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The Parliamentary Network on the World Bank
Workshop of the HIV/AIDS, Tuberculosis and Malaria Committee Addis Ababa, Ethiopia
January 12-13, 2004
Dorothy Hyuha, MP from Uganda, Betty McCollum, Member of the US Congress, Belinda Bidwell, MP from The Gambia and Bert Koenders, Dutch MP and Chair of
PNoWB with children from AIDS NGO Mary Joy
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The Parliamentary Network on the World Bank would like to thank the following people and organizations for their support to the workshop. First, PNoWB would like to thank the World Bank AIDS Campaign Team for Africa for their support to the event. Our thanks also go to theparliamentarians who took the time to be away from their busy legislative schedules. PNoWB also thanks the World Bank staff in Addis Ababa who were instrumental in organizing our meetings and activities in Ethiopia. In particular, our thanks go to Ishac Diwan, Country Director, Anwar Bach Baouad, Lead Operations Officer, Dr. Gerbreselassie, Ms. Fekerte Getachew and Dr. Getachew Demeke. Thanks also to the numerous Ethiopian professionals and to the international organizations who shared their views on the HIV/AIDS situation with us during our visit. This report was drafted by Mathieu Lefèvre, PNoWB consultant.
Table of Contents
Executive Summary …………………… p. 4 Main Recommendations ……………………p. 5 Introduction………………………… ………p. 6 Background………………………………… p. 7 Political context …………………… p. 7 Poverty And AIDS ………… p. 8 World Bank and donor approach……p. 8 Organization of HAPCO…………….p. 9 Findings and Preliminary Conclusions…….. p. 9 Functioning of EMSAP and HAPCO…...p. 9 Absorption Capacity: Research Gap…… p. 12 As elsewhere, the voice of parliamentarians needs to be strengthened……………….. p. 13 Annex I: List of Participants……………….. p. 15 Annex II: Program…………………………..p. 17
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Executive Summary On January 12-13, 2004, a workshop of the Parliamentary Network on the World Bank’s committee on HIV/AIDS was held in Addis Ababa, Ethiopia. The workshop brought together eleven parliamentarians from ten countries to discuss ways in which parliamentarians at all levels, from the international to the local, can take on a greater role in the fight against HIV/AIDS in countries in which, like Ethiopia, the epidemic represents the single greatest threat to development. Ethiopia is one of the poorest countries in the world. With a per capita income of around US$100 per year, the country was ranked 168 out of 173 in the United Nations Development Program’s 2002 Human Development Index. AIDS is the foremost threat to poverty reduction in Ethiopia. It is putting the brakes on economic growth by diverting investment, increasing public deficits and decimating the productive population. Currently, the government estimates infection rates at about 6.6 percent nationally and 15.5 percent in the capital. Life expectancy fell from 45 years in 1990 to 42 years in 2001 as a result of HIV/AIDS. UNAIDS points out that a further sharp drop of 10 years will take place by 2014 if current infection rates are not brought down. The World Bank’s main assistance tool in the field of HIV/AIDS in Africa is the Multi Country HIV/AIDS Program (MAP) launched in 2000. MAP was set up to support the national strategic HIV/AIDS plans developed by governments in Sub Saharan Africa. In Ethiopia, MAP supports the Ethiopian Multi-Sectoral HIV/AIDS Program (EMSAP) and the HIV/AIDS Prevention and Control Office (HAPCO), which was set up in 2002 to implement EMSAP. The World Bank supports EMSAP and HAPCO with around US$60 million of funding. Other donors (The Global Fund, Irish Aid, the UK’s DFID, UNICEF and UNDP) have supported HAPCO. Recognizing that Ethiopia is still recovering from a long period of dictatorship, war and repeated famines and has extremely limited resources to fight the threat of AIDS, the PNoWB delegation supports the efforts made by Ethiopian parliamentarians to take on the leadership in the fight against HIV/AIDS. The PNoWB delegation finds that more needs to be done in coordination with the government to make the government-led (and donor supported) national response work more efficiently to get basic care and treatment services to populations affected by HIV/AIDS. The PNoWB group also finds that there exists a significant gap in assessing the capacity of civil society groups to absorb more funding from donors to carry out their programs. On the one hand, policy makers in government and large donors – including the World Bank - speak of a lack of absorption capacity. On the other hand, smaller donors and NGOs themselves claim that the NGO sector in Ethiopia could absorb funding to scale up their programs effectively. PNoWB recommends that a joint donor/government/NGO assessment of absorption capacity be undertaken as a priority. The PNoWB delegation was very impressed by the work being done by Ethiopian MPs as opinion leaders, legislators and resource mobilizers in the fight against the largest challenge facing their country. PNoWB welcomes further collaboration with Ethiopian parliamentary colleagues to be able to assist them as they take on a greater role in the fight against HIV/AIDS.
