This activity will establish a program for training at least one district health services manager in each of the

23 districts in which the EP works over time. In the first year, the program would aim to teams of five

individuals in approximately five districts. This will be accomplished in partnership with the MOH through

the Sustainable Management Development Program (SMDP). SMDP's objective is entirely consistent with

the EP goal of strengthening human capacity in a sustainable way.

The basic model for SMDP that will be followed in Rwanda is: 1) to undertake an in- country assessment

with relevant EP and host country officials of how a program can be designed to meet the identified needs;

2) to design a program that both trains officials and allows them to apply that training toward EP objectives;

3) to identify key in-country officials who will come to the United States for the annual six week Management

International Health (MIPH) course held each year in Atlanta. The MIPH course designed for future trainers

is intended for public health professionals from developing countries who have support to conduct

management capacity building in their own countries; 4) to undertake highly tailored, applied management

training projects in which trainers apply their training to their own work and together with technical

assistance from the Division of Epidemiology and Surveillance Capacity Development (DESCD) to train

other foreign nationals in applying management and leadership skills to their ongoing responsibilities. This

typically consists of two to three weeks in the classroom followed by supervised applied learning projects,

which are typically undertaken over six to nine months.

This reprogramming will fund: three participants for the MIPH course; the costs associated with curriculum

development and the implementation of Rwanda's in-country management training course; and the cost of

project supervisory visits conducted by the management course trainers.