LOCATION OF RWANDA
Video of CHC monitoring website
In the two days of deliberations, a number of presentations were shared:
‘Gikuriro Baseline in the Integrated Nutrition and WASH programme’ which is starting in 8 districts, which was delivered by Mr. Collins
‘Assessment of CBEHPP achievements and its sustainability in Bugesera District’ – by Theoneste Ntakirutimana from the CMHS, University of Rwanda
Impact of CHCs on child diarrhoea, nutritional status and water quality in Rusizi District – by Innovations for Poverty Action (T. Clasen and J. Habymana)
Reflections on the findings of a randomized control trial in Rusizi District, Rwanda – presented by J. Waterkeyn, Africa AHEAD.
CBEHPP Achievements, challenges and recommendations by World Vision – delivered by Julius Othello
The Community Based Environmental Health Promotion Programme (CBEHPP)
The Ministry of Health is taking the lead in Rwanda and the CHC Approach has been launched at the highest level, in the Community Based Environmental Health Promotion Programme (CBEHPP). This has been facilitated by the production of a substantial Tool Kit of 350 visual aids and two manuals. The Training of core trainers was completed by Dr Juliet Waterkeyn, in November 2010. Roll on Training has been done in 5 Pilot districts, and continues to be done throughout the country by Ministry of Health.
In 2011, a Presidential initiative decreed that all 14, 860 villages in Rwanda should start CHCs within the next year. This meant training approximately 45,000 community health workers in the country.
By Feb 2013, MoH had recorded that 98% of all villages had registered CHCs and a comprehensive structure of CBEHPP committees from Provincial to Village level has been set up to monitor the progress in each village . There are now 14 NGOs assisting MoH to conduct training but this is proving a challenge at this scale.
By 2015 the program was well established but there was much training to be done to complete the 56% of villages still outstanding. At the CBEHPP Workshop, the Director General of MoH confirmed that by June 2018, MoH wants total (100%) coverage of CHCs across all villages and households in Rwanda.
USAID is supporting SNV and CRS to add to the CBEHPP with an Integrated Nutrition and WASH programme in 8 Districts, and a baseline has just been completed.
Unicef is about to launch a scaling up to another 14 Districts so that CHCs cover all villages with proper training by 2020.
World Vision is implementing CHCs in 10 districts at present with 750 CHCs initiated, reaching 56,000 members and 300,000 beneficiaries.
WaterAid has been working in Bugesera District since 2010 and has conducted a study through University of Rwanda showing positive results.
The Bill & Melinda Gates Foundation, supported Innovations for Poverty Action (IPA) in one district of Rusizi, to conduct a Randomised Control Trial to ascertain the effect of the CHC approach in Rwanda on disease reduction (2012-2016) which has just been published.
Africa AHEAD, which assisted Ministry of Health in Rusizi has just completed the four year intervention and is also publishing findings from the data collected over the same period as the RCT.