Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5522
Country/Region: Ethiopia
Year: 2009
Main Partner: U.S. Peace Corps
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: enumerations.Peace Corps
Total Funding: $2,500,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $200,000

APRIL 2009 REPROGRAMMING

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

As a result of the Prevention Portfolio Review, we have determined this activity to have 20% AB component

from the previous 100% OP activity.

Peace Corps Ethiopia is continuing its Prevention OP activities from FY08. As in FY08, Peace Corps is

requesting a total of 40 Volunteers (30 PEPFAR funded, 10 appropriated funded). New for FY09, Peace

Corps Ethiopia will expand from the Amhara and Oromiya regions into the neighboring Tigray and Southern

Nations (SNNPR) regions.

FY 08 ACTIVITY NARRATIVE

At the Government of Ethiopia's (GOE) request, and with support from the US Mission in Ethiopia, Peace

Corps returned to Ethiopia in FY07 with a program on HIV/AIDS. PC/ET received PEPFAR funding to

support GOE's strategy to create and strengthen a community- and family-centered HIV/AIDS prevention,

care, and treatment network model in Amhara and Oromiya regions, where high HIV prevalence and

population density are key factors influencing the GOE and USG anti-HIV/AIDS program.

In January 2007, PC/ET started its operations in Ethiopia. Host Country National staff members were hired,

and PC/ET will receive 40 Peace Corps volunteers (PCV), 30 PEPFAR-funded volunteers, and ten PCV

funded with appropriations in October 2007. Based on GOE requests and a subsequent field assessment,

PC/ET worked closely with the Ministry of Health (MOH) and the HIV/AIDS Prevention and Control Office

(HAPCO) to identify viable sites for PCV in eight zones in Amhara region and nine zones in Oromiya region.

A key criterion for site selection was the presence of ongoing PEPFAR activities, so that PCV could assist in

program linkages and coordination and ensure programs are reaching those in the community most in need

of services. PCV will be working with the zonal and district health offices, local partners, including PEPFAR

implementing partners, nongovernmental organizations (NGO), community-based organizations (CBO), and

faith-based organizations (FBO) to strengthen the coordination of HIV/AIDS services and to strengthen

capacity of communities and organizations to provide prevention, care, and treatment services. By working

at two levels, both directly with the community and with local health-coordination bodies, PCV have the

opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment-related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to PEPFAR globally. This comparative advantage—coupled with the urgent need for

prevention activities to respond to data revealing a concentrated epidemic, and the on-the-ground reality of

low coverage of services for high-risk groups—means that PCV will shift the focus of their activities primarily

towards meeting prevention needs.

PCV will address prevention gaps by supporting activities focusing on high-risk groups, including adult

populations that live along high-risk transportation corridors and semi-urban areas in Amhara and Oromiya.

They will also work with local HIV coordinating bodies to assist in prioritizing and linking various prevention

efforts so that activities are reaching priority populations. In addition to targeting adults and high-risk

populations, PCV will also strengthen and coordinate programs and services for youth. Due to PCV

reporting structures, although some AB-focused youth programming will be implemented by PCV, all

funding and targets for the span of their prevention efforts are funded and reported under HVOP.

In October 2008, PC/ET will receive 30 PEPFAR-funded PVC and 15 more PVC funded through

appropriations. This will bring the projected total of PEPFAR-funded PVC to 60 and appropriations-funded

PCV to 25, for a total of 85. During their overall PC training, which includes basic HIV/AIDS training, an

additional focus on prevention in Ethiopia will be a core component of preparing PCV. Sessions on the

epidemiology of HIV in Ethiopia will be conducted so that PVC get a sense of the priority needs in

prevention. Behavior-change communication basics will be taught, and specific approaches to addressing

transactional sex, concurrent partnerships, correct and consistent condom use, and positive prevention will

be covered.

Training will be conducted by the PC/ET training team. Information briefings on current programs working in

Amhara and Oromiya regions will be presented, and, where possible, materials for the PCV from existing

programs in the region will be shared. PC/ET will collaborate with the PEPFAR USG team to ensure that

during their training, PCV receive materials and technical expertise available through the USG PEPFAR

team and various PEPFAR partners in prevention.

In addition to technical training and access to existing PEPFAR resources, PCV will receive PEPFAR-

funded HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants.

PC/ET's VAST program is a PEPFAR-funded, small-grants and PCV training program. It supports small-

scale, capacity-building projects (including community-focused training) among CBO/FBO, and/or NGO that

work with, or provide services to, local communities to fight the HIV/AIDS pandemic. Through the VAST

program, PCV will support local projects that address pressing HIV prevention, care, and support needs at

the community level.

Once at their sites, PCV will support prevention efforts on several fronts. At the community level, they will

support behavior-change interventions geared towards adults that focus on the risks of both multiple and

concurrent partnerships and on transactional and commercial sex. The interventions will also promote and

Activity Narrative: provide skills-building for correct and consistent condom use. PCV in the community will have access to out

-of-school and other high-risk youth in need of comprehensive services. Though adults and high-risk

populations will be a major emphasis of their efforts, they will also support youth-focused prevention with

the PC Life Skills curriculum, as well as other community-level efforts to address youth prevention.

