Rwanda human resources assessment for HIV / AIDS services scale-up. Phase 3 report: staffing implications and scenarios for HIV

This report presents findings from Phase 3 of an assessment of the human resources implications of HIV/AIDS services scale-up in Rwanda. The Government of Rwanda is committed to rapidly expanding the delivery of HIV/AIDS care and support services, including antiretroviral treatment. By the end of September 2004, over 6,000 clients had started antiretroviral therapy (ART), 101 health facilities offered voluntary counseling and testing (VCT) services, 101 facilities provided prevention of mother-to-child transmission (PMTCT) services, and 23 sites provided care and treatment to HIV-positive clients. The number of health sites offering VCT, PMTCT, and HIV/AIDS care and treatment is expected to grow to 147 VCT sites and 152 PMTCT sites by the end of 2005. In order to reach a target of 100,000 clients receiving ART, the Ministry of Health also plans to expand HIV/AIDS care and support services delivery to three referral hospitals, 39 district hospitals, and 117 health centers by 2007. Scale-up strategies for national HIV/AIDS services include the rapid training of health staff and decentralization of HIV/AIDS services. This report focuses on the staffing implications and associated costs of HIV/AIDS services scale-up. By documenting current staffing levels and the level of effort necessary to provide HIV/AIDS services, Phase 3 of the study analyzes how many full-time equivalent (FTE) staff will be needed, and at what costs, if the Government of Rwanda is to meet its HIV/AIDS service delivery objectives. The human resources projections are based on data gathered during Phases 1 and 2 of the study. (excerpt)

Report Author(s): 
Furth R | Gass R | Kagubare J
Quality Assurance Project
ASSIST publication: 
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