RWANDA MINISTRY OF HEALTH - Selected Standard Operating Procedures (SOPs) - Rwanda Ministry of Health - GHDonline

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                                                                                                        RWANDA  MINISTRY  OF  HEALTH  
                                                                                                                       
                                                                                                                           
                                                                                                                                              
                                                         Selected  Standard  Operating  Procedures  (SOPs)                                    
                                                                                                                                              
                                                                                                                              Rwanda  Ministry  of  Health  
                                                                                                                                            
                                                                                                                                       July  2009  
Table  of  Contents  
  
EXTERNAL  STANDARD  OPERATING  PROCEDURES  
1.   Authorization  of  Nongovernmental  Organizations  to  Operate  in  the  Health  Sector  ...................................................................................................  4  
2.   Authorization  to  Open  a  Private  Practice  (private  medicine)  .......................................................................................................................................11  
3.   Technical  Assistant  Card  ..................................................................................................................................................................................................14  
4.   Obtaining  a  Work  Permit  for  Technical  Assistance  for  Health  .....................................................................................................................................16  
5.   Facilitation  Obtaining  Exoneration  for  Equipments  and  Products  for  Health  Services  ..............................................................................................19  
6.   Appointments  in  the  Ministry  of  Health  ........................................................................................................................................................................21  
7.   Volunteer  Health  Professionals  in  the  Public  Sector  .....................................................................................................................................................24  
8.   Scholarship  Application  in  the  Health  Sector  .................................................................................................................................................................27  
9.   Organization  of  the  Joint  Health  Sector  Review  ............................................................................................................................................................30  
  
INTERNAL  STANDARD  OPERATING  PROCEDURES    
1.   Elaboration  or  Revision  of  Health  Sector  Strategic  Plan  ...............................................................................................................................................33  
2.   Elaboration  or  Revision  of  Sub-­‐Sector  Strategic  Plans  (eg.,  malaria,  HIV)  ...................................................................................................................36  
3.   Elaboration  of  Ministry  of  Health  Action  Plan  ...............................................................................................................................................................38  
4.   Elaboration  of  Joint  Annual  Workplan  ...........................................................................................................................................................................41  
5.   Elaboration  of  MTEF  ........................................................................................................................................................................................................43  
6.   Budget  Management  and  Execution  ..............................................................................................................................................................................45  
7.   Mail  Management  ...........................................................................................................................................................................................................48  
8.   Elaboration  of  Quarterly  Meetings  and  Training  Programs  ..........................................................................................................................................49  
9.   Elaboration  of  Annual  Report  .........................................................................................................................................................................................51  
10.      Elaboration  of  Quarterly  report  ....................................................................................................................................................................................54  
11.      Organization  of  the  Ministry  of  Health  Retreat  (logistics,  presentations,  report)  ....................................................................................................56  
12.      Organization  of  the  SMM  ..............................................................................................................................................................................................58  
13.      Elaboration  of  Quarterly  Key  Health  Indicators  Bulletin  .............................................................................................................................................59  
14.      Office  Procurement  ........................................................................................................................................................................................................61  
  
                                                                                                                   2  
                                                                                                                                                                                                                                           
 
ANNEXES  
1.   Identification  Form  for  Private  Medical  Practices  .........................................................................................................................................................  68  
2.   Request  for  a  Meeting  with  the  Minister  or  Permanent  Secretary  .............................................................................................................................  71  
3.   Form  for  External  Mail  Management  ............................................................................................................................................................................  72  
4.   Form  for  Internal  Mail  Management  .............................................................................................................................................................................  73  
  
           MINISTRY  ACRONYMS  
  
           MIFOTRA                 MINISTRY  OF  PUBLIC  SERVICE,  SKILLS  DEVELOPMENT  AND  LABOR  
           MINAFFET                MINISTRY  OF  FOREIGN  AFFAIRS  AND  COOPERATION  
           MINALOC                 MINISTRY  OF  LOCAL  GOVERNMENT  AND  SOCIAL  AFFAIRS  
           MINECOFIN               MINISTRY  OF  FINANCE  AND  ECONOMIC  PLANNING  
           MINISANTE               MINISTRY  OF  HEALTH  
           MOE                     MINISTRY  OF  EDUCATION  
           MOH                     MINISTRY  OF  HEALTH    
  
                                                                                                              3  
                                                                                                                                                                                                                                
EXTERNAL  STANDARD  OPERATING  PROCEDURES  
  
1. AUTHORIZATION  OF  NONGOVERNMENTAL  ORGANIZATIONS  (NGOS)  TO  OPERATE  IN  THE  HEALTH  SECTOR  
  
This  standard  operating  procedure  relates  to  law  n°20/2000  of  26/07/2000  on  nonprofit  organizations.  It  requires  
international  and  national  NGOs  working  in  Rwanda  to  renew  their  authorization  every  year.  
  
