ICF/CEDARS completes work with EGPAF

Over the past three years, ICF/CEDARS has been supporting various different aspects of the Elizabeth Pediatric AIDS Foundation’s (EGPAF) transition monitoring efforts for their CDC-supported PEPFAR program, Project HEART (Help Expand Antiretroviral Therapy to children and families). This month marks the successful completion of both Project HEART and the technical support from CEDARS (the end-of-project report and more information on Project HEART can be found at: http://www.pedaids.org/ProjectHEART).

As part of the PEPFAR Track 1.0 treatment initiative, this eight-year project was launched in Côte d’Ivoire, South Africa, Tanzania, and Mozambique in an effort to scale up ART through existing organizations implementing PMTCT (prevention of mother-to-child transmission). A core goal of Project HEART was to transition care and treatment activities to local partners in a sustainable way.

EGPAF contracted ICF/CEDARS to provide technical assistance in 1) the development of a plan for this transition, 2) the design and development of tailor-made data collection tools to measure progress in this transition process: the Organizational Capacity and Viability Assessment Tool (OCVAT), the Site Capacity Profile (SCP) for facility level assessments, CBO Capacity Profile for local organizations providing ARV treatment support, and a service delivery site mapping inventory, 3) the design and development of a training curriculum for country programs on program design for sustainable health outcomes, based on the Taking the Longview Sustainability Planning Manual.

The fruits of this productive collaboration between EGPAF and ICF/CEDARS will be posted on the CEDARS website over the course of the next few weeks—keep any eye for them!

Watch this video about the impact of Project HEART:

Living Proof: A Father and Son Love Story from EGPAF on Vimeo.

Early Indicator of a Turning Tide?

The Center for Global Development shares a video of Liberia’s President Ellen Johnson Sirleaf. In her speech, President Sirleaf announces the intention to lead her country to be free of foreign assistance within a decade.

That may be a tall order, a long journey (pick your metaphor), fraught with challenges and unwanted effects. But I see this as a first furtive sign on the horizon that big changes are going to come. I remember the head of a bilateral agency in one of the poorest countries on us telling me: "we will align when they make us."

The transition to country ownership--whatever this means (hopefully not again government domination over civil society)-- is unlikely to be smooth and linear, when we have created self-replicating systems and institutions. There might be some turbulence before more functional inter-workings are found. But no matter what, it will start by countries and their governments raising a voice and taking charge.

Not sure it will always be pretty, but I think it's necessary.

Eric