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Working in partnership with the Federal Ministry of Health (FMOH), HIV/AIDS Prevention and Control Office (HAPCO), and Regional Health Bureaus (RHBs), Columbia University (CU)-ICAP supports comprehensive HIV/AIDS services at hospitals in the Oromia, Somali, Harari, and Dire Dawa regions of Ethiopia. CU-ICAP, with PEPFAR funding through CDC-Ethiopia, provides comprehensive support for all HIV/AIDS-related activities at 42 hospitals and selected health centers, with the overarching goals of quality service delivery and capacity building. This includes infrastructure development, training and supportive supervision of multi-disciplinary teams, assistance with laboratory, pharmacy and medical records, and establishment of systems to enhance enrollment, follow-up, and adherence. CU-ICAP’s regionalized technical assistance model enables ongoing site-level presence, intensive hands-on mentoring, and the effective transfer of clinical and programmatic skills.
The situational analysis findings and recommendations were used to develop a national agenda, supported by ICAP in partnership with FMOH/HAPCO.
CU-ICAP is engaging in activities at the national, regional, and site levels to support pediatric HIV/AIDS prevention, care, and treatment.
National Situational Analysis & Conference
Representatives of the Government of Ethiopia, national and international HIV/AIDS experts, children’s organizations and private donors met in January, 2006 in Addis Ababa to develop recommendations to expand access to pediatric HIV/AIDS care and treatment. The 2nd Annual Pediatrics Conference will take place April 12-13, 2007 in Addis Ababa.
Training
• Development of a two-day pediatric care and treatment training
course, which has been incorporated into the national basic ART
training curriculum;
• In cooperation with other USG-funded partners, integrating pediatric
HIV/AIDS care and treatment into pre-service training curricula;
• Regional and site-level training in DNA PCR using dried blood spots
(DBS);
• Training on pediatric care and treatment for members of RHB
HIV/AIDS teams;
• Partnership with the Ethiopian Pediatrics Society to sponsor annual
continuing medical education workshops on pediatric HIV/AIDS for
all members;
• Support for multi-disciplinary care teams to participate in South-to-
South advanced pediatric care and treatment training at Stellenbosch
University in Cape Town, South Africa.
Early Infant Diagnosis
In partnership with the Ethiopian Health and Nutrition Research Institute (EHNRI), the FMOH, and CDC-Ethiopia, CU-ICAP is supporting the national roll-out of infant HIV diagnosis services throughout Ethiopia using DNA PCR with dried blood spot technology. CU-ICAP is supporting renovations of regional laboratories to enable DNA PCR testing, training health workers, providing supportive supervision at sites, and implementing systems and standards for sample collection and management. 
Guidelines and Materials
In collaboration with the FMOH and other partners, CU-ICAP has developed:
• A “minimum package” of pediatric HIV/AIDS care and treatment
services for hospitals and health centers;
• Stand-alone national pediatric care and treatment guidelines;
• Additions to national pMTCT and HIV counseling and testing guidelines;
• Pediatric intake and follow-up forms for national use;
• A national infant HIV diagnosis algorithm and registers;
• A pediatric HIV/AIDS care and treatment pocket guide;
• A pediatric ART dosing guide;
• Desktop pediatrics reference calendar and posters on clinical staging;
• A pediatric training curriculum;
• A pediatric HIV/AIDS website for use in Ethiopia
(www.columbia-icap.org/ethiopia).
Columbia's International Center for AIDS Care and Treatment Programs (ICAP) has developed an extensive library of pediatric HIV/AIDS resources, including the Pediatric Clinical Manual, training materials and support tools, available here. We also provide links to resources and tools from other organizations (see below). If you would like to suggest additional resources or links, please email us at icap@columbia.edu.
Additional links:
