The Ihangane Project
Country of Operation
SummaryIhangane means ‘to be patient’ and seeks to empower Rwandan communities to develop integrated approaches to the challenges of HIV by supporting community-driven projects that increase access to health care, improve health care quality, and foster long term success through economic development.
Partnership, Capacity Building, Data Quality, Sustainability
TIP improves health outcomes for vulnerable populations by developing long term relationships with our partners. We work with both providers & recipients of health care to identify barriers & develop innovative solutions for quality care while building cross-sector partnerships to support long term sustainability. We utilize a Continuous Quality Improvement model to demonstrate the benefits of accurate, consistent data for training, staff engagement, quality patient care, & program improvements. TIP strives to transfer all programming to local ownership as one strategy for long term sustainability.
Key program components
- Nutrition for HIV-Exposed Infants (NHI) Program: TIP provides fortified sosoma for HIV-exposed infants & their mothers while strengthening health center capacity to provide quality clinical care & meet expectations of PMTCT & Malnutrition protocols given by the Ministry of Health.
- Farming Cooperatives: TIP & associations of People Living With HIV/AIDS from 7 health centers have established farming cooperatives to improve food security through farming & income generation. In exchange for the start up costs & ongoing technical support,farmers donate a portion of soya & maize crops to their health centers. Eventually, the health centers will produce their own fortified sosoma to sustain the NHI Program.
- Community-Based Nutrition Program (CBNP): TIP hopes to sustain short term gains from NHI by strengthening the CBNP for all children <5 yrs old. TIP conducted a Needs Assessment with local Community Health Workerss. They identified that villages need covered shelters for CHW activities, & TIP will build 5/year over the next 5 years. TIP works with Ruli District Hospital, health centers & CHWs to improve health care workers' ability to provide key health information to the communities they serve. .
- Economic Development: Ihangane-Ruli Artisan Cooperative invites HIV+ mothers from NHI to join their cooperative. They train the women in weaving & card-making, & provide them with a market for their wares. TIP encourages long term independence by providing business and skills training, as well as access to local, regional and international markets.
- Sustainable Hospital Partnerships: partnership with Ross School of Business @ the U. of Michigan to improve cost-effectiveness, quality, & sustainability of Ruli District Hospital health care delivery system.