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Suggested Citation:"Appendix B: Public Session Agendas." National Academies of Sciences, Engineering, and Medicine. 2020. Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program. Washington, DC: The National Academies Press. doi: 10.17226/25687.
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Suggested Citation:"Appendix B: Public Session Agendas." National Academies of Sciences, Engineering, and Medicine. 2020. Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program. Washington, DC: The National Academies Press. doi: 10.17226/25687.
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Page 218
Suggested Citation:"Appendix B: Public Session Agendas." National Academies of Sciences, Engineering, and Medicine. 2020. Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program. Washington, DC: The National Academies Press. doi: 10.17226/25687.
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Page 219
Suggested Citation:"Appendix B: Public Session Agendas." National Academies of Sciences, Engineering, and Medicine. 2020. Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program. Washington, DC: The National Academies Press. doi: 10.17226/25687.
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Page 220

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Appendix B Public Session Agendas TUESDAY, OCTOBER 23, 2018 National Academy of Sciences Building 2101 Constitution Ave, NW Washington, DC 20418 Room 250 8:45 am EST Welcome and Introductory Remarks ANN KURTH, Committee Chair 8:50 am Overview of the Rwanda Human Resources for Health Program EMMA MTIRO, Health Systems Strengthening Advisor, U.S. Centers for Disease Control and Prevention, Rwanda Q&A 9:30 am Sponsor Remarks to the Committee SEAN CAVANAUGH, Senior Tuberculosis Advisor and Rwanda Country Chair, Office of the U.S. Global AIDS Coordinator and Health Diplomacy 9:50 am Discussion with Committee SEAN CAVANAUGH, Senior Tuberculosis Advisor and Rwanda Country Chair, Office of the U.S. Global AIDS Coordinator and Health Diplomacy LAURA PORTER, Associate Director for Data Integration and Analysis, U.S. Centers for Disease Control and Prevention, Center for Global Health, Division of Global HIV & Tuberculosis EMMA MTIRO, Health Systems Strengthening Advisor, U.S. Centers for Disease Control and Prevention, Rwanda TRACY BURNS, President’s Emergency Plan for AIDS Relief Coordinator, U.S. Embassy Rwanda (remotely) ALEXANDRA HOAGLAND, Deputy President’s Emergency Plan for AIDS Relief Coordinator, U.S. Embassy Rwanda (remotely) 10:45 am Closing Remarks ANN KURTH, Committee Chair PREPUBLICATION COPY: UNCORRECTED PROOFS B-1

APPENDIX B B-2 MONDAY, DECEMBER 10, 2018 Ubumwe Grande Hotel Kigali, Rwanda Room Kivu 1 10:00 am CAT Welcome and Introductory Remarks ANN KURTH, Committee Chair 10:15 am Opening Remarks ALEXANDRA HOAGLAND, Deputy President’s Emergency Plan for AIDS Relief Coordinator, U.S. Embassy Rwanda 10:20 am Remarks to the Committee SABIN NSANZIMANA, Director, National HIV Program, and Division Manager, HIV/AIDS and Viral Hepatitis, Institute of HIV Disease Prevention and Control, Rwanda Biomedical Center 10:40 am Stakeholder Brief Introductions ANN KURTH, Committee Chair 10:55 am Overview of the National Academies’ Consensus Study Process SUSAN MILNER, Study Director 11:05 am Evaluation of the Rwanda Human Resources for Health Program Under the President’s Emergency Plan for AIDS Relief BRIDGET KELLY, Independent Consultant SARAH SMITH LUNSFORD, Evaluation Team Lead, EnCompass 11:25 am Discussion with Stakeholders ANN KURTH, Committee Chair 11:55 am Closing Remarks ANN KURTH, Committee Chair PREPUBLICATION COPY: UNCORRECTED PROOFS

