Health care in Kigali

Action Aid, an international non-governmental organization (NGO), has just hired you for its

global health programs as the field program officer. Your previous manager from the World

Health Organization recommended you for the job and now you are required to do a

comprehensive Assessment for a USAID funded project in Kigali, in the Republic of Rwanda.

Kigali has been hit with COVID-19 few months ago, but the cases have dwindled since last

week. Unfortunately, in the last three days, there has been another outbreak of a new variant

of COVID. Experts say it is highly infectious and the death rate has been increasing especially

among the elderly and children. International organizations and foreign governments have

been collaborating to help.

Food shortages, malnutrition, and lack of water supply are problematic in Kigali because of

lack of irrigation. Action Aid is helping with the construction of water wells, but they have a long

way to go especially in dealing with the culture and beliefs of the local citizens.

One of the issues you discovered was that the new variant affected only a specific

demographic. The government in Kigali has changed health policies to favor nations that came

in to help and many primary health organizations are teaching the population preventive

measures and other infection control measures. To save lives certain risk behaviors were

banned by the government and a mask mandate was instituted for everyone in the community.

Your work in Kigali is to do a thorough assessment for Action Aid and prepare a report to the

[presented to USAID for funding. In your report, address the following areas in justifying your

request for funding.

1. How did the difference in income level of the population become a factor in the spread

and severity of the disease?

2. Discuss mitigation to the cumulative exposure to risk factors, as well as alleviation

strategies that impact health outcomes.

3. Describe policy responses you would recommend to the government in Kigali to help

mitigate the problem..

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