AHF in RWANDA by pengxiang

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									AHF in RWANDA
FACTS              (UNAIDS/WHO, 2008)




                                                           Country population                            9.7 million
                                                           Persons living with HIV/AIDS                  150,000
                                                           Persons in need of ART                        68,000
                                                           Persons receiving ART                         49,000



                                                           AHF patients on ART                           4,135
                                                           Total AHF patients in care                    7,949



                                                           6 AHF Supported Sites:
                                                           Kabuye                          Kagugu
                                                           Kimironko                       Kinyinya
                                                           Nyakigezi                       Rwankeri




BACKGROUND
The war and genocide of the 1990s       infection is also high and estimated      Reduction Strategy (2008-2012).
severely damaged Rwanda’s               to be around 50% (WHO, 2005).             Patients can access at least one
health infrastructure and Rwanda is     The epidemic’s rapid spread can be        complete                  package
among the ten African countries         attributed to low levels of knowledge     of HIV services in every district –
most severely affected by               on HIV/AIDS, high incidence of            65% of those in need of ART are
HIV/AIDS.             Its   Human       multiple sex partners, low rates of       receiving it, coverage of PMTCT
Development Index ranking is            condom use, and early onset of            services is 56%, and in 2006,
extremely low: 161 out of 177           sexual activity. Lack of human and        472,194 HIV tests were conducted
countries.         The Rwandan          financial resources is a major barrier    (UNAIDS, 2008).
government’s second survey on           to universal access to treatment and
HIV prevalence conducted in 2005        care. Further, capacity to scale up
showed an adult HIV prevalence          treatment of sexually transmitted
rate of 3% (7.7% in urban settings      infections      and       opportunistic
and 2.3% in rural areas) and though     infections is extremely limited.
prevalence rates have stabilized in
urban areas, they continue to rise      In Rwanda, the HIV response is
slightly in rural regions. 76% of       mainstreamed and integrated into
women and 78% of men have               all sectors, per the 2007 Economic
never had any HIV test. HIV/TB co-      Development         and     Poverty         Client receives HIV test through AHF’s
                                                                                         One Millions Tests campaign
AHF in RWANDA SINCE 2006                                                          AIDS Healthcare Foundation

In January 2006, AHF partnered            positive patients and for routine HIV
with the Global Fund, the National        testing of TB patients. These are       Global Headquarters
AIDS Control Commission, and the          considered critical steps in            Jorge Saavedra
Shyria, Kibagabaga and Kanombe            consolidating and normalizing HIV       Chief of Global Affairs
Health Districts, to roll out ART         service delivery within the
                                                                                  Marissa Parsons
programs at two government sites.         Rwandan healthcare System.              Director of Global Operations
Today AHF works with two District         Beyond HIV, AHF believes that
governments, at six health centers.       integrating PMTCT into primary          Keizersgracht 518
                                          healthcare      service     structure   1017 EK Amsterdam
AHF supports the health centers           substantially improves the quality      The Netherlands
through        hands-on        clinical   and efficacy of primary care in         Tel +31 (0)20 626 6267
mentorship and preceptorship              general. AHF’s PMTCT program            globalinfo@aidshealth.org
training,      human        resource      supports a range of specific
assistance,            infrastructure     services for HIV-positive women         East & West Africa Bureau
                                                                                  Penninah Iutung
improvement, medical equipment            and exposed infants that include:       Bureau Chief
supply,        and       operational      educational sessions; one-on-one
management. AHF assures quality           counseling; ARV preventive              Plot 13, Nakasero Road
of care through regular site visits,      therapy in mothers and infants          P.O. Box 22914
assessments, and evaluation of            according to national guidelines;       Kampala, Uganda
data collected at each site. Clinical     and home visits to track women          Tel +256 (0)41 346 311
services such as Voluntary                who have not returned for follow-up     penninah.iutung@aidshealth.org
Counseling and Testing (VCT),             care.
Prevention of Mother-to-Child                                                     Rwanda Headquarters
Transmission               (PMTCT),       For the AHF Mass Testing                Rose Gahire
                                                                                  Country Program Manager
antiretroviral therapy (ART), and         Initiative, which was launched to
HIV/TB care are integrated into the       mobilize and bring together large       Ubumwe House, 2nd Floor
provision of other medical services       numbers of people in order to           Opposite KBC – Kacyiru
since stand-alone ART programs            provide HIV testing, AHF Rwanda         BP 1006, Kigali, Rwanda
are not encouraged by the                 Cares and its partners performed        Tel +250 584 834
Rwandan national strategy.                153,018 tests at events organized       rose.gahire@aidshealth.org
                                          around World AIDS Day 2008,
In 2006, revised national guidelines      and provided treatment referrals to     Executive Headquarters
called for routine TB testing of HIV-     the 328 individuals who tested          Jessica Chang
                                                                                  Global Program Development
positive patients and for routine HIV     positive .
                                                                                  6255 W. Sunset Blvd., 21st Fl.
                                                                                  Los Angeles, CA 90028 USA
AHF MODELS OF CARE                                                                Tel +1323 860 5200
                                                                                  jessica.chang@aidshealth.org
Models of Care:
Direct Care                       Technical Assistance & Supervision
Training                          HIV Counseling & Testing
PMTCT

Current Partners:
Kibagabaga District Hospital, Gasabo District                                           www.aidshealth.org
Shyira District Hospital, Nyabihu District
                                                                                              August 2009

								
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