Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012

Details for Mechanism ID: 13414
Country/Region: Rwanda
Year: 2012
Main Partner: Columbia University
Main Partner Program: Mailman School of Public Health
Organizational Type: University
Funding Agency: HHS/HRSA
Total Funding: $100,600

The goal of the INCI Program is to build technical capacity and leadership of nurses and midwives in the management of public health programs, including building skills for provision of high quality HIV prevention, care and treatment services. Through INCI, the USG continues to support the GOR to develop and implement an HIV-focused A1 nurse curriculum, practicum training and task shifting process. INCI also supports the Ministry of Health to develop and implement services for the integration of FP, SGBV, TB and mental health and HIV, as well as introduced services targeted for hard-to-reach populations, including people with disabilities and men who have sex with men (MSM) all programs implemented mainly by nurses.

In COP12, INCI will continue to support MOH to strengthen clinical services for men who have sex with men.

Funding for Care: Adult Care and Support (HBHC): $94,600

In COP12, INCI will continue to support MOH to implement a targeted program to improve MSM access to quality MSM-friendly HIV care and treatment services in Kigali. INCIs support will entail assisting MOH to finalize provider training materials and clinical tools focusing on MSM care, as well as ongoing technical assistance to two of the three targeted sites providing MSM-friendly services (Kabusunzu and Rugarama). Support to the third site, Carrefour Clinic will be discontinued due to funding constraints.

To ensure strong linkages between the MSM-friendly clinics and the MSM community in Kigali, INCI will continue to support and strengthen the network of MSM peer educators (PE) created in COP12. Innovative outreach strategies involving MSM networks will be developed and implemented to maximize utilization of HIV services by MSM. Meetings with health care providers and PEs will be held more frequently so that PEs and health providers can share challenges and best practices. INCI will also review and document the model program and make recommendations to MOH for expansion of the program beyond the initial sites in Kigali. INCI will collaborate with other IPs providing services to MSM (such as PSI and AIDS Healthcare Foundation) to ensure a comprehensive and integrated package of services and effective linkages.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $6,000

In COP12, INCI will continue to support the distribution of condoms and lubricant to MSM in order to reduce HIV transmission to sexual partners. INCI will provide technical assistance to MOH for quantify MSM condom and lubricant needs and, once procured by MOH, facilitating their distribution through MSM networks and two health facilities.

INCI will provide technical assistance to RBC in the conception and development of IEC and BCC materials, and will collaborate with other IPs working with MSM (such as PSI and AHF) to ensure IEC and BCC materials are available to MSM along with condoms and lubricants.

Cross Cutting Budget Categories and Known Amounts Total: $30,000
Human Resources for Health $30,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors