Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 10529
Country/Region: Ethiopia
Year: 2010
Main Partner: Ethiopian Public Health Association
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $3,038,000

The Ethiopian Public Health Association (EPHA), along with its partners and sub-partners, is a local institution focused on improving public-health practice and service delivery around a range of public health challenges, including HIV/AIDS. Its objectives under this collaboration include to:

1) Build local capacity in Ethiopia for evidence-based decision-making, including the generation, dissemination, and use of strategic information related to HIV/AIDS, STIs, and TB;

2) Expand and strengthen HIV/AIDS prevention, care, and treatment to most-at-risk populations (MARPs), including men who have sex with men (MSM);

3) Expand HIV/AIDS prevention, care, and treatment in private health institutions in Ethiopia, eg, through support to the Ethiopian Public Health Laboratory Association (EPHLA) and Ethiopian Society of Obstetricians and Gynecologists (ESOG);

4) Improve care, eg, through support to the standardization of a basic care package for HIV programs in Ethiopia;

5) Improve overall HIV prevention efforts, eg, through support to youth leadership using a multi-sectoral approach to prevent or reduce multiple concurrent sexual partnerships;

6) Improve specific aspects of surveillance, eg, to provide estimates at the national level on HIV prevalence in and size estimation of MARPs;

7) Improve specific human resource gaps, eg, through support to the MPH-level Field Epidemiology and Laboratory Training Program (FELTP) implemented by Addis Ababa University (AAU) and the Ethiopia Health and Nutrition Research Institute (EHNRI);

8) Build its own institutional capacity and develop a management system for EPHA so as to ensure the sustainability of activities for a broad health agenda in Ethiopia.

This partnership's various activities are national in scope. Some focus on major cities and address various target populations that include, but are not limited to, Regional Health Bureau managers and experts; laboratorians; MARPs, including MSM; private and public sector health care providers working on the provision of basic care services for PLHA, pregnant women and their newborns; high-risk youth; and people and their families affected by HIV.

EPHA's unique niche in Ethiopia often serves as a catalyst for new thinking and action and supports strengthening of the health system in several ways through:

Providing strategic information by conducting or supporting the conduct of public-health evaluations/operations research to provide information for evidence-based policies and interventions. One example is the Amhara MARPS Study conducted in 2008, the findings from which have motivated the government to launch a national MARPS study, to include MARPS in ongoing surveillance, and which are being used for designing HIV prevention programs for MARPS in the Amhara Region. While Amhara accounts for 20% of the population in Ethiopia, it accounts for 30% of the PLHA. EPHA has subsequently begun a new collaboration with the EHNRI to conduct the national MARPS study in 2010. EPHA is also an active participant in the national surveillance technical working group.

Supporting human resources for health (HRH) development through in-service and pre-service training programs. These include adapting CDC's Leadership in Strategic Information Training Program (LSITP), which teaches program managers how to use information from the HMIS, surveillance, and other sources of program data to support decision-making. EPHA also provides resources and equipment to AAU to implement the FELTP program, which is a two-year on-the-job training program in epidemiology housed primarily in the Public Health Emergency Management Directorate of EHNRI.

Providing technical and managerial support to universities and sister associations as sub-partners, including the Ethiopian Society of Obstetricians and Gynecologists and the Ethiopia Public Health Laboratory Association.

Direct funding to a national indigenous organization like EPHA achieves certain cost efficiencies and supports long-term sustainability and ownership of the public health agenda. In order to become more cost-efficient over time, EPHA is engaging its membership from the public and private sector, who now number more than 3,000 and are working throughout the country. Aligning and harmonizing its activities with all the relevant stakeholders (governmental and NGOs), its networking and close collaboration with other professional associations, improving its partnership with the public as well as the private sector are some of the strategies EPHA is applying in order to improve its sector wide engagement and efficiency while implementing the various projects.

A comprehensive Monitoring and Evaluation plan with specific indicators for each of the project activities will be rolled out in order to track the progress of activities and to evaluate if objectives are achieved or not. Regular discussions, the CoAg review process, visits to partners, regular project coordinators as well as management committee meetings, bi-annual Review meetings and quarterly and semi-annual reports will be integral components of the comprehensive M&E plan.

Funding for Care: Adult Care and Support (HBHC): $458,000


Funding for Strategic Information (HVSI): $2,100,000


Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $38,000


Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $342,000


Funding for Laboratory Infrastructure (HLAB): $100,000

This activity has expanded scope of work and a substantial budget increase and should be part of the streamlined COP10 submission.

In FY09, the Ethiopian Public Health Association (EPHA) supported local capacity development in partnership with the Ethiopian Public Health Laboratory Association (EPHLA). EPHA continued technical assistance to EPHLA to work with all relevant stakeholders to develop skilled laboratory professionals to improve the quality of laboratory services. EPHLA was instrumental in filling the gaps in laboratory training programs in the private sector, emphasizing the development of laboratory management capacity. This effort complemented the national effort to address laboratory management gaps identified in many facilities. EPHLA also supported the development and review of the National Laboratory Policy Guideline.

In COP 2010, EPHLA will continue to strengthen its capacity and system development. It will build its capacity for project management and evolve as a national resource center in the professional field of public health laboratory science. EPHLA will also work toward empowering laboratory professionals by supporting and strengthening capacity-building trainings to member public- and private-sector laboratory professionals in collaboration with EHNRI. EPHLA is in the process of developing its five-year strategic plan. It will work closely with the National Laboratory Technical Working Group and sister associations such as the Ethiopian Medical Laboratory Association (EMLA). Together they will advocate for the implementation of laboratory policies. EPHLA will support the development of local organizational capacity through laboratory education, workplace HIV/AIDS interventions, publications, dissemination of research findings, and strengthening public health laboratory systems.

In partnership with the Associations of Public Health Laboratories/USA, EPHLA will continue supporting local professional associations. It will conduct annual review meetings on laboratory services that support the HIV/AIDS prevention, care, and treatment program. In addition, EPHLA will work with training institutions to advance their development, harmonize and standardize laboratory trainings, and develop accreditation systems for laboratories and laboratory professionals.

Subpartners Total: $0
Addis Ababa University: NA
Arbaminch University: NA
Ethiopian Health and Nutrition Research Institute : NA
Ethiopian Public Health Laboratory Professionals Association: NA
Federal HIV/AIDS Prevention and Control Office - Ethiopia: NA
University of Gondar: NA
Jimma University: NA
Mekelle University: NA
Private Health Facilities Association: NA
Federal HIV And AIDS Prevention and Control Office: NA
Regional Health Bureaus: NA
Save Your Generation: NA
Cross Cutting Budget Categories and Known Amounts Total: $740,000
Education $100,000
Gender: Gender Based Violence (GBV) $20,000
Human Resources for Health $620,000