PCV also have the opportunity to engage community leaders and community members in discussions about

the social norms that heighten the risk for HIV infection. They will be able to assist in organizing community

events and discussions that focus on harmful and protective norms and help communities develop policies,

action plans, and other methods of eliminating harmful social practices. PCV will work with local anti-AIDS

clubs, groups for people living with HIV/AIDS (PLWH), and Idirs (local community institutions) to reach

youth and adults. Cross-generational sex, gender-based violence, prevention for positive people, and

transactional sex will likely be topics for community-level action.

In addition to focusing on primary prevention, PCV are in the unique position of focusing on positive

prevention, as they support PLWH and their families through their care and treatment activities. They

address issues of disclosure, discordance, correct and consistent condom use, partner reduction, etc. PCV

will assist in referring partners and family members of PLWH for testing as a potential entry point to care.

Beyond direct interaction with the community, and direct support and implementation of particular

prevention programs, PCV will work with district- and zonal-level coordinating bodies in order to support

prevention programming that addresses key epidemiologic priorities at a higher level. PCV will: bring

together different programs to discuss linkages, referrals, and common goals; strengthen zonal and district

efforts in prevention; and help to eliminate duplication of efforts or conflicting messages, which can be

confusing to beneficiaries. PCV will also be able to advocate for broader adaptation of innovative

approaches in their communities, and can provide organizational development, training, and implementation

support to CBO and local government to design and implement prevention programs for at-risk youth and

adults. PCV will be a key force in coordinating local efforts to work towards common goals, deliver

complementary messages, and build off of one another's efforts.

Assuming that 64 PCV will train local partners and their counterparts to promote HIV/AIDS-prevention

programs through comprehensive prevention programming, a total of 1,920 individuals will be trained.

This activity contributes to the overall PEPFAR goal of supporting GOE's strategy for accelerated access to

HIV/AIDS prevention, care, and treatment. To maintain continuity as PC/E is moving out of treatment and

into prevention, during FY07 PCV will continue to work on linking prevention and care services to ART

services and training health workers and lay-health workers on ART service delivery.

PC/ET's unique talent is reaching people at the grassroots, community level—an area that narrows the gap

of people reached and trained in Ethiopia, as few other implementers operate where PCV live and work

over a two-year period. Peace Corps has a two-pronged approach to strengthen the linkages of PEPFAR

program areas and other programs, including wraparound activities. They are: 1) Where possible, PCV will

work in clusters with different skills to work in the same geographic catchment area (i.e., zone) but with

different communities and different organizations to take advantage of the PCV presence to promote

information-exchange and sharing of best practices. They will assist in creating networks among and

between service providers and communites and build local organiztional capacity. 2) PCV will work through

zonal, district, or town health office HIV/AIDS units to strenghten the overall coordination of HIV/AIDS

services and to strengthen the linkages between prevention, care, and treatment services, including

wraparound activities.

PCVs will be assigned to various implementing, outreach or coordinating entities such as government

Health Office, HIV/AIDS Unit or an NGO, FBO, or CBO engaged in work targeting providers of Prevention

services. Volunteers will also work with Idirs, Anti-AIDS Clubs, and local structures engaged in prevention

services as a means of scaling-up and expanding outreach capabilities.

All PCV will be tasked with bringing different programs (Prevention, OVC, HBHC, and Treatment) together

to discuss linkages, referrals, and common goals.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.02:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $800,000

Peace Corps

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Peace Corps Ethiopia is continuing its Prevention OP activities from FY08. As in FY08, Peace Corps is

requesting a total of 40 Volunteers (30 PEPFAR funded, 10 appropriated funded). New for FY09, Peace

Corps Ethiopia will expand from the Amhara and Oromiya regions into the neighboring Tigray and Southern

Nations (SNNPR) regions.

FY 08 ACTIVITY NARRATIVE

At the Government of Ethiopia's (GOE) request, and with support from the US Mission in Ethiopia, Peace

Corps returned to Ethiopia in FY07 with a program on HIV/AIDS. PC/ET received PEPFAR funding to

support GOE's strategy to create and strengthen a community- and family-centered HIV/AIDS prevention,

care, and treatment network model in Amhara and Oromiya regions, where high HIV prevalence and

population density are key factors influencing the GOE and USG anti-HIV/AIDS program.

In January 2007, PC/ET started its operations in Ethiopia. Host Country National staff members were hired,

and PC/ET will receive 40 Peace Corps volunteers (PCV), 30 PEPFAR-funded volunteers, and ten PCV

funded with appropriations in October 2007. Based on GOE requests and a subsequent field assessment,

PC/ET worked closely with the Ministry of Health (MOH) and the HIV/AIDS Prevention and Control Office

(HAPCO) to identify viable sites for PCV in eight zones in Amhara region and nine zones in Oromiya region.

A key criterion for site selection was the presence of ongoing PEPFAR activities, so that PCV could assist in

program linkages and coordination and ensure programs are reaching those in the community most in need

of services. PCV will be working with the zonal and district health offices, local partners, including PEPFAR

implementing partners, nongovernmental organizations (NGO), community-based organizations (CBO), and

faith-based organizations (FBO) to strengthen the coordination of HIV/AIDS services and to strengthen

capacity of communities and organizations to provide prevention, care, and treatment services. By working

at two levels, both directly with the community and with local health-coordination bodies, PCV have the

opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment-related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to PEPFAR globally. This comparative advantage—coupled with the urgent need for

prevention activities to respond to data revealing a concentrated epidemic, and the on-the-ground reality of

low coverage of services for high-risk groups—means that PCV will shift the focus of their activities primarily

towards meeting prevention needs.