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Main Recommendations
Main Recommendations to the Government of Ethiopia, to the World Bank Country Director, to the Executive Director of HAPCO to the Board of the PNoWB and to the
Members of the Ethiopian Parliament
The PNoWB delegation recommends the World Bank and the Government of Ethiopia to undertake an urgent a review of HAPCO’s disbursement procedures. The review should focus on providing NGOs with the support they need to implement the national strategy to fight the effects of AIDS. In particular, disbursement procedures should be simplified and delays shortened, in line with the access criteria specified in the World Bank Multi Country Assistance Program on AIDS.
A joint donor/government/NGO assessment of the capacity of NGOs to absorb
additional funding should be undertaken.
The delegation recommends to the Government of Ethiopia and to the donor community to support capacity building for Parliamentarians’ work on HIV/AIDS.
The delegation urges Ethiopian parliamentarians to engage in the debate on
HIV/AIDS as a priority in their roles as political leaders, as legislators, as advocates and as resource mobilizers.
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I. Introduction On January 12-13, 2004, a workshop of the Parliamentary Network on the World Bank’s committee on HIV/AIDS was held in Addis Ababa, Ethiopia. The workshop brought together eleven parliamentarians from ten countries1 - among the poorestthe richest in the world - as part of the activities of the Parliamentary Network on the World Bank (PNoWB). PNoWB is an independent network of elected members of parliaments which aims to engage the legislative branch in the development debate and incaccoun
Pop GD Adu AduUrbHigLow
and
tability of the World Bank.
Experience from countries such as Uganda, Ireland,shown that success in the fight against HIV/AIDS ispoliticians are actively engaged on the issue. PNoWshare a commitment and expertise in the field of HIVconcrete ways for MPs take the lead in fighting the The two-day workshop served to illustrate some of tagainst the epidemic worldwide. The program2 allowhear from the government, non-governmental groupagainst HIV/AIDS and the donor community. The trto see first hand the work and the challenges faced band affected populations. The impact of the legislative branch in fighting HIVcountry to country. Part of the mission of the workselected representatives on initiatives which rarely fiborders3. This was also a chance for MPs from deveAIDS has become less prominent to become more aposes on the ground. The Addis Ababa meeting also served to strengthenHIV/AIDS committee which will be co-chaired by D
1 See Annex I for a list of participants 2 See Annex II for a detailed program of the workshop 3 A paper was presented by Hon. Dorothy Hyuha on Uganda'sHIV/AIDS. The paper is available online on www.pnowb.org
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Federal Democratic Republic of Ethiopia
ulation: 67 Million
P per capita: 100$
lt HIV Prevalence: 6.6%
lt HIV prevalence in an Areas - h Risk populations 73.7% Risk populations 14.3%
Source: UNAIDS, US Census Bureau
rease the transparency and
South Africa and Thailand has most likely to take place when B serves as a place for MPs who
/AIDS and public health to suggest epidemic.
