ICAP at Columbia University has supported Ethiopia’s National HIV Prevention and Control Program at all levels since 2005, working with the Federal Ministry of Health (FMOH), Regional Health Bureaus (RHBs), and health facility teams. In 2013, with support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC), ICAP began providing technical assistance for the transition of Ethiopia’s comprehensive HIV program to ownership by Ethiopian institutions. This project generated important learning and best practices in sustainable transition of HIV service delivery and management to local health government, which can inform future efforts to sustain programmatic accomplishments and achieve control of the HIV epidemic.

This report documents achievements, outcomes, and evidence for consideration by stakeholders, policymakers, program managers, researchers, and health care workers in Ethiopia and beyond. It describes how the management of comprehensive HIV programs was transitioned successfully to seven RHBs, government in-service training institutions, and the Network of Networks of HIV Positive Ethiopians (NEP+); provides insights regarding these seven RHBs’ current capacity to own and implement the comprehensive HIV program; and highlights critical interventions to ensure sustained progress toward the UNAIDS 95-95-95 targets in Ethiopia.