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The Government of Rwanda’s Human Resources for Health Program

The Government of Rwanda’s Human Resources for Health Program. The Government of Rwanda aims to build a high quality health system that can be sustained within its own resources. Rwanda currently faces a critical shortage of physicians and other health care workers.

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The Government of Rwanda’s Human Resources for Health Program

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  1. The Government of Rwanda’s Human Resources for Health Program

  2. The Government of Rwanda aims to build a high quality health system that can be sustained within its own resources. • Rwanda currently faces a critical shortage of physicians and other health care workers. • There are only 633 physicians for a population of over 10 million people. • One key root cause of this shortage is an inadequate number of faculty to train future physicians. • There are very few trained subspecialists, and residency training programs in Rwanda, begun in 2005, are still developing. • 90% of nurses have only a high school level education

  3. To achieve this goal, the Ministry of Health created the HRH Program to significantly increase the quantity and quality of physicians, nurses and midwives. Nurses and midwives Key points • Strong focus on upgrading A2 to A1 • Dramatic increase in A1, through a combination of e-learning and strengthening of nursing and midwifery schools • Training A0s to ensure sufficient Rwanda lecturers • Develop an MSN program 2019 2011 Physicians • Most physicians will be trained in 6 main residencies: • - Internal Medicine • - Pediatrics • - Surgery • - Anesthesia • - Ob/gyn • - Family & Community • Medicine

  4. As part of the HRH Program, the Ministry of Health convened a consortium of 17 US schools who agreed to send faculty to live and work full-time in Rwanda. # of US faculty FTEs for the 2012-2013 Academic Year 52 physicians 42 nursing educators and clinical mentors 6 health management mentors 2 dentists

  5. The Rwanda HRH Program represents a new model for foreign aid and health education. Key principles • This project will create a new paradigm for cooperation between US academic institutions and academic institutions in Rwanda. • Instead of small scale cooperative efforts between individual academic institutions involving exchanges of a few people, this will be a coordinated approach intended to upgrade medical and nursing professions in a comprehensive way according to a national government plan. • US academic institutions will make a far more significant commitment than has ever been done before. They will do so under contract from the Rwanda Government and in cooperation with each other. • Since funds to US academic institutions will now come the Rwanda Government rather then directly from the US Government, responsibility, control and accountability will rest with the Rwanda Government. • After 8 years, the Rwanda Government is positioned to sustain the HRH Program on its own without foreign aid.

  6. The HRH funding will flow directly from the US Government to the Ministry of Health and then disbursed to academic institutions and teaching hospitals. US Government Funding Ministry of Health US Academic Institutions Rwanda Academic Institutions and Teaching Hospitals • Contract between the US Government and the MOH • Standardized contracts between the MOH and US Institutions • Contracts between US Institutions and US faculty members

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