Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 14190
Country/Region: Ethiopia
Year: 2013
Main Partner: Tetra Tech
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $2,500,000

The purpose of Architectural and Engineering for Ethiopia Health Infrastructure Program is to provide professional architectural and engineering support in infrastructure design, tendering, construction oversight and program quality assurance for the Ethiopia Health Infrastructure Program. This program is the primary TA mechanism for providing cost effective designs. Additional objectives of this program include the development of a quality assurance plan for the USAID/Ethiopia Health Infrastructure Program; development of guidance for health facilities maintenance and operations; and capacity building and training in selected and relevant areas to the FMoH staff. The program is implemented in regions with particularly high HIV/AIDS prevalence including Addis Ababa, Oromia, Amhara, Tigray and SNNPR. In addition to HIV/AIDS caseloads, health facilities built/renovated under this program will also be utilized to treat other chronic diseases like malaria and TB. The program will place special attention on maternal and child health as delivery rooms in the new health centers will be properly designed; renovated delivery rooms will be upgraded to the maximum possible standard. Program aligns with GHI's Pillar 3: Improved Health Systems and PF Goal 3: Health systems necessary for universal access are functional by 2014. The program is implemented in coordination with the Federal Ministry of Health (FMoH) and its regional offices collaborate on site selection, design and approval as well as offer expertise and lessons learned. All new designs will be gender sensitive and incorporate access for clients and staff with disabilities. There are no plans to purchase or lease any vehicles. This partner is using pipeline funds for ongoing COP 12 activities.

Funding for Treatment: Adult Treatment (HTXS): $2,500,000

Through the capacity building and training component of the USAID/Ethiopia Health Infrastructure Program (EHIP) the prime partner, Tetra Tech, provides advice, recommendations, and assistance to the Federal Ministry of Health (FMoH) and Regional Health Bureau (RHB) engineers and architects. This component of the program complements the larger EHIP construction and renovation program implemented by International Relief and Development. Tetra Tech's areas of focus for training and capacity building include quality control/assurance, and standards and procedures in monitoring the adequacy and acceptability of health infrastructure. In addition, they will also develop health facilities maintenance standards, guidance, plans, and training materials for ongoing and preventive health facility maintenance. The partner will supervise sites that are under construction and renovation by USAID and provide recommendations to USAID. For each site, they will develop a performance tracking sheet with important milestones that reflect progress and quality. Utilizing this as a base, the progress of each site will be tracked starting from the design phase up until construction or renovation is completed. Accordingly, the data collected will be utilized to improve the quality of design, construction materials utilized and the overall facility. Health centers which will be renovated lack basic facilities such as water supply and waste water disposal lines, ultimately limiting their capacity to provide effective ART services. These facilities also face space limitations that hinder their ability to provide quality patient care and pose concerns regarding infection control. This program incorporates designs that aim to improve the space, while making health centers clean, attractive for HIV/AIDS patients. The geographic focus of the program is guided by plans regarding the decentralization of ART services, with particular emphasis on areas of high HIV/AIDS prevalence and substantial ART patient volume at facilities. Focus regions include Addis Ababa, Amhara, Oromia, SNNPR, and Tigray. The program will run through 2015. .

Cross Cutting Budget Categories and Known Amounts Total: $2,500,000
Construction $2,500,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
enumerations.Malaria (PMI)
Safe Motherhood
Tuberculosis
Family Planning