RWANDA

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LOCATION OF RWANDA

Rwanda
Demographcs Rwanda
Population (2014) 12 million
GNT /per capita (2013) US$1,450
% urbanisation 19%
Under 5 mortality rate/1000 births (2014) 55
Life expectancy 65
improved water 74.1%
improved sanitation 74.5%
deaths per year (2012) 9.18
WASH deaths per year (2012) 2119
DALYs /1000 cap (13- 289 high) 183
WASH deaths per year (2004) 48,100
WASH deaths % total burden 31%
Diarrhoea rate/1000 (0.2 low – 107 high) 65
ARI rate  (0.1 lowest)/1000 39
Malnutrition (% stunting)/1000 52%
Malaria /1000 13
Human Devlopment Index (2011) 0,429
Ranking in World (2011) 166

HEAD OFFICE

Plot 5 – KK361, Kigali

CONTACT PERSON

Country Director: Joseph Katabarwa:
Cell:  +250 787674342

DISTRICT COVERAGE OF COMMUNITY HEALTH CLUBS

Map of CHEHPP in Rwanda

COVERAGE OF DISTRICTS (April, 2015)

Community Health Clubs are established in ALL of the 30 Districts in Rwanda. In addition 98% of all  14,767 villages in Rwanda  have registered CHCs.  Of this number  5,376 villages   have trained  Village Health Workers (ASOC) who are running health sessions regularly. The remaining Districts are set to be trained by 2018, supported by Unicef in 18 Districts and USAID in 9 districts.

IMPLEMENTING PARTNERS OF CBEHPP

future CBEHPP
  • RFHP/ USAID
  • SNV / UNICEF
  • Tearfund / Scottish Government
  • AVSI
  • World Vision
  • STPH / SDC
  • Nyamata Hospital / Various
  • Multiple
  • Africa AHEAD/Gates Foundation

VIDEO PRESENTATION

Rwanda - CHC Coverage

98% Coverage of Villages with registered CHCs in Rwanda
46% Coverage of villages with trained CHCs
54% Coverage of villages remaining to be trained

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.

Water Aid and World Vision have registered considerable improvements and are excited about the programme.

Africa AHEAD, supported by Gates Foundation, is assisting the MoH in Rwanda to  ensuring standards are maintained despite the massive scale up. In one district of Rusizi, a Randomised Control Trial is being started involving 150 villages to ascertain the effect of the CHC approach in Rwanda on disease reduction.This  external evaluation is being  conducted by IPA, Innovations for Poverty Action, a consortium of  research professionals from highly reputed universities based out of Washington DC.

RANDOMISED CONTROL TRIAL OF THE CHC MODEL

IN RUSIZI DISTRICT

In 2009, Africa AHEAD brought the CBEHPP to the attention of the Bill & Melinda Gates Foundation (BMGF) who are now  helping MoH to monitor  and evaluate the efficacy of the the CHC to reduce common preventable diseases. Rusizi District in Western Province, was  selected to demonstrate the ‘Classic’ CHC Model. The project Monitoring of the Community Health Club Model started in 2012 and is set to continue until end of 2016.

A Randomised Control Trial being currently being undertaken by Innovation for Poverty Action (IPA) which will determine precisely how hygiene behavior can be improved to reduce the national disease burden in Rwanda and similar countries.

THE  COMMUNITY BASED ENVIRONMENTAL HEALTH PROMOTION PROGRAMME (CBEHPP)

The Community Based Environmental Health Promotion Programme (CBEHPP) is  a national  hygiene behaviour change program in Rwanda that has adopted the Community Health Club (CHC) methodology, which was endorsed by the president who directed that it should be extended to every village in the country. This was made policy in the Health Sector Strategic Strategy in 2009.

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.

Africa AHEAD is playing a key role in building this capacity by providing a demonstration district so assisting MoH to maintain the quality  in the scale up  ensuring the CHCs are replicated at the same high standard.

TRAINING MATERIAL

EHO Manual Cover

Africa AHEAD provides regular Training  and can supply NGOs who are trained through us with Manuals and  Visual Aids  for running CHCs.

Brochure

Training Course

PROPOSALS READY FOR FUNDING

  • Strengthening and Monitoring the Community-Based Environmental Health Promotion Programme (CBEHPP) in Karongi, Kirehe, Nyagatare, Nyaruguru & Rutsiro Districts (2014 – 2016).
  • Increasing Rwandan Secondary School Graduation Rate (Esp. Among Girls), Teacher Effectiveness and 21st Century Employment-Relevant Skills in Rusizi District, Rwanda (one year)
  •  The Micro-Enterprise Model for Self Sustainability though Digital Marketing in Community Health Clubs in Rwanda  (two years)

AFRICA AHEAD PROJECTS

  • 2008 – 2010: Advocacy for CHC Model and Development  Road Map for CBEHPP, WSP- World Bank for Ministry of Health (Anthony Waterkeyn)
  • 2010-2012: Development of CBEHPP Training Materials  and Manuals for CBEHPP for MoH / Unicef (Juliet Waterkeyn)
  • 2013-2016: Monitoring Behaviour Change and Improved Health Outcomes through the Community Hygiene Club Methodology in Rwanda – funded by Bill & Melinda Gates Foundation
Zachery Bigirimana, Regional Represenative Africa AHEAD - Rwanda

Regional Rep:        Zachary Bigirmana

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Country Director: Joseph Katabarwa

Amans Ntakarutimana, Director of Programmes, Rwanda

Programme Manager: Amans Ntakarutimana

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Monitoring Officer: Andrew Ndahiro

Ms. Jeanne Gasengayire

Finance Officer:              Jeanne Gasengayire

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Data  Officer: Etienne Havumiragira

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TUTORIAL VIDEO OF CHC ONLINE REGISTRY