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Programs

Final Report for the
AIDSCAP Program in Rwanda
October 1993 to April 1997

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This report comprehensively summarizes the FHI/AIDSCAP program in Rwanda (1993-1997). The report includes a discussion of background and context, as well as accomplishments, constraints, implementation and management issues, outcomes, and lessons learned and recommendations for each of two components.

Table of Contents

Executive Summary

I. Country Program Description

A. Introduction

B. Country Context

C. Accomplishments and Outcomes

D. Implementation and Management Issues

II. Lessons Learned and Recommendations

III. Refugee Intervention in Tanzania

IV. Subproject Highlights

V. Attachments (See Below)

Glossary of Acronyms

V. Attachments

Attachment A: Process Indicator Tables

Project Name & FCO #(s)

Total Trained

Total Educated

Condoms Sold

Condoms Given

Materials Distributed

Media Spots Aired

Rwanda Condom Social Marketing (PSI) (32466)

344

188,480

3,150,617

122,901

945

Strengthening BCC Activities in Rwanda (CIDC) (5339, 33591)

92

8136

320,245

3344

BCC Intervention with the Armed Forces (53392,33592)

468

17,989

874,480

16,600

Gitarama Health Region STD/AIDS Prevention (5138, 31481)

398

44,445

29,840

32,388

Strengthening STD and IEC Monitoring Capabilities of PLNS (5639, 36491)

362

38

4,200

CARE: HIV/AIDS Prevention in Gitarama Prefecture (CARE) (33673)

378

40,947

135,061

68,295

Rwandan Refugees AIDS Prevention (CARE) (53084, 30466)

4,038

514,920

2,364,682

152,557

Attachment B: Technical Assistance Provided to AIDSCAP/Rwanda

Name Designation Purpose of Visit Duration
Carlos Ferreros, Joan Haffey, Susan Hassig, Jessica Price, Bea Vuylsteke PSI/Private Sector Off Conducted a needs assessment and prepared draft logFrame documents for a new USAID/Rwanda supported HIV/AIDS prevention activity. 10/92
Norm Cohen, Joan Haffey, Jan Hogle, Jessica Price Consultant Assisted USAID/Rwanda in drafting PID for HIV/STI prevention project in Rwanda. 1/23/93 - 2/12/93
Jacqueline Dubow, Larry Origlio, Jessica Price, Anthony Schwarzwalder, Bea Vuylsteke AIDSCAP Design Team Finalized project paper. Defined and discussed proposed roles in project with implementing agencies. Met with MOH, PNLS to discuss overall program design and implementation structure. 5/9/93-5/29/93
Rose De Buysscher, Richard Steen, Cheryl Sonnichsen, Jan Hogle, Bea Vuylsteke, Elaine Murphy Implementation and Evaluation Team Developed detailed implementation plan, work and evaluation plan, drafted subagreements, logFrames and budgets. 10/31/93-11/20/93
Constant Kabwasa Financial Officer Conducted financial assessment of four prospective subrecipients. Interviewed and hired accountant. 12/7/93-12/22/93
Constant Kabwasa Financial Officer Trained accountant in AIDSCAP/AID reporting procedures and regulations. Reviewed English draft of Field Operations Manual. 3/4/94-3/15/94
Rose De Buysscher Program Officer Finalized subagreements in collaboration with two IAs (CIDC and Gitarama). Provided the Mission with final French draft of the AIDSCAP/Rwanda Field Operations Manual, and 1994 workplan. 3/20/94-4/5/94
John Deidrick Program Manager PSI Washington Reviewed general situation in Rwanda after the war prior PSI project re-launch. 10/19/94-10/22/94
Richard Steen STI Officer Meet with AIDSCAP country office staff and review situation with USAID to reopen office and programs
Rose De Buysscher Program Officer Assisted country office in Administrative and programmatic details to restart AIDSCAP RWANDA program. 12/15/94-12/22/94
Richard Steen STI Officer
Constant Kabwasa Regional and Administrative Officer Assisted in the area of financial management to the country office: trained financial officer and set up accounting system. 1/17/95-1/24/95
Cheryl Sonnichsen Evaluation Officer Finalized subagreements developed with PNLS, RPA, CIDC. 1/24/95-1/29/95
Rose De Buysscher Program Officer Finalized country office and program budgets, to identify local technical assistance and draft a 6 month technical assistance plan. 1/24/95-2/4/95
Bunmi Makinwa Communication Officer 1/31/95-2/7/95
Richard Steen STI Officer Participated at the National Consensus on Syndromic Management of Sexually Transmitted Diseases Meeting organized by the MOH to adapt national STI case management guidelines, and to work with the STI Unit of the PNLS to develop a training plan for health care workers in use of the guidelines. 3/5/95-3/12/95
Bunmi Makinwa Communication Officer Conducted a training of Trainers course in interpersonal communication/peer education on STI/HIV/AIDS for the Rwanda Patriotic Army (RPA); conduct a training workshop on Quantitative Research, especially Focus Group Discussion for the CIDC, to develop a subagreement with the PNLS and CARE International and to review programmatic and administrative activities with the Resident Advisor. 4/18/95-5/7/95
Richard Odindo Communication Officer 4/25/95-5/7/95
Rose De Buysscher Program Officer 4/30/95-5/7/95
Judy Benjamin Project Manager Rwanda Refugee Project, CARE/Tanzania 5/2/95-5/5/95
Bob Clark Private Sector Officer Assisted in new PSI Resident Representative in completing implementation and fine-tuning of management systems and finalizing sales and marketing plans for the Prudence re-launch. 6/12/95-6/18/95
Bea Vuylsteke ITM Provided technical assistance to the PNLS for a training of trainers (TOT) in STD Syndromic Case Management. 6/17/95-6/24/95
Richard Steen STI Officer 6/18/95-6/25/95
Rose De Buysscher Program Officer Worked with the Resident Advisor and the representatives from the respective implementing agencies to review and finalize their proposed activities, budgets and work plans; implemented a comprehensive STI/HIV prevention program in the Gitarama health Region. 7/22/95-7/27/95
Bob Clark Private Sector Officer Provided technical support on sales and marketing initiatives agreed to during previous visit and monitor sales, distribution, and promotional accomplishments and management and reporting systems. 9/24/95-9/28/95
Carol Hooks Program Officer, PATH Planned and conduct an IEC materials development workshop so that CIDC and others will be able to develop effective and appropriate STI/HIV/AIDS prevention materials. 10/3/95-10/14/95
Bunmi Makinwa Communication Officer 10/3/95-10/13/95
Kim Pardue Media Consultant PSI/Rwanda Provide training and technical assistance : In the areas of appropriate and persuasive message development, in the areas of audio/video field production, in the areas of effective video editing, post production and character generation techniques and usage. Production of two completed video products. 10/23/95-11/18/95
Bea Vuylsteke ITM Evaluation (PNLS) Provide TA to STI AIDSCAP Program in Rwanda; Participated and monitored training courses; Assisted in developing STI supervision guidelines; Assisted in designing evaluation tools for the evaluation of PI6/PI7 (STI evaluation indicators); Proposed a protocol for STI sentinel surveillance in Rwanda. 2/26/96-3/8/96
Godfrey Sikipa Regional Director Reviewed the Rwanda Program with the AIDSCAP Rwanda country office and the USAID Mission; Visited Implementing Agencies to assess subproject activities to date; Followed up on issues raised by the REDSO team during their visit in January 1996. 2/28/96-3/2/96
Rose De Buysscher Program Officer 2/25/96-3/1/96
Bunmi Makinwa Communication Officer Finalized plans for and carried out the training in French and English of journalists in HIV/AIDS information dissemination, jointly with PNLS and UNESCO Rwanda-Media project; monitored the BCC activities of the CIDC and the Military subprojects, and provide assistance to the Condom Social Marketing project in its BCC activities. 4/1/96-4/21/96
Pierre Berthelot Consultant Conducted a TOT in counseling for CIDC and other staff. 6/10/96-6/14/96
Rose De Buysscher Program Officer Provided programmatic and administrative support to the country office in drafting cost and non-cost extension for activities continuing beyond August 1996; Worked with the RA on the extension plan 7/21/96-7/26/96
Dr. Bea Vuylsteke ITM Evaluated the quality of STI management of AIDSCAP project areas and to discuss findings and make recommendations for future STI training programs in Rwanda 2/17/97-3/1/97
Jean Paul Tchupo Consultant IRESCO Worked with AIDSCAP to identify and train a team to conduct FGDs with the armed forces and conduct the research; Analyzed the data collected and produce the report. 2/27/97-3/17/97
Laurent Nkusi Local consultant Evaluated capacity building lessons learnt. 4/15/97-4/30/97
J. Mutabaruka Professor at National University of Rwanda (UNR)
Katherine Lawder Associate Evaluation Officer HQ Assisted CO to finalize the final report. 5/10/97-5/18/97
Caroline Blair Program Officer AFRO 5/12/97-5/23/97

