Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13929
Country/Region: Ethiopia
Year: 2014
Main Partner: Dire Dawa City Administration Health Bureau
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $1,426,568 Additional Pipeline Funding: $134,528

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.

Dire Dawa City Administration Health Bureau (DDCAHB), currently in its 3rd year of PEPFAR funding, is a local governing body for all health care activities within the Dire Dawa City Administration (DDCA). The population of DDCA is projected to be 395,000 in 2015 with 70% living in urban setting; estimated HIV prevalence for 2015 is 3.0%. An estimated 8,794 PLHIV will reside in DDCA in 2015.The goal of this IM is to successfully transition PEPFAR supported comprehensive facility based HIV treatment, care and support, and prevention activities to DDCAHB while ensuring uninterrupted delivery of quality services, aligning with the country strategy for sustainability and local ownership. The 13 health facilities providing HIV clinical services cover the entire DDCA, which has an area of only 600 sq mi. The large majority of sites are in urban locations; 11 of 13 have more than 50 patients on ART so are situated where target population can access them. Those served also include the surrounding population from Oromia and Somali Regions. Access to key populations will be enhanced by creating a MARPS friendly environment within the continuum of HIV services and establishing with community based outreach groups such as MULU 1.The DDCAHB will leverage its human, financial, and infrastructure resources and integrate other health programs within DDCAHB to improve efficiency. The DDCAHB works in alignment with the National HMIS for its M&E of PEPFAR supported activities. It will report its activities based on PEPFAR indicators under each program area, share best practices, and use site-level data for program improvement. With departure of the international partner, and DDCAHB taking over all site level support, the outlay rate of PEPFAR funds is expected to increase significantly.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $59,739
Care: TB/HIV (HVTB) $117,780
Care: Pediatric Care and Support (PDCS) $14,055
Laboratory Infrastructure (HLAB) $69,960
Strategic Information (HVSI) $30,354
Health Systems Strengthening (OHSS) $43,704
Biomedical Prevention: Blood Safety (HMBL) $15,776
Biomedical Prevention: Injection Safety (HMIN) $3,910
Testing: HIV Testing and Counseling (HVCT) $17,091
Sexual Prevention: Other Sexual Prevention (HVOP) $47,834
Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT) $67,638
Treatment: Adult Treatment (HTXS) $898,105
Treatment: Pediatric Treatment (PDTX) $40,622
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: $152,280
Human Resources for Health $60,000
Food and Nutrition: Policy, Tools, and Service Delivery $13,280
Renovation $26,000
Condoms: Policy, Tools, and Services $7,800
Water $5,200
Motor Vehicles: Purchased $40,000
Key Issues Identified in Mechanism
enumerations.Malaria (PMI)
Child Survival Activities
Mobile Populations
Safe Motherhood
Tuberculosis
Workplace Programs
Family Planning