Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 133
Country/Region: Rwanda
Year: 2008
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $1,785,808

Funding for Biomedical Prevention: Injection Safety (HMIN): $1,785,808

John Snow, Inc., in collaboration with the GOR, continues to scale up its injection safety program in the

various hospitals and health centers throughout Rwanda. In FY 2008, JSI will implement injection safety

activities focusing on capacity building, logistics, procurement, BCC and policy change, protection and care

of healthcare staff, and M&E. 1,500 healthcare personnel and 450 medical waste handlers in the public and

private sectors will be trained on safe injection practices, medical waste management, and reducing the

number of unnecessary injections. Inter-district site visits will be conducted to exchange experiences and

train teaching staff at nursing schools on safe injections and medical waste management.

In FY 2008, logistics and procurement activities will continue. In collaboration with the national procurement

and distribution system, JSI will continue providing auto-disable syringes, safe boxes, and needle cutters to

health facilities. JSI will also build capacity of pharmacy managers through training in stock management.

The sustainable importation of security boxes and auto-disable syringes will continue. JSI will evaluate the

utilization of BCC materials among healthcare workers and will conduct a KAP survey on safe injections.

JSI will also implement medical waste management activities in FY 2008. The system for collection and

destruction of medical waste will be reinforced and safety boxes will be provided to health facilities. JSI will

collaborate with the MOH, WHO and the private sector to develop and implement the National Medical

Waste Management Plan.

The protection of healthcare staff is a significant challenge in injection safety. In FY 2008, JSI will procure

protection equipment for all healthcare workers in public health centers and develop a national policy to

ensure PEP and care. These activities will be monitored through joint supervision activities (MOH and

TRAC). JSI will also evaluate safe injection practices and medical waste management in Rwanda.