CRS' Ibyiringiro project in Rwanda reached more than 12,000 beneficiaries through an integrated approach to HIV. This case study looks at the experiences of project participants during the life of the project (2008–2013).
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HIV interacts with other drivers of poverty to simultaneously destabilize livelihoods at the household level and social safety nets at the broader community level. Evidence shows that people living with HIV (PLHIV) experience increased vulnerability due to multiple reinforcing causes, including frequent illness, food insecurity, malnutrition, social marginalization and limited access to assets and services. In combating this situation, integrated interventions—targeting needs in health, nutrition and economic strengthening—are more likely to achieve comprehensive and lasting positive outcomes.
For the past five years, beginning in 2008, CRS and its partners have implemented the Ibyiringiro project, funded by USAID via the President's Emergency Plan for AIDS Relief (PEPFAR), in 24 districts across Rwanda. An integrated approach to HIV care was applied in nine of the districts to reach over 12,000 beneficiaries with community-based health, nutrition and livelihood interventions. Group models including "Foyer d'Apprentissage et de Réhabilitation Nutritionnelle" (FARN), Farmer Field School (FFS) and Savings and Internal Lending Community (SILC) were employed to enhance access to nutrition, food security and livelihood services, respectively. As a result, household practices and individual behaviors were positively impacted, leading to remarkable gains in health and nutritional outcomes of beneficiaries. For instance, Mukarushema Consolée was able to obtain health insurance for herself and her seven children after joining an Ibyiringiro-supported pig-raising cooperative. Learning simple food processing techniques for the orange-fleshed sweet potato enabled Mukangenzi Philomène to start her own doughnut business, now a flourishing enterprise.
|Holistic Care for Greater Impact||1|
|Making Hand-Washing Fun||5|
|Food Processing: Cooking Technique Transforms the Orange-Fleshed Sweet Potato into a Family's Source of Income||6|
|Helping Beneficiaries to Create Income-Generating Activities||8|
|Beating Malnutrition, One Person at a Time||10|
|Nutrition for All: Male Involvement in Nutrition Activities||12|
|Training on Vegetable Consumption Helps Participants Improve Health and Increase Income||14|
|Erasing the Stigma: A Story of a Mother Living with HIV in Rural Rwanda||17|
|The Life-Changing Potential of Savings and Internal Lending Communities||19|
|Transforming Lives through Knowledge: The Farmer Field School in Bugesera District||21|
|Grassroots Revolution: A Farmer Field School Member became an Expert Technician for Bio-intensive Agriculture Techniques||24|
|Group Approach to Nutritional Rehabilitation for PLHIV: The FARN Model||26|
|UMUHOZA COOPERATIVE: Changing Lives, and Improving Health, through Pig Breeding||29|
Publisher: Catholic Relief Services (September 2013)
Case study: 36 pages
Dimensions: 8.5 x 11 inches
Posted on September 27, 2013