Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5497
Country/Region: Ethiopia
Year: 2007
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $150,000

Funding for Strategic Information (HVSI): $150,000

EDHS dissemination and further analysis

This is a continuing activity from FY06. By end of September 06, ORC Macro will receive 100% of FY06 funding and is on track according to the original targets and work plan. Funding is increased based on the achievements from FY06.

The 2005 Ethiopia Demographic and Health Survey (EDHS) was conducted in COP05 within the framework of Ethiopia's ongoing Health Sector Development Program. The survey provided resources to enhance decision-making capacity of district, regional and national stakeholders and high quality information for program planning. The survey included the collection of data on knowledge and attitudes of women and men about STIs and HIVAIDS and evaluated patterns of recent behavior regarding condom use. The survey collected dried blood spot samples (DBS) for anonymous HIV testing from women and men in the reproductive ages to provide information on the prevalence of HIV among the adult population in the prime reproductive ages.

The EDHS was conducted under the aegis of MOH, which had the responsibility of planning the survey and for the analysis and dissemination of its results. The Population and Housing Census Commission Office (PHCCO) served as the implementing agency. Financial support for the survey is provided by Government of Ethiopia, USAID, UNFPA and other development partners.

In FY06 the 2005 EDHS was completed, and the final report was released in September 2006. A total of 535 enumeration areas were covered by 30 field work teams. The response rate for the household questionnaire was 93.5%, with 95.5% and 88.0% response rates for the female and male questionnaires, respectively. Data from 14,620 households, 15,300 female and 7,350 male questionnaires were entered at PHCCO by data entry clerks. A total of 11,387 DBS samples were collected and stored at the Ethiopian Health and Nutrition Research Institute. The response rate for HIV testing was 81% and 73.6% for women and men, respectively.

During COP06 the analysis of the EDHS was expanded to include an in-depth assessment of risk factors, such as cross generational marriage and sex, transactional sex and the impact of gender and vulnerability on HIV prevalence in specific regions. In addition, an HIV fact sheet was prepared for distribution at the national EDHS dissemination workshop. Three trips to Ethiopia were made to consult and discuss HIV prevalence and related EDHS findings with Ethiopian counterparts.

In COP07, this activity will support dissemination workshops with key government and non-government personnel to ensure a clear understanding of the HIV results and the relationship between knowledge, attitude and behavioral variables and HIV prevalence. This understanding will inform the formulation of effective programs to prevent or reduce HIV transmission and to address the problems associated with HIV. In addition, this activity will support region-specific fact sheets to address HIV prevalence and related issues. Media-specific workshops will be held to educate the key media representatives and the public about the EDHS findings. The workshops will ensure participation by senior program managers and policy makers at the national and regional levels to transmit findings from the EDHS and, most importantly, enhance their capacity for data utilization.

Further analyses will be undertaken on critical factors that emerge from the COP06 analyses. All analysis will be done in collaboration between Macro and relevant GoE ministries and local universities. It is anticipated that the results will be published in peer reviewed journals. This activity will also include multiple TA to MOH, CSA, and EHNRI in analysis and the dissemination of findings to different levels with the primary aim of ensuring use of the generated information for programmatic improvement and determining strategic directions.