• Goal: Aid independent by 2020 • PIH began work in Rwanda in 2005 (as IIMB) • In 2006, ministry of health implements mutuelle health insurance scheme • Results of development and health initiatives: GDP quadruples; many health and development indicators improve ➢ Vision 20/20, this is how its going to look in education, agriculture, our cities, and in health... these are the goals and this is how we're going to implement them in all different sectors of the government ➢ Rwanda govt. said to NGO's if you want to help us then ok but you have to follow our vision 20/20 set by our govt. and ministries ➢ INGO communities took this as a front ➢ Centralized development approach, social, human, economic development indicators show that this model worked o Graduation rates improved o Literacy rates improved o GDP increased o Dismantled the ethnic distinction o Invest heavily in primary health care, maternal child health, access to HIV testing treatment and care ➢ Rwanda's redevelopment in the vision 20/20 plan included the large scale recruitment and use of community health workers