     A. INTERNATIONAL  NGOS  REQUIRING  FIRST-­‐TIME  REGISTRATION  
             
   STEP  #                            ACTIVITY/TASK  PROCESS                         TIME/        PRIMARY          SECONDARY        DATA  SOURCES  
                                                                                    DURATION   RESPONSIBILITY   RESPONSIBILITY        /TOOLS/  
                                                                                                                                     TEMPLATES  
     I.       The  NGO  signs  a  memorandum  of  understanding  (MOU)  with                                                       
              the  Ministry  of  Health  (MOH)  through  the  following  process:  
                
              x NGO  meets  with  the  Minister  to  discuss  E'K͛ƐŵŝƐƐŝŽŶ.  
              x Minister  directs  NGO  to  the  appropriate  technical  team  
                 concerned  with  the  mission  of  the  NGO.  
              x NGO  and  technical  team  draft  the  MOU.    
              x The  technical  team  approves  MOU  and  sends  it  to  
                 Minister  for  signature.  
              x Minister  reviews  MOU.  If  modifications  must  be  made,  
                 MOU  is  returned  to  technical  group  for  revision.  If  no  
                 modifications  are  necessary,  the  Minister  signs  the  MOU.  
              x Signed  MOU  is  sent  back  to  the  NGO.  
              x NGO  sends  a  letter  to  request  a  recommendation  letter  
                 from  MOH  with  the  signed  MOU  attached.  

                                                                       4  
                                                                                                                                                  
STEP  #                              ACTIVITY/TASK  PROCESS                               TIME/          PRIMARY          SECONDARY         DATA  SOURCES  
                                                                                         DURATION     RESPONSIBILITY     RESPONSIBILITY       /TOOLS/  
                                                                                                                                             TEMPLATES  
            x   The  legal  department  drafts  the  recommendation  letter  
                and  passes  it  to  the  Permanent  Secretary  for  approval.  If  
                approved,  it  is  sent  to  the  Minister  for  signature.  If  not  
                approved,  it  is  sent  back  to  the  legal  department  for  
                revision.    
            x   Signed  request  letter  is  given  to  NGO.    
              
            The  following  documents  must  be  verified  by  the  embassy  of  
            the  applicant  and  then  submitted  to  the  Minister:  
              
            x Request  letter  from  NGO  for  authorization  
            x Constitution/by-­‐laws  of  NGO  
            x Documentation  of  the  E'K͛Ɛrecognition  and  details  
               about  its  recognized  branches  throughout  the  world,  if  
               any  
            x Objectives  of  the  NGO  and  experience  in  Africa  and  the  
               world  
            x Annual  work  plan  that  provides  information  on  resources  
               available  to  achieve  objectives  set  by  the  NGO,  
               preferably  accompanied  by  documents  on  current  and  
               future  projects  
            x Documentation  on  the  availability  of  funds  or  agreement  
               of  funding  for  the  NGO  
            x Letter  of  collaboration  from  district  or  province  for  
               current  year  (obtained  by  submitting  the  right  
               documentation  to  the  local  authorities)  
            x A  letter  of  recommendation  from  the  MOH    (obtained  

                                                                             5  
                                                                                                                                                          
STEP  #                            ACTIVITY/TASK  PROCESS                          TIME/         PRIMARY                 SECONDARY             DATA  SOURCES  
                                                                                        DURATION     RESPONSIBILITY           RESPONSIBILITY            /TOOLS/  
                                                                                                                                                       TEMPLATES  
                       after  the  MOU  is  signed)  
                   x   Memo  describing  the  program͛ƐƌĞůĂƚŝŽŶƚŽ  the  Vision  
                       2020  and  the  Economic  Development  and  Poverty  
                       Reduction  Strategies  
                   x   Memo  describing  the  program͛ƐƌĞůĂƚŝŽŶƚŽthe  district  
                       development  plan  
                   x   Memo  describing  the  financial  capacity  of  the  
                       organization  (sources  of  financing)  
                   x   MOU  signed  by  the  NGO  and  the  MOH  
                         
          B. INTERNATIONAL  NGOS  REQUIRING  AN  EXTENSION  TO  THEIR  REGISTRATION  
    
       STEP  #                           ACTIVITY/TASK  PROCESS                        TIME/         PRIMARY                  SECONDARY               DATA  SOURCES  
                                                                                      DURATION   RESPONSIBILITY              RESPONSIBILITY             /TOOLS/  
                                                                                                                                                       TEMPLATES  
           I.      The  NGO  submits  the  following  documents  to  the                                                                           
                   Minister:  
                     
                   x Request  letter  
                   x Annual  activity  report  for  the  previous  year  
                   x Annual  work  plan  that  provides  information  on  
                      resources  available  to  achieve  objectives  set  by  the  
                      NGO,  preferably  accompanied  by  documents  on  
                      current  and  future  projects  
                   x Annual  inventory  report  duly  filled  out  from  MINALOC  

