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Twubakane, the Kinyarwanda word meaning “Let’s build together,” united many partners—the Government of Rwanda, USAID, nongovernmental organizations, health workers, and communities. Launched in 2005, the Twubakane Decentralization and Health Program supported the Government of Rwanda to improve integrated service delivery in hospitals, health centers, and communities by strengthening the capacity of local governments, health facilities, and communities to provide, plan for, and manage high-quality services.
Working in 12 of Rwanda’s 30 districts—Rwamagana, Kayonza, Ngoma and Kirehe in Eastern Province; Gasabo, Kicukiro and Nyarugenge in Kigali City; and Kamonyi, Muhanga, Ruhango, Nyamagabe, and Nyaruguru in Southern Province—Twubakane’s approach to building a solid foundation for effective, decentralized health care focused on six integrated goals:
Twubakane built capacity to offer services at local levels, and provided support for improving policies, protocols, and strategies at the central level. Highlights of results included the following:
This five-year, $28-million program was funded by USAID and collaborated with Rwanda’s Ministry of Health, Ministry of Local Administration, Ministry of Finance and Economic Planning, and Ministry of Gender and Family Promotion. Led by IntraHealth International, Twubakane’s partners were RTI International, Tulane University, EngenderHealth and VNG (Netherlands International Cooperation Agency). Local partners included RALGA (Rwanda Association of Local Government Authorities) and Pro-Femmes.
|Dates:||2005 to 2010|