Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 7162
Country/Region: Rwanda
Year: 2011
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $594,000

PEPFAR continues to procure condoms for both private and public sector distribution. In FY 2008,

PEPFAR supported the procurement of an estimated 14.5 million condoms for the public and private

sectors. In FY 2009, PEPFAR anticipates an increase in condom demand and use. PEPFAR procured

approximately 18 million condoms: 12 million for social; 4 million condoms for the public sector and 2

million for the military. The Rwandan Defense Force (RDF) condom supply was previously supported by

the World Bank/MAP project, but as that project has ended, the RDF had made an emergency request for

the USG to support the military through the DOD program. As part of the Rwanda strategic plan, private

sector condoms will continue to be socially marketed by PSI. Public sector condoms will be managed by

the GOR/CAMERWA with both the quantification and logistical technical assistance being provided by

DELIVER. Purchasing condoms supports the ABC approach outlined in the Rwanda PEPFAR five-year

strategy. They had previously requested 30 million condoms for FY 2010 but due to issues with their

distribution plan and competition from another vendor they have reduced their request for FY 2010 to 12.3

million condoms. Furthermore, Central Contraceptive Procurement is a key partner in condom

procurement; however the targets for distribution and outreach will be attributed to PEPFAR partners

providing direct services. As a result, there are no direct targets for this mechanism.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $594,000

PEPFAR continues to promote branded and non-branded condoms for public and private sector distribution. USG contributes 48% of the total funding cost for male condoms in the country and 85% of the total cost associated with social marketing of condoms. There are more than 20 million branded and non-branded condoms in Rwanda with the majority of those being male condoms. There is little current country demand for female condoms due to cultural stigma. USG and GOR collaborate to ensure national availability of condoms, limited distribution problems, and clear policies for national uptake. In FY 2009, the condom stock remained solid with no foreseeable stock-outs.

CCP is a key partner in condom procurement; however the targets for distribution and outreach are dependent upon PEPFAR partners who provide direct services and/or prevention interventions. Based on the GOR NSP for HIV/AIDS, in addition to the general population, specific emphasis should be placed on MARPs to best reduce incidence. The population targets, therefore, include for youth ranging in age from 15-29 who frequent bars, urban men with discretionary income, MARPs, PLWHAs, and discordant couples. The geographical coverage is nationwide.