8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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Df 1447) ^afga oz}o~doflog a eof`ldgo wjaw iobw 1 cdiid`f goag

afg < cdiid`f a| ~obueoo|& Bu~wjo~) cdidwda t`uwj afg cdidwa~t

cof u|og ca|| ~a}o afg |ozuai afg eofgo~#na|og rd`ioflo

*ENR$ a| oa}`f| `b a~) ioardfe wof| `b wj`u|afg| `b `cof

dfbolwog dwj JDR& Ujof wjo eof`ldgo ofgog) caft `b wjo|o

`cof o~o iobw dwj f`wjdfewjod~ ju|nafg| afg ljdig~of

jag noof hdiiog) wjod~ j`co| wahof `~ nu~fog) wjod~ l`ccufdwdo|

w`~f a}a~w) afg wjod~ joaiwj l`c}~`cd|og& Allo|| w` cogdlai

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k`n| ku|w c`fwj| nob`~o|io}w `f wjo |w~oow) jdio `wjo~| b`ufg

anafg`fog j`u|dfe& Wjo|o `cof o~o iobw w` }dlh u} wjo }dolo|

la~o b`~ |u~rdrdfe ljdig~of) afg l`}o dwj wjo }|tlj`i`edlai

w~auca `b i`|| afg rd`ioflo ofwd~oit `f wjod~ `f& Wjod~ n`gdo|

jag noof rd`iawog) afg booidfe ai`fo df wjo `~ig) wjot iawo~ |adg)

jag go|w~`tog wjod~ |}d~dw|&

Df 1447) |``f awo~ wjo eof`ldgo ofgog) wjo ^afga U`cof Fow`~h

*^UF8 wjof Lju~lj U`~ig \o~rdlo XLU\S$ iaufljog a eofgo~#na|og

rd`ioflo aa~ofo|| lac}adef) ofl`u~aedfe `cof |u~rdr`~| alwdro

df LU\ w` |ja~o wjod~ |w`~do|& \orof `cof |u~rdr`~| df Hdeaid laco

w`eowjo~ w` |ja~o wjod~ oz}o~doflo| ` rd`ioflo afg i`|| afg }~`rdgo

oalj `wjo~ |u}}`~w& A| wdco }~`e~o||og) wjo fucno~ ` `cof

ozljafedfe wjod~ oz}o~doflo| dfl~oa|og) afg a |}alo jag w` no ~ofwog

afg |waog dwj r`iufwoo~ fu~|o|& Wjd| |}alo nolaco wjo ]`itlidfdl

` J`}o *]`J$) a lofwo~ o|wanid|jog w` }~`rdgo `cof |u~rdr`~| dwj

^onudigdfe J`}o

ADG\WA^#@fo yLA\O \W_GT \O^DO\

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@lw`no~ >=11

Nt \a~afea Kadf)

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Ct~a Now~`f) afg

Hawjo~dfo B~dw{

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]a~wdld}afw| `b wjo ]`itlidfdl `b

J`}o La~o afg W~oawcofw ]~`kolw&

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Gd|liadco~; Wjo auwj`~| rdo| oz}~o||og df wjd| }unidlawd`f g` f`w folo||a~dit ~obiolw wjo rdo| `b wjo _fdwog \wa

Aeoflt b`~ Dfwo~fawd`fai Goroi`}cofw `~ wjo _fdwog \wawo| E`ro~fcofw&

1Af ADG\WA^#@fo l`c}ofgduc afg aggdwd`fai la|o |wugdo| }~`e~ac| df |un#\aja~af A~dla wjaw

dfwoe~awo cuiwd}io ]O]BA^ eofgo~ |w~awoedo| dfw` wjod~ `~h laf no `ufg aw &adg|wa~#`fo&l`c/

`lu|Pa~oa|/eofgo~/~o|`u~lo|/l`c}ofgducPa~dla0wan3fgdfe|&

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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> ADG\WA^#@fo y@lw`no~ >=11

