Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014

Details for Mechanism ID: 10546
Country/Region: Ethiopia
Year: 2013
Main Partner: IntraHealth International, Inc.
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,643,607

The Community PMTCT program goal is to increase the uptake of PMTCT services aligned with GHI/P. The approach is to provide PMTCT services integrated within the overall MCH portfolio and with a strong facility-community linkage. The program targets Health Extension Workers and other volunteers to sensitize and mobilize communities to create demand; and provide access to quality MCH/ANC/PMTCT services at health posts, health centers and outreach sites. This will be accomplished through: 1) Point of service opt out CT offered to all women in ANC, labor and delivery and postnatal in FP units, 2) Male involvement through community 'gatekeepers' and lay counselors to avoid counselors burnout, 3) prophylactic ARVs offered to HIV-positive women, 4) MSG and volunteers will track and support mother-infant pairs and link family members to care/support, pediatric treatment, and access to EID and OVC programs, and 5) Ensure continuum of care/functional referral linkages between health and community services. Coverage is Amhara, Tigray, Oromia, SNNPR and Addis Ababa. There will be ongoing coordination with USAID and CDC care and treatment implementing partners to promote efficiency of TA provision at health facilities. At the national level CPMTCT will adopt and roll out the new WHO guidelines (with FMOH), participate in the PMTCT TWG, strengthen GOE capacity in quality assurance, supportive supervision and M & E and advocate/facilitate revisions of key policy issues, such as integrating mother and child health cards, support regional, zonal and woreda health bureaus. M & E will include a USAID midterm evaluation and quarterly site reviews. No vehicles needed. Though no COP12 funds are being requested for this project, the project will continue as described using pipeline funds.

Funding for Care: Pediatric Care and Support (PDCS): $90,956

The Community Prevention of Mother to Child Transmission (CPMTCT) program will support comprehensive pediatric HIV/AIDS care and support (CPCS) activities. A key activity will be training for health workers on DBS testing, sample transportation and chronic HIV/AIDS follow-up care using standard manuals. Other training will include decentralized one-day training on case detection and referral and training for the respective HEW/volunteers on active case detection and referral. Reinforcement of skills and knowledge learned will be provided to each trained HW post-training, to ensure that the quality of service delivery conforms to established standards. The practice of monthly Primary Health Care Unit meetings of referring units, particularly the health centers, woredas, Health Extension Workers (HEW) and community volunteers will be strengthened in many places to improve coordination between all levels of care. The CPMTCT program will continue to collaborate with Regional Laboratories to strengthen the sample referral and feedback for HIV exposed children 0-12 months for dried blood spot analyses. CPMTCT will also work with University partners and other PEPFAR partners for sample transportation and feedback for samples collected from HIV positive children above 12 months to 14 years for CD4 counts and ART initiation. The program will work with OVC projects and other partners to link clinically malnourished infants and their mothers to nutritional support and other community services. CPMTCT will train MSG on safe breast feeding, infant feeding, weaning, and complementary feeding and in-turn they will train HIV positive pregnant and lactating women.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,552,651

The Community Prevention of Mother to Child Transmission (CPMTCT) project will continue to operate in five major regions (Tigray, Amhara, Oromiya, SNNPR and Addis Ababa). The project will scale-up PMTCT services above the current level of 200 Health Centers (HCs) in FY2012 and FY2013. PMTCT service provision will be at HCs, outreach in the community and through Health Extension Workers (HEWs) at HPs. It is planned to increase the number of pregnant women who know their HIV status to 372,708 in FY 2012. The number of HIV positive pregnant women receiving ARV prophylaxis is planned to increase to 1,433 in FY 2012. The project is maturing and becoming more and more efficient year to year demonstrating increased service coverage and improving the quality of services. PMTCT service providers capacity will be strengthened by in-service trainings, on the job trainings, regular mentoring through project staff, supportive supervision/quality improvement visits and feedback through the project staff and Woreda/Zonal trained staff. CPMTCT will strengthen the capacity of regional, zonal, woreda, and health facility staff by training on supportive supervision and performance/quality improvement methods to enable these cadres to supervise, monitor, and assure quality of PMTCT programs at community and facility levels. This project will strengthen the mentoring and support of Mother Support Groups (MSGs) to increase retention and adherence for ARV prophylaxis and retention in care of mother infant pairs and support HIV positive pregnant and lactating women adhere to educations given to them. CPMTCT will support and strengthen the Primary Health Care Unit (PHCU) meetings between HC staff, HEWs, Volunteers, and woreda health bureau staffs in the catchment area of a health center. This will strengthen the referral and linkage from community to health facilities and tracing lost to follow up of HIV positive women from care and treatment.

Subpartners Total: $0
International Orthodox Christian Charities: NA
Pathfinder International: NA
Program for Appropriate Technology in Health: NA
Cross Cutting Budget Categories and Known Amounts Total: $522,350
Human Resources for Health $522,350
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Safe Motherhood