Multilingual Summary for Evaluation of PEPFAR's Contribution (2012-2017) to Rwanda's Human Resources for Health Program (2020) / Chapter Skim
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Isuzuma ry'uruhare rwa gahunda ya PEPFAR (20122017) mu kongera ubushobozi bw'abakozi bo mu rwego rw'ubuzima mu Rwanda
Isuzuma ry'uruhare rwa gahunda ya PEPFAR (20122017) mu kongera ubushobozi bw'abakozi bo mu rwego rw'ubuzima mu Rwanda
Pages 17-42
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From page 17... ...
Inama y'ubutegetsi ya Global Health Ishami rishinzwe ubuzima n'ubuvuzi Raporo y'ubushakashatsi yumvikanweho ya
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Ibitekerezo byose, ibyavuye mu bushakashatsi, imyanzuro cyangwa ibyifuzo bikubiye muri iki gitabo ntibigomba gufatwa ko ari ibitekerezo by'umuryango cyangwa ikigo cyateye inkunga uyu mushinga. International Standard Book Number-13: 978-0-309-67205-4 International Standard Book Number-10: 0-309-67205-8 Intangakintu y'ikoranabuhanga: https://doi.org/10.17226/25687 Izindi nyandiko zitari nyinshi zikubiyemo iyi ncamake ziboneka muri Health and Medicine Division, 500 Fifth Street, NW, Washington, DC 20001.
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Ikigo National Academy of Engineering cyashyizweho mu 1964 hakurikijwe ibisabwa n'Itegeko rishyiraho National Academy of Sciences kugira ngo kigire inama igihugu binyujijwe mu bikorwa by'ubuhanga. Abayigize batorwa na bagenzi babo kubera uruhare rudasanzwe bagize mu byerekeranye n'ubwubatsi.
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Imyanzuro n'ibitekerezo bikubiye mu nyandikomvugo aba ari iby'abitabiriye inama ubwabo bitavuze ko babihuriyeho n'abandi bitabiye inama, komite yaziteguye cyangwa National Academies. Kugira ngo mubone amakuru yerekeranye n'inyandiko n'ibikorwa bya National Academies, musabwe gusura www.nationalacademies.org/about/whatwedo.
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GOMA, Dean and Associate Professor, University of Zambia School of Medicine, Lusaka, Zambiya LAURA HOEMEKE, Global Health Policy Consultant; Adjunct Professor, Gillings School of Global Public Health, University of North Carolina at Chapel Hill ANGELINA KAKOOZA-MWESIGE, Senior Lecturer and Pediatric Neurologist, Department of Pediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda EMMANUEL B
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PAVLIN, Senior Director, Board on Global Health Impuguke BRIDGET B KELLY, Principal Consultant, Burke Kelly Consulting Itsinda ry'impuguke rya EnCompass LLC SARAH SMITH LUNSFORD, Team Lead and Senior Evaluation Specialist SIMON HILTEBEITEL, Monitoring and Evaluation Specialist II KELSEY SIMMONS, Evaluation Specialist II AMY BHOPAL, Special Projects Associate REBECCA K
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Iri suzuma ryigenga rigamije gutanga ibitekerezo bicukumbuye bizafasha inzego za National Academies of Sciences, Engineering, and Medicine mu gutuma buri raporo zitangaza ijyamo amakuru nyayo bishoboka kandi ikubahiriza amabwiriza y'inzego zibishinzwe mu byerekeranye n'ireme, ukutabogama, amakuru nyakuri no kubahiriza imyanzuro yatanzwe n'abashinzwe ubushakashatsi. Ibitekerezo byatanzwe mu kuyikosora n'inyandiko z'umwimerere bigirwa ibanga mu rwego rwo kubungabunga umutekano w'ibitekerezo byatanzwe mu gihe cyo gukosora iyi raporo.
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Uko ari babiri bari bashinzwe kureba neza ko isuzumwa ryigenga ry'iyi raporo ryakozwe hakurikijwe amabwiriza ya National Academies kandi ko ibitekerezo byose byatanzwe mu kuyikosora byitaweho neza. Komite yari ishinzwe kwandika iyi raporo na National Academies ni bo bonyine babazwa ibikubiyemo.
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From page 25... ...
Aka karere gafite abaturage bangana na 11% by'abatuye isi, 24% by'abarwaye indwara zibasira isi n'abarenga 70% by'abanduye virusi itera SIDA,1 ariko kakaba gafite abakozi bo mu rwego rw'ubuzima bangana na 3% by'abakozi bo mu rwego rw'ubuzima ku isi, gakeneye rwose ibikorwa bishya n'ishoramari mu rwego rwo kongera umubare w'abakozi bo mu rwego rw'ubuzima (HRH) .2 Kubera iyi mpamvu, Gahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima mu Rwanda yabaye urugero rwiza, rushingiye ku bihe byihariye, igihugu kikiva muri Jenoside gikeneye gusanwa, intambwe ikomeye mu bijyanye n'ibipimo by'ibanze by'ubwandu bwa virusi itera SIDA, n'ubuyobozi buhamye bwiyemeje guteza imbere urwego rw'ubuzima mu Rwanda binyujijwe mu ishyirwaho ry'urwego rw'ubuzima ruhamye kandi rufite ubushobozi buhagije.
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From page 26... ...
Muri uru rwego, birakwiye ko dushima igitekerezo gishya cya PEPFAR na Leta y'u Rwanda cyo gufatanya mu gushyiraho iyi gahunda yihariye. Igeragezwa rya Gahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima mu Rwanda ni igikorwa dusanga abantu bakwiye kuvanamo amasomo menshi mu bijyanye no gutegura no gushyira mu bikorwa gahunda zo kongerera ubushobozi abakozi zifasha gukumira ubwandu bwa virusi itera SIDA ndetse zikanafasha igihugu kugeza serivisi z'ubuzima ku baturage bose.
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From page 27... ...
Na none, kongera ubushobozi bw'abarimu kugira ngo bazakomeze gukora aka kazi muri Kaminuza y'u Rwanda ntabwo byashyizwe muri gahunda y'ubufatanye uko byari bikwiye. Kubera intego ya PEPFAR nka gahunda yihariye, intego yo kumenya niba inkunga yatewe Gahunda yo Kongerera ubushobozi bw'abakozi bo mu rwego rw'ubuzima yararushijeho gufasha abantu babana n'ubwandu bwa virusi itera Sida (PLHIV)
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Turashimira byimazeyo abayobozi n'abakozi ba Minisiteri y'Ubuzima mu Rwanda, Ikigo gishinzwe ubuzima mu Rwanda (RBC) , Kaminuza y'u Rwanda, Ishyirahamwe ry'Abaganga mu Rwanda, n'Inama y'Igihugu y'abaforomokazi, abaforomo n'ababyaza kubera amakuru batanze agashyirwa muri ubu bushakashatsi no kubera ibitekerezo batanze n'ubufatanye bagaragaje.
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Kathryn Whetten, Duke University. Turifuza no gushimira abakozi ba Gahunda ya Perezida w'Amerika igamije gutanga ubufasha bwihuse mu kurwanya SIDA (PEPFAR)
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Ibirimo IMPINE Z'AMAGAMBO INCAMAKE Inshingano ya Komite Uburyo isuzuma ryakozwe Ibyagaragaye n'imyanzuro I ngaruka kuri virusi itera SIDA no kuri Gahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima Ibyifuzo Umwanzuro Ibikubiye muri Raporo y'ubushakashatsi yumvikanweho yose, yavanwemo iyi Ncamake, biri ku rutonde rukurikira. 1 INTANGIRIRO: IMITERERE Y'ISUZUMA N'UBURYO BWAKORESHEJWE Isobanurampamvu G ahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima mu Rwanda Inshingano ya Komite Uburyo Komite yifashishije mu kuzuza inshingano yahawe Akamaro k'isuzuma Imiterere ya raporo Inyandiko zifashishijwe xv
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xvi IBIRIMO 2 IMITEGURIRWE, UBURYO N'INZITIZI BY'ISUZUMA Imitegurirwe Inzitizi Inyandiko zifashishijwe 3 ISHINGIRO, ICYEREKEZO N'IMITEGURIRWE BYA GAHUNDA YO KONGERERA UBUSHOBOZI ABAKOZI BO MU RWEGO RW'UBUZIMA Ishingiro ryatumye gahunda ikorerwa mu Rwanda I cyerekezo n'imitegurirwe bya Gahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima Imitegurirwe Imicungire y'imari Uburyo n'ibibazo by'imicungire ya porogaramu Ikurikiranabikorwa n'Isuzuma Itegurwa ry'ibikorwa biramba Imyanzuro Inyandiko zifashishijwe 4 UBUFATANYE BW'ABARIMU Ibyagezweho n'ubufatanye buhuriweho Ibibazo mu bufatanye buhuriweho Imyanzuro Inyandiko zifashishijwe 5 UBUSHOBOZI BW'INZEGO Z'UBUREZI BW'ABAKOZI BO MU RWEGO RW'UBUZIMA Ireme ry'uburezi Guha akazi no kugumana abarimu babishoboye bo mu rwego rw'ubuzima Integanyanyigisho z'amasomo y'abiga iby'ubuzima Itangwa ry'ibyangombwa n'inyigisho zo ku rwego rw'inzobere Amahugurwa y'abashakashatsi n'abakozi Imyanzuro Inyandiko zifashishijwe 6 KONGERA UMUBARE W'ABAKOZI BO MU RWEGO RW'UBUZIMA Urwego rw'ubuzima ku isoko ry'umurimo mu Rwanda Guha akazi no kugumana abakozi bo mu rwego rw'ubuzima Kuvugurura no kugura ibikoresho Imyanzuro Inyandiko zifashishijwe
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IBIRIMO xvii 7 INYUNGU KU BAKOZI BO MU RWEGO RW'UBUZIMA N'IREME RYA SERIVISI Z'UBUVUZI I nyungu rusange za Gahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima Icyorezo cya SIDA mu Rwanda Uburambe n'ishimangirwa Imyanzuro Inyandiko zifashishijwe 8 IBYIFUZO Imyanzuro y'isuzuma ireba inzego zinyuranye I ngaruka kuri virusi itera SIDA na Gahunda yo kongerera ubushobozi abakozi bo mu rwego rw'ubuzima Ibyifuzo Inyandiko zifashishijwe IMIGEREKA A IMYIRONDORO Y'ABAGIZE KOMITE, IMPUGUKE N'ABAKOZI B INGINGO Z'IBIGANIRO RUSANGE
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Akazu, ibishushanyo n'imbonerahamwe AKAZU 1-1 Ikigamijwe mu bushakashatsi IBISHUSHANYO S-1 Iby'ingenzi byagaragaye: ibyagezweho n'ibibazo 1-1 Urwego rwa Gahunda yongerera ubushobozi abakozi bo mu rwego rw'ubuzima 1-2 Inzira nyunguranabitekerezo y'isuzuma 2-1 Uko isuzuma ryakozwe 3-1 Uko ubukungu bw'u Rwanda bwari buhagaze hagati ya 2000 na 2018 mu madorari y'Amerika 3-2 Amafaranga yakoreshejwe mu rwego rw'ubuzima mu Rwanda hagati ya 2000 na 2016 (hakurikijwe ubushobozi bw'umuturage) 3-3 Impuzandengo y'amafaranga agenda ku rwego rw'ubuzima mu Rwanda hakurikijwe aho akomoka 3-4 Amafaranga yari ateganyijwe gukoreshwa na PEPFAR mu Rwanda hakurikijwe akarere gahunda ikoreramo n'ijanisha ryagenewe kongera ubushobozi bw'abakozi bo mu rwego rw'ubuzima 3-5 Amafaranga MINISANTE yakoresheje hagati ya FY 2010/2011 – FY 2014/2015 (mu madorari y'Amerika)
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3-4 Ingengo y'imari n'amafaranga yagaragajwe ko yakoreshejwe na Minisiteri y'Ubuzima mbere no mu gihe cya Gahunda ya HRH (mu madorari y'Amerika aburungushuye mu mamiriyoni)
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5-1 Isesengura rigereranya rya Gahunda za MHA na MSN 5-2 Amasomo asabwa muri CPD hakurikijwe umwuga 6-1 Umubare w'abakozi bo mu buzima mu Rwanda hakurikijwe urwego 6-2 Umubare w'abize iby'ubuvuzi muri Kaminuza y'u Rwanda barangije hakurikijwe ibyo bize 6-3 Umubare w'abaganga bahabwa impushya zo gukora 6-4 Imbonerahamwe y'abaganga b'impuguke n'abaganga basanzwe hakurikijwe urwego rw'ikigo cy'ubuzima 6-5 Ibikoresho byatanzwe mu Karere ku nkunga ya PEPFAR binyujijwe muri Gahunda ya HRH, hagati ya 2013 na 2017 6-6 Ibikoresho byatanzwe mu Kigo ku nkunga ya PEPFAR binyujijwe muri Gahunda ya HRH, hagati ya 2013 na 2017 6-7 Ubwoko bw'ibikoresho byatanzwe ku nkunga ya PEPFAR binyujijwe muri Gahunda ya HRH, hagati ya 2013 na 2017 7-1 Intambwe imaze guterwa mu gushyira mu bikorwa intego z'ubuvuzi 90-90-90 mu Rwanda 7-2 Ikigereranyo cy'imibare y'ababyeyi bahawe serivisi zo kurinda umubyeyi kwanduza umwana virusi itera SIDA mu Rwanda zitanzwe n'Ishami ry'Umuryango w'Abibumbye ryita ku kurwanya icyorezo cya SIDA na PEPFAR, hagati ya 2011 na 2016
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Impine z'amagambo APEFE Association pour la Promotion de l'Éducation et de la Formation à l'Etranger ART Imiti igabanya ubukana ARV Imiti igabanya ubukana bwa virusi itera SIDA BSN Bachelor of Science in Nursing CD4 Icyiciro cy'itandukanya cya 4 CDC U.S. Centers for Disease Control and Prevention CHAI Clinton Health Access Initiative CHUB Ibitaro bikuru bya kaminuza bya Butare, Butare CHUK Ibitaro bikuru bya kaminuza bya Kigali, Kigali CHW Umujyanama w'ubuzima CMHS College of Medicine and Health Sciences COP Gahunda y'ibikorwa y'igihugu COSECSA College of Surgeons of East, Central, and Southern Africa CPD Amahugurwa y'abakozi ahoraho ESTHER pour une solidarité thérapeutique Ensemble hospitalière en réseau/Network for Therapeutic Solidarity in Hospitals xxiii
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Master of Medicine MOU Amasezerano y'ubwumvikane MSN Master of Science in Nursing NGO Umuryango utegamiye kuri Leta NISR Ikigo cy'Igihugu cy'Ibarurishamibare mu Rwanda OMS Ishami ry'Umuryango w'Abibumbye ryita ku buzima PEPFAR President's Emergency Plan for AIDS Relief PLHIV Ababana n'ubwandu bwa virusi itera SIDA PMTCT Kurinda Umubyeyi kwanduza umwana virusi itera SIDA PrEP preexposure prophylaxis RBC Ikigo gishinzwe ubuzima mu Rwanda RPHIA Rwanda Population-Based VIH Impact Assessment RWF Ifaranga ry'u Rwanda SIDA Syndrome d'Immuno-Déficience Acquise SMART specific, measurable, achievable, relevant, and time-based SPH Ishuri rikuru ry'Ubuzima rusange
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IMPINE Z'AMAGAMBO xxv SPIU Single Project Implementation Unit TAGGS Tracking Accountability in Government Grants TDF Tenofovir disoproxil fumarate THET Tropical Health Education Trust UGHE University of Global Health Equity UHC Universal health coverage UNAIDS Joint United Nations Programme on HIV/AIDS USAID United States Agency for International Development USD U.S. dollar USI U.S.
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