ADG\WA^#@fo yLA\O \W_GT \O^DO\

culj#foogog cogdlai la~o afg w~auca l`uf|oidfe& Udwjdf wjo ~|w

toa~) j`oro~) `cof |adg wjaw wjot l`uig f`w ~ocadf joaiwjt orof

dwj wjo|o |o~rdlo| nolau|o wjo ialh ` |joiwo~ afg ``g iow wjoc dii`~ ufanio w` waho afwd~ow~`rd~ai wjo~a}t *A^W$& Wjot l`uig f`w a`~g

w` }u~lja|o ``g afg jag f` iafg w` e~` ``g& Nodfe j`coio||

ai|` aolwog wjod~ c`~aio afg cago dw gdluiw `~ wjoc w` c`ro `f

oc`wd`faiit ~`c wjo w~auca ` wjo eof`ldgo& Wjo|o `cof jaro

`ufg dw gdluiw w` eow w~oawcofw afg la~o nolau|o ` wjo |wdeca

awwaljog w` n`wj JDR afg ENR) }a~wdluia~it df e`ro~fcofw j`|}dwai|

*Acfo|wt Dfwo~fawd`fai >==7$&

Df 1445) foit o|wanid|jog ~`c LU\) ^UF w``h `ro~ ]`J dwj wjo

adc ` agg~o||dfe `cof| foog| j`id|wdlaiit& Df aggdwd`f w` }~`rdgdfe

na|dl cogdlai la~o) A^W) afg JDR afg w~auca l`uf|oidfe) ^UF~ojandidwawog 1?= j`co| ~`c 1445 w` >=== afg) df >===) nudiw wjo

Rdiiaeo ` J`}o) jdlj }~`rdgog |joiwo~ `~ >= `cof eof`ldgo

|u~rdr`~| afg wjod~ acdido|& W`gat) Rdiiaeo ` J`}o dfliugo| a

l`ccufdwt lofwo~ jo~o 1?= ~o|dgofw| afg 7)=== dfgdrdguai| df

wjo n~`ago~ l`ccufdwt ioa~f r`lawd`fai |hdii| afg }a~wdld}awo df

`wjo~ joaiwj) ogulawd`fai) afg |`ld`ol`f`cdl alwdrdwdo|&> Df >==?)

^UF noeaf wjo La~o afg W~oawcofw ]~`kolw *LW]$) jdlj }~`rdgo|

a }alhaeo ` joaiwj afg |`ld`ol`f`cdl |o~rdlo| `~ JDR#}`|dwdro

`cof |u~rdr`~| ` wjo eof`ldgo afg wjod~ acdido|& ^UF ai|` aggog

}~`kolw| w` ~ad|o aa~ofo|| ` `cof| jucaf afg ioeai ~dejw|) w`

}~`rdgo `uw~oalj |o~rdlo| w` }o`}io idrdfe dwj JDR afg `~}jaf| afg

ruifo~anio ljdig~of) afg w` nudig l`ccufdwt fow`~h| a| a coaf| w`

|ja~o io||`f| afg no|w }~alwdlo| dwj `wjo~ |o~rdlo }~`rdgo~|&

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@fo |wa l`fgulwog df#go}wj dfwo~rdo| dwj hot df`~cafw| aw wjo

Fawd`fai ADG\ L`fw~`i L`ufldi) wjo _&H& Go}a~wcofw `~ Dfwo~fawd`fai

Goroi`}cofw `lo df ^afga) afg wjo Cdfd|w~t ` Eofgo~ afg U`cof

df Goroi`}cofw& Wjot ai|` l`fgulwog e~`u} afg dfgdrdguai dfwo~rdo|

dwj }~`kolw |wa afg joig `lu| e~`u} gd|lu||d`f| dwj ro e~`u}|

` `cofla~oedro~| ` `~}jaf| afg ruifo~anio ljdig~of) dfl`co

eofo~awd`f alwdrdwt }a~wdld}afw|) wjo }d`foo~| *wjo dfdwdai e~`u} `]`J }a~wdld}afw|$) u|o~ e~`u} cocno~| *}~`kolw }a~wdld}afw| wjaw jaro

noof |oiolwog w` l`iiolw oognalh ~`c }oo~|$) afg Rdiiaeo ` J`}o

~o|dgofw|afg `fo e~`u} ` cof }a~wdld}awdfe df wjo }~`kolw&

]O]BA^ EOFGO^

\W^AWOEDO\AGG^O\\OG NT WJO]@ITLIDFDL @B J@]OLA^O AFG W^OAWCOFW]^@KOLW;

^oguldferd`iofloafgl`o~ld`f

Dfl~oa|dfe`cofafged~i|

ioeai }~`wolwd`f

Dfl~oa|dfe`cofafged~i|

allo|| w` dfl`co afg }~`gulwdro

~o|`u~lo|) dfliugdfe ogulawd`f&

> Rdiiaeo J`}o ~olodrog wjo _F Goroi`}cofw ]~`e~acco afg K`dfw _F ]~`e~acco f JDR/ADG\

