Center for Health Market Innovations (CHMI)

Programs

Kuraneza program

last updated Oct 4, 2011

Overview

Implementing organization: 
CARE Interantional
Implementation Partner(s): 
Tulane University, Ministry of Rwanda
Legal Status: 
Public-private partnership
Year Launched: 
October 2010
Stage: 
Pilot/startup stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government
Funders: 
USAID
Summary: 

The Kuraneza (good growth) is a public-private program that is at its pilot stage. The program looks at ways of developing new policies that will emphasis on community health, and early child development

Program goals/rationale: 

The Kuraneza main aim is supporting the government’s efforts to operationalize the integration of three newly developed policies—the Community Health Policy, National Nutrition Policy, and Early Child Development Policy—by strategically integrating interventions related to maternal and newborn care (MNC), nutrition, and case management of diarrhea and pneumonia into an existing early childhood development (ECD) program that organizes all mothers, including those in the lowest wealth quintile, into support groups.

Key program components: 

CARE was awarded an Innovation category grant to implement the Kuraneza (Good Growth) Child Survival Project between October 2010 and September 2014 in four sectors (Kayenzi, Karama, Musambira and Nyarubaka) of Kamonyi District, Rwanda in collaboration with the district’s unit of Social Affairs and Social Development. CARE is supporting the government’s efforts to operationalize the integration of three newly developed policies—the Community Health Policy, National Nutrition Policy, and Early Child Development Policy—by strategically integrating interventions related to maternal and newborn care (MNC), nutrition, and case management of diarrhea and pneumonia into an existing early childhood development (ECD) program that organizes all mothers, including those in the lowest wealth quintile, into support groups.

The Kuraneza project’s operations research component is designed to determine whether an integrated child survival-ECD model enhances health outcomes, particularly for the poorest and most difficult to reach communities and households. CARE, in collaboration with Tulane University, will implement and evaluate this integration model, which is also supported by community health workers (CHWs) under the Government’s CHW strategy to improve MNCH and child development outcomes as well as reduce health inequalities between the poor and rich.

Program history: 

The project Kuraneza, a Kinyarwanda word that means a child with good growth in all dimensions (physical, social, cognitive), is a four year project (2010-2014) with a total budget of $ 1,750,000. It will target four sectors in the District of Kamonyi in the Southern Province of Rwanda. No other NGOs are currently working specifically on maternal or child health in the district. The four sectors, which were chosen with the help of District officials for their indices of poverty and much lower than average coverage of key primary health care indicators. The target area includes 105 villages in 21 cells, with approximately 315 community health volunteers (CHW) who would be involved in project activities.

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