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Rwanda’s Experience

Rwanda’s Experience. 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,

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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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