The objective of Strive Foundation Rwanda’s CHWs program is to improve the health seeking behavior of TB patients and suspects as well as enhance TB health care service provision at the community level. This involves mobilizing and motivating CHWs using performance based financing; enhancing the performance of community-based health care using incentives in the form of cooperative formation and income generating activities.

Our specific programmatic aims are:

• To improve linkages between health services and communities through mobilization of CHWs
• To increase the capacity of CHWs with technical support and training on cooperative management
• To improve the health seeking behavior of TB patients and suspects, increase TB detection, ensure DOTS implementation and improve follow up care

In 2012, the program reached 10,808 CHWs organized into 113 cooperatives. The project, funded by the Global Fund through the Ministry of Health, saw SFR implement this approach in seven districts throughout Rwanda – ultimately increasing TB detection, treatment and follow-up rates.