he salient policy debates in the fight ed the parliamentary delegation to
s working on all aspects of the fight aveling delegation also had a chance y NGOs working to care for patients
/AIDS varies significantly from hop was to share experience among nd a voice outside of their national loped countries where the issue of ware of the challenges the disease
the structure of the PNoWB orothy Hyuha, MP from Uganda and
Success Story in the Fight Against
Chairperson of the Social Service Committee in the Ugandan chamber and by Betty McCollum, Member of the United States Congress and member of the Subcommittee on Africa. The HIV/AIDS pandemic poses a complex set of public policy problems. The findings presented in this report to the various stakeholders have no claim to be definitive conclusions but rather aim to increase the parliamentary contribution in the fight against HIV/AIDS in Ethiopia. In this respect, the delegation acknowledges the work done by Ethiopian parliamentary colleagues. We were very fortunate to share working sessions with many Ethiopian MPs and we welcome their interest in the work of PNoWB. II. Background
Political Context The recent history of Ethiopia has been marked by a move from a communist dictatorship and a decade of deep reform – interrupted by war with Eritrea. Growing civil unrest and a unified force of Ethiopian people, led by the Ethiopian Peoples Revolutionary Democratic Front (EPRDF) against their communist dictators finally led to the demise of the Mengistu regime in 1991. From 1991, the government of Ethiopia embarked on a course of profound reforms and decentralization. The Federal System is now divided between nine Regional States and two City Governments. Regions are further decentralized into woredas (with populations between 72,000 and 241,000) and kebele or village area with an average population of about 5,000. A new constitution was written in 1994, setting up a bicameral legislature and a judicial system. In May 1995, Meles Zenawi was elected Prime Minister. Representatives to the Parliament were also elected for the first time since the Mengistu regime. The path of reform was interrupted by the boundary war with Eritrea which took 100,000 lives between 1998 and 2000. Ethiopia's second national multiparty elections took place in May of 2000 and individuals were once again elected to the House of the Federation and to the House of Peoples' Representatives. Prime Minister Meles was re-elected in October 2000, and a new president Girma Wolde-Giorgis, was elected the following year, in October 2001. The Ethiopian population and economy are among the most fragile in the world. Dependence on rainfall is the main reason for this fragility but the situation has been worsened significantly by deterioration of the terms of trade in the coffee market, by the war with Eritrea and by the onslaught of HIV/AIDS over the past two decades. Ethiopia is just coming out of a severe drought which has left over 10 million people dependent on food aid.
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Poverty and AIDS Ethiopia is one of the poorest countries in the world. With a per capita income of around US$100 per year, the country was ranked 168 out of 173 in the United Nations Development Program’s 2002 Human Development Index. Recent national household surveys find that 44 percent of the country’s 66 million people live below the basic poverty line. The population has less than 30 percent literacy rate; access to clean water is minimal and health service coverage is only about 51 percent. Per capita spending on health stands at about US$1 per year. According to the government and international donors, AIDS is the foremost threat to poverty reduction . It is putting the brakes on economic growth by diverting investment, increasing public deficits and decimating the productive population. The disease could be costing Ethiopia as much as 1 percentage point of growth every year. Currently, the government estimated infection rates at about 6.6 percent nationally and 15.5 percent in the capital. Over 75 percent of commercial sex workers (CSWs) are carrying the virus. About 3 million children are left orphaned by the virus. Life expectancy fell from 45 years in 1990 to 42 years in 2001 as a result of HIV/AIDS. UNAIDS points out that a further sharp drop of 10 years will take place by 2014 if current infection rates are not brought down.