                                                                             6  
                                                                                                                                                                    
STEP  #                            ACTIVITY/TASK  PROCESS                              TIME/                PRIMARY                 SECONDARY               DATA  SOURCES  
                                                                                      DURATION        RESPONSIBILITY           RESPONSIBILITY                 /TOOLS/  
                                                                                                                                                             TEMPLATES  
            x   Letter  of  collaboration  from  the  district  or  province  for  
                this  year  (obtained  by  submitting  to  the  district  the  
                MOU  with  the  MOH  request  letter  and  the  action  plan  
                for  the  district)  
            x   A  letter  of  recommendation  from  the  MOH      
            x   DĞŵŽĚĞƐĐƌŝďŝŶŐƚŚĞƉƌŽŐƌĂŵ͛ƐƌĞůĂƚŝŽŶƚŽƚŚĞsŝƐŝŽŶ
                2020  and  the  Economic  Development  and  Poverty  
                Reduction  Strategies  
            x   DĞŵŽĚĞƐĐƌŝďŝŶŐƚŚĞƉƌŽŐƌĂŵ͛ƐƌĞůĂƚŝŽŶƚŽƚŚĞĚŝƐƚƌŝĐƚ
                development  plan  
            x   Memo  describing  the  financial  capacity  of  the  
                organization  (sources  of  financing)  
                  
  C. LOCAL  NGOS  REQUIRING  FIRST-­‐TIME  REGISTRATION  
         
STEP  #                   ACTIVITY/TASK  PROCESS                                          TIME/                PRIMARY               SECONDARY              DATA  SOURCES  
                                                                                        DURATION            RESPONSIBILITY          RESPONSIBILITY            /TOOLS/  
                                                                                                                                                             TEMPLATES  
  I.        The  NGO  signs  an  MOU  with  the  MOH  through  the  following                                                                            
            process:  
              
            x E'KŵĞĞƚƐǁŝƚŚDŝŶŝƐƚĞƌƚŽĚŝƐĐƵƐƐE'K͛ƐŵŝƐƐŝŽŶ͘   
            x Minister  directs  NGO  to  the  appropriate  technical  team  
               concerned  with  the  mission  of  the  NGO.  
            x NGO  and  technical  team  draft  the  MOU.    

                                                                           7  
                                                                                                                                                                          
STEP  #                              ACTIVITY/TASK  PROCESS                               TIME/          PRIMARY          SECONDARY         DATA  SOURCES  
                                                                                         DURATION     RESPONSIBILITY     RESPONSIBILITY       /TOOLS/  
                                                                                                                                             TEMPLATES  
            x   The  technical  team  approves  MOU  and  sends  it  to  
                Minister  for  signature.  
            x   Minister  reviews  MOU.  If  modifications  must  be  made,  
                MOU  is  returned  to  technical  group  for  revision.  If  no  
                modifications  are  necessary,  the  Minister  signs  the  MOU.  
            x   Signed  MOU  is  sent  back  to  the  NGO.  
            x   NGO  sends  a  letter  to  request  a  recommendation  letter  
                from  MOH  with  the  signed  MOU  attached.  
            x   The  legal  department  drafts  the  recommendation  letter  
                and  passes  it  to  the  Permanent  Secretary  for  approval.  If  
                approved,  it  is  sent  to  the  Minister  for  signature.  If  not  
                approved,  it  is  sent  back  to  the  legal  department  for  
                revision.    
            x   Signed  request  letter  is  given  to  NGO.    
              
            The  NGO  must  submit  the  following  documents  to  the  
            Minister:  
              
            x Request  letter  
            x Constitution/by-­‐laws  of  the  NGO  
            x Minutes  of  the  initial  meeting  in  which  the  president,  
               vice  president  and  the  secretary  of  the  organization  are  
               elected    
            x List  of  founding  members  and  their  signatures  
            x Statement  showing  the  duly  registered  members  who  are  
               the  legal  representatives  of  the  organization  
            x Annual  workplan  that  provides  information  on  resources  

                                                                            8  
                                                                                                                                                          
STEP  #                             ACTIVITY/TASK  PROCESS                              TIME/               PRIMARY                 SECONDARY             DATA  SOURCES  
                                                                                            DURATION          RESPONSIBILITY           RESPONSIBILITY            /TOOLS/  
                                                                                                                                                                TEMPLATES  
                     available  to  achieve  objectives  set  by  the  NGO,  
                     preferably  accompanied  by  documents  on  current  and  
                     future  projects  
                 x   Documentation  on  the  availability  of  funds  or  agreement  
                     of  funding  for  the  NGO  
                 x   Letter  of  collaboration  from  the  district  or  province  for  
                     this  year  (obtained  by  submitting  to  the  district  the  MOU  
                     with  the  MOH  request  letter  and  the  action  plan  for  the  
                     district)  
                 x   A  letter  of  recommendation  from  the  MOH  
                 x   DĞŵŽĚĞƐĐƌŝďŝŶŐƚŚĞƉƌŽŐƌĂŵ͛ƐƌĞůĂƚŝŽŶƚŽƚŚĞsŝƐŝŽŶ
                     2020  and  the  Economic  Development  and  Poverty  
                     Reduction  Strategies  
                 x   DĞŵŽĚĞƐĐƌŝďŝŶŐƚŚĞƉƌŽŐƌĂŵ͛ƐƌĞůĂƚŝŽŶƚŽƚŚĞĚŝƐƚƌŝĐƚ  
                     development  plan  
                 x   Memo  describing  the  financial  capacity  of  the  
                     organization  (sources  of  financing)  
  