Attachment C: Technical Assistance to the Rwandan Refugee Program in Tanzania

Name Designation Purpose of Visit Duration
Bill Grady, Peter Wondergem, Rose De Buysscher JSI, subcontractors' staff Program Officer Assessment of Health and community needs for the development of an AIDS/STI prevention project in the Ngara District Refugee Camps. 8/7/94 - 9/5/94
Peter Wondergem, Carol Vogel JSI Baseline KABP survey. 9/5-9/21/94
Bumni Makinwa BCC Officer TA in IEC materials development 2/95
Denise Rouse AID/Washington Collected qualitative data as part of the JSI evaluation report. 7/11- 7/21/95
Cheryl Sonnichsen Evaluation Officer

Attachment D: AIDSCAP Rwanda Country Program Financial Summary

LOP Funding/Estimated Expenditures

USAID Funding (Rwanda)

Obligated Funds

Cooperative Agreement - USAID/Rwanda

4,200,000

Cooperative Agreement - USAID/Burundi

175,904

Africa Bureau/Rwanda Refugees

263,000

Core Contract - USAID/Rwanda

460,000

Project Core Funds

415,839

Total Funding

5,514,743

Expense Detail Summary

Estimated Expenses

I. Subgrants  
Population Services International-Condom Social Marketing

1,087,616

Centre d'Information, de Documentation et de Counseling-Media Campaign

39,923

Centre d'Information, de Documentation et de Counseling-BCC Intervention

546,940

Programme National de Lutte Centre le SIDA-BCC Intervention with Armed Forces

129,824

Program for Appropriate Technology in Health (PATH)-Materials Development

23,875

Gitarama Health Region -STD/AIDS Prevention Program

61,399

Programme National de Lutte Centre le SIDA-Strengthening of the STD and IEC Monitoring Capabilities

192,375

CARE International - HIV/AIDS Prevention in Gitarama Prefecture

351,270

CARE International - Eastern Rwanda AIDS Prevention Project (suspended)

14,178

CARE International - Rwanda Refugees AIDS Project in Tanzania

232,811

CARE International - Rwandan Refugees AIDS Prevention

325,482

John Snow Inc - Rwandan Refugee AIDS Prevention

53,954

Total Subgrants

3,346,156

II. Country Support*

2,168,586

Total Projected LOP

5,514,743

*Country Program support consists of country office costs, direct funded activities(e.g. international conference participation, micro-grants, trainings), technical assistance, program support, evaluation etc.