The HRH Program operates at the following facilities:
- 4 referral hospital
- 4 educational institutions
- 7 District Hospitals and Schools of Nursing & Midwifery
Referral Hospitals
The 4 referral hospitals in Rwanda are:
- Centre Hospitalier Universitaire de Butare (CHUB)
- Centre Hospitalier Universitaire de Kigali (CHUK)
- Kanombe Military Hospital (KMH)
- King Faisal Hospital (KFH)
1. CHUB
The University Teaching Hospital of Butare is a national referral hospital located in the southern province of Rwanda. CHUB includes the Faculty of Medicine of the National University of Rwanda and the University Laboratory.
The following tables provide further detail about CHUB including the staffing, consultations and hospitalizations, and the main causes of morbidity and mortality.
Table 1: Staffing at CHUB
| Staff Detail | Number | |
| General Practitioners | 11 | |
| Residents | 30 | |
| Specialists | Rwandans | 17 |
| Expatriates | 11 | |
| Nurses | 199 | |
| Midwives | 19 | |
| Paramedical staff | 80 | |
| Pharmacists | 3 | |
| TOTAL | 359 |
Table 2: CHUB Consultations and Hospitalizations: July 2010 – June 2011
Download table of CHUB consultations and hospitalizations
Table 3: Main causes of morbidity and mortality at CHUB (2011- 2012)
| Department | Morbidity |
| Prematurity (21.7%) | |
| Neonatal infection (21.6%) | |
| Pediatrics | Gastro-enteritis (6.9%) |
| HIC (soufrance cerebral) (5.3%) | |
| Congenital malformation (4.5%) | |
| Gastroduodénal diseases (13.6%) | |
| Cardiac diseases (13.5%) | |
| Internal Medicine | Liver diseases (8.2%) |
| Respiratory diseases (7.1%) | |
| Neurological diseases (5.9%) | |
| Osteo- articular diseases(48.5%) | |
| Hepato-digestive diseases (18.8%) | |
| Surgery | Uro-genital diseases (11.2%) |
| Endocrinial diseases (8.5%) | |
| Cardio-vascular and pulmonary diseases (5.9%) |
Teaching and Training
Every clinical department holds a staff meeting to discuss clinical cases and other challenges in the hospital. The staff meeting further helps medical students to improve their skills.
The Directorate of Clinical Services organizes a Continuing Medical Education program twice a month. In these sessions, each department presents a topic and medical staff members from different departments share their experiences.
From January 2011 to April 2012, more than 323 students conducted their internship and research at CHUB.
Challenges at CHUB
1. Human Resources
There is a general human resource gap at CHUB. More specifically, the number of specialists is extremely low. As an indication, CHUB does not have an orthopedic surgeon, an urologist, a cardiologist and specialized nurses.
2. Drugs and medical consumables
Drugs and medical consumables are a challenge because most of the products are purchased outside the country and costs are very high.
3. Equipment
New equipment is needed to improve the quality of services that are delivered to clients.
4. Infrastructure
There are inadequate facilities such as a theatre room and recovery room, which do not meet the International Healthcare standards. They require extension and rehabilitation.
2. CHUK
The University Teaching Hospital of Kigali is the largest hospital in Rwanda. Located in Kigali, CHUK provides training, clinical research and technical support to district hospitals.
The following tables provide further information about staffing, departments, services, equipment and other facilities the hospital owns and operates.
Table 1: Staffing at CHUK
| Staff | Number | |
| Doctors | Specialists | 45 |
| Non Specialists | 21 | |
| Nurses and midwives | 492 | |
| General practitioners | 128 | |
| Pharmacists | 3 | |
| Administrative ( Administration and Finance) | 104 | |
| Total | 793 |
The hospital has started the use of modern technology and equipment for minimal invasive surgery such as laparoscopy and endoscopic approaches. In addition, patient’s records are filed electronically.