B-3 EVALUATION OF PEPFAR’S CONTRIBUTION TO RWANDA’S HRH PROGRAM TUESDAY, MAY 30, 2019 Ubumwe Grande Hotel Kigali, Rwanda Room Kivu 1 2:00 pm CAT Welcome and Opening Remarks ANN KURTH, Committee Chair ALEXANDRA HOAGLAND, Deputy President’s Emergency Plan for AIDS Relief Coordinator, U.S. Embassy Rwanda JEAN PIERRE NYEMAZI, Permanent Secretary, Ministry of Health, Republic of Rwanda Summary of Evaluation Scope and Approach 2:15 pm SARAH SMITH LUNSFORD, Evaluation Team Lead, EnCompass KELSEY SIMMONS, Evaluation Specialist II, EnCompass Panel 1: Overview of HIV-Related HRH in Rwanda Objective: Gain understanding of the historical and current context of HIV-related human resources for health in Rwanda 2:30 pm Facilitator: Angelina Kakooza-Mwesige, Makerere University of Health Sciences, Kampala, Uganda SABIN NSANZIMANA, Director, National HIV Program, and Division Manager, HIV/AIDS and Viral Hepatitis, Institute of HIV Disease Prevention and Control, Rwanda Biomedical Center JOSEPH SHEMA, Single Project Implementation Unit Coordinator, Ministry of Health, Republic of Rwanda Panel 2: HIV Service Delivery—Perspectives from Training and Practice Objective: Learn from training and service delivery perspectives on areas of progress as well as ongoing challenges in clinical services for people living with HIV in Rwanda. 3:10 pm Facilitator: Mosa Moshabela, University of KwaZulu-Natal, South Africa AGNES BINAGWAHO, Vice Chancellor, University of Global Health Equity PHIL COTTON, Vice Chancellor, University of Rwanda EMMANUEL MUSABEYEZU, Head of Internal Medicine, King Faisal Hospital LAETITIA NYIRAZINYOYE, Senior Lecturer, Community Health Department, University of Rwanda School of Public Health 4:10 pm Tea Break PREPUBLICATION COPY: UNCORRECTED PROOFS B-3

APPENDIX B B-4 Panel 3: HRH Planning and Policy: Perspectives on the Future HIV-Related Workforce in Rwanda Objective: Hear from stakeholders about their perspectives on future planning for HIV- related HRH in Rwanda. 4:20 pm Facilitator: Emmanuel Luyirika, African Palliative Care Association ANDRE GITEMBAGARA, President, Rwanda Nurses and Midwives Union RIBAKARE MUHAYIMPUNDU, Director, HIV Care and Treatment Unit, Rwanda Biomedical Center DAVID NTIRUSHWA, President, Rwanda Medical Association SAGE SEMAFARA, Executive Secretary, Rwanda Network of People Living with HIV (RRP+) 5:20 pm Closing Remarks: Future Pathways to Strengthen and Sustain HIV- Related HRH in Rwanda JEAN PIERRE NYEMAZI, Permanent Secretary, Ministry of Health, Republic of Rwanda 5:30 pm Adjournment PREPUBLICATION COPY: UNCORRECTED PROOFS

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Since 2004, the U.S. government has supported the global response to HIV/AIDS through the President’s Emergency Plan for AIDS Relief (PEPFAR). The Republic of Rwanda, a PEPFAR partner country since the initiative began, has made gains in its HIV response, including increased access to and coverage of antiretroviral therapy and decreased HIV prevalence. However, a persistent shortage in human resources for health (HRH) affects the health of people living with HIV and the entire Rwandan population.

Recognizing HRH capabilities as a foundational challenge for the health system and the response to HIV, the Government of Rwanda worked with PEPFAR and other partners to develop a program to strengthen institutional capacity in health professional education and thereby increase the production of high-quality health workers. The Program was fully managed by the Government of Rwanda and was designed to run from 2011 through 2019. PEPFAR initiated funding in 2012. In 2015, PEPFAR adopted a new strategy focused on high-burden geographic areas and key populations, resulting in a reconfiguration of its HIV portfolio in Rwanda and a decision to cease funding the Program, which was determined no longer core to its programming strategy. The last disbursement for the Program from PEPFAR was in 2017.

Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program evaluates the HRH Program to understand how PEPFAR's investment affected morbidity and mortality outcomes for people living with HIV. This study describes PEPFAR investments in HRH in Rwanda over time, including its support for Ministry of Health efforts to address HRH needs and the broader context in which these investments were made; describes PEPFAR-supported HRH activities in Rwanda in relation to programmatic priorities, outputs, and outcomes; examines the impact of PEPFAR funding for the HRH Program on HRH outcomes and on patient- or population-level HIV-related outcomes; and provides recommendations to inform future HRH investments that would support people living with HIV and advance PEPFAR's mission.

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