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Rwanda
>> Regional Overview >> Rwanda Overview Program Data Sheet
696-002
USAID MISSION: Rwanda
PROGRAM TITLE AND NUMBER: Health (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased Use of Sustainable Health Services in Target Areas, 696-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $10,300,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $ 12,150,000 DA
INITIAL OBLIGATION: 1997 ESTIMATED COMPLETION DATE: 2004Summary: USAID activities focus on five elements essential for re-building and maintaining sustainable health care systems for the Rwandan people:
- quality of primary health care services;
- informed, educated client population;
- financial stability of the health care system; and
- qualified health care providers and managers.
Rwanda health activities related to family planning/reproductive health include the following:
- improved reproductive health services.
Inputs, Outputs and Activities: FY 2002 Program: With HIV/AIDS funding, FY2002 activities will continue to support prevention efforts through expansion of voluntary counseling and testing services and reinforcement of existing sites for the prevention of mother to child transmission by including more comprehensive support to pregnant women living with HIV/AIDS and their children. Communication activities will shift from mass media campaigns for public awareness to more targeted behavior change and interpersonal communication to help Rwandans adopt and maintain new behaviors to lower their risk of HIV infection. USAID will continue the pilot project for clinical prophylaxis of opportunistic infections and tuberculosis. New models will be developed for community-based care and support for people living with HIV/AIDS and their families in partnership with associations, church groups, and other local organizations. In coordination with other USAID strategic objective teams, the program will link HIV/AIDS education with schooling and feeding activities for vulnerable children and families.
FY 2002 Family Planning/Reproductive Health Program: USAID will conduct an assessment to determine obstacles to increased use of family planning and identify priority activities for support. Based on these results, USAID will use population funds to assist the Ministry of Health and non-governmental organizations to expand and improve reproductive health and family planing services, including distributing condoms for the dual purposes of contraception and prevention of sexually transmitted infections and HIV/AIDS. USAID will also train staff to upgrade their skills for clinical service counseling and communication in rural health and family planning.
USAID will continue its emphasis on improving quality of health care services, especially for mothers and children. Based on the results of the recently completed needs assessment of district health services, USAID will improve training for health professionals, enhance supervision of health center staff, and expand community outreach to improve the quality of, and access to, primary health services. USAID will also continue to support the expansion of pre-paid health insurance plans (mutuelles) that improve economic access to primary health services for rural Rwandans with the greatest needs.
In FY2002, USAID will conduct an assessment and develop priority malaria interventions including expansion of insecticide-treated nets and integration of presumptive intermittent treatment into care for pregnant women. CSH infectious disease funds will finance malaria activities.
USAID helped establish the Rwanda School of Public Health. USAID will continue to help rebuild capacity in the post-genocide health care system by supporting the on-going development of the School of Public Health at the National University of Rwanda. The curriculum will be completed and fully implemented. Another important area for capacity building is improving data collection and analysis so that local officials can make better decisions regarding health service planning and management, especially under the newly decentralized administrative system.
Planned FY 2003 Program: With HIV/AIDS funds, USAID plans to continue implementing a comprehensive package for HIV/AIDS prevention and care. Components of the package might include greater emphasis on prevention of sexually transmitted infections and behavior change to reduce the risk of HIV infection. Further expansion of services to prevent mother to child transmission of HIV, management of opportunistic infections, expanded care and support, improved nutrition, especially for vulnerable children, and the introduction of anti-retroviral medications will be considered. Based on results of the FY2002 activities for malaria, USAID plans to expand these beyond the present targeted areas.
Planned FY 2003 Family Planning/Reproductive Health Program: Population funds may be used to expand family planning services and support the procurement and distribution of contraceptives. Family planning and HIV/AIDS activities will be closely linked, particularly at the community level, with activities that support behavior change and use of reproductive health services.
All contracts and grants funded with resources from this Strategic Objective will incorporate clauses that implement the President's directive reinstating the Mexico City Policy.
Performance and Results: In the health sector, USAID has supported: the establishment of 17 voluntary counseling and testing centers; completion of a Demographic Health Survey; implementation of a youth-oriented media campaign to break the silence about HIV/AIDS through football tournaments, town meetings, and music concerts; development of a national policy on reproductive health; and the establishment of quality assurance teams in five health districts and at the Central Hospital of Kigali. To meet ever-growing demand, USAID's program will continue to expand the number of health centers that provide voluntary counseling, testing and prevention of mother to child transmission services (up to 10 more sites from the existing 17). The program will also promote positive behavior change with particular emphasis on abstinence, increased condom use, and appreciation of personal risk factors among youth. USAID's peer education programs have significantly increased awareness and protective behavior among youth in two provinces. In response to limited resource capacity in most peripheral service delivery sites, the program will focus on in-service training to assure that up to 75% of health personnel perform quality health services according to national standards and protocols.
Principal Contractors, Grantees and Agencies: The prime contractors and grantees are Family Health International, University of North Carolina, Johns Hopkins University, MACRO International, Center for Human Services, Population Services International, Tulane University, International Rescue Committee and World Relief. Academy for Educational Development is a subcontractor.
US Financing in Thousands of Dollars
696-002 Increased use of sustainable health services in target areas CSD CSH DA DFA Through September 30, 2000 Obligations 16,245 0 3,464 9,114 Expenditures 3,173 0 3,295 7,315 Unliquidated 13,072 0 169 1,799 Fiscal Year 2001 Obligations 7,167 0 148 0 Expenditures 11,355 0 0 1,720 Through September 30, 2001 Obligations 23,412 0 3,612 9,114 Expenditures 14,528 0 3,295 9,035 Unliquidated 8,884 0 317 79 Prior Year Unobligated Funds Obligations 0 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 10,300 0 0 Total Planned Fiscal Year 2002 Obligations 0 10,300 0 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 12,150 0 Future Obligations 0 0 15,000 0 Est. Total Cost 23,412 10,300 30,762 9,114
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Last Updated on: May 29, 2002 |
