Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 14187
Country/Region: Ethiopia
Year: 2012
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $500,000

The HEAL TB Project has the goal of providing quality Directly Observed Therapy through enhanced TB program leadership and management (60% LOE), collaborative TB/HIV activities (10%), programmatic management of drug resistant TB (PMDT, 20%) and health systems strengthening (10%). HEAL TBs objectives are to strengthen health worker skills, referral linkages, laboratory and diagnostic capacity, community TB care, drug supply management, monitoring and evaluation to increase the TB case detection rate from the current estimated rate of 39% to >70% and achieve treatment success rate of > 85% within 2 years in the targeted areas. HEAL TB project has two phases whereby the first phase is aimed at scale-up of services and capacity building in 10 zones of Amhara and Oromia regional states for an estimated population of over 25 million with further expansion to new zones and possible regions during the preceding 3-5 years, HEAL TB will ensure establishment of effective coordination mechanism for all stakeholders involved at national, regional and zonal levels and overall ownership by the national program in service provision and M & E to ensure cost-effectiveness and sustainability as aligned with the PF and GHI. M & E tools with key indicators based on baseline assessment and natl and regional data are used to ensure implementation of effective strategies with continuous adjustment when needed to achieve the intended project impact. Due to the vastness of the project areas and the required high level of supportive supervision and drug and commodity logistical management, a strong logistical capacity including transport system with a number of vehicles is needed. 22 vehicles are needed; 16 vehicles are transferred from the old project and 6 will be purchased.

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? Neither3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVTB Oromiya RHB and Amhara RHB 45000 HEAL TB project will be involved in tracking of global funds for TB program.

Funding for Care: TB/HIV (HVTB): $500,000

The HEAL-TB project has been designed by incorporating national guidelines for prevention of transmission of tuberculosis in health care facilities, and community settings in Ethiopia as well as global policies for TB control (WHO Policy on Collaborative TB/HIV activities). The implementation strategies and activities are aimed at improving, expanding and sustaining services according to the GOE Health Sector Development Program IV (HSDP IV). HEAL-TB activities will collaborate closely with and expand on the progress made by existing implementing partners including the USAID/ ENHAT-CS Program (ENHAT-CS) that focus on health facilities, USAIDs TB Care I project, Private Health Sector Program (PHSP) and other PEPFAR partners including CDC funded US university partners and Supply Chain Management System (SCMS). A partnership forum to coordinate activities with other USAID projects and all relevant stakeholders is part of the strategy to ensure effective and efficient program implementation. HEAL-TB involves regions and zones to foster political commitment at regional, zonal, and woreda level. The Stop TB Partnership will be established in Oromia and Amhara regions to engage all decision makers and TB/HIV stakeholders to identify strategies for human resource capacity development in a sustainable manner. A strategy to provide mentoring, supportive supervision, and continuous medical education (CME) are key aspects of sustaining human resource capacity. The use of specialized local training partner institutions such as ALERT offer strategic capabilities to contribute to the sustainability of the program. HEAL TB will draw from evidence-based best practices established in Ethiopia as well as other country experiences to increase timely, accurate and complete reporting. There is a pool of already trained facility-level focal persons and woreda TB/HIV program coordinators in TB M & E, and data management using a standardized M&E framework, indicators and tools.

Subpartners Total: $0
All Africa Leprosy Rehabilitation and Training Center: NA
Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000
Key Issues Identified in Mechanism
enumerations.Impact/End-of-Program Evaluation
Increasing gender equity in HIV/AIDS activities and services