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	<title>Association for Applied Health Education And Development &#187; RWANDA</title>
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		<title>CHCs take off in Rwanda</title>
		<link>http://www.africaahead.org/chcs-take-off-in-rwanda/20/12/2011/</link>
		<comments>http://www.africaahead.org/chcs-take-off-in-rwanda/20/12/2011/#comments</comments>
		<pubDate>Tue, 20 Dec 2011 21:13:32 +0000</pubDate>
		<dc:creator>africaahead</dc:creator>
				<category><![CDATA[RWANDA]]></category>
		<category><![CDATA[CBEHPP]]></category>
		<category><![CDATA[Community Health]]></category>
		<category><![CDATA[Community Hygiene Clubs]]></category>
		<category><![CDATA[Health Promotion]]></category>
		<category><![CDATA[Hygiene Promotion]]></category>
		<category><![CDATA[Millennium Development Goals]]></category>
		<category><![CDATA[Women]]></category>

		<guid isPermaLink="false">http://www.africaahead.org/?p=1808</guid>
		<description><![CDATA[ <p>October, 2011</p> <p>The training of Training in Rwanda for the scaling up of the CHC Approach was completed in November 2010, and since then the process has been rolling out across the country in an unprecedented fashion. Supported personally by a presidential directive from President Paul Kagame, the Environmental Health Department is jumping around [...]]]></description>
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<p>October, 2011</p>
<p>The training of Training in Rwanda for the scaling up of the CHC Approach was completed in November 2010, and since then the process has been rolling out across the country in an unprecedented fashion. Supported personally by a presidential directive from President Paul Kagame, the Environmental Health Department is jumping around establishing CHCs in all districts.</p>
<p>By July 2011, detailed data was kindly made available to Africa AHEAD from EHD, which showed that an astonishing 79% of the 15,000 villages in Rwanda have already registered a CHC and that the monitoring structure is being put in place throughout the country. All Districts (100%) have the umbrella hygiene committee in place, and the structure reaches down the country at each level: 86% of the Sectors have committees, 74% of the cells, and 79% of villages have already elected their hygiene committee at village level. In addition 65% of schools also have hygiene committees, and 82% of hospitals are also ready to start CHCs.</p>
<p>This is a phenomenal amount of activity and is essential to lay the foundation for the CHC training to be rolled out throughout the country in the next year. Whilst many believe that scaling up at this rate will prove impossible the initial response by villagers and all levels of government bodes well for the future.</p>
<p>Africa AHEAD is currently sourcing funding to enable detailed monitoring of this process to be done so as to capture the changes in behaviour that is expected to be achieved. Not only is Rwanda going to be one of the few sub Saharan countries to meet the MDGs, but will also meet it’s own standards that all these latrines will be hygienic and properly used.</p>
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		<item>
		<title>World Vision do Hygiene Clubs in Rwanda</title>
		<link>http://www.africaahead.org/world-vision-do-hygiene-clubs-in-rwanda/07/11/2011/</link>
		<comments>http://www.africaahead.org/world-vision-do-hygiene-clubs-in-rwanda/07/11/2011/#comments</comments>
		<pubDate>Mon, 07 Nov 2011 08:30:05 +0000</pubDate>
		<dc:creator>africaahead</dc:creator>
				<category><![CDATA[RWANDA]]></category>
		<category><![CDATA[Case Study]]></category>
		<category><![CDATA[Community Hygiene Clubs]]></category>
		<category><![CDATA[Hygiene Behaviour & Practices]]></category>
		<category><![CDATA[Hygiene Promotion]]></category>

		<guid isPermaLink="false">http://www.africaahead.org/?p=1846</guid>
		<description><![CDATA[<p>World Vision has joined the Commnity Based Environmental Health Promotion Programme and posted this presentation at the 2011 WASH Conference in Australia</p> <p>http://www.slideshare.net/WaterCentre/wash-2011-community-based-environmental-health-promotion-programme</p> ]]></description>