       D. LOCAL  NGOS  REQUIRING  AN  EXTENSION  TO  THEIR  REGISTRATION  
                
     STEP  #                   ACTIVITY/TASK  PROCESS                   TIME/                                 PRIMARY                  SECONDARY               DATA  SOURCES  
                                                                       DURATION                             RESPONSIBILITY            RESPONSIBILITY             /TOOLS/  
                                                                                                                                                                TEMPLATES  
        I.       Submit  the  following  documents  to  the  Minister:                                                                                      
                   
                 x Request  letter  

                                                                                9  
                                                                                                                                                                             
STEP  #                             ACTIVITY/TASK  PROCESS                                TIME/           PRIMARY               SECONDARY              DATA  SOURCES  
                                                                                         DURATION      RESPONSIBILITY          RESPONSIBILITY            /TOOLS/  
                                                                                                                                                        TEMPLATES  
            x Annual  activity  report  for  the  previous  year  
            x Annual  workplan  that  provides  information  on  
              resources  available  to  achieve  objectives  set  by  the  
              NGO,  preferably  accompanied  by  documents  on  current  
              and  future  projects  
           x Annual  inventory  report  duly  filled  out  from  MINELOC   
           x Letter  of  collaboration  from  the  district  or  province  for  
              this  year  (obtained  by  submitting  to  the  district  the  
              MOU  with  the  MOH  request  letter  and  the  action  plan  
              for  the  district)  
           x Documentation  on  the  availability  of  funds  or  
              agreement  of  funding  for  the  NGO  
           x Copy  of  the  registration  certificate  from  the  previous  
              year  
           x DĞŵŽĚĞƐĐƌŝďŝŶŐƚŚĞƉƌŽŐƌĂŵ͛ƐƌĞůĂƚŝŽŶƚŽƚŚĞsŝƐŝŽŶ
              2020  and  the  Economic  Development  and  Poverty  
              Reduction  Strategies  
           x DĞŵŽĚĞƐĐƌŝďŝŶŐƚŚĞƉƌŽŐƌĂŵ͛ƐƌĞůĂƚŝŽŶƚŽƚŚĞĚŝƐƚƌŝĐƚ
              development  plan  
           x Memo  describing  the  financial  capacity  of  the  
              organization  (sources  of  financing)  
    II.    The  NGO  submits  the  packet  of  documents  to  the                                     Reception  area                               
           reception  area  of  the  MOH.  The  file  receives  a  number  and  
           the  receptionist  gives  a  receipt  to  the  applicant.    
   III.    The  file  is  sent  to  the  Central  Secretariat  where  it  is  logged                  Central                                       
           and  then  sent  to  the  Minister.                                                        Secretariat  
   IV.    dŚĞDŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞƌĞĐĞŝǀĞƐƚŚĞĨŝůĞĂŶĚĨŽƌǁĂƌĚƐŝƚƚŽƚŚĞ                             Personal                                      

                                                                             10  
                                                                                                                                                                     
STEP  #                             ACTIVITY/TASK  PROCESS                             TIME/            PRIMARY               SECONDARY              DATA  SOURCES  
                                                                                          DURATION        RESPONSIBILITY          RESPONSIBILITY            /TOOLS/  
                                                                                                                                                           TEMPLATES  
                 Planning  Unit.                                                                        Assistant  or  
                                                                                                        Administrative  
                                                                                                        Assistant  in  
                                                                                                        DŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞ  
        V.    The  file  is  reviewed  and  is  sent  to  legal  department.                            Planning            Planning                   
                                                                                                        Director            Officer  
       VI.    The  legal  department  reviews  the  file  and  writes  a  letter  to                    Legal  advisor                                 
               MINALOC  requesting  registration.  
      VII.    The  legal  department  gives  the  file  to  the  Permanent                              Permanent                                      
               Secretary  for  review,  who  either  gives  it  back  to  the  legal                    Secretary,  
               department  for  revision,  or  to  the  Minister  for  signature.                       Minister  
      VIII.    The  Central  Secretariat  sends  it  to  MINALOC.                                       Central                                        
                                                                                                        Secretariat  
        IX.    MINALOC  processes  registration  and  sends  registration  to  NGOs.                    MINALOC                                        
         X.    Central  Secretariat  makes  a  copy  of  the  registration  and                         Central                                        
               files  it  in  the  archives.                                                            Secretariat  
        XI.    Central  Secretariat  sends  registration  to  NGO  (or  NGO  can                        Central                                        
               pick  it  up).                                                                           Secretariat  
  
2. AUTHORIZATION  TO  OPEN  A  PRIVATE  PRACTICE  (PRIVATE  MEDICINE)    
                      
The  procedure  outlines  the  steps  necessary  for  an  accredited  health  care  provider  (or  association  of  providers)  with  two  or  more  years  of  
clinical  experience  to  open  a  private  medical  practice.    

