Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4336
Country/Region: Rwanda
Year: 2007
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $0

Funding for Biomedical Prevention: Injection Safety (HMIN): $0

In the first two years of this activity, a comprehensive assistance package for improving medical injection safety and medical waste management was piloted in two health districts and subsequently expanded to 18 additional districts.

The FY 2006 plan to expand activities to 23 districts was adjusted to 20 districts to reflect the national redistricting exercise which has resulted in a reduction in the number of districts from 40 to 30. Among JSI's key accomplishments in FY 2006 were the construction of 48 needle pits in targeted district health facilities, finalization of National Injection Safety Communication Strategic Plan, finalization, reproduction and distribution of IEC materials for providers and medical waste handlers, and TA to the WB MAP program for the construction of 8 improved DeMontfort Plus incinerators for medical waste management at district hospitals.

In FY 2007, JSI will continue scale-up the injection safety and medical waste management activities described above, including support for training, commodity procurement and BCC activities. JSI will conduct training in safe medical practices, including universal precautions, safe injection, and medical waste management, for 74 regional level trainers, who in turn will train 3,955 health workers and 345 medical waste handlers in 10 new districts. To facilitate safe disposal of needles in these same districts, 127 needle pits will be constructed at health facilities. Commodity procurement and management activities will continue in FY 2007. Twenty-eight supply managers at pharmacies and district hospitals will be trained in supply management of safe injection materials, including the use of newly developed logistics management tools. JSI will procure injection commodities for 10 districts in FY 2007. JSI will assist the GOR in implementing the national behavior change strategy to reduce unnecessary injections. Through a series of one-day sessions, 500 community health workers will be reached with BCC messages to help reduce demand for injections. These interventions will support the national behavior change strategy to reduce unnecessary injections.

JSI will help assure sustainability of commodity procurement mechanisms through continued TA to BUFMAR and CAMERWA and through assistance in revising the national essential drugs and commodities lists to include appropriate drug formulations and safe injection supplies.