creating linkages between community volunteers & public sector in rwanda_van enk
DESCRIPTION
CORE Global Health Practitioner Conference, Fall 2014TRANSCRIPT
Lauren VanEnk, MPH
Institute for Reproductive Health
Georgetown University
Creating linkages between community volunteers & public sector in Rwanda
Healthcare Access in Rwanda
Rural
Population Health
providers
Urban
Population Health
Providers
Rural areas (over
80% of population)
served by 17% of
nurses
Kigali City (10% of
population) served
by 75% of doctors
and 60% of nurses
Rwanda’s Vision 2020
• Community
performance-based
financing (CPBF)
• Community-based
health insurance (CBHI)
• Nationwide network of
community health
workers (CHW),
3/village
4.6 total fertility rate
50% of women
2 yr or less between
birth and next
pregnancy
Caritas Rwanda
• Provides > 30% of health services
nationwide
• 200 community
volunteers
selected in 5
dioceses to
provide family
planning
Who are Caritas volunteers?
• Already involved in community activities
• Willingness to work voluntarily
• Able to read and write
• Demonstrated integrity and respect within
his/her community
• FAM user
Caritas Volunteers
• Small transport stipend
• Trained by Caritas,
partners
• Responsible for select
activities (HIV, OVC,
GBV, FP)
CHWs
• Incentivized through
performance-based
financing
• Trained by MOH,
partners
• Responsible for all
activities in national
strategy (MCH, FP,
nutrition, WASH, etc.)
Critical considerations for integration
Training & Service Delivery
Supervision System
Data Collection
Commodity Availability
Awareness Raising
Creating a Supportive
Environment
Navigating Barriers
Reporting service provision
Quality assurance
Responsibility sharing
Facilitating Factors
• Strong community health strategy
spearheaded by MOH
• National FP strategy values access to wide
range of methods and informed choice
• Existing norms in the health system re quality
reporting & data collection
• Caritas “presence”
Thank you
www.irh.org