PCV will address prevention gaps by supporting activities focusing on high-risk groups, including adult

populations that live along high-risk transportation corridors and semi-urban areas in Amhara and Oromiya.

They will also work with local HIV coordinating bodies to assist in prioritizing and linking various prevention

efforts so that activities are reaching priority populations. In addition to targeting adults and high-risk

populations, PCV will also strengthen and coordinate programs and services for youth. Due to PCV

reporting structures, although some AB-focused youth programming will be implemented by PCV, all

funding and targets for the span of their prevention efforts are funded and reported under HVOP.

In October 2008, PC/ET will receive 30 PEPFAR-funded PVC and 15 more PVC funded through

appropriations. This will bring the projected total of PEPFAR-funded PVC to 60 and appropriations-funded

PCV to 25, for a total of 85. During their overall PC training, which includes basic HIV/AIDS training, an

additional focus on prevention in Ethiopia will be a core component of preparing PCV. Sessions on the

epidemiology of HIV in Ethiopia will be conducted so that PVC get a sense of the priority needs in

prevention. Behavior-change communication basics will be taught, and specific approaches to addressing

transactional sex, concurrent partnerships, correct and consistent condom use, and positive prevention will

be covered.

Training will be conducted by the PC/ET training team. Information briefings on current programs working in

Amhara and Oromiya regions will be presented, and, where possible, materials for the PCV from existing

programs in the region will be shared. PC/ET will collaborate with the PEPFAR USG team to ensure that

during their training, PCV receive materials and technical expertise available through the USG PEPFAR

team and various PEPFAR partners in prevention.

In addition to technical training and access to existing PEPFAR resources, PCV will receive PEPFAR-

funded HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants.

PC/ET's VAST program is a PEPFAR-funded, small-grants and PCV training program. It supports small-

scale, capacity-building projects (including community-focused training) among CBO/FBO, and/or NGO that

work with, or provide services to, local communities to fight the HIV/AIDS pandemic. Through the VAST

program, PCV will support local projects that address pressing HIV prevention, care, and support needs at

the community level.

Once at their sites, PCV will support prevention efforts on several fronts. At the community level, they will

support behavior-change interventions geared towards adults that focus on the risks of both multiple and

concurrent partnerships and on transactional and commercial sex. The interventions will also promote and

provide skills-building for correct and consistent condom use. PCV in the community will have access to out

-of-school and other high-risk youth in need of comprehensive services. Though adults and high-risk

populations will be a major emphasis of their efforts, they will also support youth-focused prevention with

the PC Life Skills curriculum, as well as other community-level efforts to address youth prevention.

Activity Narrative: PCV also have the opportunity to engage community leaders and community members in discussions about

the social norms that heighten the risk for HIV infection. They will be able to assist in organizing community

events and discussions that focus on harmful and protective norms and help communities develop policies,

action plans, and other methods of eliminating harmful social practices. PCV will work with local anti-AIDS

clubs, groups for people living with HIV/AIDS (PLWH), and Idirs (local community institutions) to reach

youth and adults. Cross-generational sex, gender-based violence, prevention for positive people, and

transactional sex will likely be topics for community-level action.

In addition to focusing on primary prevention, PCV are in the unique position of focusing on positive

prevention, as they support PLWH and their families through their care and treatment activities. They

address issues of disclosure, discordance, correct and consistent condom use, partner reduction, etc. PCV

will assist in referring partners and family members of PLWH for testing as a potential entry point to care.

Beyond direct interaction with the community, and direct support and implementation of particular

prevention programs, PCV will work with district- and zonal-level coordinating bodies in order to support

prevention programming that addresses key epidemiologic priorities at a higher level. PCV will: bring

together different programs to discuss linkages, referrals, and common goals; strengthen zonal and district

efforts in prevention; and help to eliminate duplication of efforts or conflicting messages, which can be

confusing to beneficiaries. PCV will also be able to advocate for broader adaptation of innovative

approaches in their communities, and can provide organizational development, training, and implementation

support to CBO and local government to design and implement prevention programs for at-risk youth and

adults. PCV will be a key force in coordinating local efforts to work towards common goals, deliver

complementary messages, and build off of one another's efforts.

Assuming that 64 PCV will train local partners and their counterparts to promote HIV/AIDS-prevention

programs through comprehensive prevention programming, a total of 1,920 individuals will be trained.

This activity contributes to the overall PEPFAR goal of supporting GOE's strategy for accelerated access to

HIV/AIDS prevention, care, and treatment. To maintain continuity as PC/E is moving out of treatment and

into prevention, during FY07 PCV will continue to work on linking prevention and care services to ART

services and training health workers and lay-health workers on ART service delivery.

