1. 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

2. 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

3. 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)

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

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