Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5547
Country/Region: Ethiopia
Year: 2007
Main Partner: Mekelle University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $100,000

Funding for Treatment: Adult Treatment (HTXS): $100,000

HIV/AIDS (ART) Program Implementation Support

This is a continuing activity from FY06 and relates to ITECH activities: Technical Support for ART Scale-up (5664), Counseling and Testing (5728), TB/HIV (5754), Palliative Care (5618), PMTCT (5641), STI Services (5800), Laboratory Support (new) as well as activities implemented through the Twinning Initiative (5678).

Mekele University, located in Mekele Town, the seat of the Tigray Region in Northern Ethiopia is a young university which has evolved into an institution currently providing high quality training for students drawn from Tigray, the adjoining regions and other parts of the country. It offers training on general medical practice (MD), public health, nursing and other mid-level training courses for different cadres of health professionals. The university is working closely with the Tigray Regional Health Bureau and actively providing technical assistance that supports planning and implementation of various health programs in the region. The university is working closely with the teaching hospitals in Mekele and supports them build capacities that will enable them provide referral services and support facilities in the catchment areas of the hospitals. In tandem with regional initiatives currently being taken to strengthen and scale up HIV/AIDS activities and the support with resources from national and international partners, Mekele University is rapidly building its capacities. As a result, various anti-HIV/AIDS activities have been started to mainstream HIV/AIDS interventions in various training programs .

In FY05/06, through technical support from PEPFAR Ethiopia implementing partners, Mekele University and its teaching hospitals have initiated anti-HIV/AIDS activities and services among the university community and clients seen at the hospitals. The university is implementing plans it had developed in FY05 to institutionalize HIV/AIDS related initiatives.

The University has currently established a structure and is putting systems in place to initiate the implementation of a strong and broad-based HIV/AIDS program. In FY06, anti-AIDS clubs have been established both among the students and the staff of the University. A number of activities focusing on prevention, care and treatment have been initiated and preparatory activities undertaken to scale this activities in a major way in FY06. Mechanisms to strengthen the working relationships with Tigray RHB and the Federal Ministry have been put in place to support rapid scaling up of HIV/AIDS program activities. The university is currently involved in discussion with different agencies, including PEPFAR partners, to speed up planning, preparatory and implementation activities for FY06. By end of FY06, Mekele University and its teaching hospitals will be in a good position to expand their support to program management in the regions and strengthen technical support to the health networks delivering ART and other HIV/AIDS activities in Tigray and adjoining regions.

In FY07, through the support of I-TECH, Mekele University will further strengthen its coordination, implementation, and monitoring capacity. The university and its teaching hospitals will expand their support to the health networks delivering care and ART services in ART Operation Zone 1. The university will strengthen its networking with Regional HIV/AIDS Prevention and Control Office (HAPCO), Regional Health Bureau (RHB), NGO and FBO operating in the region and support involvement of private hospitals in the IV/AIDS response. It will take the lead to strengthen local partners to work towards achieving targets set for FY07. The university will have a strong working relationship with its USG counterpart by FY07. Mekele University will be in a good position to scale-up it HIV/AIDS activities in a comprehensive manner with due emphasis on prevention, care and treatment and linkages among these program areas. Activities will be expanded to address the needs of the university community and expanded further to involve the health networks and partner organizations and other stakeholders.

For the university to establish itself as a technical support center for the long-run, it needs to build its managerial and leadership capacities in FY06 and FY07. In FY07, in particular, a deliberate move will be made to establish these capacities by offering the university the opportunity to handle directly the administration and management of the technical and logistical arrangements required to support the health networks delivering ART and related services. The university will, therefore, be provided with direct financial and technical

support that will enable it to establish the required experience through a cooperative agreement with CDC-E. This will allow the University to strengthen its engagement in managing its HIV/AIDS program and its support to the national and regional programs. This will help the university be in a position to takeover smoothly the technical support currently provided by I-TECH.