PC/ET's unique talent is reaching people at the grassroots, community level—an area that narrows the gap

of people reached and trained in Ethiopia, as few other implementers operate where PCV live and work

over a two-year period. Peace Corps has a two-pronged approach to strengthen the linkages of PEPFAR

program areas and other programs, including wraparound activities. They are: 1) Where possible, PCV will

work in clusters with different skills to work in the same geographic catchment area (i.e., zone) but with

different communities and different organizations to take advantage of the PCV presence to promote

information-exchange and sharing of best practices. They will assist in creating networks among and

between service providers and communites and build local organiztional capacity. 2) PCV will work through

zonal, district, or town health office HIV/AIDS units to strenghten the overall coordination of HIV/AIDS

services and to strengthen the linkages between prevention, care, and treatment services, including

wraparound activities.

PCVs will be assigned to various implementing, outreach or coordinating entities such as government

Health Office, HIV/AIDS Unit or an NGO, FBO, or CBO engaged in work targeting providers of Prevention

services. Volunteers will also work with Idirs, Anti-AIDS Clubs, and local structures engaged in prevention

services as a means of scaling-up and expanding outreach capabilities.

All PCV will be tasked with bringing different programs (Prevention, OVC, HBHC, and Treatment) together

to discuss linkages, referrals, and common goals.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18691

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18691 18691.08 Peace Corps US Peace Corps 7505 5522.08 pc $1,600,000

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $100,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $100,000

Education

Estimated amount of funding that is planned for Education $800,000

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $500,000

Care and Support Activites

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Peace Corps Ethiopia is continuing its Care and Support activities from FY08. As in FY08, Peace Corps is

requesting a total of 40 Volunteers (30 PEPFAR funded, 10 appropriated funded). New for FY09, Peace

Corps Ethiopia will expand from the Amhara and Oromiya regions into the neighboring Tigray and Southern

Nations (SNNPR) regions.

COP 08 ACTIVITY NARRATIVE:

This PC/ET activity relates to Orphan and Vulnerable Children (10533), prevention (New), treatment

(HXTS), and staffing and management (HVMS).

Activity Narrative:

This is a continuation of the same activity from COP07.

BACKGROUND

In January 2007, PC/ET started its operations in Ethiopia. Staff have been hired and PC/ET will receive 43

Peace Corps Paves (Paves) in October 2007 (33 EP-funded and 10 appropriated-funded). Based on GOE

requests and a subsequent field assessment, PC/ET worked closely with the Ministry of Health

(MOH)/HAPCO to identify viable sites for Paves in eight zones in Amhara region and nine zones in Oromia

region. A key criterion for site selection was the presence of ongoing Emergency Plan (EP) activities so

that Paves could assist in program linkages and coordination, and to assure programs are reaching those in

the community most in need of services. Paves will be working with the zonal and woreda health offices,

local partners, including EP Implementing Partners, NGOs, CBOs, and FBOs to strengthen the coordination

of HIV/AIDS services and to strengthen capacity of communities and organizations to provide prevention,

care and treatment services. By working at two levels, both directly with the community and with local

health coordination bodies, PCVs have the opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to EP globally. This comparative advantage, coupled with the urgent need for prevention

activities to respond to data revealing a concentrated epidemic and the on-the-ground reality of low

coverage of services for high-risk groups, means that PCVs will shift the focus of their activities primarily

towards meeting prevention needs.

PCV HOME-BASED CARE OVERVIEW

PCVs will be assigned to government health offices, NGOs, FBOs or CBOs to strengthen the delivery of

palliative care services to PLWHA and their caregivers. PCVs will work in collaboration with their

counterparts (CPs) to identify gaps and strengthen services to those chronically ill with HIVAIDS or other

opportunistic infections. This may include training in different components of Home-Based Care (HBC) or

Palliative Care work to connect families or individuals to services such as food or nutrition supplements,

health care services, or livelihood activities. PCVs will engage in additional wraparound activities in support

of this programmatic area including: promotion of food security and improved nutrition through perm culture

(low energy gardens), Orphan and Vulnerable Children (OVC) services, promotion of positive living and

health education, and Prevention of Mother to Child Transmission (PMTCT).

PCV TRAINING

In October 2008, PC/ET will receive 30 more EP funded and 15 more appropriated-funded PCVs. This will

bring the projected total of EP-funded to 63 and appropriated-funded PCVs to 25 for a total of 88 PCVs.

During their overall pre-service training trainees will received training in basic HIV/AIDS with an additional

focus on Palliative Care and community-based Home Based Care services. Training will be conducted by

the PC/ET training team. Information briefings on current programs working in Amhara and Oromia regions

will be presented, and where possible, materials for the PCVs from existing programs in the region will be

shared. PC/ET will collaborate with the EP USG-E team to ensure that during their training, PCVs receive

materials and technical expertise available through the USG-E EP team and various EP partners in

prevention.

In addition to technical training and access to existing EP resources, PCVs will receive EP- funded

HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants. PC/ET's

VAST program is an EP funded small grants and PCV training program to support small-scale, capacity-

building projects (including community-focused training) among community-based organizations and/or faith

based organizations (C/FBOs), and/or non-governmental organizations (NGOs) that work with or provide

services to local communities to fight the HIV/AIDS pandemic. Through the VAST program, PCVs will

support local projects that are addressing pressing prevention, care, and support needs at the community

level.