World Bank and donor approach to addressing the challenge of HIV/AIDS
Countries across Africa have launched comprehensive strategies to fight HIV/AIDS and have allocated substantial resources to this task. The international response to the AIDS epidemic has also intensified in the past two years. The Global Fund to fight AIDS, Tuberculosis and Malaria was established in 2001 and has committed US$1.5 billion to 93 countries. Under the leadership of UNAIDS, international partners including the World Bank have worked to support action against the epidemic. The initiative announced by President George W. Bush in early 2003 also promises to become one of the major sources of funding for HIV/AIDS programs in the coming months and years. In Ethiopia the main donors are the Global Fund which will provide US$ 55 Million over the next two years, the World Bank which provides US$ 60 Million and the United States which has made US$ 30 Million available over the next four years. The World Bank’s main assistance tool in the field of HIV/AIDS in Africa is the Multi Country HIV/AIDS Program (MAP) launched in 2000. MAP was set up to support the national strategic HIV/AIDS plans developed by governments in Sub Saharan Africa. In Ethiopia, MAP supports the Ethiopian Multi-Sectoral HIV/AIDS Program (EMSAP) and the HIV/AIDS Prevention and Control Office (HAPCO), which was set up in 2002 to implement EMSAP. The World Bank supports EMSAP and HAPCO with around US$60 million of funding. Other donors (Irish Aid, the UK’s DFID, UNICEF and UNDP) have
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supported HAPCO. The Global Fund is also a major supporter of HAPCO, supplying it with US$ 134 million over 5 years.
Organization of HAPCO In line with the Ethiopian political federal system, HAPCO is led by a national office which works with regional/woreda/kebele level branches. The national HAPCO is placed under the direct leadership of the Prime Minister’s office. A National Review Board of HAPCO is composed of representatives from the different ministries, NGO representatives, people living with HIV/AIDS (PLWHA), and the employers federation. HAPCO’s role is to supervise and provide funds for the implementation of EMSAP. HAPCO is therefore responsible for managing and disbursing funds to NGOs and other institutions which are active in the priority intervention areas defined by EMSAP:
- Information, education and communication activities - Sexually Transmitted Disease prevention and control - HIV surveillance, notification and reporting - Provision of medical care and support to PLWHA
III. Findings and Preliminary Conclusions Functioning of EMSAP and HAPCO The delegation of MPs was favorably impressed by the comprehensive scope and the quality of the work which has gone into designing EMSAP. The strategy represents a clear articulation of priorities on all aspects of the policy response to the threat of HIV/AIDS. Senator Mary Henry of Ireland underlined the importance of the provisions made for blood safety4, stressing the importance of taking action to ensure that a safe blood supply chain is preserved. In short, EMSAP constitutes a sound foundation for policy action. What’s more, the delegation noted very favorably the high level political involvement in the EMSAP process which is overseen directly by the Prime Minister and the President. HAPCO is a large and relatively new institution which is still learning to provide the best administrative support to EMSAP. However, the PNoWB delegation finds that HAPCO needs to be more proactive in its response to the most serious challenge facing Ethiopia. Through meetings with both the management of HAPCO and several NGOs which are
4 Strategic framework for the National Response to HIV/AIDS in Ethiopia, p. 21
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active in the priority fields described under EMSAP the management problems faced by HAPCO became clear to the PNoWB group. In particular, several NGOs told the delegation that administrative delays in disbursement of HAPCO funds (in all cases the time between application for support and disbursement of funds was superior to 12 months) had made the relationship too costly. Several NGOs we spoke to had decided to break off the relationship with HAPCO altogether to concentrate on other, more reliable, donors.
Mary Joy
An NGO targeting People Infected and Affected by HIV/AIDS Zebider Zewdie, a former nurse, started Mary Joy in 1994 to care for populations affected and infected by HIV/AIDS. From a small group providing training to carers of HIV/AIDS patients, Mary Joy has grown into an NGO with 67 staff reaching 200,000 people in 30 kebbeles in Addis Ababa and in the city of Awassa. Mary Joy also provides testing and counseling services. During our visit to Mary Joy’s offices outside Addis Ababa, we toured a school for HIV/AIDS Orphans which was established by Mary Joy. We also heard from the children of Mary Joy who gave us a performance of a song they use to communicate messages against stigma towards those suffering from HIV/AIDS. Mary Joy is supported by a variety of international NGOs and embassies. The World Bank directly supported Mary Joy for the purchase of a vehicle.
