SOLICITATION NOTICE
99 -- Deputy PEPFAR Country Coordinator - Package #1
- Notice Date
- 7/10/2013
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 541990
— All Other Professional, Scientific, and Technical Services
- Contracting Office
- Agency for International Development, Overseas Missions, Ethiopia USAID-Addis Ababa, Dept. of State, Washington, District of Columbia, 20521-2030
- ZIP Code
- 20521-2030
- Solicitation Number
- 663-S-13-002
- Archive Date
- 8/11/2013
- Point of Contact
- Tamirate Fekadu, Phone: 251111306002
- E-Mail Address
-
ftamirate@usaid.gov
(ftamirate@usaid.gov)
- Small Business Set-Aside
- N/A
- Description
- Deputy PEPFAR Country Coordinator BACKGROUND ON U.S. GOVERNMENT’S HIV/AIDS PROGRAM IN ETHIOPIA Launched in 2003 by President George W. Bush, and reauthorized in 2008, PEPFAR holds a place in history as the largest effort by any nation to combat a single disease. Nine years since its inception, PEPFAR has successfully demonstrated worldwide success in addressing the HIV/AIDS epidemic with gains particularly evident in Africa. It achieved success in expanding access to HIV prevention, care and treatment in low-resource settings. A. SPECIFIC FOCUS AREAS IN ETHIOPIA With a population of 82 million, Ethiopia is the second most populous country in Sub-Saharan Africa. D espite impressive economic growth, Ethiopia remains a low-income country with a real per capita income of US $351 and 39% of the population living below the international poverty line of $1.25/day. The HIV/AIDS epidemic in Ethiopia is characterized by a mixed epidemic with significant heterogeneity across geographic areas and population groups. The recent 2011 DHS has shown an encouraging decrease in urban prevalence as well as decrease in the rural areas, with an overall HIV prevalence of 1.5%. Addis Ababa, Amhara, Oromia and SNNPR account for 93.4% of the total PLWHA with 60% of PLWHA living in cities/towns. The latest ANC surveillance report (2009) also indicates that between 2001 and 2009, prevalence in urban sites decreased from 14.3% to 5.3%; rural prevalence decreased from a high in 2003 at 4.1% to 1.9% in 2009. Prevalence among 15-24 years has also significantly declined from 12.4% in 2001 to 2.6% in 2009. Since 2005 trends in ANC prevalence in Ethiopia show steady and steep declines by as much as 60% according to latest UN models of HIV incidence, and suggest general success of combined prevention efforts by PEPFAR, GOE and other partners. With the right strategies, an AIDS-free generation may be truly achievable in this setting. The “contributions” of the various MARPs and other vulnerable populations to overall HIV incidence are not well known. There is an upcoming national survey on MARPS quantifying FSWs in regional capitols and major transit corridors and estimating HIV prevalence among FSWs and truck drivers which will add further information. Existing programs reached 84,616 sex workers in 2012 using standardized evidence-based interventions. These programs will be expanded to 200 hotspots including large-scale worksites, an expanded network of confidential STI clinics, private health clinics, and pharmacies providing complementary biomedical services linked with community mobilization. Together these programs continue shifting the USG portfolio towards a focus on key populations and other vulnerable populations where transmission remains high, whilst transitioning general population activities to GOE. Of Ethiopia’s estimated 5.4 million orphans, 855,720 were orphaned due to AIDS. According to a 2010 Ministry of Labor and Social Affairs (MOLSA) report, approximately 150,000 children live on the streets, and 60,000 of these children live in the capital putting them at greater risk. There has been a major expansion in the coverage of HIV/AIDS services. Facilities offering counseling and testing have more than quadrupled from 658 in 2005 to 2,874 in 2012. As a result of provider initiated counseling and testing (PICT) in health facilities and community mobilization, the number of people tested for HIV increased from 436,854 (2004/5) to over 11 million in 2012. The number of hospitals and health centers has increased fourfold from 645 in 2004 to 2,884 by 2009; over the same period the number of health posts increased almost five-fold. Encouraging gains are seen in PMTCT. There has been a vast increase in the number of health facilities offering PMTCT services. In 2012, 1,125,986 pregnant women received HTC, a 38% increase over 2011 APR. However national HCT coverage for this group remains only 38% of the estimated 3 million pregnancies per year. Of 21,871 HIV positive pregnant women identified in FY12, 15,093 (69%) received ARVs to reduce MTCT, a 46% increase over FY11 and 39% of estimated 38,404 HIV+ pregnant women nationally. Improved performance coincides with increasing access, quality improvement, demand creation and adoption of “Option A” approach as part of the GOE PMTCT Accelerated Plan. Recent data shows considerable improvement in retention with 84% of HIV+ identified women receiving ARVs. Ethiopia recently adopted the “Option B+” approach and initiated development of national plans for elimination of MTCT and congenital syphilis, to be launched in January, 2013. PEPFAR supports 760 health facilities providing ART services across Ethiopia and as of March 2013, over 290,000 adults and children were currently receiving ART, According to recent estimates, the total ART need in Ethiopia for 2012, is about 400,000 and PEPFAR supports 72% of this need, although coverage for the age group under 15 years remains at 6%. Overall, 86% of adults and children were known to be alive and on treatment 12 months after initiation of ART. A significant part of the USG portfolio addresses health systems strengthening, including support for pre-service training of key cadres, a number of masters programs, and in-service training. Longstanding inputs to support health care financing both at facility and community level and investments in infrastructure improvement, supply chain management, support for disease surveillance and surveys are all key to ensuring the sustainability of the gains achieved to date. These encouraging results reflect the combined efforts of high-level GOE political commitment and a supportive donor community, including support from both the PEPFAR and the Global Fund for AIDS, Tuberculosis and Malaria (GFATM) who together contribute almost 90% of total donor input to HIV. The PEPFAR/E program and activities support the Government of Ethiopia’s Health Sector Development Plan (HSDPIV) and the Strategic Plan for Intensifying the Multisectoral Response to HIV/AIDS (SPMII). The Global Health Initiative (GHI) Strategic framework brings together the USG support to Ethiopia’s health sector. It includes three pillars: Improving access to health care services; increasing demand for services; and strengthening the health systems - all of which will increase utilization of quality health services, decrease maternal, neonatal and child mortality, and reduce incidence of communicable diseases. The USG program in Ethiopia is implemented through the Departments of State, Defense, and Centers for Disease Control (CDC), with the United States Agency for International Development (USAID), Peace Corps and the State Department’s Program for Refugee and Migration.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/AID/OM/ETH/663-S-13-002/listing.html)
- Place of Performance
- Address: USAID/Ethiopia, Addis, ADDIS ABABA, Ethiopia
- Record
- SN03113030-W 20130712/130710235906-68ebd9f7b4cf2942cb17f07a1e874159 (fbodaily.com)
- Source
-
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