Our Model

Through our 3 years of experience at Shingiro Health Center, CCHIPs has developed a model that allows a health center to realize sustainable, comprehensive and cost-effective improvements. We hope that this model will be able to be used by the Rwandan Ministry of Health, and replicated at health centers throughout Rwanda. This model has two components:

1. Building the Capacity of Health Center Staff

Our goal is to improve the knowledge and skills of health center staff and support the successful installation of improved systems and processes.

To achieve this goal and incorporate all aspects of health center interventions, we work across Five Elements/Domains of Intervention:

1. Management Systems
2. Medical Systems & Clinical Practices
3. Promotional Programs
4. Community Engagement & Empowerment
5. Facilities Management & Maintenance

These Five Elements are closely interrelated, and we work together with health center staff to ensure the end product is a comprehensive system. Throughout all Five Elements we develop best practices to make use of existing Ministry of Health materials and programs, only developing additional materials when necessary. The idea behind this effort is to develop a system the health center can use to absorb and use all Ministry of Health policies and programs.

2. Resource Provision

Our goal through our resource provision effort is to ensure the health center has the resources necessary to deliver high quality primary health care services.  

To achieve this goal, we work with health centers to determine their needs, priorities, and financial capacity. Then, according to health center and CCHIPs financial capacities, we help the health center obtain the resources necessary for primary health care delivery. Resources include:

1. Staff
2. Facilities
3. Equipment & Materials
4. Drugs
5. Program Costs (Nutrition supplies, Community Health Worker training stipends, etc.)

Both components of our model, building the capacity of health center staff and providing necessary resources, are essential in order to improve the quality of care provided at rural health centers. It is our hope that our model, when implemented, will help Rwanda achieve its strategic vision, embodied in the HSSP-II, Vision 2020, and the Millennium Development Goals. 

See more about our Resource Provision component.

Finally, our team believes that we must continually monitor the metrics of health center performance by measuring costs and outcomes on a consistent basis. We need to be able to demonstrate improvements and the costs of achieving these results.