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Rwanda’s Experience

Explore Rwanda’s journey in public health management, from restructuring AIDS programs to forming the Rwanda Biomedical Centre for enhanced coordination. Discover the organizational changes, challenges faced, and solutions implemented in this comprehensive shift.

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Rwanda’s Experience

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  1. Rwanda’sExperience

  2. A bit of history • Between 1987 and 2000: the Rwandan Government set up the National Program to Fight against AIDS (PNLS), based within the Ministry of Health. • From 2000: the government divided the PNLS into two organizations, • a National AIDS Control Commission (CNLS – with responsibility to coordinate the multi-sectoral response, focusing on policy development, partnerships and M&E) and • TRAC Plus (an MOH department focused on HIV bio-medical research and response initiatives). • 2006: Decentralisation led to set up of District AIDS Commitees in 106 districts.

  3. And then. . . . • 2011: President of Rwanda called on Ministers to reduce the number of project management unitsacrossgovernment to improveaideffectiveness • Vertical programmes were putting a strain on limited management capacityacross country, especiallyatdecentralisedlevels • Similar issues withclinicalcapacity, havingcliniciansdedicated to just one diseaseinstead of the suite of healthproblemsfacingRwandans • Ministry of Healthwas the first Ministry • Had the mostPMUscompared to otherMinistries, 14 autonomousdepartments or institutions. • Minister of Healthhad been the NAC Directorpreviously, withstrongworkingrelationshipwithhersuccessor, whoagreedwithgovernmentanalysis

  4. Solution • National review and consultation led to absorption of NAC into a newlyformed Rwanda Bio-Medical Centre (RBC), with. • Absorbed all 14 institutions and programmes including AIDS, with corresponding legislation passed by the Assembly in 2011 • AIDS coordination put into the Institute of HIV/AIDS, Disease Prevention and Control (IHDPC), whose director is the former NAC Director. • The RBC has the statutory status as the CNLS before it, as an autonomous public sector organization that reports to a Board of Directors. However, the RBC does sit within the Ministry of Health and the Minister is a member of the Board

  5. MINISTRY OF HEALTH Overall Structure of the Rwanda Biomedical Centre BOARD OF DIRECTORS RWANDA BIOMEDICAL CENTER MD (1) 1 DG (1) Medical Research Center DG (1) Medical Maintenance Center Deputy DMD(1) King Faisal Hospital Deputy MD(1) Institute of HIV/AIDS, Disease Prevention and Control (IHDPC) Deputy MD (1) Medical Production and Procurement Rector [DMD] (1) Rwanda University of Medicine and Health Sciences (RUHMS) DG (1) Rwanda Health Communication Center DG (1) Corporate Services 9 7 4 5 3 2 6 8

  6. Total staffing: 34 RBC OFFICE OF THE MD MANAGING DIRECTOR RBC (1) Administrative Assistant (2) Personal Assistant (1) 1 INTERNAL AUDIT UNIT (8) M & E SPECIALISTS (5) BUSINES DEVELOPMENT UNIT (10) PLANNING & COORDINATION (4) Public Relations (2)

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