The delegation met with the management of Mary Joy (see box), an NGO providing prevention, care and support for people affected by HIV/AIDS. Mary Joy’s director described the relationship with HAPCO in negative terms, mainly due to HAPCO’s slow decision process and excessively bureaucratic approach. The Director stated that on one occasion, HAPCO management verbally agreed to finance a project but that – twelve months later – no funds had been released. Mary Joy has since turned to more reliable donors such as Save the Children and the World Bank (through direct project support).5 MEKDEM, one of two main associations of People Living With HIV/Aids (PLWHA) in Ethiopia seems to share this view of HAPCO. MEKDEM operates support and care programs for PLWHA and HIVAIDS orphans in areas around the capital. Half of the
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5 The Delegation was impressed by the scope of Mary Joy’s work and expressed its encouragement to the management for the future of the organization.
organizations funding comes from HAPCO – with complementary support coming from CARE Ethiopia, the Irish Embassy and Save the Children. MEKDEM’s management said the major problem the institution faced in terms of funding was the slow speed at which funds were released from HAPCO. This, the management said, was a serious hindrance to the work of the organization. Problems with disbursement of HAPCO funds were also singled out as a major concern by representatives of the Orthodox Church. The difficulties faced by NGOs in obtaining funding from HAPCO have been flagged by HAPCO itself at the national level and by MAP at the global level. HAPCO’s management specifically pointed to ‘Low utilization of funds’ in its presentation to the delegation as one of its keys challenges for the future.
Association of P MEKDEM is one of the two majhas an office in Addis Ababa anIt employs 54 full time staff, 75 From just twelve members whetogether 2000 members. Mekdem runs three main progr
- Home based care - Income generating ac- Social Support Progr
distribution The PNoWB group had a chancemekdem firsthand. Mekdem prosupport for people caring for PL
At the heart of the World Bank approanational multisectoral HIV/AIDS stratewas made in full awareness that probleHowever, the delegation of MPs notedensure that –as MAP specifies – “mechtechnical support to district/communityHAPCO and based on our limited expo In particular, MAP lists among its acceexceptional implementation arrangemePNoWB delegation recognizes that the
6 Second MAP for Africa – (Draft Version) 7 idem
MEDKEM eople living with HIV/AIDS
or associations of PLWHA in Ethiopia. It d 4 branches in other parts of the country. percent of whom are living with the virus. n it started the association now brings
ams
tivities for PLWHA ams through small cash grants, food
to see the home based care activities of vides basic training and limited financial WHA.
ch on AIDS is support to the implementation of gies and action plans. It appears that this choice ms of the type described above would surface. that more should be done to encourage HAPCO to anisms to ensure timely resource transfer and level action”6 are put in place. In the case of sure, this is not being done adequately.
ss criteria that “Government has agreed to use nts to accelerate project implementation.”7 The government has taken certain steps to allow funds
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to flow more rapidly to the woreda level – bypassing the normal government flow channel. Nonetheless, we found little evidence that “exceptional arrangements” are being taken in other areas to facilitate the flow of funds.
The PNoWB group recommends the World Bank and the Government of Ethiopia to undertake an urgent a review of HAPCO’s disbursement procedures. The review should focus on providing NGOs with the support they need to implement EMSAP. In particular, disbursement procedures should be simplified and delays shortened, in line with the access criteria specified in MAP.
Absorption Capacity: Research Gap
The delegation noted some disagreement regarding the capacity of NGOs and civil society organizations in Ethiopia to absorb additional funding. The availability of AIDS funding in Ethiopia is not a present concern. The main issue is the capacity of NGOs to absorb additional funding. The PNoWB group expressed concern at the disagreement on this issue among the major donors. Many large donors, including the World Bank stated that there was very limited absorption capacity among NGOs while the NGOs themselves, and other donors such as the Packard Foundation which manages a large program of grants in Ethiopia, indicated that civil society in Ethiopia was severely under-funded and that existing structures could be scaled up to absorb new funding in a short period of time. Disagreement at the highest level on this crucial issue is a source of concern and points to a worrying research gap.
