Since 2001, NASTAD Ethiopia has worked collaboratively with the federal Ministry of Health, federal HIV/AIDS Prevention and Control Office (HAPCO), Regional Health Bureaus, and regional HAPCOs to create sustainable improvements in the government health care system’s response to the HIV/AIDS epidemic. NASTAD Ethiopia established a field office in 2007, and has staff located in a central office in Addis Ababa and in five regions (Addis Ababa, Amhara, Dire Dawa, Oromia, and Southern Nations, Nationalities, and People’s Region [SNNPR]), co-located in regional health bureaus and regional HAPCOs to provide direct support in implementing activities.
As a key partner in ART Adherence Support, Health Systems Strengthening, and Strategic Information activities, NASTAD Ethiopia’s current work includes:
- NASTAD collaborates with community organizations to integrate and implement ART adherence support interventions, including follow up and peer counseling, patient education, and referral for social support to people living with HIV (PLHIV) to improve patient retention in care and ART adherence.
- NASTAD supports five Regional Health Bureaus (Addis Ababa, Amhara, Dire Dawa, Oromia, and SNNPR) to effectively implement sustainable, evidence-based patient retention and ART adherence programs.
Health System Strengthening:
- NASTAD serves as the lead partner to the Ethiopia Ministry of Health on evidence-based woreda-based planning and it also supports the five regions (Addis Ababa, Amhara, Dire Dawa, Oromia, and SNNPR). NASTAD provides support and technical assistance to Regional Health Bureaus such that the bureaus lead effective planning processes to coordinate and integrate health care services, in line with, and contributing to, the National Health Sector Development Program IV (HSDP IV).
- With FHAPCO, NASTAD works with all 11 Regional HAPCOs to create or update their regional strategic plan in line with the national Strategic Plan for Intensifying Multisectoral HIV and AIDS Response in Ethiopia II (SPM II). NASTAD facilitates the use of regional data and targets described in the SPM II such that HIV health care services delivery is cohesive and coordinated among community and clinical partners.
- NASTAD partners with FHAPCO to implement the community information system for non-clinical indicators (MRIS) for HIV prevention, care, and treatment. The establishment of a system that generates reliable data will ensure that the community based HIV response activities are quantified in scope and magnitude, gaps are identified, and system improvements can be targeted most effectively to need.
- NASTAD, with FMOH, EPHI and FHAPCO, is initiating and piloting case-based surveillance of HIV using existing data sources. NASTAD leverages experience and tools used in other countries and works with a national working group to adapt these templates and tools to the Ethiopian health care system. Case-based surveillance seeks to better utilize the collection and reporting systems currently in place to monitor and understand the HIV epidemic in Ethiopia.
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