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Rwanda experience

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  • 1. Rwanda’s Experience
  • 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 biomedical 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 units across government to improve aid effectiveness – Vertical programmes were putting a strain on limited management capacity across country, especially at decentralised levels – Similar issues with clinical capacity, having clinicians dedicated to just one disease instead of the suite of health problems facing Rwandans • Ministry of Health was the first Ministry – Had the most PMUs compared to other Ministries, 14 autonomous departments or institutions. – Minister of Health had been the NAC Director previously, with strong working relationship with her successor, who agreed with government analysis
  • 4. Solution • National review and consultation led to absorption of NAC into a newly formed 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 1 DG (1) Medical Research Center DG (1) Medical Maintenan ce Center Deputy DMD(1) King Faisal Hospital RWANDA BIOMEDICAL CENTER MD (1) Deputy MD(1) Institute of HIV/AIDS, Disease Prevention and Control (IHDPC) Deputy MD (1) Medical Production and Procureme nt Rector [DMD] (1) Rwanda University of Medicine and Health Sciences (RUHMS) DG (1) Rwanda Health Communic ation Center DG (1) Corporate Services 5
  • 6. 1 RBC OFFICE OF THE MD Total staffing: 34 MANAGING DIRECTOR RBC (1) Administrative Assistant (2) Personal Assistant (1) INTERNAL AUDIT UNIT (8) M & E SPECIALISTS (5) BUSINES DEVELOPMENT UNIT (10) PLANNING & COORDINATION (4) Public Relations (2)