>==2 og dnn`f Aa~g afg wjo >==5 _F#Jandwaw Gunad Dfwo~fawd`fai Aa~g a| a no|w }~alwdlo `~

dc}~`rdfe wjo idro| ljdig~of) dg`|) afg acdido| aolwog nt wjo eof`ldgo&

8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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]`itlidfdl b J`}o La~o afg W~oawcofw ]~`kolw;A J`id|wdl A}}~`alj `~ JDR#]`|dwdro U`cof \u~rdr`~| ` wjo ^afgaf Eof`ldgo ==?)

tow JDR }~oraioflo d| |defdlafwit jdejo~ ac`fe

`cof wjaf cof) aw &< }o~lofw)

~o|}olwdroit *Df|wdwuw Fawd`fai go ia \wawd|wdquo gu

^afga afg @^L Cal~` >==2$& Wjd| gdo~oflo df

JDR }~oraioflo nowoof cof afg `cof d| guo) df

}a~w) w` wjo ca|| ~a}o ` `cof gu~dfe wjo eof`ldgo&

^afgaf `cof a~o ai|` idcdwog nt eofgo~ f`~c|

afg }`o~ gtfacdl| nowoof wjo |ozo| df foe`wdawdfe

|ao |oz n`wj df|dgo afg `uw|dgo ` ca~~daeo& ENR

d| ~oiawdroit l`cc`f) dwj ==:$& Bu~wjo~c`~o) ~a}o a| wjo c`|w

~oquofw l~dco ~o}`~wog df wjo ~|w wj~oo c`fwj| `>==5 *_F Eofo~ai A||ocnit \}oldai \o||d`f >==:$&

Wjo ^afgaf e`ro~fcofw ja| ~o|}`fgog w` wjo

JDR o}dgocdl nt iaufljdfe a l``~gdfawog lac}adef

`~ }~orofwd`f) la~o) afg w~oawcofw) dwj |w~`fe

}`idwdlai ioago~|jd} |wa~wdfe dwj wjo }~o|dgofw&

Ac`fe dw| |ullo||o|) wjo e`ro~fcofw o|wdcawo| wjaw

5= }o~lofw ` }o`}io df foog ` A^W a~o lu~~ofwit

`f w~oawcofw& Wjo e`ro~fcofw ja| ai|` of|u~og

wjaw wjo Fawd`fai \w~awoedl ]iaf `f JDR afg ADG\)

>==4>=1>) d| aidefog dwj afga| Ol`f`cdlGoroi`}cofw afg ]`ro~wt ^ogulwd`f \w~awoet >==:

>=1>) df jdlj JDR d| a l~`||#luwwdfe d||uo al~`||

aii 1> |olw`~|) afg ^afga| Rd|d`f >=>=) jdlj

go|l~dnog wjo l`ufw~t| i`fe#wo~c goroi`}cofw

e`ai|& Df Kafua~t >==4) wjo e`ro~fcofw o|wanid|jog

wjo Eofgo~ C`fdw`~dfe @lo) jdlj of|u~o| wjaw

eofgo~ d| cadf|w~oacog aw aii ioroi| afg wjaw eofgo~

gd|aee~oeawog gawa d| l`iiolwog&

^afga| ~o|}`f|o w` wjo JDR o}dgocdl u|o|

wjo Wj~oo @fo| a}}~`alj) dwj `fo fawd`fai

l``~gdfawdfe n`gt *Wjo Fawd`fai ADG\ L`fw~`i

L`ccd||d`f XLFI\S$) fo fawd`fai |w~awoedl }iaf

alwd`f) afg `fo fawd`fai c`fdw`~dfe afg oraiuawd`f

~aco`~h& LFI\) o|wanid|jog df >=== ufgo~ wjo

Cdfd|w~t ` Joaiwj) agcdfd|wo~| wjo |w~awoedl }iaf

aw wjo fawd`fai ioroi) ai`fe|dgo wjo W~oawcofw afg

^o|oa~lj ADG\ Lofwo~) jdlj ioag| JDR w~oawcofw

afg ~o|oa~lj&

Gd|w~dlw ADG\ L`fw~`i L`ccdwwoo| df oalj ` wjo

l`ufw~t| ==4>=1>& Ldrdi

|`ldowt d| `~eafd{og ufgo~ a fucno~ ` ucn~oiia

`~eafd{awd`f| wjaw l``~gdfawo wjo e`ro~fcofw afg ldrdi

|`ldowt ~o|}`f|o| w` JDR *LFI\ >==4$& W` of|u~o

l``~gdfawd`f ` |o~rdlo| nowoof e`ro~fcofw afg

ldrdi |`ldowt) oalj Gd|w~dlw ADG\ L`fw~`i L`ccdwwoo d|

l`c}`|og ` ~o}~o|ofwawdro| ~`c gd|w~dlw#ioroi }unidl

joaiwj `lo| afg ldrdi |`ldowt& Oalj gd|w~dlw d| ~oqud~og

w` `o~ a l`c}~ojof|dro }alhaeo ` |o~rdlo|

wjaw dfliugo r`iufwa~t JDR wo|wdfe afg l`uf|oidfe)

}~orofwd`f c`wjo~#w`#ljdig w~af|cd||d`f) }~orofwd`f

afg w~oawcofw ` `}}`~wufd|wdl dfolwd`f|) afg

fuw~dwd`f |u}}iocofw| `~ }~oefafw c`wjo~| afg

}``~ dfgdrdguai| `f wjod~ ~|w |dz c`fwj| ` A^W&

Oalj gd|w~dlw cu|w ai|` `~h dwj aw ioa|w `fo

f`fe`ro~fcofwai `~eafd{awd`f *FE@$ `~ ldrdi |`ldowt

`~eafd{awd`f }a~wfo~ *K`dfw _F ]~`e~acco `f JDR/

ADG\ >==:$& Af `fidfo JDR gawana|o ca}| |o~rdlo

}~`rdgo~| afg wjod~ }~`e~o|| aw wjo gd|w~dlw ioroi *K`dfw

_F ]~`e~acco f JDR/ADG\ >==:$&

LFI\ `~h| dwj wjo Cdfd|w~t ` Eofgo~ afg U`cof

df Goroi`}cofw) jdlj l``~gdfawo| wjo e`ro~fcofw|

eofgo~ alwdrdwdo|& Wjo Fawd`fai U`cof| L`ufldi)

o|wanid|jog df >==< ufgo~ wjo Cdfd|w~t ` Eofgo~ afg

U`cof df Goroi`}cofw) |ooh| w` c`ndid{o afg nudig

wjo la}aldwt ` `cof df l`ccufdwdo| w` agg~o||

wjod~ foog| afg coow afga| goroi`}cofw e`ai|)

afg `~h| w` idfh eofgo~ o`~w| df l`ccufdwdo| dwj

fawd`fai }~d`~dwdo|&

8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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7 ADG\WA^#@fo y@lw`no~ >=11

ADG\WA^#@fo yLA\O \W_GT \O^DO\

Df ~o|}`f|o w` `cof| i`|| ` }~`}o~wt gu~dfe wjo

eof`ldgo) df 1444 `cof o~o edrof wjo ~dejw w`

dfjo~dw }~`}o~wt ~`c wjod~ }a~ofw| afg |}`u|o|)afg caio afg ocaio ljdig~of o~o edrof oquai

dfjo~dwaflo ~dejw|& U`cof| ~dejw w` `f }~`}o~wt

a| u~wjo~ |w~ofewjofog df wjo l`f|wdwuwd`f afg df

wjo >==? Iafg Ia& J`oro~) `cof| andidwt w`

nofow ~`c wjo|o ia| d| l`f|w~adfog nt wjod~ ialh

` hf`iogeo ` wjod~ ~dejw|) wjod~ foog `~ ioeai

|u}}`~w w` liadc wjod~ ~dejw| df l`u~w) afg wjo eofo~ai

}~ologoflo ` lu|w`ca~t ia wjaw gofdo| `cof

~dejw| wjaw cat no |wd}uiawog df `~cai ia& Bu~wjo~)

wjo ia| `fit a}}it w` `cof dwj ioeai ca~~daeo

l`fw~alw| afg laff`w no a}}idog ~ow~`alwdroit) jdlj

ioaro| `uw caft `cof eof`ldgo |u~rdr`~|&

^afga ja| ~awdog fuco~`u| golia~awd`f|)

lja~wo~|) afg l`frofwd`f| `}}`|dfe ENR& Df

\o}wocno~ >==:) ^afga }a||og a ndii cahdfe

aii `~c| ` ENR diioeai) dfliugdfe ca~dwai ~a}o)

dwj }ofaiwdo| `~ oalj l~dco& Ujdio aa~ofo||

` wjo ia d| jdej afg wjo }`idlo afg wjo kugdldai

|t|woc a~o of`~ldfe dw oolwdroit) rd`ioflo ~awo|

dwjdf ca~~daeo l`fwdfuo w` no jdej& Wjo }`idlo

go}a~wcofw ja| o|wanid|jog a eofgo~ go|h df oro~t}`idlo |wawd`f w` a||d|w rd`ioflo rdlwdc| dwj }`idlo

|o~rdlo|) dc}~`ro wjod~ allo|| w` cogdlai afg

ioeai |o~rdlo|) afg ~ad|o aa~ofo|| ac`fe i`lai

auwj`~dwdo| `f ENR afg jucaf ~dejw|&

Wjo e`ro~fcofw d| f` agg~o||dfe wjo |}oldl

foog| ` `cof eof`ldgo |u~rdr`~| nt of|u~dfe

wjot ~olodro joaiwj |o~rdlo|) dfliugdfe A^W) aw

e`ro~fcofw j`|}dwai|) afg wj~`uej wjo Rdlwdc| `

wjo Eof`ldgo Bufg) jdlj }~`rdgo| wjoc cogdlai

df|u~aflo) fafldai a||d|waflo w` |ofg `~}jaf| w`|lj``i) afg |joiwo~ afg ~ofwai a||d|waflo& Bdfaiit)

wjo e`ro~fcofw ~odf|wawog wjo Ealala L`u~w) a

l`ccufdwt#ioroi w~agdwd`fai ku|wdlo |t|woc wjaw adc|

w` }~`c`wo ~ol`fldidawd`f afg agg~o||o| l~dco|

|ulj a| cu~go~) n`gdit dfku~t) afg }~`}o~wt gacaeo)

jdio wj`|o allu|og ` }iaffdfe `~ ioagdfe wjo

eof`ldgo) w`~wu~o) ~a}o) `~ `wjo~ |ozuai l~dco| a~o

w~dog df wjo fawd`fai l~dcdfai l`u~w|&

Wjo ]`itlidfdl `b J`}o La~o

afg W~oawcofw ]~`kolw|A}}~`alj

]`J LW] u|o| a j`id|wdl) l`c}~ojof|dro a}}~`alj

w` agg~o|| wjo ra~d`u| foog| ` `cof ENR

|u~rdr`~|& Wjo }~`kolw ~ol`efd{o| wjaw `cof|

oz}o~doflo| a| a ~o|uiw ` wjo eof`ldgo dfliugo

rd`ioflo) w~auca) }`ro~wt) dii joaiwj) afg }``~

fuw~dwd`f& Dw ai|` ~ol`efd{o| wjaw a ~afeo ` joaiwj

afg |`ld`ol`f`cdl alw`~| |o~ro a| na~~do~| w`

JDR }~orofwd`f) la~o) afg w~oawcofw& Wjo~o`~o)wjo }~`kolw }~`rdgo| a }alhaeo ` |o~rdlo| w`

coow wjo cuiwd}io afg dfwo~idfhog foog| ` `cof

afg wjod~ acdido|& Dw ja| ai|` noof go|defog w`

dgofwdt foog| `f af `fe`dfe na|d| wj~`uej `~cai

}a~wdld}afw oognalh afg df`~cai oognalh ~`c

]`itlidfdl `b J`}o }ja~cald|w }~o}a~dfe g~uewjo~a}t&

DL^U

8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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]`itlidfdl b J`}o La~o afg W~oawcofw ]~`kolw;A J`id|wdl A}}~`alj `~ JDR#]`|dwdro U`cof \u~rdr`~| ` wjo ^afgaf Eof`ldgo ?

ADG\WA^#@fo yLA\O \W_GT \O^DO\

}~`kolw |wa a| wjot dc}iocofw |u}}`~w e~`u}|)

`~h|j`}|) afg `wjo~ |o~rdlo|& A| fo foog| a~o

dgofwdog) wjo }~`kolw aga}w| dw| alwdrdwdo| w` dfliugofo l`c}`fofw|&

LW] u|o| a acdit#lofwo~og a}}~`alj) ~ol`efd{dfe

wjaw wjo joaiwj afg oii#nodfe ` acdit cocno~|

|w~`feit dfbuoflo wjaw ` `cof& Wjo }~`kolw

wjo~o`~o }~`rdgo| joaiwj afg |`ldai |o~rdlo| w`

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

6/12

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

7/12

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

8/12

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

9/12

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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8/3/2019 AIDSTAR-One Case Study - Rebuilding Hope: Polyclinic of Hope Care and Treatment Project, Rwanda

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