			<content:encoded><![CDATA[<p>World Vision has joined the Commnity Based Environmental Health Promotion Programme and posted this presentation at the 2011 WASH Conference in Australia</p>
<p><a href="http://www.slideshare.net/WaterCentre/wash-2011-community-based-environmental-health-promotion-programme" target="_self">http://www.slideshare.net/WaterCentre/wash-2011-community-based-environmental-health-promotion-programme</a></p>
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		<item>
		<title>Rwanda in the fast lane, IRC sanitation field visit confirms</title>
		<link>http://www.africaahead.org/rwanda-in-the-fast-lane-irc-sanitation-field-visit-confirms/31/10/2011/</link>
		<comments>http://www.africaahead.org/rwanda-in-the-fast-lane-irc-sanitation-field-visit-confirms/31/10/2011/#comments</comments>
		<pubDate>Mon, 31 Oct 2011 08:57:27 +0000</pubDate>
		<dc:creator>africaahead</dc:creator>
				<category><![CDATA[RWANDA]]></category>
		<category><![CDATA[Community Health]]></category>
		<category><![CDATA[Health Clubs]]></category>
		<category><![CDATA[Health Promotion]]></category>
		<category><![CDATA[Millennium Development Goals]]></category>
		<category><![CDATA[Participatory Activities]]></category>
		<category><![CDATA[PHAST]]></category>
		<category><![CDATA[Rural Areas]]></category>
		<category><![CDATA[Water And Sanitation]]></category>
		<category><![CDATA[Women]]></category>

		<guid isPermaLink="false">http://www.africaahead.org/?p=1817</guid>
		<description><![CDATA[ <p>Thursday 11 August 2011</p> <p>Around 30 percent of the national budget of Rwanda is made available to district authorities. This high share makes Rwanda a front-runner in Africa, Stephan Klingebiel and Timo Mahn, two German banking specialists write in the June 2011 edition of Development and Cooperation, Vol. 38.2011:6. In only a few years, [...]]]></description>
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<p>Thursday 11 August 2011</p>
</div>
<div>
<p>Around 30 percent of the national budget of Rwanda is made available to district authorities. This high share makes Rwanda a front-runner in Africa, Stephan Klingebiel and Timo Mahn, two German banking specialists write in the June 2011 edition of Development and Cooperation, Vol. 38.2011:6. In only a few years, the country has considerably improved its public financial management. And the reform impetus started in the country itself. Donors helped to mobilise reform forces, but no one questions Rwanda’s leading role.</p>
<p>A similar drive can be reported on sanitation. ‘From the ruins of years of war and genocide, Rwanda has moved to improve household access to hygienic sanitation  facilities faster than in any country in Sub-Saharan Africa””, writes Nitin Jain in the July 2011 <em>Getting Africa to meet the sanitation MDG: Lessons from Rwanda.</em>[1]. And from my four days in Rwanda during the AfricaSan3 Conference I can confirm this reality.</p>
<p>I had talks with a national planner who finances district level Training of Trainers on Sanitation and Hygiene, district level officials who were trained and Community Mobilisers who trained village level Community Health Workers. I also visited and talked to the Community Hygiene Club in Rwanagala umudugudu (village) in Kazence cell, in sector Ntamara, in district Bugesera, Easter Province, some 30 kilometres out of the capital Kigali.</p>
<p><a id="eztoc601471_0_1" name="eztoc601471_0_1"></a></p>
<h3><strong>Rwanda sanitation programme scores better than many richer African countries</strong></h3>
<p>The very first Tuesday morning of the conference Johnson Nkusi, CEO of the Rwandan Environmental  NGO Forum, Rwanda brought me in contact with Mr. Jackson Mugisha. Jackson, Environment Facilitator of the Ministry of Local Government in Kigali, Rwanda. His ministry is implementing the national sanitation and hygiene policies from various ministries at district and local level. He is integrating environmental issues in the national planning and budget, including sanitation and hygiene. Every three months he helps organise three to five day training sessions for new local authority staff, 50 to 60 persons at the time. They are in turn training community health workers.</p>
