Reproductive health care in high risk women

The first aim will be achieved by signing memorandums of understanding (MOUs) with MoH and UR-CMHS about RU’s role, offering internships to UR-CMHS students at RU, and assisting potential PhD candidates with HIV/SRH-related fellowship applications. Furthermore, RU will conduct a year-long demonstration project, offering improved HIV/SRH services to high risk women at RU premises. The improvements will consist of creating a ‘safe space’ for high risk women, offering HIV testing to everyone, replacing syndromic STI management with point-of-care (POC) tests and risk-scoring, ensuring integration and/or linkage with other HIV/SRH services, offering same-day services, and allowing for community input into the services. Two workshops with stakeholders will be held: one prior to the start of the demonstration project to agree on the services to be offered as well as the monitoring and evaluation (M&E) indicators to be measured, and one after completion to discuss potential revisions of the Rwandan STI treatment guidelines and to plan for roll-out of improved services to other clinics in Kigali servicing high risk populations. The workshops, as well as in-depth interviews with key stakeholders, will also be used to address integration of services and future roll-out of novel HIV prevention technologies (aim 3).