Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 14209
Country/Region: Ethiopia
Year: 2013
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $2,893,132

The new Strengthening Human Resources for Health (SHRH) Program is a wraparound project that will receive other non -PEPFAR health funds. The Program's goal is to strengthen the capacity of the GOE to develop and strengthen HRH in Ethiopia. This will be accomplished through capacity strengthening in HR planning, management and leadership, addressing retention and incentive issues and supporting capacity strengthening in systems and processes to effectively manage HRH in the country to allow transfer of skills and sustainability. This is aligned with the PF Goal 3: Health system strengthening # 3.1: increased availability of trained human resources for health to support accelerated scale-up of comprehensive HIV/AIDS programs by 2014 and the GHI strategy for Improved Health Systems (Pillar III) improved HRH systems. Some activities will be national (e.g., improving HR mgmt) and others will be regional (e.g. supporting specific health science training colleges for pre-service training). This activity will 1) Strengthen HR planning, leadership and management, retention strategies, gender equity and the utiliization of an HRIS; 2) Support pre-service and in-service training including capacity building of public and private training institutions focusing on health science colleges; and 3) Support quality assurance through continued professional development and implementation of accreditation and licensing of health professionals. As part of its HSDP IV, the GOE is currently preparing a HR Strategy and Implementation Plan, the USAID Health Team is current designing an improved HRH program that involves multiple funding streams to address HRH issues in a more strategic and coordinated way.

Funding for Health Systems Strengthening (OHSS): $2,250,000

There are numerous challenges in the Human Resource for Health (HRH) system in Ethiopia including low health worker to population ratios, inadequate number and insufficient skill mix of the health workforce, inadequate capacity of training institutions and low output, inequitable distribution of the health workforce, high attrition rates, lack of standardized in-service training, weak HRH management practices that are not responsive to the concerns of health workforce including motivation and performance evaluations, lack of an organized human resource for health information, inadequate regulatory framework in support of HRH development and management as well as licensing; and the absence of monitoring and evaluation framework for HRH among others. The objectives of this project will have a positive impact on all PEPFAR programming as HRH shortages and attrition is a problem facing all facets of health service delivery and systems. As part of HSDP IV, the GOE is currently preparing a HR Strategy and Implementation Plan. This activity will address these barriers as well as leverage multiple USG funding streams to address HRH issues in a more strategic and coordinated way. Given the recent positive developments in HRH including the move by the GOE to prioritize an HRH strategy, an increased interest in health systems strengthening by international donors, including PEPFAR phase II, GHI and PMI, the new USAID mechanism is the first of its kind to leverage substantial resources with the different USG initiatives. There are several other donors and agencies supporting HRH development in Ethiopia including the MOE, MOH, academic institutions, private colleges, both public and private health facilities, professional associations other USG implementing partners and other donor agencies. For example, UNICEF, WHO and UNFPA have supported training of different health cadres such as health extension workers, midwives and health officers in safe delivery and emergency surgery in selected institutions and regions and Irish Aid and the World Bank were involved in drafting the national HRH Strategic Plan. The new HRH project will build on these past and ongoing efforts.

Funding for Biomedical Prevention: Injection Safety (HMIN): $643,132

Follow on the AIDSTAR -One ,the program will conduct regular safety and prevention assessments to help inform program activities. The program will also support technical pre- service trainings for health workers responsible for administering injections. The program will also address behavior change that target health care workers, decision-makers, and teaching staffs in the pre-servie education. The project will supports pre-service training in 10 local health science colleges and further scale up as part of its strategy of country ownership and sustainability.

Subpartners Total: $0
Management Sciences for Health: NA
Cross Cutting Budget Categories and Known Amounts Total: $2,750,000
Gender: Gender Based Violence (GBV) $150,000
Gender: Gender Equality $150,000
Human Resources for Health $2,250,000
Motor Vehicles: Purchased $200,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's access to income and productive resources
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood
Workplace Programs
End-of-Program Evaluation
Family Planning