What We Do
The Access Project works with health centers to implement improved systems in eight key management domains: human resources, infrastructure, finance, community health insurance, pharmacy logistics, health information systems, planning and coordination, and information technology. The Access Project team developed the Access Management Evaluation Tool, a quantitative instrument that the project employs to measure health center management and provide health center leadership with a guide for improvement. Access then deploys district-based advisors to provide health center staff with intensive mentoring and support, and experts in each management domain to conduct specialized group and one-on-one training, aiming to bring each health center to self-sufficiency.
The Access Project works to ensure that every health center in Rwanda has clean water, electricity, and other physical infrastructure and equipment needed to provide quality health services. Where infrastructure does not exist or is too dilapidated to be rehabilitated, the Access Project partners with Rwanda Works, an NGO devoted to improving health and creating prosperity, to generate support for major health center construction. New health centers in Gashora and Ngeruka sectors are close to opening, and work on a third center is underway; the Ministry of Health has committed to equipping and staffing all new health centers. These three health centers are in Bugesera – one of Rwanda’s poorest districts and among the most seriously affected by the 1994 genocide.
In 2007, the Access Project began to build Rwanda’s first Neglected Tropical Diseases (NTD) Control Program. NTDs are a group of preventable and treatable infections including trachoma, schistosomiasis and intestinal worms, which can cause chronic illness, malnutrition, disfigurement, and other long-term consequences. NTDs can cripple communities, making it impossible for people to lift themselves out of poverty. In partnership with the MOH, the Access Project spearheaded the most extensive mapping of NTDs ever undertaken in Rwanda. This mapping guided development of new interventions including twice-yearly mass drug administration for most of the children in the country. The Access Project and its partners have built the capacity in Rwanda’s health system to eventually eliminate NTDs as a health threat.