Presented by Dr. Juliet Waterkeyn

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Presentation transcript:

Monitoring of the Community Based Environmental Health Promotion Program (CBEHPP) in Rwanda Presented by Dr. Juliet Waterkeyn On behalf of Ministry of Health, Rwanda University of North Carolina Water and Health Conference Chapel Hill, USA. 30th October 2014

CBEHPP in Rwanda The Government of Rwanda, through the Ministry of Health, launched the Community-Based Environmental Health Promotion Programme (CBEHPP) in 2009 Objective of improving personal, domestic and community hygiene practices towards reducing the national disease burden and alleviating poverty among the Rwandan population

CBEHPP in Rwanda The CBEHPP empowers communities to identify and solve their personal and domestic hygiene and environmental health related problems (including safe drinking water and improved sanitation)

Programme Achievements in Rwanda Establishment of CHCs: 90% CBEHPP has been implemented partially in 30 Districts Trained CHCs = 40% supported with training tools, and conducting weekly club meetings

CBEHPP Best Practices Construction of latrines for poor and vulnerable families Making soaps for hand washing CHCs contributing money for buying corrugated iron sheets for toilets Contributing money for hand washing facilities, water filters, water treatment and mattresses Constructing the kitchen gardens, creating savings and loans

CBEHPP Best Practices continued... CHCs is the key channel for community mobilisation CHC members do not only deal with health and hygiene issues, but they became a family and support each other in any social problem

CBEHPP and Africa AHEAD Bill & Melinda Gates Foundation is supporting the Ministry of Health to conduct an evaluation that will generate rigorous evidence about the effectiveness of the Community Hygiene Clubs approach in Rwanda especially in Rusizi District to be completed in 2016. Africa AHEAD is building capacity of Rusizi District Officers to adequately monitor and support the CHCs as well as provide high quality training for CHC Facilitators and Dialogue toolkits for the Clubs

Challenges in Monitoring Lack of information on coverage of sanitation and hygiene at district / cell/ sector/ village level Lack of adequate monitoring and evaluation of levels of behaviour change hygiene facilities Lack of information sharing/reporting by partners to MoH Paper data collection, manual data analysis and reporting is too much of a burden and not completed Reporting from village to district to National level doesn’t happen

Monitoring and Evaluation National Use of the new CHC website where all CHCs are registered and activities captured monthly and quarterly Baseline, midline and endline data can be captured for each & every CHC at national level Information available on the website: Village Town CHC Report Analytics Report Hygiene Indicators Report Health Facility Report Training Materials News

Acknowledgements: Bill & Melinda Gates Foundation Ministry of Health Rwanda Thank you