<p>I mentioned to both that I would be interested in doing a reality field check on the sanitation situation on the Friday on which I could write one or more stories with pictures for our web site and our Source news and feature service. They were keen to organise this field trip for me.</p>
<p><a id="eztoc601471_0_2" name="eztoc601471_0_2"></a></p>
<h3><strong>Impact at the district level</strong></h3>
<p>In the next few days various people from various districts in Rwanda collected materials from our stand, listened to my introduction on our products and services and my plans for the field trip. I interviewed some of them. They confirmed that they had received the training of trainers that Jackson had organised and financed.</p>
<p><em>Charles Kwabayo</em> is chairing the Dusukure PHAST Cooperative in Burere District in the Northern Province that covers 336,800 people in 567 villages. They have done 36 Participatory Hygiene and Sanitation Training of trainers workshops throughout the district in two rounds of 12 days each who in turn trained 3,400 households in good sanitation and hygiene behaviour since 2008. Around 1,000 farms are using Ecosan fertilizers for their crops. They also trained 124 schools in PHAST.</p>
<p><em>Sophy Mategego</em> (see picture AfricSan 012.jpg) is Social Mobiliser in the WASH project in the Rubaru district responsible for 525 villages. Her colleague <em>Fidele Nzejimana</em> is doing the same work in the Musanze district covering 432 villages.</p>
<div>
<div><a href="http://www.irc.nl/var/irc/storage/images/media/images/africasan_3_exhibit_012/601480-1-eng-GB/africasan_3_exhibit_012.jpg"><img title="Socail mobiliser Rwanda" src="http://www.irc.nl/var/irc/storage/images/media/images/africasan_3_exhibit_012/601480-1-eng-GB/africasan_3_exhibit_012_large.jpg" alt="Socail mobiliser Rwanda" /></a></div>
</div>
<p><em>Sophy Mategego at the IRC stand. Photo: IRC/Dick de Jong</em></p>
<p>They do two visits per week and spend two days per village training the community WASH teams at the sector level that in turn are sensitising the communities on hygiene. In Rwanda the cell is the lowest level administration for a group of villages.</p>
<p><a id="eztoc601471_0_3" name="eztoc601471_0_3"></a></p>
<h3><strong>Three one-week trainings</strong></h3>
<p>Sophy and Fidele received three one-week trainings in two months last year from the Ministry of Infrastructure that was supported by UNICEF and SNV. They can use an SMS help line at the central server of the Ministry of Health to report hygiene concerns that require immediate action. But it usually takes a month for the Ministry to get back to them what action to take.</p>
<p><a id="eztoc601471_0_4" name="eztoc601471_0_4"></a></p>
<h3><strong>Three key elements of success</strong></h3>
<p>Three key elements stand out from Rwanda’s experience that other countries can adapt and implement to improve access to sanitation and improved hygiene:</p>
<ol>
<li>Turning crisis into opportunity</li>
<li>Formalizing traditional elements into administrative frameworks</li>
<li>Forging strong political will to be supported at all levels of decentralization.</li>
</ol>
<p>“<em>We should be able to start sanitation initiatives like the provision of clean water, availability of toilets and clean and tidy neighbourhoods without having to wait  for outside support</em>”, President Paul Kagam said in his speech to delegates of the AfricaSan 3 Conference. At the beginning of the conference he received an award for his government’s exemplary leadership in ensuring sanitation. He told the delegates that he shares the award with the entire Rwandan people in recognition of their collective commitment and participation to raise the quality of life through better sanitation and hygiene.</p>
<p>[1[ Getting Africa to meet the sanitation MDG: Lessons from Rwanda, WSP, July 2011</p>
<p>In another story I’ll explore the sanitation reality in the field.</p>
<p><em>Dick de Jong</em></p>
<p><a title="http://www.irc.nl/page/65772" href="http://www.irc.nl/page/65772" target="_self">http://www.irc.nl/page/65772</a></div>
