This project will build on significant achievements to date in Ethiopia (ET), in HIV program coverage, service quality, and capacity at all levels of the health system. During the next five years, ICAP will support the Government of Ethiopia (GOE) to reach the next level by achieving and sustaining the 90-90-90 goals for epidemic control. This will require targeted institutional capacity building (ICB) and technical assistance (TA) to address gaps and to strengthen the capacity of GOE organizations at national, regional, zonal, town, and site levels.
The project's purpose is to support the health system at above-site level in all regions and at site level in the four emerging regions in ET to reach optimal program coverages for attaining epidemic control and strengthen the overall health system for sustainable epidemic control. Strategies and activities will result in: (a) Increased above-site capacity, including for evidence-based program planning and monitoring, efficient and effective program implementation and (b) Increased site level capacity in the emerging regions, including for provision of high quality HIV prevention, care, and treatment services, site management, and data-driven quality improvement (QI) activities. ICAP at Columbia University. As a longstanding and trusted PEPFAR/CDC partner to the Federal Ministry of Health and all 11 Regional Health Bureaus, ICAP is poised to drive achievement of the 90-90-90 goals. This project will build on ICAP-supported achievements and draw on its innovation leadership and proven approaches, as well as its and extensive experience providing above-site and site level support in ET and facilitating transition to local ownership.
ICAP will provide targeted TA to GOE organizations to increase program coverage and ensure quality throughout the HIV continuum of care and prevention, and ICB support to increase ownership of planning, implementation, monitoring and evaluation (M&E) and operational management. Priorities will include evidence-based strategies, policies and guidelines; operational planning and program coordination; integration of HIV programs with the health system; scaling up best practices and innovative approaches; grants management; human resource planning; QI; and sustaining intensive efforts to attain saturation treatment coverage in priority towns.
In the emerging regions, ICAP will enhance the RHBs' capacity to provide site level TA and support, while building site level capacity for graduation from ICAP support, and facilitate the gradual transition of such support to the RHBs. This will be guided by tailored and systematic above-site ICB and transition plans and site level exit strategies. At priority sites ICAP will provide direct support for HIV prevention, targeted HIV testing, Test and Start, and the full continuum of HIV care and treatment, including core HIV laboratory services. Site level support will focus on integrating services at the point-of-care, establishing patient-centered models of care, and implementing targeted QI initiatives, as well as ensuring collaboration with community partners and other health programs.
Management Approach: ICAP’s management structure aims to achieve targets, transfer skills, champion use of data to drive improvement, and ensure sustainability. Highly skilled and experienced national, regional, and zonal teams, supported by ICAP headquarters, will provide targeted TA and build the capacity of GOE organizations across all technical and program management domains. In the emerging regions ICAP's regional and zonal teams will support GOE site teams through training, mentorship, supportive supervision, and data quality assurance, and in priority sub-national units ICAP will support intensive M&E of targeted testing, Test and Start, and systems for referral, retention, and tracing. ICAP’s well-established standard operating procedures will ensure streamlined communications and operational excellence.