                                                                                 11  
                                                                                                                                                                        
 
  
     STEP  #                             ACTIVITY/TASK  PROCESS                                       TIME/          PRIMARY                 SECONDARY              DATA    SOURCES  
                                                                                                     DURATION      RESPONSIBILITY           RESPONSIBILITY            /TOOLS/  
                                                                                                                                                                     TEMPLATES  
        I.    The  applicant  must  submit  a  letter  to  the  District  Health  Officer                         Applicant                                      
                of  the  district  where  the  practice  will  be  opened.  The  letter                             
                should:  
                x be  addressed  to  the  Minister  of  Health;  
                x request  permission  to  open  a  private  practice.  
        II.    The  District  Health  Officer  must  forward  this  letter  to  the                               District  Health     District  Mayor           
                District  Mayor  for  approval.  The  applicant  can  collect  this  letter                       Officer  
                ĨƌŽŵƚŚĞŝƐƚƌŝĐƚDĂLJŽƌ͛ƐKĨĨŝĐĞĂĨƚĞƌĂƉƉƌŽval.                                                    
        III.    The  applicant  must  submit  the  following  documents  to  the                                  Applicant                                    See  Annex  1    
                private  medicine  officer:                                                                                                                    for  identification  
                x The  approved  letter  from  the  District  Mayor                                                                                            form  for  private  
                     requesting  authorization  to  open  a  private  practice                                                                                 medical  
                x CV                                                                                                                                           establishments.    
                x Registration  certificate  ĨƌŽŵƚŚĞĚŽĐƚŽƌƐ͛ĐŽƵŶĐŝů(for                                                                                      
                     doctors  only)                                                                                                                            This  can  be  
                x Nursing  registration  certificate  from  the  Nursing  Task                                                                                 obtained  from  
                     Force  of  the  Ministry  of  Health  (for  nurses  only)                                                                                 the  Private  
                x Official  diplomas                                                                                                                           Medicine  
                x Statutes  (for  associations  only)                                                                                                          Officer.  
                x Certification  of  services  to  be  provided  (this  should  be  
                     obtained  from  the  last  medical  institution  where  the  
                     applicant  was  employed)  
                x District  report  from  the  districts  in  which  they  are  
                     going  to  work  
                x Identification  card    

                                                                                      12  
                                                                                                                                                                                    
STEP  #                                ACTIVITY/TASK  PROCESS                                         TIME/           PRIMARY            SECONDARY              DATA    SOURCES  
                                                                                                     DURATION      RESPONSIBILITY      RESPONSIBILITY             /TOOLS/  
                                                                                                                                                                 TEMPLATES  
            x   A  Rwandan  work  permit  (for  foreign  nationals  only)   

   IV.    The  Private  Medicine  Officer  collects  these  documents  and                                        Private             Director  of           
          prepares  a  certificate  of  service.                                                                  Medicine            Health  Care  
                                                                                                                  Officer             Desk  
   V.    The  certificate  of  service  is  submitted  to  the  Health  Care                                      Private             Director  of           
         Task  Force  for  approval.                                                                              Medicine            Health  Care  
                                                                                                                  Officer             Desk  
   VI.    If  approved,  the  Health  Care  Task  Force  submits  the  certificate                                Director  of        Director  of           
           to  the  Unit  of  Planning,  who  then  forwards  it  to  the  Permanent                              Health  Care        Planning  
           Secretary.  If  for  any  reason  it  is  not  approved,  it  will  be  returned                       Desk  
           to  the  Private  Medical  Officer.    
   VII.    If  the  Permanent  Secretary  approves  the  certificate,  it  is  sent  to                           Permanent           Personal              
           the  Minister  to  sign  the  final  authorization.  If  for  any  reason  it  is                      Secretary           Secretary  of  
           not  approved,  it  will  be  returned  to  the  Private  Medicine                                                         the  Minister  of  
           Officer.                                                                                                                   Health  
   VIII. The  Minister  sends  the  authorized  certificate  back  to  the  
                                                                                                                  Personal                                  
           Private  Medicine  Officer.                                                                            Secretary  of  the  
                                                                                                                  Ministry  of  
                                                                                                                  Health  
   IX.    Applicants  can  then  collect  the  authorized  certificate  from  the                                 Applicant            Private               
          Private  Medicine  Coordinator.                                                                                              Medical  
                                                                                                                                       Coordinator  

                                                                                     13  
                                                                                                                                                                                
 
3. TECHNICAL  ASSISTANT  CARD    
  
This  is  a  card  provided  by  Ministry  of  Foreign  Affairs  (MINAFFET)  for  foreigners  working  in  Rwanda.  
  
