The goal of the Tangiraneza “Start Well” Innovation Child Survival Project (ICSP) was to reduce morbidity, mortality, and improve nutritional status of children under five and pregnant women in Nyamagabe District, Southern Province, Rwanda. The project’s objective was to improve capacity of Ministry of Health (MOH) staff and Community Health Workers (CHWs) to implement high impact maternal, newborn and child health interventions at the community level.
Strategies were designed to support the MOH implementation of community health interventions in nutrition, maternal newborn care, diarrhea and pneumonia.

World Relief Rwanda (WRR) was one of the Care Group (CG) model pioneers during the first WRR CSP from 2001 – 2006 in Kibogora, eventually scaling up in other districts in modified form. As government CHW cadres were established with specific roles, the Integrated CG (ICG) was innovated in Nyamagabe. ICGs include three CHWs, the head of the village, a religious leader, three village leaders in charge of social affairs, information and community development, the women’s leader, and a representative of the hygiene club. ICGs were established in the entire Nyamagabe District, both Kaduha and Kigeme hospital zones, to implement maternal, newborn, and child health interventions.

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