Ethiopia Work Plan FY 2018 Project Year 7 October 2017–September 2018 ENVISION is a global project led by RTI International in partnership with CBM International, The Carter Center, Fred Hollows Foundation, Helen Keller International, IMA World Health, Light for the World, Sightsavers, and World Vision. ENVISION is funded by the U.S. Agency for International Development under cooperative agreement No. AID-OAA-A-11-00048. The period of performance for ENVISION is September 30, 2011, through September 30, 2019. The author’s views expressed in this publication do not necessarily reflect the views of the U.S. Agency for International Development or the U.S. Government. ENVISION Project Overview The US Agency for International Development (USAID)’s ENVISION project (2011–2019) is designed to support the vision of the World Health Organization (WHO) and its member states by targeting the control and elimination of seven neglected tropical diseases (NTDs), including lymphatic filariasis (LF), onchocerciasis (OV), schistosomiasis (SCH), three soil-transmitted helminths (STH; roundworm, whipworm, and hookworm), and trachoma. ENVISION’s goal is to strengthen NTD programming at global and country levels and support ministries of health (MOHs) to achieve their NTD control and elimination goals. At the global level, ENVISION—in close coordination and collaboration with WHO, USAID, and other stakeholders—contributes to several technical areas in support of global NTD control and elimination goals, including the following: • Drug and diagnostics procurement, where global donation programs are unavailable • Capacity strengthening • Management and implementation of ENVISION’s Technical Assistance Facility (TAF) • Disease mapping • NTD policy and technical guideline development • NTD monitoring and evaluation (M&E) At the country level, ENVISION provides support to national NTD programs by providing strategic technical and financial assistance for a comprehensive package of NTD interventions, including the following: • Strategic annual and multi-year planning • Advocacy • Social mobilization and health education • Capacity strengthening • Baseline disease mapping • Preventive chemotherapy (PC) or mass drug administration (MDA) • Drug and commodity supply management and procurement • Program supervision • M&E, including disease-specific assessments (DSAs) and surveillance In Ethiopia, ENVISION project activities are implemented by RTI International, Fred Hollows Foundation, and Light for the World. ENVISION FY18 PY7 Ethiopia Work Plan ii TABLE OF CONTENTS ENVISION Project Overview .......................................................................................................................... ii LIST OF TABLES ............................................................................................................................................. iv LIST OF FIGURES ........................................................................................................................................... iv ACRONYMS LIST ............................................................................................................................................ v COUNTRY OVERVIEW .................................................................................................................................... 1 1) General Country Background .................................................................................................... 1 a) Administrative Structure ........................................................................................................... 1 b) NTD Program Partners .............................................................................................................. 3 2) National NTD Program Overview .............................................................................................. 6 a) Trachoma ................................................................................................................................... 6 b) LF ............................................................................................................................................... 8 c) OV ............................................................................................................................................ 11 d) SCH/STH ................................................................................................................................... 12 3) Snapshot of NTD Status in Ethiopia ......................................................................................... 15 PLANNED ACTIVITIES ................................................................................................................................... 16 1) NTD Program Capacity Strengthening ..................................................................................... 16 a) Strategic Capacity Strengthening Approach ............................................................................ 16 b) Capacity Strengthening Objectives and Interventions ............................................................ 17 c) Monitoring Capacity Strengthening ........................................................................................ 17 2) Project Assistance .................................................................................................................... 21 a) Strategic Planning .................................................................................................................... 22 b) NTD Secretariat ....................................................................................................................... 24 c) Building a Sustainable National NTD Program ........................................................................ 24 d) Mapping .................................................................................................................................. 25 e) MDA Coverage ......................................................................................................................... 25 a) Social Mobilization to Enable NTD Program Activities ............................................................ 29 b) Training* .................................................................................................................................. 31 c) Drug and Commodity Supply Management and Procurement ............................................... 35 d) Supervision for MDA ............................................................................................................... 36 e) M&E ......................................................................................................................................... 38 f) Supervision for M&E and DSAs ............................................................................................... 41 g) Dossier Development .............................................................................................................. 42 3) Maps ........................................................................................................................................ 43 ENVISION FY18 PY7 Ethiopia Work Plan iii APPENDIX 1: Work Plan Timeline................................................................................................................ 47 APPENIDX 2: Table of USAID-supported Regions and Districts in FY18 ...................................................... 50 LIST OF TABLES Table 1. Official MDA calendar from the FMOH ............................................................................... 3 Table 2. NTD partners working in Ethiopia, donor support, and summarized activities ................. 4 Table 3. Number of woredas that fall into each treatment category and their progress toward elimination in 2020 (Note: All but six USAID-supported woredas are on track to complete all required rounds of MDA by 2020*) ............................................................... 7 Table 4. LF endemic woredas by region after 1% remapping exercise .......................................... 10 Table 5. OV endemic woredas by region ........................................................................................ 12 Table 6. SCH and STH endemic woredas by region ........................................................................ 14 Table 7. Snapshot of the expected status of NTD program in Ethiopia as of September 30, 201715 Table 8. Project assistance for capacity strengthening .................................................................. 19 Table 9. ENVISION partners and implementation mechanisms under the integrated model (as of September 30, 2017) ........................................................................................................ 22 Table 10. USAID supported coverage results for FY15–FY17 Q1–Q2 ............................................... 25 Table 11. USAID-supported districts and estimated target populations for MDA in FY18 .............. 26 Table 12. Social mobilization/communication activities and materials checklist for NTD work planning ............................................................................................................................ 30 Table 13. Training targets (FHF, RTI, and LFTW) ............................................................................... 33 Table 14. Reporting of DSA supported with USAID funds that did not meet critical cutoff thresholds as of September 30, 2017 ..............................................................................