PCV ACTIVITIES

Once at their sites, PCVs will support HBC activities, coordination of HBC services on several fronts. At the

community level, PCVs and counterparts (CPs) and local partners will support community-level activities to

organize a coordinated approach to HBC services; support the capacity of local organizations, communities

to provide HBC services; and strengthen the myriad of social care services. They will support leadership

development of PLWHA associations and prevention services as well as developing linkages to food

support and income-generating programs. PCVs will work with their CPs to build capacity of HBHC service

providers and the beneficiaries through linking organizations and individuals to locally available resources or

Activity Narrative: EP funded programs. At the service- level, PCVs and CPs will work with HBC clients and their families to

ensure there are linkages to prevention services, drug adherence programs, OVC services, and access to

food support and income-generating activities. PCVs will organize community events to help lessen the

stigma and discrimination of PLWHA and to strengthen the capacity of communities to advocate and

adequately respond to PLWHA needs. They will also work with local Anti-AIDS Clubs, PLWHA groups, and

Idirs to reach OVC and their caregivers.

In addition, PCVs will work with government organizations, NGO, FBO or CBO engaged in HBC services

and work with PLWHA associations. They will encourage local partners and communities to strengthen

HBC services in at least two of the five areas: Clinical/Medical Care; Psychological Care, Social Care

Services; Spiritual, and Prevention Care Services.

PCVS AS COORDINATORS

Beyond direct interaction with the community and direct support and implementation of particular prevention

programs, PCVs will work with woreda and zonal level coordinating bodies in order to support prevention

programs addressing key epidemiological priorities at a higher level. They will assist in bringing different

organizations and programs together to discuss linkages, referrals, and common goals in order to

strengthen zonal and woreda efforts as a whole in HBC, and through this approach, help eliminate

duplication of efforts or conflicting messages. PCVs will advocate for broader adaptation of innovative

approaches in their communities, and will provide organizational development, training, and implementation

support to community-based organizations and local government to design and implement appropriate

programs for HBC and their care givers. PCVs will act as facilitators in coordinating local efforts to work

towards common goals and build off one another's efforts.

TARGETS

Assuming that 40 PCVs and their CPs will each train 10 individuals in HIV-related palliative care services

this will result in 420 Ethiopians trained. Forty-three PCVs will each assist 1 HIV-related palliative service

outlet (i.e., Government organization, NGO, or Community group) for a total of 42 HBC outlets. Forty-three

PCVs will link 20 individuals to HIV-related palliative care services for a total of 840 individuals reached.

This activity contributes to the overall EP to support the Government of Ethiopia strategy for accelerated

access to HIV/AIDS prevention, care and treatment in Ethiopia. PC/ET's uniqueness is reaching people at

the grassroots, community level, an area that narrows the gap of people reached and trained in Ethiopia as

few other implementers operate where PCVs live and work over a two year period. Peace Corps has a two-

pronged approach to strengthen the linkages of EP program areas and other programs, including wrap-

around activities. They are: 1) Where possible, PCVs will work in clusters with different skills to work in the

same geographic catchment area (i.e., zone) but with different communities and different organizations to

take advantage of the PCVs presence to promote information exchange and sharing of best practices. They

will assist in creating networks among and between service providers and communites; and build local

organiztional capacity. 2) PCVs will work through zonal, woreda, or town health office HIV/AIDS units to

strenghten the overall coordination of HIV/AIDS services and to strengthen the linkages between

prevention, care and treatment services, including wrap-around activities.

PCVs will work either with government health office HIV/AIDS units or NGOs, FBOs, or CBOs targeting

home-based care providers or services. PCVs will also work with PLWHA Associations, Idirs, and Anti-AIDS

Clubs engaged in Home Based Care services.

In conclusion, all PCVs will be tasked with bringing different programs (Prevention, OVC, HBHC, and

Treatment) together to discuss linkages, referrals, and common goals.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16683

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16683 10582.08 Peace Corps US Peace Corps 7505 5522.08 pc $800,000

10582 10582.07 Peace Corps US Peace Corps 5522 5522.07 pc $925,000

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

Health-related Wraparound Programs

* Child Survival Activities

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $100,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $300,000

Education

Estimated amount of funding that is planned for Education $100,000

Water

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $0

This Peace Corps Ethiopia (PC/ET) activity relates to HIV-related Treatment (10591 and Prevention

(10582 ?).

PEPFAR resources allow PC/ET to strengthen the HIV/AIDS expertise of both Peace Corps

volunteers' (PCV) and the communities they serve. Those resources also augment PCV's ability to serve

host communities effectively. In its 2007 HIV/AIDS health program, PC/ET received PEPFAR funding to

participate in the treatment pillar. As such, PCV will engage in treatment-related activities and these activity

targets will be reported on both 2007 and 2008 PEPFAR semiannual reports.

However, recognizing Peace Corps' comparative advantage of having PCV living and working with host

organizations and counterparts at the community level, and in coordination with the USG PEPFAR office,

PC/ET will shift its focus away from treatment in 2007 and into prevention in 2008 and beyond. Additional

rationale for the 2008 prevention focus is that, as articulated by Ministry of Health (MOH) representatives, it

is believed there is a significant gap in prevention activities in semi-urban and rural areas. This comparative

advantage—coupled with the urgent need for prevention activities to respond to data revealing a

concentrated epidemic, and the on-the-ground reality of low coverage of services for high-risk groups—

means that PCV will shift the focus of their activities primarily towards meeting prevention needs.

To maintain continuity as PC/ET is moving out of treatment and into prevention, in FY07 PCV will continue

to work on linking prevention and care services to ART services and training health workers and lay-health

workers on ART service delivery.

As reflected in the targets for FY07 and FY08, PCV's roles were originally envisioned to have a significant

focus on treatment-related activities, such as building the organizational capacity of treatment facilities,

forming networks and linkages between treatment facilities and other services, and providing training to

treatment-service providers. However, after further analysis and discussions with stakeholders on how

Peace Corps can best contribute to the strategy of the USG Mission and priorities of the MOH, PC/ET has

determined that PCV can play a significant role in meeting the need to scale up targeted prevention

activities. The MOH has identified an urgent need for prevention activities for high-risk groups in low-

coverage areas to respond to data revealing a concentrated epidemic with high HIV prevalence in the

Amhara and Oromiya regions. In addition, the USG Mission's prevention strategy targets high-risk groups

along transport corridors. The placement of PCV along or near the major transport corridors in the Amhara

and Oromiya regions, coupled with Peace Corps' extensive experience in the area of prevention, makes this

an ideal area for PC/ET to support. While PCV will still work with treatment facilities to build referral

networks and form linkages with prevention and care services, PC/ET will shift funding from HIV/AIDS

Treatment (HXTS) to Other Prevention (HVOP) in FY08 to reflect the significant role PCV will play in

meeting the need to scale up prevention services in the identified priority areas.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18810

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18810 18810.08 Peace Corps US Peace Corps 7505 5522.08 pc $0

Table 3.3.09:

Funding for Care: Orphans and Vulnerable Children (HKID): $500,000

Peace Corps Ethiopia HIV/AIDS Project

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Peace Corps Ethiopia is continuing its Orphans and Vulnerable Children activities from FY08. As in FY08,

Peace Corps is requesting a total of 40 Volunteers (30 PEPFAR funded, 10 appropriated funded). New for

FY09, Peace Corps Ethiopia will expand from the Amhara and Oromiya regions into the neighboring Tigray

and Southern Nations (SNNPR) regions.

COP08 NARRATIVE

In January 2007, PC/ET started its operations in Ethiopia. Staff have been hired and PC/ET will receive 40

Peace Corps volunteers (PCV—30 PEPFAR-funded volunteers and ten volunteers funded through

appropriations) in October 2007. Based on Government of Ethiopia (GOE) requests and a subsequent field

assessment, PC/ET worked closely with the Ministry of Health (MOH) and the HIV/AIDS Prevention and

Control Office (HAPCO) to identify viable sites for PCV in eight zones in Amhara region and nine zones in

Oromiya region. A key criterion for site selection was the presence of ongoing PEPFAR activities so that

PCV could assist in program linkages and coordination, and assure programs are reaching those in the

community most in need of services. PCV will work with the zonal and district health offices, local partners,

including PEPFAR implementing partners, nongovernmental organizations (NGO), community-based

organizations (CBO), and faith-based organizations (FBO) to strengthen coordination of HIV/AIDS services

and to strengthen capacity of communities and organizations to provide prevention, care, and treatment

services. By working at two levels, both directly with the community and with local health-coordination

bodies, PCV have the opportunity to achieve greater impact.

PCV roles were originally envisioned to focus primarily on treatment-related activities, as reflected in the

targets for 2007 and 2008. However, prevention at the community level is a core strength of Peace Corps'

contributions to PEPFAR globally. This comparative advantage—coupled with the urgent need for

prevention activities to respond to data revealing a concentrated epidemic, and the on-the-ground reality of

low coverage of services for high-risk groups—means that PCV will shift the focus of their activities primarily

towards meeting prevention needs.

There are more than five million orphans in Ethiopia—nearly one million of whom are believed to have been

orphaned by AIDS.. The Amhara and Oromiya regions have the highest number of orphans in the country

between the ages of 0-17. The need to support and care for OVC is great in several areas in the two

regions.

PCV ORPHAN AND VULNERABLE CHILDREN OVERVIEW

PCV will facilitate linking services to OVC between the ages of 0-17 and strengthening community

institutions to provide adequate care and support of OVC. PCV and their counterparts will train local

partners in developing an appropriate response to the needs of OVC in communities. Based on the

PEPFAR indicators and the PEPFAR Ethiopia draft standards-of-services for OVC, PCV will assist

communities to address OVC needs in one or more of the following areas of support: food/nutrition,

shelter/care, protection, healthcare, psychosocial services, education and vocational training, and economic

strengthening. PCV will also work with local HIV coordinating bodies to assist in prioritizing and linking

prevention, care, and treatment efforts to further expand services to OVC and their families.

PCV TRAINING

In October 2008, PC/ET will receive 30 more PEPFAR-funded PCV and 15 more more PVC funded through

appropriations. This will bring the total of PEPFAR-funded PCV to 60 and 25 appropriations-funded PCV,

for a total of 85 PCV. PC/ET pre-service training includes basic HIV/AIDS training with additional focus on

the needs of OVC and the PEPFAR standard-of-services will be a core component. Sessions on the status

of OVC in Ethiopia will be conducted to prepare the PCV to assist local communities in developing

appropriate, sustainable activities that adequately fulfill the needs of OVC. Training will be conducted by the

PC/ET training team. Information briefings on current programs working in Amhara and Oromiya regions will

be presented, and, where possible, materials for the PCV from existing programs in the region will be

shared. PC/ET will collaborate with the PEPFAR USG team to ensure that during their training, PCV receive

materials and technical expertise available through the USG PEPFAR team and various PEPFAR partners

in prevention.

