual work plan. HU will coordinate with partners to facilitate PEPFAR-supported, web- based continuing medical education at the university, community, and elsewhere in the region.

HU will also support all pre and in-service training activities and implement all programs with minimal technical support from ICAP.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $7,760

The main goal of the program is to strengthen the STI/HIV prevention activities within HU and to the surrounding communities. The primary target populations for this intervention are the students and staff of HU, of which there are approximately 18,000.

Under COP2012, the interventions, targeting abstinence/be faithful, include:

1. Promotion of abstinence and delay of sexual debut among HU students.

2. Educating HU students and community about the importance of secondary abstinence to reduce the risk of HIV/STI transmission.

3. Promoting fidelity among HU students and community to reduce the risk of HIV/STI transmission.

4. Educating HU students and community on reducing multiple and concurrent partners to prevent transmission of HIV/STIs.

5. Thematic discussion topics on social and community norms, gender-based violence, and stigma and discrimination.

6. HIV prevention peer leader training and information.

7. Adaptation of education and behavior change communication materials for the HU student.

8. Peer outreach education programs (training to enhance behavioral change or modification).

9. Life skills training.

10. Supporting the mini media and AIDS resource at the university to pass continuous messages on HIV/STIs and reproductive health.

11. Mainstream HIV/AIDS program at the university.

The program will collaborate closely with the HU Gender office to improve intervention efforts to reach the female student population.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $80,000

The main goal of the program is to strengthen the STI/HIV prevention activities within HU and the surrounding communities. The primary target populations for this intervention are the university students and members of the surrounding community who commonly interact with the university population.

Under COP2012, the interventions include:

1. Strengthening of the youth-friendly STI and reproductive health clinics within the University.

2. Promotion and provision HTC service for the HU students/community.

3. Promotion and provision of condoms at the university.

4. Peer outreach education programs (training to enhance behavioral change or modification).

5. Life skills training.

6. Mini media (AIDS Resource center) at the university to pass continuous message on STI/HIV/RH.

7. Mainstream HIV/AIDS program at the university.

The interventions will target young men and women of reproductive age with special emphasis on young women. All interventions will use the recommended protocols by national and international standards. Pre-service training for health professionals on core HIV/STI competency areas will build capacity of the health institutions and promote sustainability. HU will support the university health center and clinics located in Harar, Dire Dawa, and Jijiga branches, by providing training of health care workers on STI/RH/HIV services, provision of STI job aids, STI treatment kits, condoms, HTC supplies, IEC/BCC materials and referral and linkage to ART care and treatment services. In collaboration with the zonal health department outreach support to health facilities (e.g. clinics and pharmacies) around the university and its branches in areas of STI/HIV service will be initiated.

Funding for Treatment: Adult Treatment (HTXS): $80,000

Haramaya University (HU), a university in the eastern part of Ethiopia, is a major contributor to skilled health workforce development for the region and the rest of the country. The university provides training in various disciplines both in undergraduate and post-graduate programs. The HU Health Sciences department, established in 1996, offers degree programs in public health, public health nursing, and medical laboratory technology, and diploma programs in public health nursing, medical laboratory technology, and environmental health sciences. HIV/AIDS-related initiatives have been spearheaded by the faculty of the health sciences department, and are currently being introduced in other departments of the university. HU is building its capacity and strengthening its HIV/AIDS-related services (including HIV/TB services) to students, staff and the surrounding community. With support from CU ICAP, HU is engaged in pre-service training and training of its staff in different HIV-related topics. The university will further work on building its capacity to provide quality pre-service and in-service trainings in its catchment area, and also provide technical support to the care and treatment facilities and regions currently being supported by CU ICAP. The university will be further supported by CU ICAP to establish its own training unit. The training unit then will be able to provide in-service and refresher trainings that were previously provided by CU ICAP. HU will also use some of the funds to strengthen the pre-service training for medical education and training of other health professionals.

Cross Cutting Budget Categories and Known Amounts Total: $91,038
Gender: Gender Based Violence (GBV) $24,098
Human Resources for Health $66,940
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
Tuberculosis
Workplace Programs