   STEP  #                            ACTIVITY/TASK  PROCESS                                TIME/            PRIMARY                SECONDARY           DATA      SOURCES  
                                                                                          DURATION         RESPONSIBILITY          RESPONSIBILITY          /TOOLS/  
                                                                                                                                                          TEMPLATES  
     I.    The  requesting  NGO  submits  the  following  documents,                                    Requesting  NGO                               RRA  Form  can  be  
            addressed  to  the  Minster:                                                                                                              obtained  from  
            x Letter  of  request  to  Minister  of  Health                                                                                           Rwanda  Revenue  
            x Completed  form  from  the  Rwandan  Revenue  Authority                                                                                 Authority.  
               (RRA)    
            x E'K͛ƐĂŶŶƵĂůĂction  plan  
            x Memorandum  of  understanding  between  MOH  and  
               project/NGOs    
            x Copy  of  passport  (personal  information  and  Rwanda  
               immigration  stamp)  of  the  person(s)  requesting  the  
               card  
            x 3  passport  pictures  of  the  person(s)  requesting  the  
               card  
     II.    dŚĞDŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞƌĞĐĞŝǀĞƐƚŚĞĨŝůĞĂŶĚĨŽƌǁĂƌĚƐŝƚƚŽƚŚĞ                             Personal                                        
            Planning  Unit.                                                                             Assistant  or  
                                                                                                        Administrative  
                                                                                                        Assistant  in  
                                                                                                        DŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞ  

                                                                                14  
                                                                                                                                                                        
STEP  #                              ACTIVITY/TASK  PROCESS                                      TIME/            PRIMARY           SECONDARY              DATA      SOURCES  
                                                                                                     DURATION       RESPONSIBILITY      RESPONSIBILITY            /TOOLS/  
                                                                                                                                                                 TEMPLATES  
         III.    The  file  is  reviewed,  a  request  letter  to  Immigration  is  drafted                       Director  of         Planning              
                 ĂŶĚŐŝǀĞŶƚŽƚŚĞDŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞĨŽƌƐŝŐŶĂƚƵƌĞ.                                                Planning  and        Secretariat  
                                                                                                                  Secretary  of  
                                                                                                                  Planning    
         IV.    The  request  letter  is  signed  by  the  Minister.                                              Minister  of         General               
                                                                                                                  Health               Secretary  
         V.    The  letter  is  sent  to  Immigration  through  MINAFFET.                                         Central              Planning              
                                                                                                                  Secretariat          Secretariat  
         VI.    Approval  is  sent  to  project/NGOs.                                                             MINAFFET                                   
  
                                                                                         15  
                                                                                                                                                                                 
4. OBTAINING  A  WORK  PERMIT  FOR  TECHNICAL  ASSISTANCE  FOR  HEALTH    
  
This  permit  gives  a  foreigner  the  right  to  work  in  Rwanda.  It  is  provided  by  Ministry  of  Labor  (MIFOTRA).  
http://www.mifotra.gov.rw/documents.htm  
  
   STEP  #                         ACTIVITY/TASK  PROCESS                                    TIME/              PRIMARY          SECONDARY              DATA    SOURCES  
                                                                                          DURATION           RESPONSIBILITY     RESPONSIBILITY            /TOOLS/  
                                                                                                                                                         TEMPLATES  
    I.    The  requesting  NGO  submits  the  following  documents  to                                  Requesting  NGO                              
          the  Minster:                                                                                                                              
                                                                                                                                                     
          Part  1:  Recruitment  Authorization  
          x Application  letter  done  by  employer  to  the  
              Director  of  Labor    
          x Copy  of  notified  certificate  or  diploma  
          x Police  clearance  (from  where  he/she  was  during  
              six  month  or  +)  (this  obtained  by  1.  Paying  fees  at  
              Rwanda  Revenue  Authority  2.  Submitting  the  
              following  to  the  First  Court  of  Instance  or  Police  
              Headquarters:  a)  a  request  letter  b)  filled  out  form  
              (from  police  station)  c)  3  photos  4)  receipt  of  paid  
              fees)  
          x CV    
          x Copy  of  passport  
          x 2  photos    
          x Registration  certificate    
          x Expatriate  employment  approval  
          x Enterprise/company  opening  declaration,  if  the  
              said  enterprise/company  is  new  or  nonregistered  

                                                                                  16  
                                                                                                                                                                        
STEP  #                           ACTIVITY/TASK  PROCESS                              TIME/          PRIMARY          SECONDARY         DATA    SOURCES  
                                                                                     DURATION     RESPONSIBILITY     RESPONSIBILITY       /TOOLS/  
                                                                                                                                         TEMPLATES  
                in  the  MIFOTRA  
            x   The  Unit  of  Planning  secretariat  drafts  an  
                agreement  letter  from  MINISANTE  to  submit  with  
                the  above  items.  
            x   It  is  sent  to  the  Minister  for  signature.  
            x   Central  secretariat  sends  to  MIFOTRA.    
            x   The  recruitment  authorization  is  done  during  ten  
                working  days.  
              
