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HIV Prevention, Care and Treatment

HIV Prevention, Care and Treatment. The Rwandan Experience. Dr Anita Asiimwe, Treatment and Research AIDS Centre Rwanda. Administrative Structure. Principal Institution : MINISANTE Coordination : TRAC Training and Supervision : H.D Executing organ : FOSA.

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HIV Prevention, Care and Treatment

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  1. HIV Prevention, Care and Treatment The Rwandan Experience Dr Anita Asiimwe, Treatment and Research AIDS Centre Rwanda

  2. Administrative Structure • Principal Institution: MINISANTE • Coordination: TRAC • Training and Supervision: H.D • Executing organ : FOSA

  3. Beginning of activities in Rwanda VCT • Pilot Phase: 1997 • Extension: After three years • Support from different partners

  4. Evolution of VCT

  5. Begining of Actvities in Rwanda(1) PMTCT • Pilote Phase: April 1999 • UNICEF Support • Extension: March 2001 • Support from different partners

  6. Evolution of PMTCT

  7. VCT and PMTCT Centers in Rwanda

  8. Care and treatment • Private ARVs since 1999 • CHUK, CHUB, KMH • Cost/month/dose ~ USD 340 • Extension: March 2003 to today • Support from different partners

  9. Evolution of ARVs

  10. How this was achieved • Vision • Increased longevity and improved quality of life for people living with HIV/AIDS (PLWHA) in Rwanda • Approach • Decentralisation • Integration with existing health infrastructure • Community mobilization • Linkage between treatment, care and prevention • Joint procurement to reap economies of scale • Rapid scale-up, including iterative learning

  11. Role of TRAC • Orientation of partners • Setting of standards and development of guidelines and norms • Training of trainers and Supervisors • Elaboration and dissemination of tools: • Training protocol • Providers’ manual • Data management • Supervision • Research

  12. Percentage of patients on ARVs per DP

  13. Lessons learned • Decentralization of HIV/AIDS services is the mainstay to increase accessibility without which both the quality and quantity of services remain limited • HAART is desirable, feasible and has become an ever improving reality in the Rwandan setting • Participation of beneficiaries, communities and the population at large forms a vital element of HIV/AIDS care and treatment

  14. Lessons learned • Human resource development plays a pivotal role in the success of these programmes • More than any campaigns, the advent of HAART has reduced the level of stigma in people living with HIV AIDS

  15. The way forward • Transferring lessons & successes from HIV/AIDS to other programs • Clear vision • Strong political commitment • Good will of all partners • Broad based community & civil society participation

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