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ACRONYMS
ABE Accidental Blood Exposure |
AIDS Acquired Immune Deficiency Syndrome |
ANC Antenatal Clinic |
ARC HIV/AIDS Resource Center |
ARD Anti-Retroviral Drug |
ART Anti-Retroviral Therapy |
ARV Anti-Retroviral |
BCC Behavior Change Communication |
BSS Behavioral Surveillance Survey |
CBO Community Based Organization |
CETU Confederation of Ethiopian Trade Union |
CRIS Country Response Information System |
CSA Central Statistical Authority |
CST Care, Support and Treatment |
DACA Drug Administration and Control Authority |
DKT Dink Kistet le Tena |
EEF Ethiopian Employees Federation |
EHNRI Ethiopian Health and Nutrition Research Institute |
EMSAP Ethiopian Multi-Sectoral HIV/AIDS Program |
ERCS Ethiopian Red Cross Society |
ESTC Ethiopian Science and Technology Commission |
FBO Faith Based Organization |
FDRE The Federal Democratic Republic of Ethiopia |
FP Family Planning |
GFATM Global Fund to Fight AIDS, Tuberculosis and Malaria |
HAPCO HIV/AIDS Prevention and Control Office |
HIV Human Immunodeficiency Virus |
HMIS Health Management Information System |
IEC Information, Education and Communication |
M&E Monitoring and Evaluation |
MCH Maternal and Child Health |
MGD Millennium Development Goal |
MIS Management Information System |
MoE Ministry of Education |
MoH Ministry of Health |
MoJ Ministry of Justice |
MoLSA Ministry of Labor and Social Affairs |
NACS National AIDS Council Secretariat |
NGO Non-Governmental Organization |
NSF National Strategic Framework |
OHCHR Office of the High Commissioner for Human Rights (United Nations) |
OI Opportunistic Infections |
OVC Orphans and Vulnerable Children |
PEP Post-Exposure Prophylaxis |
PLWHA People Living With HIV/AIDS |
PMTCT Prevention of Mother to Child Transmission |
|
PO Private Organizations |
Prv Prevention |
PS Program Support |
RHB Regional Health Bureau |
STD Sexually Transmitted Disease |
STI Sexually Transmitted Infection |
TB Tuberculosis |
TOT Training Of Trainers |
UN United Nations |
UNAIDS Joint United Nations Program on HIV/AIDS |
UNGASS United Nations General Assembly Special Session |
UP Universal Precautions |
VCT Voluntary Counseling and Testing |
WHO World Health Organization |
FOREWORD
In 2002, the number of people globally living with HIV/AIDS was estimated at 42 million; out of which 29.4 million (70 percent) were in Sub-Saharan Africa (UNAIDS & WHO 2002). The pandemic is severely affecting Sub-Saharan Africa and becomes a paramount threat to the region’s development. In the absence of coordinated effort to curb the pandemic, the underlying high prevalence of the disease, unsafe sexual behavior, high frequency of sexually transmitted diseases (STDs) and poverty may further propel the epidemic in the region. Ethiopia, located in Sub-Saharan Africa, is one of the most affected countries in the World where the national adult HIV prevalence was estimated at 6.6 percent in 2001 (MoH 2002).
There are global initiatives and government commitments to combat the pandemic. Among others, the Declaration of Commitment on HIV/AIDS is to be cited. At the United Nations General Assembly Special Session (UNGASS) on HIV/AIDS in June 2001, 189 countries adopted a Declaration of Commitment by establishing time-bound targets to which governments and the United Nations may be held accountable. Ethiopia is one of the signatories of the Declaration of Commitment.
The Government of the Federal Democratic Republic of Ethiopia has taken several measures to fight the disease and mitigate its impact. Among these are: adoption of a National AIDS Policy, establishment of HIV/AIDS Prevention and Control Council and HIV/AIDS Prevention and Control Office (HAPCO) working as Secretariat to the Council; and development of a Strategic Framework for the National Response to HIV/AIDS. All Regional States have also established Offices mandated to coordinate HIV/AIDS activities in their own Regions.
The National HIV/AIDS Prevention and Control Office (HAPCO) was established by Proclamation Number 276/2002 as an autonomous federal government organ having its own legal personality. The objective of the Office is to coordinate and direct the implementation of the Country’s HIV/AIDS policy. Establishment of an effective monitoring and evaluation system is basic to assess progresses made towards minimizing the spread of the disease and its impact on PLWHA, their families and the society.
HAPCO, together with its stakeholders, has been working for the establishment of an M&E system. After many consultations with the different stakeholders, the National M&E Framework for the Multi-Sectoral Response to HIV/AIDS in Ethiopia is now finalized. The Framework will be followed by development of operational manual(s) which will give clear guidance on how to collect data; including data collection tools (such as survey questionnaires) and methodologies for indicators that require conducting surveys, and formats for program indicators that will be routinely collected from program reports.
Though establishing an M&E system is not an easy task, translating the system into action is much harder and an always challenge. In this regard, all stakeholders are reminded to give due emphasis for M&E by allocating enough resources for M&E activities and enhancing the capacity of their own staff through training and experience sharing.
Finally, I would like to take this opportunity to thank organizations and individuals that supported the development and finalization of the M&E Framework.
Nigatu Mereke,
Head, HIV/AIDS Prevention and Control Office (HAPCO)
December 2003
ACKNOWLEDGEMENTS
The HIV/AIDS Prevention and Control office (HAPCO) would like to thank the World Bank for its continual financial and technical assistance for the realization of the Monitoring and Evaluation Framework.
HAPCO also extends its appreciation to all Government Sectors, NGOs, FBOs, Civil Societies and Bilateral and Multi-lateral Agencies for their contribution in enriching the document. In particular our thanks go to ActionAid, CDC, DACA, ERCS, FHI, UNAIDS, UNFPA, UNICEF, USAID and WHO for their support to strengthen monitoring and evaluation of HIV/AIDS. Our special thanks also go to MOH’s HIV/AIDS Team and HMIS Unit for working closely with the M&E Team of HAPCO.
We also appreciate Dr. Yetnayet Asfaw who played a key role in the development of the draft document. HAPCO also recognizes the great work that was done by Mr. Nibretie Gobezie in the development and finalization of the Framework.
HAPCO extends its special thanks to Dr. Wuleta Lemma and gives recognition for the high level expertise in the development and finalization of the Framework and her contribution in support of the M&E Team.
The overall leadership and coordination role played by the Planning and Programming Department at HAPCO in the development of the Framework is highly appreciated.