In addition to technical training and access to existing PEPFAR resources, PCV will receive PEPFAR-

funded HIV/AIDS training and have access to PCV Activities Support and Training (VAST) program grants.

PC/ET's VAST program is a PEPFAR-funded, small-grants and PCV training program. It supports small-

scale, capacity-building projects (including community-focused training) among CBO/FBO, and/or NGO that

work with, or provide services to, local communities to fight the HIV/AIDS pandemic. Through the VAST

program, PCV will support local projects that address pressing HIV prevention, care, and support needs at

the community level.

PCV ACTIVITIES

Once at their sites, PCV will support OVC activities through coordination of OVC services on several fronts.

At the community level, PCV and local counterparts (CP) and/or local partners will support community-level

advocacy activities to address OVC needs and support the capacity of OVC and the caregivers' access to

life and livelihood skills. PCV will work with their CP to build the capacity of caregivers to adequately care

for OVC through strengthening the linkages with schools, healthcare providers, and other local support

institutions. They will also engage community leaders and community members in discussions about

developing a broad strategic-services plan for OVC and their families. At the caregiver level, PCV and CP

will work with caregivers and OVC to develop appropriate income-generation activities and sustainable food

Activity Narrative: -security activities. They will also help OVC access education services. PCV will assist in organizing

community events to help lessen the stigma and discrimination toward OVC and to strengthen the capacity

of communities to advocate and respond adequately to OVC needs. PCV will work with local anti-AIDS

clubs, groups for people living with HIV/AIDS (PLWH), and Idirs to reach OVC and their caregivers.

PCV will work with government organizations, NGO, FBO or CBO engaged in work targeting OVC and their

caregivers. They will encourage local partners and communities to develop services in at least two of the

seven areas: food/nutrition, shelter/care, protection, healthcare, psychosocial; education and vocational

training; and economic strengthening.

PCV AS LOCAL COORDINATORS

Beyond direct interaction with the community and direct support and implementation of particular prevention

programs, PCV will work with district- and zonal-level coordinating bodies to support prevention

programming that addresses key epidemiologic priorities at a higher level. Bringing different programs

together to discuss linkages, referrals, and common goals will strengthen zonal and district efforts as a

whole in the OVC program, and will help eliminate duplication of efforts or conflicting messages, which are

confusing to beneficiaries. PCV will assist in advocating for broader adaptation of innovative approaches in

their communities, and can provide organizational development, training, and implementation support to

CBO and local government departments to design and implement appropriate programs for OVC and their

caregivers. PCV will be a key force in coordinating local efforts to work towards common goals, support

delivery of one or more of the OVC services, and build off one another's efforts.

TARGETS

PC/ET assumes that 42 PCV and their CP will reach 20 OVC for a total 840 OVC served. The same 42

PCV will each train ten individuals in OVC care services (e.g., psychosocial support, education, food

security, income generation), training a total of 420 individuals.

This activity contributes to overall PEPFAR efforts to support the GOE strategy for accelerated access to

HIV/AIDS prevention, care, and treatment services.

PC/ET is unique in its ability to reach people at the grassroots, community level—an area that narrows the

gap of people reached and trained in Ethiopia, as few other implementers operate where PCV live and work

over a two-year period. Peace Corps has a two-pronged approach to strengthen the linkages of PEPFAR

program areas and other programs, including wraparound activities. They are: 1) Where possible, PCV will

work in clusters with different skills to work in the same geographic catchment area (i.e., zone) but with

different communities and different organizations to take advantage of the PCV presence to promote

information-exchange and sharing of best practices. They will assist in creating networks among and

between service providers and communites and build local organiztional capacity. 2) PCV will work through

zonal, district, or town health office HIV/AIDS units to strenghten the overall coordination of HIV/AIDS

services and to strengthen the linkages between prevention, care, and treatment services, including

wraparound activities.

In conclusion, all PCV will be tasked with bringing different programs (Prevention, OVC, HBHC, and

Treatment) together to discuss linkages, referrals, and common goals.

PCV will work either with government health office HIV/AIDS units or NGO, FBO, or CBO engaged in OVC

services. PCV will also work with PLWH associations, Idirs, and anti-AIDS clubs engaged in OVC services.

Adults and high-risk populations, including high-risk youth, are the key target populations for PCV

prevention efforts.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16684

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16684 10533.08 Peace Corps US Peace Corps 7505 5522.08 pc $800,000

10533 10533.07 Peace Corps US Peace Corps 5522 5522.07 pc $925,000

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $250,000

Education

Estimated amount of funding that is planned for Education $250,000

Water

Table 3.3.13:

Funding for Management and Operations (HVMS): $500,000

Management and Staffing: Peace Corps

Peace Corps HVMS Program

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS

Peace Corps Ethiopia is continuing its HVMS activities from FY08. Management and staffing funds will be

used to continue to fund the contracts of currently approved staff and other operational management costs.