The PNoWB group recommends a joint donor/government/NGO assessment of the absorption capacity of NGOs
The discussion on absorption capacity points to a possible contradiction in the rationale of AIDS financing through the national strategy process. On the one hand, HAPCO is endowed with funding from the donor community based on a learning by doing approach. On the other hand, the demands placed on NGOs to receive funding are higher and NGOs do not benefit from the window of institutional learning by doing afforded to the government. The delegation noted that this could hinder the development of civil society which has been central to the success of the fight against HIV/AIDS in countries like Uganda, Kenya and Thailand. As elsewhere, the voice of parliamentarians in the HIV/AIDS debate needs to be strengthened
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The delegation found that current parliamentary input into the fight against HIV/AIDS is lacking. MPs in Ethiopia have so far been kept out, willingly, of the critical decision making process regarding EMSAP and its implementation. Although nominally involved in scrutiny mechanisms of HAPCO and of the Government’s actions to fight HIV/AIDS, the parliamentary voice needs to be strengthened. The Ethiopian Parliament has a group working on issues related to HIV/AIDS but the PNoWB delegation found little evidence that this group had been empowered or put to task in crafting relevant legislation. The main current positive contribution from Parliament is a bill being discussed to protect PLWHA and orphans from discrimination in the workplace and in school. The delegation urges Ethiopian MPs and the government to allow for more contributions from parliamentarians. In particular, The Strategic Framework for the National Response to HIV/AIDS insists that the crisis should be addressed in “a comprehensive manner catching the comparative advantage of all stakeholders.”8 The document however makes no mention of partnerships with the legislative branch and parliamentarians even though the other major stakeholders (federal government, woreda, kebele, private sector and NGOs) are all singled out specifically. The PNoWB group exchanged experiences with the Ethiopian MPs on the rationale for greater involvement. MPs can and should play a bigger role, in Ethiopia and in other countries, in drafting tough legislation on dangerous sexual practices such as female genital mutilation, Norbert Mao of Uganda said. Belinda Bidwell of the Gambia showed that female MPs in The Gambia have become a more effective voice because they have formed networks and organized themselves to speak up about female HIV/AIDS issues. Senator Ungphakorn of Thailand stressed that MPs have a critical role to play in creating an political environment where civil society organizations can thrive and take the lead in the fight against the epidemic. Senator Henry of Ireland added that Civil Society represent voters too – making the connection with MPs natural. Ethiopian MPs singled out the lack of capacity building opportunities as the largest obstacle to greater parliamentary involvement. The international MPs recommended that programs to strengthen the role of MPs should focus on:
- Training in the field of public health and management - Financial Support for transportation,9 staff support, research facilities - Clarification of their legislative powers, in particular the capacity to
initiate public health legislation10
8 Strategic framework for the National Response to HIV/AIDS in Ethiopia, p. 32 9 The PNoWB delegation was struck by the lack of communication between MPs and their constituents – much of which is due to lack of means of transportation 10 It remains unclear whether in practice the Parliament can initiate new legislation or whether it only discusses legislation ptu forward by the government
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The delegation recommends to the Government of Ethiopia and to the donor community to support capacity building for Parliamentarians’ work on HIV/AIDS.11
The delegation urges Ethiopian parliamentarians to engage in the debate on
HIV/AIDS as a priority in their capacity as political leaders, as legislators, as advocates and as resource mobilizers.
