From Emergency Response to a Comprehensive Country-Owned System for HIV Care and Treatment: The Ethiopia Network for HIV/AIDS Treatment, Care and Support Program 2011-2014


In 2004, testing positive for HIV in Ethiopia was a death sentence. It was the start of a painful decline, including illness and ostracism from society, ultimately leading to premature death. Today, it is the start of care and treatment that includes not only antiretroviral therapy (ART), drugs that prolong life and restore health, but a comprehensive package of facility- and community-based care and support.

This dramatic improvement in the lives of HIV-infected Ethiopians, their families, and communities is due to Ethiopia’s success in making ART and other HIV services widely available and free of charge to its approximately 90 million citizens. The US Agency for International Development (USAID) Ethiopia Network for HIV/AIDS Treatment, Care and Support (ENHAT-CS) program, which ran from 2011 to 2014, was one of the Government of Ethiopia’s (GOE) key partners in this work.

The program leaves behind a legacy of country-owned, sustainable HIV service delivery in Amhara and Tigray.