Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 13254
Country/Region: Ethiopia
Year: 2012
Main Partner: Tulane University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $5,524,966

This is a continuing activity. The goal of Tulane University Technical Assistant Program Ethiopia (TUTAPE) is to build capacity of MOH, universities, and regional health bureaus in strategic information and human resources via TA to GOE-owned programs. TUTAPE provides TA to GOEs national HIV/AIDS monitoring and evaluation system, the national HMIS, Electronic HMIS and Electronic Medical Records. TUTAPE supports GOEs development / implementation of SI training programs including new curricula for diploma-level training of health information officers and masters level training in monitoring and evaluation, biostatistics and health informatics. Previously, TUTAPE provided TA to the FMOH to develop the 2009-2020 Human Resources for Health (HRH) strategy. TA will continue to be provided to the FMOH, RHBs and health institutions to roll-out the HRH strategy to improve the retention of key health professionals. The HRH strategy, when formally approved, will also enhance GOE capacity to conduct human resource planning and develop a detailed densities estimate for the health workforce at the Woreda level enabling the FMOH to annually update the HRH data base, improve M&E, target in-service training, enhance HR development and career progression, and target deployment of the Human Resource Information System (HRIS) to different organizations within the FMOH. TUTAPE's program compliments USAID's HRH program through e-learning and training of health information technicians and masters level training. TUTAPE's target population is medical doctors, health information technicians, and emergency surgery officers. USAID's HRH program targets nurses and midwives. TUTAPE's program aligns with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative.

Funding for Strategic Information (HVSI): $4,900,000

Under COP2012, TA will focus on improving data quality, performance monitoring and information use at the health administrative and institution levels. TUTAPE will provide mentoring and training on HMIS to M&E officers that operate at the health facility level. TuTAPE will also co-locate its HMIS technical staff with FMOH staff to transfer skills and foster sustainability. Short-term in-service training on performance and quality improvement, M&E for program improvement, and use of data for decision-making will continue. TUTAPE will conduct process evaluations to continually improve program implementation. The regions and FMOH will be provided support to produce annual HMIS/M&E reports.

TUTAPE will start to transition its support to Jimma University and M&E graduate students to ensure sustainability. Under COP2012, support will also continue for two cohorts of the biostatistics/health informatics MSc program and health information technicians. Institutional support will include provision of international faculty exchange, ICT support and education supplies.

TUTAPE has been supporting the implementation of Electronic Medical Records (EMR) system at 30 health facilities that implemented the new paper-based HMIS. It has also been supporting the development of the e-HMIS implemented by MOH. TUTAPE will continue supporting the maintenance of EMR at the existing sites and implementation of the program in seven new sites. Moreover, TUTAPE will support the disease surveillance report system in the public health emergencies management section of the Ethiopian Health and Nutrition Research Institute. Development and expansion of the full EMR will be implemented in collaboration with the Jimma University ICT department by training future programmers and ICT experts.

TUTAPE will purchase IT equipment, configure hardware, install LAN infrastructure, conduct ongoing trouble shooting, upgrade the software and EMR (SmartCare) installation at facilities, and conduct user training and mentorship. All the e-health programs will be GIS capable. TUTAPE will work with FMOH to leverage Global Funds and other resources to expand coverage of e-HMIS and other e-solutions.

Funding for Health Systems Strengthening (OHSS): $624,966

In recognition of the HRH deficiencies in Ethiopia, TUTAPE will address health workforce challenges by providing TA at the national level for the FMOH on HR policies, strategies and implementation. In FY 2011, TUTAPE provided TA and support to the FMOH on the development of HRH strategic plan and deployment of the Human Resource Information System (HRIS). TUTAPE also provided support to the Medical and Health Science Education Council for developing and reviewing curricula for the New Medical Education Initiative (NMEI) and e-learning support to the St. Paul Millennium Medical College for delivering the new medical education curriculum.

Under COP2012, TUTAPE will provide TA to the FMOH, including secondment of a technical advisor to the FMOH to design and coordinate the implementation of the NMEI. They will continue to work on the implementation of the NMEI at the national level, and will also work on developing approaches to decrease the number of students dropping out of medical school, with emphasis on the NMEI. TUTAPE will assess and monitor the quality of the NMEI in collaboration with the FMOH.

TUTAPE will also continue to support HR management and administration including deploying HRIS to the FMOH, RHBs, Zonal Health Departments and Woreda Health Offices and health institutions. Moreover, it will also continue to provide technical, material and financial support to St. Paul Millennium Medical College to deliver quality pre-service medical education.

Cross Cutting Budget Categories and Known Amounts Total: $880,000
Human Resources for Health $880,000