Ethiopia - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Ethiopia - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

In Ethiopia, HIV transmission occurs at disproportionately higher rates in urban settings, with estimated prevalence at 7.7%, compared with 0.9% in rural areas. The USG PEPFAR program is working with the Government of Ethiopia to strategically program resources to effectively address the challenges of the rural/urban context of the epidemic. Sexual prevention activities in urban and most-at-risk populations (MARPs) will focus programs on delayed sexual debut, being faithful, multiple concurrent partnerships, treatment of STIs and correct and consistent condom use. Additional emphasis will address gender including early marriage, sexual coercion, and cross generational sex. Only 28% of women access antenatal care and 6% deliver in health facilities; therefore, efforts to improve uptake of services will focus on reaching women in these communities and households through urban health extension workers and traditional birth attendants. PEPFAR will expand PMTCT sites from 429 to 804 health facilities. HIV-positive pregnant and post-partum women with poor nutritional status will receive therapeutic feeding. Access to post-exposure prophylaxis for victims of rape will also be strengthened.

Ethiopia's care and support program now serves 436,520 individuals. In FY 2009, PEPFAR will strengthen delivery of preventive care packages for adults and children. Additionally, pediatric care will be integrated into maternal child health and the continuum of HIV care. USG will provide nutritional care and support to PLWHA by leveraging food resources from PL 480 and the World Food Program, and will support malnourished PLWHA with limited therapeutic feeding in 75 antiretroviral treatment (ART) sites in collaboration with UNICEF and the Clinton Foundation.

Twelve percent of students in PEPFAR supported school based programs are OVC. Building on the President's Initiative for Expanding Education, PEPFAR will strengthen partnerships with parent-teacher associations (PTAs), Girls' Advisory Committees and teacher training institutes to support children to complete their primary education and remain HIV free. Communities, churches and local governments are being supported by PEPFAR to address the needs of OVC. A standard package for OVC care will be adopted as a basis for programs to ensure quality.

An estimated 290,000 Ethiopians are in need of ART, of which PEPFAR supported 119,600. Ethiopia has implemented task shifting through a nurse-centered care model which utilizes outreach workers and case management to improve adherence rates. Pediatric ART will be available at all ART sites and supported by early infant diagnosis, linkages with PMTCT and Maternal and Child Health (MCH) programs. Drugs for ART and opportunistic infections (OIs), as well as HIV-related commodities, will be procured to address needs.

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