Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5552
Country/Region: Ethiopia
Year: 2007
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $5,800,000

Funding for Management and Operations (HVMS): $5,800,000

Reqs: program management, budget, finance, acquisition and post-award management and supply chain management; project development informed by evidence-based best practices; participatory strategic planning based on sound data; effective interagency, donor, intergovernmental, and partner relations; large-scale TA and capacity building focusing on community and stakeholder involvement, social and behavioral interventions, private sector engagement, and health service expansion.

Reqs: Technical, administrative, leadership capacity building for indigenous partners; results-based project management with monitoring and evaluation; and exit strategies for continued funding, long-term access to TA, close-out and hand-over of projects.

CDC staffing includes management support and technical staff to implement programs and to support implementation of projects by indigenous partners. Direct hires and contracting are used to provide leadership. Local staff have key roles in assisting partners with project implementation and providing administrative support.

Reprogrammed/New Positions: Ten current positions were reprogrammed. The two contract positions for technical officers in BCC and PMTCT were cancelled. These duties will be covered by existing local positions. The PEPFAR Ethiopia team agreed that the CDC USDH for prevention was not needed. The USAID position will provide leadership in this area. In SI, the PSC was cancelled in favor of a direct hire. In the M&S base budget, we reprogrammed 6 local positions to meet skill requirements. We removed the writer editor position; these services will be provided in a communications contract. The duties for the Associate Director for Regional Affairs have been assumed by the US universities as part of the regionalization strategy. An international university has the lead and is working with PLWHA. The PLWHA technical officer position has been removed. We removed three administrative positions. It is cost effective to contract for some lower graded administrative positions.

ART scale-up overwhelms our existing staff. We are requesting a technical officer for treatment. This position requires knowledge of the principles, concepts, methods and techniques medicine to analyze, evaluate and provide expert advice and consultation; knowledge of HIV/AIDS treatment regimens; ability to perform complex analytical studies and interpretation of result to coordinate the evaluation of programs and recommend improvements.

We are requesting a coordinator to assist the technical officers with TB/HIV and palliative care activities. This position requires some knowledge of health care programs, project management skills, and the ability to provide administrative support.

In COP07 a significant number of TE are proposed and there will be several human subject issues to be addressed in all the work related to generation, processing and utilization of data from patients and clients. We are adding a SI technical officer.

The technical officer for science requires knowledge and skills in primary and secondary data collection, processing, analyzing, utilizing and reporting, including publications in peer reviewed scientific journals. The position also requires knowledge in human subject and IRB procedures.

The project coordinator will assist the science officer with the processing and management activities in this area. This position rquires experience in data collection, processing, analyzing, utilization and reporting, and in project management.

The surveillance portfolio of PEPFAR Ethiopia will grow in FY07, including expansion of the surveillance systems into high-risk groups. Per the 2005 ANC/DHS findings, subsequent large scale studies explaining the newer HIV prevalence trends need to be conducted. The surveillance systems in Ethiopia are being heavily supported by PEPFAR. This will continue until capacity is built within the government system. CDC needs to enhance the surveillance unit within PEPFAR Ethiopia to include an additional technical officer.

The technical officer position requires mastery of principles, concepts, and practices of epidemiology; ability to perform complex analytical studies and interpretation of results to coordinate the evaluation of programs and recommend improvements; make clear,

convincing presentation, explain and justify recommendations; and ability to work with government and international partners.

Most indigenous partners require assistance with their management practices. As partners prioritize capacity building of local organizations, we need to coordinate efforts to ensure the sustainability of HIV/AIDS programs. CDC will ensure that USG staff have the capacity to assist in fulfilling USG requirements for contracts and grants monitoring.

The number of directly funded local organizations is increasing. They require extensive management guidance and direction in order to comply with USG requirements. The agreement managers serve as the local point of contact for these awardees on administrative issues. This position requires experience in project management; knowledge of a wide range of qualitative and quantitative methods to review, evaluate, and improve publich health program operations and implementation.

The coordination responsibility of the office of the director has increased significantly. We are requesting a new project coordinator to assist the deputy director for programs with coordination of projects across program areas. This position requires some knowledge of health care programs, and project management skills.

To facilitate collaboration with the MOH, some staff will co-locate with ministry staff on the EHNRI compound. Different skills are required to provide administrative support at that location as well as to enhance our internal management capacity. CDC has responsibility for managing the office building on the ENHRI compound. A facilities manager is needed to address routine issues related to building maintenance. Numerous construction/renovation projects are proposed for COP07. To coordinate the large number of construction projects within PEPFAR, we are requesting a construction engineer position. FY 2007 Supplemental COP Guidance Resource Guide states that where USG involvement in new construction is necessary, funds should be assigned to the DOS with RPSO being the prime partner, and Post must identify someone to be the technical advisor to RPSO for the construction activities. This advisor can be from any PEPFAR USG agencies. CDC and State in-country representatives have agreed that CDC will serve as the in-country COR for the State/RPSO construction/renovation projects. CDC has experience in working with RPSO. The proposed projects will be generated by CDC staff and partners. This position will assist the technical staff by assuming the following duties: reviewing A&E and construction proposals for technical aptness and costs; coordinating construction and renovation projects; advising the CO on the status of projects and approval of requests for payment; assumig the role of COR for the State renovation/construction projects; and serving as a resource to partners undertaking small renovation projects. This position will be filled only for the duration of the activity. The majority of our procurement activities are conducted through RPSO. The number of local procurements has increased significantly. Therefore, we are requesting a program agent to assist our program staff in specifying their program requirements and developing statements of work.

We have made significant progress in financial management. To continue progress and the ability to provide assistance to grantees, a budget analyst position is needed.