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U.S.-Backed HIV Services Help Boost Rwandan Health Care System

A U.S. program to curb AIDS in Africa is working to build the capacity of Rwanda's health care system by training doctors and equiping health facilities. Health correspondent Susan Dentzer continues a series of reports examining the impact of the American effort.

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  • JIM LEHRER:

    Now, the second of two stories on AIDS in the African nation of Rwanda. Tonight, health correspondent Susan Dentzer reports on how AIDS funding is also improving the country's larger health care system. Our Health Unit is a partnership with the Robert Wood Johnson Foundation.

  • SUSAN DENTZER, NewsHour Health Correspondent:

    Dr. Diane Gashumba (ph) works long days, and no wonder. She's one of just 400 doctors in all of Rwanda, a country of roughly nine million people.

    Gashumba directs Kibagabaga Hospital in Rwanda's capital, Kigali. When we visited there recently, she met with a 7-year-old boy being tested for HIV. His older brother told Dr. Gashumba he was worried that the boy had AIDS.

  • PATIENT’S OLDER BROTHER (through translator):

    The reason why I brought him here is because he's been sick for a while.

    DR. DIANE GASHUMBA (ph), Rwandan Medical Expert: What was the problem? What were the symptoms?

  • PATIENT’S OLDER BROTHER (through translator):

    He was swollen. His belly was swollen. His legs were swollen.

  • SUSAN DENTZER:

    The younger boy got a blood test, which fortunately turned out to be negative for HIV. Later, Dr. Gashumba told the older brother that the boy's swelling was probably due to malnutrition.

    Even as the U.S. Global AIDS Initiative makes inroads into fighting AIDS worldwide, it faces huge challenges. One is supporting people like Dr. Gashumba and improving impoverished health care systems that are struggling to cope.

    Jessica Price directs the program in Rwanda for Family Health International, a U.S.-based nonprofit.

  • JESSICA PRICE, Family Health International:

    The bottleneck now to scaling up HIV services are human resources, physicians trained to take care of the number of patients that actually are out there.