Peace Corps requests one new PEPFAR-funded position, a Language and Cross-Cultural Coordinator

(LCC). This position will work with Peace Corps training staff to ensure that Volunteers' cross-cultural and

language training is comprehensive and competency-based. This training is essential to Volunteers being

able to work with host country community members to implement HIV/AIDS activities that meet local needs.

COP 08 ACTIVITY NARRATIVE

COP ID:10662

Project Title:Peace Corps Ethiopia HIV/AIDS Project

Partner:Peace Corps

Funding:$521,000; requires early funding in the amount of $175,000

Funding Agency: Peace Corps

Early Funding Narrative:

Peace Corps Ethiopia (PC/ET) is seeking early funding of $175,000 in order to hire key support positions

and the necessary equipment (computer and vehicles) to support the additional staff. During COP08 PC/ET

will be doubling the number of PCVs to 88. The added positions are Associate Peace Corps Country

Director (APCD) for Health, PCV Records Clerk, Driver/Mechanic and part-time Medical Officer. It will take

six months to recruit and train these positions. The APCD will play a crucial role in developing 45 sites for

the additional PCVs. These positions must be fully trained well in advance of the October 2008 intake. It

will also take at lease six months to procure the two additional support vehicles and computer equipment

that the Peace Corps office will need.

If the Peace Corps office does not have these positions and equipment in place before the arrival of the

additional PCVs in October 2008 it will be detrimental to the program and the safety and security of the

PCVs.

Activity Narrative:

This Peace Corps Ethiopia (PC/ET) activity relates to HIV-related palliative care (10582), prevention (New),

treatment (10591), and HBHC (10582).

This is a continuation of activities from COP07.

In October 2008, PC/ET will receive 30 more EP-funded and 15 more Peace Corps-funded PCVs. This will

bring the projected total of PEPFAR (EP)-funded PCVs to 60 and Peace Corps-funded PCVs to 25,a total of

85. In 2008, all the PCVs will continue to work in Amhara and Oromiya regions and PC/ET will explore other

geographic areas for expansion of PCV placements. All PCVs receive EP funded HIV/AIDS training and

have access to PCV activities support and training (VAST) funds to support community initiated HIV/AIDS

activities.

In order to support the current number of 40 PCVs Peace Corps will need to continue to support 17

personal service contractor (PSC) positions, 1 executive secretary, 1 safety & security coordinator, 1

training manager, 1 emergency plan coordinator, 1 medical officer (USPSC), 1 medical secretary, 1 admin

assistant, 1 voucher examiner, 1 IT specialist, 1 receptionist, 1general service manager, 1 general services

assistant, 4 drivers, and 1 janitor. In order to support the additional group of PCVs, that will bring the total

to 85 , the program will need to hire 1 additional Associate Peace Corps Director (APCD) for health, 1 part-

time medical officer, 1 PCV records clerk, and 1 driver. Necessary office equipment such as furniture and

computers will be procured. Peace Corps will purchase an additional vehicle to support the 4 new staff as

well as a bus to transport the PCVs. Management and staffing funds will also be used to support technical

assistance from key Peace Corps headquarters offices to assist in program expansion and implementation,

PCV site development, and programmatic planning for future fiscal years as well as ICASS services.

This activity contributes to overall EP-funding to support the Government of Ethiopia (GoE) strategy for

accelerated access to HIV/AIDS prevention, care and treatment in Ethiopia.

PC/ET's uniqueness is reaching people at the grassroots, community level, an area that narrows the gap of

people reached and trained in Ethiopia as few other implementers operate where Volunteers live and work

over a two year period. Peace Corps has a two-pronged approach to strengthen the linkages of EP program

areas and other programs, including wrap-around activities. They are: 1) Where possible, Volunteers will

work in clusters with different skills to work in the same geographic catchment area (i.e., zone) but with

different communities and different organizations to take advantage of the Volunteers presence to promote

information exchange and sharing of best practices. They will assist in creating networks among and

between service providers and communites; and build local organiztional capacity. 2) Volunteers will work

through zonal, woreda, or town health office HIV/AIDS units to strenghten the overall coordination of

HIV/AIDS services and to strengthen the linkages between prevention, care and treatment services,

including wrap-around activities.

In conclusion, all Volunteers will be tasked with bringing different programs (Prevention, OVC, HBHC, and

Treatment) together to discuss linkages, referrals, and common goals.

PCVs will be assigned either to government Health Office, HIV/AIDS Unit or a NGO, FBO, or CBOs

engaged in work targeting Home Based Care providers or services. PCVs will also work with PLWHA

Associations, Iddirs, and Anti-AIDS Clubs engaged in Home Based Care services. PCVs will support home-

Activity Narrative: based care activities by working together with local institutions and community players by providing them

with skills around strategic planning, scaling up outreach, developing a safe methodology for home-based

care and developing a reporting system for tracking people served and sharing best practices.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16685

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16685 10662.08 Peace Corps US Peace Corps 7505 5522.08 pc $521,000

10662 10662.07 Peace Corps US Peace Corps 5522 5522.07 pc $555,000

Table 3.3.19:

Cross Cutting Budget Categories and Known Amounts Total: $2,000,000
Human Resources for Health $100,000
Economic Strengthening $100,000
Education $800,000
Human Resources for Health $100,000
Economic Strengthening $300,000
Education $100,000
Economic Strengthening $250,000
Education $250,000