            Part  2:  Work  Permit  
            x Application  letter  done  by  employer  to  the  
                 Director  of  Labor  
            x Copy  of  Recruitment  authorization  letter  
            x Contract  of  employee  signed  by  employee  and  
                 company  
            x Card  of  Rwanda  Social  Security  Fund  (CSR)  (only  if  
                 the  person  is  paid  by  the  MOH;  otherwise  it  is  not  
                 necessary)  
            x Letter  from  the  counterpart  ministry  the  person  is  
                 working  with  
                
            Renewal  of  work  permit:  
            x Application  letter  done  by  employer  to  the  
                 Director  of  Labor  
            x A  new  contract  of  the  employee  if  the  first  is  
                 expired  
            x Copy  of  employment  contract    

                                                                              17  
                                                                                                                                                        
STEP  #                             ACTIVITY/TASK  PROCESS                                     TIME/            PRIMARY                SECONDARY              DATA    SOURCES  
                                                                                                   DURATION       RESPONSIBILITY           RESPONSIBILITY            /TOOLS/  
                                                                                                                                                                    TEMPLATES  
                x Police  clearance  original  of  work  permit  
                x Copy  of  passport  with  the  last  visa  
                N.B.  When  putting  your  document  in  our  secretariat,  
                you  will  be  back  after  five  days  for  a  notification  of  
                payment  of  200,000  Rwandan  fr.  You  have  to  bring  
                two  files,  one  for  work  permit,  another  for  
                Immigration-­‐Visa.    
         II.    dŚĞDŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞƌĞĐĞŝǀĞƐƚŚĞĨŝůĞĂŶĚĨŽƌǁĂƌĚƐŝƚ                                        Personal                                        
                to  the  Planning  Unit.                                                                        Assistant  or  
                                                                                                                Administrative  
                                                                                                                Assistant  in  
                                                                                                                DŝŶŝƐƚĞƌ͛ƐŽĨĨŝĐĞ  
         III.    The  file  is  reviewed  and  a  request  letter  is  drafted  to                              Director  of          Planning                  
                 Immigration.                                                                                   Planning              Secretariat  
         IV.    The  request  letter  is  signed  by  the  Minister.                                            Minister  of          General                   
                                                                                                                Health                Secretary  
         V.    The  letter  is  sent  to  Immigration  through  MIFOTRA.                                        Central               Planning                  
                                                                                                                Secretariat           Secretariat  
          VI.    Approval  is  sent  to  project/NGOs.                                                          MIFOTRA                                         
           
                                                                                       18  
                                                                                                                                                                                   
5. FACILITATION  OBTAINING  EXONERATION  FOR  EQUIPMENTS  AND  PRODUCTS  FOR  HEALTH  SERVICES  
  
This  procedure  is  for  organizations  bringing  health  equipment  (including  vehicles)  and  products  into  Rwanda  from  abroad.  
  
   STEP  #                           ACTIVITY/TASK  PROCESS                              TIME/         PRIMARY             SECONDARY              DATA      SOURCES  
                                                                                        DURATION     RESPONSIBILITY       RESPONSIBILITY            /TOOLS/  
                                                                                                                                                   TEMPLATES  
      I.    The  applicant  must  provide  the  following  to  the  Planning                       Applicant                                   
              Unit  of  MOH:  
              x A  completed  exoneration  form    
              x A  list  of  items  to  be  exonerated  and  their  costs  
              x Memorandum  of  understanding  between  the  MOH  
                  and  the  organization  for  the  exoneration    
              x Certificate  of  donation  (if  applicable)  
      II.    The  file  is  reviewed  by  the  Planning  Unit,  and  sent  to  the                 Director  of        Planning  Officer       
              health  care  desk  and  pharmacy  task  force  if  applicable  for                  Planning,  Health  
              their  approval.                                                                     Care  desk,  
                                                                                                   Pharmacy  task  
                                                                                                   force  
      III.    Planning  Unit  sends  approved  file  to  the  Finance  Unit.                       Planning  Officer                           
      IV.    Finance  Unit  approves  request.                                                     Director  of                                
                                                                                                   Finance  
      V.    Approval  is  sent  to  project/NGOs.                                                  Planning                                    
                                                                                                   Secretariat  
      VI.    The  applicant  sends  the  file  to  Ministry  of  Economic                          Applicant                                   
              Planning  and  Finance  (MINECOFIN).  
      VII.    The  request  is  processed  by  MINECOFIN.                                          MINICOFIN                                   
      VIII. The  applicant  sends  the  file  to  the  Rwanda  Revenue  
                                                                                                   Applicant                                   
              Authority.  

                                                                            19  
                                                                                                                                                                   
STEP  #                         ACTIVITY/TASK  PROCESS                                     TIME/           PRIMARY               SECONDARY              DATA      SOURCES  
                                                                                               DURATION      RESPONSIBILITY          RESPONSIBILITY            /TOOLS/  
                                                                                                                                                              TEMPLATES  
         IX.    The  file  is  processed  by  the  Rwanda  Revenue  Authority.                              Rwanda                                        
                                                                                                            Revenue  
                                                                                                            Authority  
  
                                                                                   20  
                                                                                                                                                                              
6. APPOINTMENTS  IN  THE  MINISTRY  OF  HEALTH  
  
This  procedure  outlines  how  individuals  can  make  appointments  to  meet  the  Minister  or  Permanent  Secretary.    
  
