Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014

Details for Mechanism ID: 10592
Country/Region: Ethiopia
Year: 2012
Main Partner: Pathfinder International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Activities in support of prevention-of-mother-to-child transmission (PMTCT) fully integrate within the overall family planning (FP) and maternal, neonatal, and child health (MNCH) mandate of the Integrated Family Health Program (IFHP). These activities rely on strategies and approaches formulated in the IFHP work plan approved by USAID and the Federal Ministry of Health (FMoH). In addition, PMTCT-related activities in this project are in-line with GHI principles to focus on women and invest in country-led plans, and support the overall GHI Ethiopia goal to reduce maternal, neonatal and child mortality through an integrated service delivery platform.

In line with the MoH's PMTCT acceleration plan, integration is achieved by considering antenatal care as the overarching service delivery framework and by paying considerable attention to maternal and newborn health, in particular, to HIV/AIDS prevention in mother and child and to birth spacing or prevention of unwanted pregnancies as essential inclusive components of quality and focused antenatal care (ANC).

In the areas of Amhara and Oromia, the full range of ANC, PMTCT and FP support is provided. With regard to PMTCT, this includes health center based HIV/AIDS counseling and testing and provision of antiretroviral (ARV) prophylaxis, and follow-up for exposed infants and early infant diagnosis. IFHP will collaborate with partners to ensure availability of commodities and supplies required for the implementation of the program, including HIV counseling and testing (HCT) kits and ARVs for PMTCT. To provide essential contraceptives, IFHP already has a system in place.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $0

IFHP plans to increase the number of pregnant women who know their HIV status and who receive ARV prophylaxis by building on exisiting MNCH-FP service delivery platforms. In essence, the PEPFAR investment will decrease "missed opportunities" among women accessing facility-based services and will help to standardize the inclusion of HIV services within the spectrum of services for women of reproductive age throughout the health system. This project will continue to operate in two major regions of the country: Amhara and Oromiya. The project will scale up the prevention-of-mother-to-child (PMTCT) services from the current 70 Health Centers (HCs) to 80 HCs with COP 2012 funds. PMTCT service provision will be primarily at health centers, with support provided at the community level, and through Health Extension Workers (HEWs) at Health Posts (HPs).

IFHP will use a variety of methods to increase demand for antenatal care (ANC) and institutional delivery, which includes the use of mobile vans and information, education, and communication (IEC) and behavior change communication (BCC) materials.

Further, IFHP will strengthen the integration of FP with HIV services in 250 health facilities. This project has two years of experience in implementing PMTCT services and integrating FP with HIV. The project is maturing and becoming more efficient each year by demonstrating increased service coverage and improving the quality of services. The PMTCT service providers capacity will be built by in-service trainings, on the job trainings, regular mentoring through project staff, and supportive supervision visits through the project staff and woreda/zonal trained staff. This partner will support and strengthen the Primary Health Care Unit (PHCU) meetings between HC staff, HEWs, Volunteers, and woreda (neighborhood administrative unit) health bureau staff in the catchment area of a health center. This will strengthen referral and linkages from the community to health facilities and trace lost to follow up of HIV positive women from care and treatment. In PHCU meetings, participants discuss PMTCT performance, challenges, and plan the way forward for program improvement. The project will use pipeline funds for ongoing activities.

Subpartners Total: $0
C-Change: NA
Consortium of Reproductive Health Agencies : NA
John Snow, Inc: NA
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Safe Motherhood
Family Planning