Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13770
Country/Region: Ethiopia
Year: 2014
Main Partner: Harari Regional Health Bureau
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $1,177,312 Additional Pipeline Funding: $212,530

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The Harari Regional Health Bureau (HRHB) will be entering its 4th year of a Cooperative Agreement with CDC, during which it has incrementally taken over management of HIV prevention, care, and treatment services in the Region as CDC’s implementing partner, CU-ICAP, transitions out of this role. COP 2014 marks the completion of this transition, as CU-ICAP ends its site level support in the region by end of COP13. Achieving this transition while maintaining uninterrupted quality service is the goal of this mechanism in keeping with the country’s strategy for achieving local ownership. With a population of 183,415, Harari is the smallest region of Ethiopia. Unlike larger regions of the country, 54% of residents live in an urban area. An estimated 3900 PLHIV live in the Region. As of Sep 2013, 3122 PLHIV were receiving ART at 12 PEPFAR-supported health facilities. Patients are drawn from neighboring Somali and Oromia Regions, so the apparent coverage of 80% is likely to be an overestimate. Nonetheless, the Region has made major strides in controlling its epidemic. To build on these achievements it will focus on reaching key populations with prevention and treatment services, retention of patients currently in care, strengthening adherence, PMTCT, detection and treatment of TB co-infection and of virologic failure. HRHB will leverage human, financial and infrastructure resources from its own institution and other stakeholders to improve efficiency. HRHB will share best practices and use site level data for program improvement. Since HITs are not in place in this region, data entry personnel will be hired to record and report its activities based on the PEPFAR indicators under each program area. HRHB will also work closely with the international transition partner, CU-ICAP,

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $46,060
Care: TB/HIV (HVTB) $96,387
Care: Pediatric Care and Support (PDCS) $11,152
Laboratory Infrastructure (HLAB) $64,496
Strategic Information (HVSI) $23,529
Health Systems Strengthening (OHSS) $39,841
Biomedical Prevention: Blood Safety (HMBL) $12,944
Biomedical Prevention: Injection Safety (HMIN) $3,193
Testing: HIV Testing and Counseling (HVCT) $16,515
Sexual Prevention: Other Sexual Prevention (HVOP) $46,387
Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT) $63,425
Treatment: Adult Treatment (HTXS) $731,044
Treatment: Pediatric Treatment (PDTX) $22,339
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

This mechanism has no published performance targets or indicators.

Cross Cutting Budget Categories and Known Amounts Total: $366,200
Human Resources for Health $200,000
Food and Nutrition: Policy, Tools, and Service Delivery $6,500
Renovation $70,000
Condoms: Policy, Tools, and Services $5,400
Water $4,300
Motor Vehicles: Purchased $80,000
Key Issues Identified in Mechanism
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning