Ethiopia


Ethiopia – FY 2010 Approved Funding by Program Area, Agency and Funding Source*

Date: 2011 Description: FY 2010 Approved Funding by Program Area, Agency and Funding Source © PEPFAR

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

The PEPFAR team is currently laying the groundwork for the successful negotiation of a Partnership Framework with the Government of Ethiopia (GOE). Following presidential elections will take place in May 2010, a Partnership Framework was brokered and signed in October 2010 (available online at http://www.pepfar.gov/frameworks/ethiopia/index.htm)

The PEPFAR prevention program will focus on PMTCT, persons engaged in high-risk behaviors, and discordant couples. PEPFAR will support the GOE in the development of specific intervention packages for the various MARPs groups. Additional efforts will address critical gender issues that exacerbate the HIV problem, including early marriage, sexual coercion, and cross-generational sex. Access to post-exposure prophylaxis (PEP) for victims of rape and occupational exposure cases will be strengthened. The PMTCT program will provide support to the GOE to prioritize high yield facilities in areas of high HIV prevalence, building upon the opportunity provided through the deployment of over 6,000 urban health extension workers. PEPFAR will also continue to strengthen coordination of HCT programs in urban, peri-urban, and selected rural “hot-spots.”

PEPFAR care and support activities focus on infrastructure improvement, training, TA, and commodity support including the distribution of the basic health care package, and nutritional care and support to PLWHA. TB/HIV activities aim to increase case detection rates and improve TB treatment in children. Ethiopia has implemented task shifting through a nurse-centered care model which utilizes outreach workers and case managers to improve adherence rates. Aggressive attempts will be made to increase the number of children on treatment. PEPFAR will also support the national laboratory system, including the procurement of laboratory reagents and supplies for ART monitoring, infrastructure support, TA, quality assurance (QA), and site supervision to the National Referral Laboratory and nine regional labs.

Support for health systems strengthening (HSS) and human resources for health (HRH) are a priority for FY 2010, with an emphasis on: leadership and management of service delivery; human and organizational capacity-building; broad expansion of private sector engagement; and expanding pre-service training in support of the national plan. PEPFAR will continue support for the ongoing roll-out of the HMIS at health facilities and will work with the Federal HIV/AIDS Prevention and Control Office to design a community-based system to capture community level sector inputs into HIV/AIDS programs.

In July 2010, funding for the Ethiopia PEPFAR program was decreased as compared to the Country Operational Plan (COP) submitted in January 2010. With an existing pipeline of funding for the Partnership for Supply Chain Management Systems (SCMS), it was determined that funding originally programmed to SCMS for Ethiopia could be strategically reallocated to support needs in other countries. The Ethiopia USG team is developing a costed plan as the basis for continuing bridge support for commodities, will negotiate a clear plan for hand-over to the GOE, and adjust funding levels per that analysis.

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