Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 10558
Country/Region: Ethiopia
Year: 2012
Main Partner: Ministry of National Defense - Ethiopia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $770,933

This is a continuing activity. Ethiopian soldiers are at risk for HIV infection. A majority are young, mobile, and sexually active with close interactions with other high risk populations. The 2004 HIV prevalence rates among urban and rural military recruits were 7.2% and 3.8%, respectively. The overall objective of the Ethiopia National Defense Force (NDFE) HIV/AIDS program is to avert new HIV infections among soldiers aged 18-40 years and their family members by creating access to and increasing demand for HIV/AIDS services, including HIV testing and counseling (HTC), sexually transmitted infection (STI) and other opportunistic infection (OIs) treatment and antiretroviral treatment (ART). The approach to be used, Modeling and Reinforcement to Combat HIV/AIDS (MARCH), peer-to-peer small group discussions has proven successful. There has been a four-fold increase in HTC uptake, a three-fold increase in ART uptake, a 50% decrease in hospital admissions, and anecdotal reports of a more accepting atmosphere of HIV/AIDS services among the military and an improved quality of life among PLWHA in the military. The NDFE program follows the GOE guidance on the implementation of a minimum package of prevention services for uniformed services and supports the goals of the GOE's National Strategic Plan (SPMII). In addition, the activity falls under the combination prevention framework of the USG HIV prevention portfolio and is aligned with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. The NDFE has a system to routinely monitor and report on performance. An evaluation of MARCH is currently underway and findings will be used to further guide the implementation of the NDFE program.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $72,983

The NDFE has more than 15,000 active and well-organized peer-to-peer HIV/AIDS discussion groups and aims to add approximately 4,000 new groups by expanding to new recruits and hard-to-reach NDFE units. In total, 200,000 military and family members will be reached through these peer groups. Under COP2012, the NDFE will provide refresher training to peer leaders in all NDFE commands, which includes an abstinence / be faithful (AB) training component that focuses on reducing multiple concurrent sexual partnerships and increasing fidelity. NDFE will produce and distribute military-specific and tailored information, education and communication (IEC) and behavior change and communication (BCC) materials on AB-focused topics; provide information on HTC and STI services and referral linkages to care and treatment services. In addition, the NDFE will strengthen its AIDS Resource Centers (ARC) through procurement of audio-visual materials, collecting and documenting available IEC materials on HIV-related topics, producing military-specific IEC materials, creating linkages with other regional and national ARCs, improving functionality of the ARC website, training on the production of IEC/BCC materials, as well as capacity building and training for ARC NDFE staff. In addition, the NDFE will reinforce the peer group activities with other NDFE HIV/AIDS activities incorporated into NDFE music and sports clubs, radio programs, newsletters, movies or staged dramas, and events such as the World AIDS Day. Technical assistance to the NDFE will be provided by the University of California at San Diego (UCSD), Johns Hopkins University, and the US Department of Defense (DOD) to strengthen the capacity of the NDFE to successfully implement these activities on its own in the long-term.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $697,950

The NDFE has more than 15,000 active and well-organized peer-to-peer HIV/AIDS discussion groups and aims to add approximately 4,000 new groups by expanding to new recruits and hard-to-reach NDFE units. In total, 200,000 military and family members will be reached through these peer groups. Under COP2012, the NDFE will provide refresher training to peer leaders in all NDFE commands promoting the other prevention (OP) component of HIV prevention, which includes 100% correct and consistent condom use. In addition to peer education, activities will include promotion of HTC, promotion and distribution of condoms and establishment of condom service outlets, and creating linkages to other HIV services. The NDFE will produce and distribute military-specific and tailored information, education and communication (IEC) and behavior change and communication (BCC) materials on OP-focused topics; provide information on HTC and STI services and referral linkages to care and treatment services. In addition, the NDFE will strengthen its AIDS Resource Centers (ARC) through procurement of audio-visual materials, collecting and documenting available IEC materials on HIV-related topics, producing military-specific IEC materials, creating linkages with other regional and national ARCs, improving functionality of the ARC website, training on the production of IEC/BCC materials, as well as capacity building and training for ARC NDFE staff. In addition, the NDFE will reinforce the peer group activities with other NDFE HIV/AIDS activities incorporated into NDFE music and sports clubs, radio programs, newsletters, movies or staged dramas, and events such as the World AIDS Day. Technical assistance to the NDFE will be provided by the University of California at San Diego (UCSD), Johns Hopkins University Center for Communication Program, and the US Department of Defense (DOD) to strengthen the capacity of the NDFE to successfully implement these activities on its own in the long-term.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's legal rights and protection
Military Populations
Mobile Populations
Workplace Programs