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		<item>
		<title>12,000 CHCs formed in Rwanda</title>
		<link>http://www.africaahead.org/12000-chcs-formed-in-rwanda/06/10/2011/</link>
		<comments>http://www.africaahead.org/12000-chcs-formed-in-rwanda/06/10/2011/#comments</comments>
		<pubDate>Thu, 06 Oct 2011 16:20:15 +0000</pubDate>
		<dc:creator>africaahead</dc:creator>
				<category><![CDATA[CHC COUNTRIES]]></category>
		<category><![CDATA[RWANDA]]></category>
		<category><![CDATA[Baseline Data]]></category>
		<category><![CDATA[Behaviour Change]]></category>
		<category><![CDATA[Community Health]]></category>
		<category><![CDATA[Diarrhoeal Diseases]]></category>
		<category><![CDATA[Health Clubs]]></category>
		<category><![CDATA[Health Promotion]]></category>
		<category><![CDATA[Hygiene Behaviour & Practices]]></category>
		<category><![CDATA[Millennium Development Goals]]></category>

		<guid isPermaLink="false">http://www.africaahead.org/?p=1809</guid>
		<description><![CDATA[<p>The Training of Trainers by Africa AHEAD for the Communited BasedEnvironmental health PromotionProgramme in Rwanda for the scaling up of the CHC Approach to national level was completed in November 2010. Since then the process has been rolling out across the country in an unprecedented fashion. Encouraged  by a Presidential directive from President Paul Kagame, [...]]]></description>
			<content:encoded><![CDATA[<p>The Training of Trainers by Africa AHEAD for the Communited BasedEnvironmental health PromotionProgramme in Rwanda for the scaling up of the CHC Approach to national level was completed in November 2010. Since then the process has been rolling out across the country in an unprecedented fashion. Encouraged  by a Presidential directive from President Paul Kagame, the Environmental Health Department is jumping around establishing CHCs in all districts, and the communities are responding with alacrity.</p>
<p>By July 2011, detailed data was kindly made available to Africa AHEAD from EHD, which showed that an astonishing 79% of the 15,000 villages in Rwanda have already registered a CHC and that the monitoring structure is being put in place throughout the country. All Districts (100%) have the umbrella hygiene committee in place, and the structure reaches down the country at each level: 86% of the Sectors have committees, 74% of the cells, and 79% of villages have already elected their hygiene committee at village level. In addition 65% of schools also have hygiene committees, and 82% of hospitals are also ready to start CHCs.</p>
<p>This is a phenomenal amount of activity and is essential to lay the foundation for the CHC training to be rolled out throughout the country in the next year. Whilst many believe that scaling up at this rate will prove impossible the initial response by villagers and all levels of government bodes well for the future.</p>
<p>Africa AHEAD is currently sourcing funding to enable detailed monitoring of this process to be done so as to capture the changes in behaviour that is expected to be achieved. Not only is Rwanda going to be one of the few sub Saharan countries to meet the MDGs, but will also meet it’s own standards that all these latrines will be hygienic and properly used.</p>
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		<item>
		<title>President calls for CHC throughout Rwanda</title>
		<link>http://www.africaahead.org/president-calls-for-chc-throughout-rwanda/19/10/2010/</link>
		<comments>http://www.africaahead.org/president-calls-for-chc-throughout-rwanda/19/10/2010/#comments</comments>
		<pubDate>Tue, 19 Oct 2010 14:58:40 +0000</pubDate>
		<dc:creator>africaahead</dc:creator>
				<category><![CDATA[RWANDA]]></category>
		<category><![CDATA[Behaviour Change]]></category>
		<category><![CDATA[Community Health]]></category>
		<category><![CDATA[Diarrhoeal Diseases]]></category>
		<category><![CDATA[Health Promotion]]></category>
		<category><![CDATA[Hygiene Behaviour]]></category>
		<category><![CDATA[Millennium Development Goals]]></category>

		<guid isPermaLink="false">http://www.africaahead.org/?p=1386</guid>
