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ICAP Ethiopia Program Overview

In 2004, the International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University's Mailman School of Public Health was established in 2004 to support the development of HIV/AIDS care and treatment services in low-resource settings. ICAP currently implements three major programs: the MTCT-Plus Initiative; the Multicountry Columbia Antiretroviral Program; the University Technical Assistance Program. ICAP provides technical assistance, financial and management systems support, and training to health institutions in 14 countries. Technical assistance is provided in an array of areas focusing on HIV/AIDS-related service delivery, including infrastructure development, procurement, and monitoring, evaluation, and research.

ICAP supports programs in Cameroon, Cote d'Ivoire, Ethiopia, Kenya, Lesotho, Mozambique, Nigeria, Rwanda, South Africa, Swaziland, Tanzania, Thailand, Uganda, and Zambia (see map at right). Although program specifics vary, all ICAP initiatives focus on family-centered, HIV/AIDS-specific primary care delivered by multidisciplinary teams. Areas of particular emphasis include pediatric HIV/AIDS care and treatment, integration of TB/HIV services, and adherence support.

In 2005, the Government of Ethiopia (GoE) embarked on an ambitious program to provide free care and treatment to people living with HIV/AIDS. In August 2005, ICAP received a cooperative agreement from the U.S. Centers for Disease Control and Prevention (CDC), under the President's Emergency Plan for AIDS Relief (PEPFAR), to support the national roll-out of HIV/AIDS care and treatment services in Ethiopia. Columbia's broad experience implementing public sector ART roll-out and commitment to working with Ethiopia's Federal Ministry of Health (FMOH), CDC/Ethiopia, and other USG partners, have enabled ICAP to support the GoE to rapidly expand access to HIV/AIDS prevention, care, and treatment.

CDC and the MOH requested that ICAP support HIV/AIDS treatment programs at 45 hospitals in four regions of Ethiopia (Oromiya, Somali, Dire Dawa, and Harari). In order to provide on-going site-level assistance to clinicians, program managers, data clerks, and peer educators, ICAP established a main office in Addis Ababa and regional offices in Jimma, Nekemte, Dire Dawa, and Shashemene. For a map of ICAP-supported sites in Ethiopia, click here.

In addition to site level support, Columbia provides central-level technical assistance to the FMOH on family focused care, including linkages between pMTCT and ART programs, pediatric HIV/AIDS care and treatment, integrated TB/HIV and malaria/HIV services, and the involvement of people living with HIV/AIDS (PLWHA) in care and treatment programs. ICAP also partners with Jimma and Haramaya Universities to improve HIV/AIDS training expertise and capacity and with Regional Health Bureaus in providing financial support, technical assistance, and other resources to improve HIV/AIDS management capacity.