CHUK has 25 departments; 17 clinical and 8 administrative. Each department has at least two to three services as shown in the table below
Table 2: List of departments and services
| No | Departments | Services |
| 1 | Surgery | General surgery, orthopedics, ophthalmology, thoracic, neurosurgery, oral surgery, ear nose and throat, urology, pediatrics’, operating theatres |
| 2 | Internal medicine | General internal medicine, dermatology, cardiology(non- invasive), endocrinology, infection diseases |
| 3 | Pediatrics | General pediatrics, neonatology, infection diseases |
| 4 | Obstetrics and gynecology | Gynecology, obstetrics, ultrasonography, ante natal care, obstetrics theatre, post natal care, |
| 5 | Accident and emergency | Ambulance services, reception and triage |
| 6 | Anesthesia | Pre-anesthesia care, intra-operative care, post anesthetic care, pain management |
| 7 | Critical care | Non-invasive |
| 8 | Radiology | CT scanning, ultrasonography, fluoroscopy, general radioscopy, mammography dental panoramic X-Ray, |
| 9 | Pharmacy | Drug storage, supply services, medical and surgical consumables, dispensing services, fluids preparations, ARV supply, extemporaneous preparations |
| 10 | Ophthalmology | Consultation (visual acuity, refraction, tonometry, funds eye), treatment, surgical operation |
| 11 | Stomatology | Consultation, decaling, tooth filling, tooth extraction, root canal treatment, reduction of fractures and mobilization of mandible, surgical extractions |
| 12 | Dermatology | Consultation, infiltration, plantar warts curettage, cauterization, biopsy, resection |
| 13 | ENT | Consultation, surgical operation, ear syringing, eudiometry, dressing |
| 14 | Laboratory | Hematology, biochemistry, parasitological, serology, media preparation, sterilization |
| 15 | Physiotherapy | Traumatic, orthopedics, burns, general functional rehabilitation, rheumatology, cardiopulmonary diseases, Plaster of Paris |
| 16 | Social Service | Social work: Identification of social cases, research assistance to destitute, health education to patients and their family members present, help to return to the family |
| 17 | Nursing | Training, supervision and management of the nurses, implementing the protocols, |
| 18 | Human resources | Personnel management, performance management, training, development, HR planning, industrial relations |
| 19 | Finances | Budgeting, management and financial accounting, billing, banking & cash flow management, assets management, stores & warehousing, cost center management, risk management |
| 20 | Procurement | In charge of tender procedure, monitoring of contract performance; providing information procurement. |
| 21 | General administration | Reception, filing, central secretariat, switch board, mortuary services, messenger services, legal services, hospital information services , medical record, pottering services , transport, public relations, |
| 22 | Research | Research, training and publication |
| 23 | ICT | Maintenance and repair of computer equipment, installation of new software tools, training and support staff in the use of new tools acquired |
| 24 | Technical service | Maintenance of equipment and infrastructures, production of oxygen, managing and incineration of waste, training of workers in using biomedical equipment, maintenance and reparation of the buildings. |
| 25 | Nutrition | Consultation and adoption diets, supervision, control of the restaurant’s culinary activities, assessment of nutritional status of patients |
3. Kanombe Military Hospital
(coming soon)
4. King Faisal Hospital
Educational Institutions
The 4 educational institutions in which the HRH program operates in are:
- College of Medicine and Health Sciences (CMHS)
- School of Nursing and Midwifery (SoNM)
- School of Dentistry (SoD)
- School of Public Health (SPH)
All of the these educational institutions are a part of the University of Rwanda.
District Hospitals and Schools of Nursing & Midwifery
- Byumba District Hospital
- Byumba School of Nursing and Midwifery
- Kabgayi District Hospital
- Kabgayi School of Nursing and Midwifery
- Kibogora School of Nursing and Midwifery
- Kibungo District Hospital
- Kibungo School of Nursing and Midwifery
- Muhima District Hospital
- Nyagatare District Hospital
- Rwamagana District Hospital
- Rwamagana School of Nursing and Midwifery
- Rwinkwavu District Hospital
*Last updated January 29, 2015