Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 16865
Country/Region: Ethiopia
Year: 2013
Main Partner: Pathfinder International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,959,742

This is a follow-on mechanism to USAIDs integrated maternal, neonatal, and child health (MNCH) Family planning (FP) and Prevention of Mother to Child Transmission of HIV (PMTCT) project and the partner has not yet been identified. By Jan. 2014 the partner is expected to be on board and commence implementation. Building on USAIDs long experience on MNCH/FP/RH, and using different funding streams, the new partner will strengthen integration of MNCH / Family Planning and PMTCT services at facility and community levels. This project will continue to support existing MNCH and PMTCT services at support facilities in Amhara, Tigray, SNNP, and Oromiya regions in FY 2013. This project will support HIV testing for all pregnant women attending ANC services and support innovative cost effective ways of delivering PMTCT services to HIV positive women in rural Ethiopia health clinics where the HIV prevalence is low and establishing fully fledged HIV services does not give value for money. The partner will support development of national guideline and tools to facilitate integration of services, will continue to train services providers in MNCH/FP/RH and PMTCT; a full range of antenatal care (ANC), PMTCT, and FP will be supported. A focus area will be building capacity of GoE institutions to provide integrated supportive supervision to ensure quality of services. The partner will also support the Federal Ministry of Health, and specifically the Federal level MNCH/FP/PMTCT TWG.

The New project will work with RHBs and Woreda teams early on in the planning and implementation phase to build a strong foundation for transition of services, in line with PEPFAR and USAID Forward goals. This partner will be operating in Addis Ababa, Tigray, Amhara, SNNP, and Oromia Regional states.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,959,742

IFHP II will continue supporting the existing 82 health centers (HCs) and extend PMTCT opportunities to HIV positive rural women with COP 2013 funds. Prevention of mother-to-child transmission (PMTCT) service provision will be primarily at health centers, with support provided at the community level, and through health extension workers (HEWs) at health posts (HPs). This includes demand creation, HIV testing and counseling (HTC) through opt-out approach in both HCs and outreach/back up support, provision of antiretrovirals (ARVs) for HIV+ pregnant and lactating women and their babies, and testing HIV-exposed Infants (HEIs), integration of family planning (FP) with HIV/AIDS programs. This program will be the flagship MNCH/PMTCT partner for USAID. The partner will work with FMOH and the national PMTCT TWG to support the Ministry adopt and scale up the Family Planning/HIV AIDS Integration training materials, job aids and other IEC/BCC materials produced by IFHP I. The prospective partner may also support other HCs, as well as, other PEPFAR partners (e.g. Jhpiego and IntraHealth) that will phase out in 2014. This includes provision of comprehensive PMTCT services and HIV Exposed Infant Follow up according to Option B+. The project will also provide capacity building for Federal Ministry of Health (FMOH).

Cross Cutting Budget Categories and Known Amounts Total: $190,234
Gender: Gender Equality $20,000
Human Resources for Health $170,234
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
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning