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Technical & Financial File TECHNICAL & FINANCIAL FILE UBUZIMA BURAMBYE (LONG HEALTHY LIFE) RWANDA DGD CODE: NN 3015102 NAVISION CODE: RWA 13 092 11 TABLE OF CONTENTS ABBREVIATIONS ........................................................................................................................... 4 EXECUTIVE SUMMARY ................................................................................................................. 8 ANALYTICAL RECORD OF THE INTERVENTION .................................................................... 10 1 SITUATION ANALYSIS.......................................................................................................... 11 1.1 GENERAL CONTEXT ..................................................................................................................... 11 1.2 HEALTH SECTOR SWOT ANALYSIS ........................................................................................... 19 1.3 SPECIFIC CONTEXT ...................................................................................................................... 21 1.4 BELGIAN COOPERATION SUPPORT TO THE HEALTH SECTOR .................................................. 36 2 STRATEGIC ORIENTATIONS ............................................................................................... 38 2.1 THE GENERAL OBJECTIVE ........................................................................................................... 38 2.2 NATIONAL HEALTH SECTOR POLICY GUIDING PRINCIPLES AS SPECIFIC OUTCOMES .............. 38 2.3 .SELECTION OF HSSP III AS OUTPUTS & JUSTIFICATION .......................................................... 39 2.4 LEARNING CYCLES FOR SUSTAINABLE SECTOR DEVELOPMENT................................................ 41 2.5 OTHER PRINCIPLES GUIDING IMPLEMENTATION ......................................................................... 43 2.6 COORDINATION & SYNERGY WITH OTHER DEVELOPMENT PARTNERS ...................................... 45 3 INTERVENTION FRAMEWORK ............................................................................................ 50 3.1 GENERAL OBJECTIVE ................................................................................................................... 50 3.2 SPECIFIC OBJECTIVE ................................................................................................................... 50 3.3 EXPECTED RESULTS .................................................................................................................... 50 3.4 ACTIVITY-CLUSTERS .................................................................................................................... 50 3.5 INDICATORS AND MEANS OF VERIFICATION ................................................................................ 67 3.6 HYPOTHESIS, RISK AND OPPORTUNITY ANALYSIS .................................................................... 73 4 RESOURCES .......................................................................................................................... 81 4.1 FINANCIAL RESOURCES ............................................................................................................... 81 4.2 HUMAN RESOURCES .................................................................................................................... 83 4.3 (INDICATIVE) MATERIAL RESOURCES ......................................................................................... 86 5 IMPLEMENTATION MODALITIES ........................................................................................ 91 TFF Ubuzima Burambye (Long Healthy Life) (RWA13 092 11) Final Version 2 5.1 INTRODUCTION ............................................................................................................................. 91 5.2 SPECIFIC MODALITIES: EXECUTION AGREEMENTS (EA) ........................................................... 93 5.3 INTERVENTION DURATION AND LIFECYCLE ................................................................................. 93 5.4 ORGANIZATIONAL STRUCTURE AND INSTITUTIONAL ANCHORAGE ............................................ 94 5.5 TECHNICAL CONTENT (SCOPE) MANAGEMENT .......................................................................... 96 5.6 FINANCIAL & PROCUREMENT MANAGEMENT .............................................................................. 98 5.7 HUMAN RESOURCES MANAGEMENT ......................................................................................... 104 5.8 QUALITY MANAGEMENT : MONITORING, REVIEW AND CONSOLIDATION .................................. 105 5.9 AUDITS ....................................................................................................................................... 107 5.10 MODIFICATION OF THE TFF ...................................................................................................... 108 6 CROSS CUTTING THEMES ................................................................................................ 109 6.1 ENVIRONMENT ........................................................................................................................... 109 6.2 GENDER, SRHR AND HIV / AIDS ............................................................................................ 110 6.3 LINK BETWEEN THE CROSSCUTTING ISSUES AND THE RESULTS & ACTIVITY CLUSTERS OF THE PROGRAM AND SPECIFIC INDICATORS ................................................................................................. 111 7 ANNEXES ............................................................................................................................. 114 7.1 LOGICAL FRAMEWORK ............................................................................................................... 114 7.2 CHRONOGRAM ........................................................................................................................... 120 7.3 TOR LONG-TERM PERSONNEL .................................................................................................. 121 7.4 MINISTRY OF HEALTH ORGANIZATION CHART ......................................................................... 157 7.5 RWANDA BIOMEDICAL CENTER ORGANIZATION CHART ......................................................... 158 7.6 DISTRICT ORGANIZATIONAL STRUCTURE 2014 ....................................................................... 159 7.7 MODEL OF SOCIAL DETERMINANTS OF HEALTH ...................................................................... 161 7.8 SOME EXAMPLES OF PEOPLE-CENTRED IMPROVEMENT INITIATIVES RELATED TO ACCREDITATION (R1) ........................................................................................................................... 162 7.9 CAPACITY REINFORCEMENT ..................................................................................................... 163 7.10 GENDER BUDGET SCAN .................................................................................................................... 164 7.11 LIST OF PUBLIC ENTITIES ELIGIBLE FOR IMPROVEMENT FUNDS .............................................. 167 7.12 CITY OF KIGALI PARTICIPATION WITH REGARD TO THE INFRASTRUCTURE IN COK ................ 168 TFF Ubuzima Burambye (Long Healthy Life) (RWA13 092 11) Final Version 3 ABBREVIATIONS ACT Artemisinin-based combination therapy AIDS Acquired Immuno-deficiency syndrome ART Antiretroviral therapy ARV Antiretroviral ASM Maternal Health CHW (Animatrice de Santé Maternelle) ASRH&R Adolescent sexual and reproductive health and rights BCC Behaviour change communication BCT/CTB Belgian technical cooperation / coopération technique belge CAMERWA Central Drug Purchasing Agency in Rwanda CBHI Community-based health insurance CBNPs Community-based nutrition programs CCA Common country assessment CCM Country coordination mechanism CCS Country Cooperation Strategy CDC Centers for Disease Control and Prevention CHUB Butare University Hospital (teaching hospital) CHUK Kigali University Hospital (teaching hospital) CHW Community health worker CORAR Compagnie Rwandaise d’Assurance et de Reassurance CoK City of Kigali CPAF Performance assessment framework CPAF Common performance assessment framework CVD Cardio-Vascular Diseases DH District hospital DHMT District Health Management Team DHU District Health Unit DGD Directorate General for Development cooperation & Humanitarian Aid DPEM District Plans to Eliminate Malnutrition DP Development partners DPCG Development partners coordination group DQA Data Quality Audit EAC Eastern African community EANMAT East-Africa organization for fighting malaria ECD Early childhood development TFF Ubuzima Burambye (Long Healthy Life) (RWA13 092 11) Final Version 4 EDPRS Economic Development and Poverty Reduction Strategy EFU External finance unit EICV Integrated Household Living Conditions Survey EML Essential medicine list FBO Faith based organizations FHI Family Health International FP Family Planning GAVI Global Alliance for Vaccines & Immunization GBS General budget support GBV Gender-based violence GDP Gross Domestic Product GIZ Deutsche Gesellschaft für Internationale Zusammenarbeit GEWE Gender Equality and Women’s Empowerment GFTAM Global Fund for AIDS, TB and Malaria GMO Gender Monitoring Office GoR Government of Rwanda HC Health center HF Health facility HFWG The health financing working group HIV Human immunodeficiency virus HMIS Health management information system(s) HRH Human resources for health HSSP Health sector strategic plan HSWG Health sector working group iCCM Integrated community case management IDHS Interim
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