Rwanda

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Rwanda
Juliet
Emmanuel
Afrika

• June 19, 2009

Stephen
Sarah
Wendy
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Problem statement

• Not enough skilled health care workers to meet
  the health care delivery needs

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Objective statement

• Develop skilled health care workers to meet
  health care delivery needs in Rwanda

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Root causes

• Inadequate professional training in hospitals,
  for all health care workers
• Not enough senior level trainers to provide
  supervision
• Current senior level health care workers do not
  have time to supervise

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Strategy

• Place skilled physicians and other allied
  health workers from the international medical
  community into 4 referral hospitals for teaching
  and training.

Health Care Skills Strengthening HCSS Program
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Primary reasons for selected strategy (criteria
used)

• High Effectiveness
• Low Cost
• 5-year Time to Effect
• High Stakeholder Support
• High Feasibility

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Implementation plan- 5 Years
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Evaluation metrics

• Process indicators
• Committee in place/ partnership developed
• Number of volunteers recruited (50 for example)
• of health-care workers trained by volunteers
• Outcome indicators
• - of health care workers by category
• -In-hospital mortality rate (quality) and of
  cases referred out of the country for care
  (quantity)
• -Patient satisfaction/experiences of care
• - Cost of care for transfers out of the country
• -Cost of training outside of country (government
  savings)

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Lessons

• Difficult to compare strategies addressing only
  part of the problem statement.
• Difficult to estimate details of implementation
  if you are not the team that will implement.
• Helpful to combine two strategies into one.
• The decision-makers/ Government members are a
  critical stakeholder to consider.

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Thank you
Murakoze