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.

Addis Ababa City Administration Health Bureau (AACAHB) is a local government institution that is the governing body for all health care and related activities within the Addis Ababa City Administration. The population of Addis Ababa is 3,103,999 and estimated HIV prevalence for 2015 is 3.9 %. An estimated 83,393 PLHIV will be living in Addis Ababa in 2015.The goal of this implementing mechanism (IM) is to successfully transition PEPFAR supported comprehensive HIV treatment, care and support, and prevention activities to the Regional Health Bureau, ensure uninterrupted delivery of quality services at supported health facilities while reaching approximately120% of HIV-infected AA residents by end of COP 2015 given the large number of people coming from outside the city for services. This IM aligns with the country’s strategy for sustainability and local ownership. Target populations are the urban/ peri-urban areas as populations proximate to Addis Ababa. Key populations shall be reached by establishing strong bidirectional linkages with outreach groups such as MULU 1 and creating “MARPS friendly” HCT and OPD services. The AACAHB will leverage its human, financial and infrastructure resources and other stakeholders and integrate other health care programs to improve efficiency. AACAHB works in alignment with the national HMIS in monitoring and evaluation of PEPFAR supported program activities. It will report its activities based on the PEPFAR indicators under each program area, share best practices and use site level data for program improvement. Progress toward transition shall be assessed utilizing milestones described in CU-ICAP’s Transition FOA proposal. The mechanism outlay rate will sharply increase as the RHB assumes responsibility for site level activities

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.