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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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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

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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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

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

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.
×
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 LLC

11:25 am Discussion with Stakeholders

ANN KURTH, Committee Chair

11:55 am Closing Remarks

ANN KURTH, Committee Chair

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

2:15 pm Summary of Evaluation Scope and Approach

SARAH SMITH LUNSFORD, Evaluation Team Lead, EnCompass LLC

KELSEY SIMMONS, Evaluation Specialist II, EnCompass LLC

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.
×

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 College 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

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.

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.
×
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
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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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.
×
Page 268
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.
×
Page 269
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.
×
Page 270
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.
×
Page 271
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.
×
Page 272
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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 describes PEPFAR-supported HRH activities in Rwanda in relation to programmatic priorities, outputs, and outcomes and examines, to the extent feasible, the impact on HRH and HIV-related outcomes. The HRH Program more than tripled the country’s physician specialist workforce and produced major increases in the numbers and qualifications of nurses and midwives. Partnerships between U.S. institutions and the University of Rwanda introduced new programs, upgraded curricula, and improved the quality of teaching and training for health professionals. Growing the number, skills, and competencies of health workers contributed to direct and indirect improvements in the quality of HIV care. Based on the successes and challenges of the HRH program, the report recommends that future investments in health professional education be designed within a more comprehensive approach to human resources for health and institutional capacity building, which would strengthen the health system to meet both HIV-specific and more general health needs. The recommendations offer an aspirational framework to reimagine how partnerships are formed, how investments are made, and how the effects of those investments are documented.

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