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, tuberculosis (TB)/HIV integration, and blood safety, laboratory, and health workforce capacity building.
Strengthening Public Health Systems
CDC provides technical assistance to the Rwanda MoH in the areas of facility-based clinical services, strategic information, and 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 27% of all Rwandan HIV patients on treatment.
Strengthening Laboratory Systems
CDC builds the capacity of key reference laboratory functions in Rwanda, including lab diagnostics, surveillance, 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.
In 2009, CDC Rwanda began transitioning management responsibility of all HHS-supported HIV clinical services to the Rwanda MoH. With CDC support, the MoH manages 84 health facilities serving 27% of all HIV patients on ART in Rwanda. An additional 164 clinical services sites supported by USAID through the Family Health Project will be transitioned to the MoH through their cooperative agreement with CDC over the next two years. The transition will take place in 5 phases. On May 1, 2014, the first 22 sites were transitioned to the MoH.
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 91 percent of those eligible for ART in June 2013.
Through the leadership of the MoH and the technical and financial support of CDC, the availability of PMTCT services has increased significantly. As of June 2013, 488 sites (97 percent) of all public health care facilities in Rwanda were providing PMTCT services. Among pregnant women receiving antenatal care, the national acceptance rate for HIV testing was 98 percent.