HIV/AIDS Assets and Strategic Focus
Since 2002, CDC has been supporting the Rwanda Ministry of Health (MoH) in prevention of mother-to-child HIV transmission (PMTCT), antiretroviral treatment (ART) and adherence, TB/HIV integration, blood safety, and laboratory and health workforce capacity building.
Strengthening Public Health Systems
CDC provides technical assistance to the Rwandan MoH in the areas of facility-based clinical services, strategic information, public health laboratory, and human capacity development. With this support, the Rwanda MoH provides comprehensive, integrated HIV clinical care and treatment services directly to the Rwandan population, serving approximately one-third of all Rwandan HIV patients eligible for treatment.
Strengthening Laboratory Systems
CDC builds the capacity of key reference laboratory functions in Rwanda, including lab diagnostics, quality management systems and operational research. CDC helps develop in-country expertise for laboratory accreditation, strengthens lab infrastructure, and improves capacity at individual facilities for the delivery of high quality clinical laboratory services.
Strengthening Surveillance and Health Information Systems
CDC supported the innovative use of cell phone and internet technology to develop a national HIV reporting system, which now includes integrated disease surveillance. CDC also contributes to the national e-Health strategy through support for Health Management Information Systems.
CDC Rwanda began transitioning management responsibility of all HHS-supported HIV clinical services to the Rwanda MoH in 2009. By February 2012, the MoH will manage these 76 health facilities serving one-third of all HIV patients on ART in Rwanda. Rigorous monitoring has ensured continued quality of services at these health facilities throughout the transition.
CDC Rwanda has helped strengthen the scope, quality, and sustainability of ART services. Rwanda has achieved one of the highest national ART coverage rates in sub-Saharan Africa, reaching an estimated 90% of those eligible for ART in December 2010.
Through the leadership of the MoH and the technical and financial support of CDC, the availability of PMTCT services has increased significantly. As of December 2010, 404 sites (85% of all health care facilities) in Rwanda were providing PMTCT services. Among pregnant women attending antenatal care, the national acceptance rate for HIV testing was 98%.
Over 80% of male partners who accompanied women to antenatal care services for PMTCT were also tested for HIV. Nationally, partner testing has increased from 13% in 2003 to 84% as of December 2010.
All health facilities that offer TB services provide directly observed TB treatment (DOTS). CDC also supports the scale-up of "one-stop" TB/HIV integrated services, which are now being offered at 178 (92%) of the 194 current Diagnostic and Treatment Centers in the country. TB treatment success rates have increased from 58% in 2003 to 85% in 2010.