		<description><![CDATA[<p>RWANDA IS THE FIRST COUNTRY WORLD WIDE TO MAKE CHCS A NATIONAL INSTITUTION.</p> <p>His Excellency the President of Rwanda, Paul Kagame,  launched the Hygiene and Sanitation Presidential Initiative (HSPI) in July 2010 and this has dramatically raised the profile of the Community-Based Environmental Health Promotion Programme (CBEHPP) that was officially launched on 17 December last [...]]]></description>
			<content:encoded><![CDATA[<p><strong>RWANDA IS THE FIRST COUNTRY WORLD WIDE TO MAKE CHCS A NATIONAL INSTITUTION.</strong></p>
<p><strong></strong>His Excellency the President of Rwanda, Paul Kagame,  launched the Hygiene and Sanitation Presidential Initiative (HSPI) in July 2010 and this has dramatically raised the profile of the Community-Based Environmental Health Promotion Programme (CBEHPP) that was officially launched on 17 December last year by the Minister of Health.  CBEHPP was developed by the Environmental Health Desk of the Ministry of Health (with support from WSP) in order to achieve sustainable and progressive hygiene behaviour change and improved sanitation.  This is all spelled out in the CBEHPP Roadmap (see article).</p>
<p>As per this Roadmap, actual implementation is now taking off in the five selected start-up districts.  By mid 2011 the programme will rapidly expand in order to cover <strong>all thirty </strong>districts.  However, because of the HSPI, all 30 district administrations, under the direct supervision of the District Mayors, are even now actively mobilising and laying the  ground-work for the full  implementation of  CBEHPP in coming months.</p>
<p><strong>The challenge is immense as CBEHPP requires the establishment of active Community Hygiene Clubs (CHCs) in all 15,000 villages across the country.</strong></p>
<p><strong>Anthony Waterkeyn, WSP consultant, World Bank</strong></p>
<p><strong>October, 2010<br />
</strong></p>
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		<item>
		<title>Zimbabwe Case Study</title>
		<link>http://www.africaahead.org/zimbabwe-case-study/20/01/2010/</link>
		<comments>http://www.africaahead.org/zimbabwe-case-study/20/01/2010/#comments</comments>
		<pubDate>Wed, 20 Jan 2010 11:31:15 +0000</pubDate>
		<dc:creator>africaahead</dc:creator>
				<category><![CDATA[ZIMBABWE]]></category>
		<category><![CDATA[Baseline Data]]></category>
		<category><![CDATA[Behaviour Change]]></category>
		<category><![CDATA[Case Study]]></category>
		<category><![CDATA[Community Health]]></category>
		<category><![CDATA[Diarrhoeal Diseases]]></category>
		<category><![CDATA[Health Clubs]]></category>
		<category><![CDATA[Health Promotion]]></category>
		<category><![CDATA[Hygiene Behaviour]]></category>
		<category><![CDATA[Hygiene Behaviour & Practices]]></category>
		<category><![CDATA[Hygiene Promotion]]></category>
		<category><![CDATA[Mercy Corps]]></category>
		<category><![CDATA[Ministry Of Health]]></category>
		<category><![CDATA[RWANDA]]></category>
		<category><![CDATA[Training Materials]]></category>
		<category><![CDATA[Vietnam]]></category>
		<category><![CDATA[Water And Sanitation]]></category>
		<category><![CDATA[Women]]></category>

		<guid isPermaLink="false">http://www.africaahead.org/?p=1122</guid>
		<description><![CDATA[<p>A short summary of hygiene behaviour change in Zimbabwe, updating from the ground breaking early projects in 2001 in Tsholtsho, to recent projects in Chipinge where similat levels of change are being recorded. It points a way forward as to how the MDGs can be achieved by scaling up the CHC approach as is being [...]]]></description>
			<content:encoded><![CDATA[<p>A short summary of hygiene behaviour change in Zimbabwe, updating from the ground breaking early projects in 2001 in Tsholtsho, to recent projects in Chipinge where similat levels of change are being recorded. It points a way forward as to how the MDGs can be achieved by scaling up the CHC approach as is being done in Rwanda and Vietnam  where the model is being institutionalised within the Ministry of Health.</p>
<p><a href="http://www.africaahead.org/wp-content/uploads/2010/01/Zim-Case-Study.pdf">Zimbabe Chipinge Case Study</a></p>
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