CDC Division of Global HIV & TB country profile : Rwanda
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    Since 2002, the U.S. Centers for Disease Control and Prevention (CDC) has supported the Rwandan Ministry of Health (MOH) to strengthen its capacity to prevent and detect diseases and respond to public health threats. Together, we address HIV and tuberculosis (TB) through workforce capacity building, epidemiology, HIV prevention among key populations, improving case finding, providing high-quality HIV and TB treatment, strengthening the national surveillance systems, laboratory infrastructure, health information systems, and monitoring and evaluation capacity.

    Strengthening Clinical Services: CDC provides direct support and technical assistance (TA) to build expertise for MOH’s facility-based HIV/TB clinical services to provide comprehensive, integrated clinical prevention and treatment, including TB Preventive Treatment (TPT) and six-month multi-month dispensation of optimized antiretroviral therapy (ART) for adults and children at all 192 CDC-supported care and treatment sites. In FY 24, CDC support will expand to include TA for implementation of non-communicable disease and HIV integration and management of advanced HIV disease among people living with HIV (PLHIV).

    Strengthening Laboratory Systems: CDC supports the national laboratory network and quality management system (QMS), laboratory commodity security, workforce development, and laboratory information systems (LIS) for HIV, TB, and other diseases of public health importance. Support towards sustained HIV epidemic control includes HIV drug resistance surveillance, HIV rapid and early infant diagnostics, recency, and viral load testing. CDC also supports reduced turnaround times of core HIV test results through continuous quality improvement, nimble rollout and use of LIS by healthcare providers, improved site-level lab/clinical interface, and optimization of specimen referral system. The laboratory network infrastructure established with support from PEPFAR was used in Rwandan Government led COVID-19 response.

    Strengthening HIV Prevention Activities: CDC provides MOH with financial support and TA in the prevention of Mother-to-Child Transmission (PMTCT), Pre- and post-exposure prophylaxis (PrEP and PEP), Voluntary Medical Male Circumcision (VMMC), and targeted HIV case finding and linkage across the continuum of HIV services, provide comprehensive HIV services to key and priority populations.

    Strengthening Health Information Systems and Surveillance: CDC supports and provides TA on using electronic health information systems to collect, analyze, and disseminate data for HIV prevention, care & treatment, and reporting purposes. Using the data from multiple digital systems, CDC Rwanda, in collaboration with the host government, improves decision-making regarding HIV prevention and treatment program performance and individual health outcomes. Moreover, the existing case-based surveillance (CBS) system provides patient level data on newly identified individuals with HIV infection and treatment outcomes of PLHIV in PEPFAR / CDC-supported health facilities. CDC Rwanda, in collaboration with its partners, provides updates on Bio-Behavioral Surveillance Surveys and Population Size Estimation data for selected key populations and modeling national HIV estimates every two to three years.


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