Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 12319
Country/Region: Ethiopia
Year: 2012
Main Partner: Federal Police Commission - Ethiopia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $250,173

This is a continuing activity. HIV prevalence among the Ethiopian Federal Police Commission (FPC) population is declining (ANC surveillance in police hospital 24.8% in 2005, 10.7% in 2007, and 3.7% in 2009), suggesting that prevention interventions targeting this high-risk population are working. During the next two years, the FPC will target HIV peer education to more than 30,000 federal police aged 20-49 years and their family members, particularly those living in Addis Ababa and Dire Dawa. The FPC's program is based on a peer education approach referred to as the Modeling and Reinforcement to Combat HIV/AIDS (MARCH). Its goal is to avert HIV infection among the police force by increasing correct/consistence condom use, fidelity and abstinence, and use of key HIV services (e.g. HCT and ART), as well as improving the police forces ability to discuss sexual risks and HIV/AIDS related stigma. The program is fully-owned by the FPC and integrated into their routine command structure. The formation of a FPC HIV/AIDS advisory board has led to greater ownership of the program and stronger leadership on behalf of the FPC, which will enable its sustainability in the long-term. The FPC 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. Currently a formal evaluation of MARCH approach is underway. Evaluation findings will be used to further guide and target the FPC HIV/AIDS interventions during the next two years.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?(No data provided.)

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $33,174

The FPC will target peer education interventions to FPC members aged 20-49 years and their family members to increase correct and consistence condom use, fidelity and abstinence, and use of key HIV services. In addition, interventions will improve the police forces ability to discuss sexual risks and HIV/AIDS related stigma. As appropriate, interventions will link FPC service members with HIV/AIDS services including condom access, HIV testing and counseling, sexually transmitted infection management, prevention from mother to child transmission, antiretroviral therapy and care and support. Approximately 3,500 peer group trainers will lead peer group discussions every two weeks. With an average of 10 persons per group, the program aims to reach 35,000 people each year. Small group discussions will provide opportunities for participants to practice HIV prevention skills and understand positive health-seeking behaviors. Thematic discussion topics will include addressing multiple concurrent sexual partnerships, social and community norms, and stigma and discrimination. Peer leader training and information, education and communication material and behavior change and communication material will be adapted specifically for the FPC uniformed service members. FPC "anti-AIDS" clubs will supplement the peer group activities by organizing dramas and sporting events, World AIDS Day activities, and other outlets for peer groups to meet. For monitoring purposes, the FPC will provide routine progress reports on the number of peer groups that meet and the discussions that have taken place, as well as the number of participants. In addition, the number of participants attending other types of HIV prevention reinforcing activities will be included in the report. The FPC will conduct site visits to assess peer group discussions for regularity, group and member participation, and to identify major challenges that arise during the discussions. Documentation of best practices and sharing of lessons learned with the FPC leadership, the GOE and other key stakeholders will be an integral and on-going activity throughout implementation.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $216,999

The FPC will target peer education interventions to FPC members aged 20-49 years and their family members to increase correct and consistence condom use, fidelity and abstinence, and use of key HIV services. In addition, interventions will improve the police forces ability to discuss sexual risks and HIV/AIDS related stigma. As appropriate, interventions will link FPC service members with HIV/AIDS services including condom access, HIV testing and counseling, sexually transmitted infection management, prevention from mother to child transmission, antiretroviral therapy and care and support. Approximately 3,500 peer group trainers will lead peer group discussions every two weeks. With an average of 10 persons per group, the program aims to reach 35,000 people each year. Small group discussions will provide opportunities for participants to practice HIV prevention skills and understand positive health-seeking behaviors. Thematic discussion topics will include addressing multiple concurrent sexual partnerships, social and community norms, and stigma and discrimination. Peer leader training and information, education and communication material and behavior change and communication material will be adapted specifically for the FPC uniformed service members. FPC "anti-AIDS" clubs will supplement the peer group activities by organizing dramas and sporting events, World AIDS Day activities, and other outlets for peer groups to meet. For monitoring purposes, the FPC will provide routine progress reports on the number of peer groups that meet and the discussions that have taken place, as well as the number of participants. In addition, the number of participants attending other types of HIV prevention reinforcing activities will be included in the report. The FPC will conduct site visits to assess peer group discussions for regularity, group and member participation, and to identify major challenges that arise during the discussions. Documentation of best practices and sharing of lessons learned with the FPC leadership, the GOE and other key stakeholders will be an integral and on-going activity throughout implementation.

Cross Cutting Budget Categories and Known Amounts Total: $150,000
Education $50,000
Gender: Reducing Violence and Coercion $100,000
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