11 the World Bank Institute has a training program for MPs which could be used in this way. http://www.worldbank.org/wbi/governance/parliament/index.html)
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Annex I. List of Participants
Name Country Address Telephone E-mail Ms. Belinda Bidwell, MP
Gambia Assembly Building, Independence Drive, Banjul The Gambia
+220222351 [email protected]
Dr. Lemba Ngoye, MP
Gabon [email protected]
Mr. Surech Prabhu, MP
India Task force on Rivers, Trikoot-1, Bhikaji Cama Place, New Delhi 110066 India
+91 26105980 [email protected]
Mr. Norbert Mao
Uganda Yale World fellows Program, 393 Prospect St. PO Box 208360, New Haven, CT 06520 8360 USA
+ 1 203 432 9554
[email protected]; nmao@ parliament.go.ug
Ms. Dorothy Hyuha MP
Uganda Parliament House, PO Box 7178 Kampala, Uganda
+25641256190 [email protected]
Ms. Albert Koenders
The Netherlands
Mr. Frederic Ngenzebuhoro
Burundi [email protected]
Ms. Betty McCollum
United States
1029 Longworth Building, Washington DC 20515
+1 202 225 6631
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United States Senator Mary Henry
Ireland Seanad Éireann Kildare Street Dublin 2
+353 1-6183346
Senator Jon Ungphakorn
Thailand [email protected]
Ms. Krisel Lagman-Luistro
Phillippines Room 411 North Wing, House of Representatives,Quezon City
+63 931 5497 [email protected]
Mr. Anwar Bach Baouab
Tunisia World Bank Ethiopia Office Africa Avenue Bole Road Addis Ababa
+251 1 62 77 00
Dr. Gebreselasie Okubagzhi
Ethiopia Senior Health Specialist
Mr. Jean-Christophe Bas
France The World Bank 66 ave d’Iena, 75116 Paris
+ 33 1 40 69 3011
Ms. Anne Waiguru
Kenya PNoWB East Africa Chapter
Mr. Mathieu Lefevre
France PNoWB, c/o The World Bank 66 ave d’Iena, 75116 Paris
+33 1 40 69 30 55
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Annex II. Workshop Program and Contacts
Monday, Jan 12 SESSIONS & MEETINGS PLACE
99 AAMM
Introductory Breakfast Session Mr. Anwar Bach-Baouab, Lead Operations Specialist, World Bank Dr. Gerbreselassie, World Bank Dr. Getachew Demeke, Former UNAIDS Representative Members of the Ethiopian Parliament: Asmaru Berihun ([email protected]) Getahun Watumo Dolle Meseret Mamo Kazina Abadulla
Sheraton Hotel
10 – 12 Meeting with Management of the HIV/AIDS Prevention and Control Office (HAPCO) HAPCO Building
12 – 1:30 PM Lunch with Ethiopian Parliamentarians of the HIV/AIDS Commission
Sheraton Hotel
2 –4 Field Visit to MEKDEM Ethiopia (an association of People Living with HIV/AIDS) Mekdem Offices
4:30-6:30 Meeting with HIV/AIDS Donors (DFID, World Bank, Irish Aid, Italian Cooperation, Packard Foundation, UNAIDS) World Bank Offices
8-11
Dinner with High level HIV/AIDS groups Ethiopian Women’s Lawyer’s association [email protected] Shell Representatives
Sheraton Hotel
Tuesday, Jan 13 SESSIONS & MEETINGS PLACE
9-11 am
Field Visit to Mary Joy (an NGO providing care, treatment and support to communities affected by HIV/AIDS) Zebider Zewdie, Executive Director [email protected]
Mary Joy Offices
11.30 – 1 pm Meeting with USAID HIV/AIDS program US Embassy
1 pm – 2:30 pm
Lunch with Religious groups and NGOs involved in AIDS programs Dr. Nigissu Legesse, Ethiopian Orthodox Church [email protected] Action Aid Ethiopia Coordinator Ms. Mengistu, OSSA
Sheraton Hotel
3.3 0 –6.30
Workshop: How Can MPs Make a bigger impact in the fight against HIV/AIDS – Successes and failures?
Sheraton Hotel
8 pm Cultural Event Agelgil Restaurant
SESSIONS & MEETINGS PLACEMonday, Jan 12
10 – 12
12 – 1:30 PM
2 –4
4:30-6:30
8-11
SESSIONS & MEETINGS PLACETuesday, Jan 13
11.30 – 1 pm
1 pm – 2:30 pm
3.3 0 –6.30
8 pm 17