 STEP  #                            ACTIVITY/TASK  PROCESS                               TIME/          PRIMARY            SECONDARY              DATA        SOURCES  
                                                                                        DURATION      RESPONSIBILITY      RESPONSIBILITY             /TOOLS/  
                                                                                                                                                    TEMPLATES  
                                                                                                                                               
           APPOINTMENTS  FOR  RWANDAN  CITIZENS  TO  MEET  THE  
           MINISTER  OR  PERMANENT  SECRETARY  
             
    I.   The  person  requesting  the  appointment  submits  a  request                            Requestor                                 See  Annex  2  for  
           form  to  the  personal  assistant  of  the  official.  Information  to                                                           form  for  
           be  provided  on  the  form  includes:                                                                                            requesting  a  
           x the  purpose  of  the  requested  appointment                                                                                   meeting  with  
           x other  Ministry  staff/official  met  on  this  matter  before                                                                  the  Minister  or  
                 the  appointment                                                                                                            Permanent  
           Propose  a  time  for  the  appointment.                                                                                          Secretary.  
    II.   The  personal  assistant  reads  the  request  and  ensures  that  it                    Personal                                    
           is  for  legitimate  business.  If  the  personal  assistant  deems                     Assistant  to  
           that  the  request  is  more  appropriate  for  another  office,  s/he                  Minister;  
           forwards  the  request  to  the  office.                                                Permanent  
                                                                                                   ^ĞĐƌĞƚĂƌLJ͛Ɛ
                                                                                                   Administrative  
                                                                                                   Assistant;  
                                                                                                   ŝƌĞĐƚŽƌƐ͛
                                                                                                   Administrative  
                                                                                                   Assistant    

                                                                             21  
                                                                                                                                                                    
STEP  #                          ACTIVITY/TASK  PROCESS                                       TIME/           PRIMARY               SECONDARY              DATA        SOURCES  
                                                                                             DURATION      RESPONSIBILITY          RESPONSIBILITY             /TOOLS/  
                                                                                                                                                             TEMPLATES  
     III.   The  personal  assistant  schedules  the  meeting  and  notifies                              Personal                                      
            the  person  by  phone  or  email.                                                            Assistant  to  
                                                                                                          Minister;  
                                                                                                          Permanent  
                                                                                                          SĞĐƌĞƚĂƌLJ͛Ɛ
                                                                                                          Administrative  
                                                                                                          Assistant;  
                                                                                                          ŝƌĞĐƚŽƌƐ͛
                                                                                                          Administrative  
                                                                                                          Assistant    
                                                                                                                                                        
           PARTNERS  IN  COUNTRY  AND  FOREIGNERS  RESIDING  
           ABROAD  
             
     I.    The  person  requesting  the  appointment  submits  the                                        Requestor                                   Same  form  
           following  to  the  Public  Relations  Officer:    
           x An  appointment  request  form.  Information  to  be  
               provided  on  the  form  includes:  
                   o the  purpose  of  the  requested  appointment    
                   o other  people  who  will  attend  the  meeting  
                   o other  Ministry  staff/official  met  on  this  matter  
                       before  the  appointment  
                   o a  proposed  time  for  the  appointment    
           x An  explanatory  memo  of  the  purpose  of  the  meeting  
           x A  brief  biography  of  the  person  wishing  an  appointment  

                                                                                 22  
                                                                                                                                                                             
STEP  #                            ACTIVITY/TASK  PROCESS                                             TIME/            PRIMARY                  SECONDARY              DATA        SOURCES  
                                                                                                      DURATION       RESPONSIBILITY             RESPONSIBILITY             /TOOLS/  
                                                                                                                                                                          TEMPLATES  
      II.    The  appointment  is  arranged  in  consultation  with  the                                           PR  officer  with                                 
             assistants  of  the  official.                                                                        assistants  in  the  
                                                                                                                   officials  office  
        III.    The  requestor  is  notified  of  the  meeting  by  phone  or  email.                              PR  officer                                       
        IV.    Any  working  documents  required  for  the  meeting  are                                           Requestor                                         
                submitted  to  the  PR  officer  at  least  two  days  before  the  
                appointment  time.  
        V.    dŚĞĚŽĐƵŵĞŶƚƐĂƌĞŐŝǀĞŶƚŽƚŚĞŽĨĨŝĐŝĂů͛ƐŽĨĨŝĐĞ.                                                    PR  officer                                       
                                                                                                                                                                     
                MINISTRY  OF  HEALTH  STAFF  
                  
        I.   Ministry  staff  may  meet  with  ministry  officials  without                                        MOH  staff                                        
                procedure  provided  s/he  explains  the  purpose  of  the                                         member  
                ŵĞĞƚŝŶŐƚŽƚŚĞŽĨĨŝĐŝĂů͛ƐĂƐƐŝƐƚĂŶƚ.      
  
                                                                                          23  
                                                                                                                                                                                          
7. VOLUNTEER  HEALTH  PROFESSIONALS  IN  THE  PUBLIC  SECTOR  
  
This  procedure  outlines  how  volunteers  can  register  with  the  Ministry  of  Health  and  get  a  work  placement.    
  
   STEP  #                      ACTIVITY/TASK  PROCESS                                TIME/               PRIMARY              SECONDARY              DATA  SOURCES  
                                                                                     DURATION          RESPONSIBILITY         RESPONSIBILITY            /TOOLS/  
                                                                                                                                                       TEMPLATES  
    I.    The  volunteer  or  sponsoring  organization  submits  the                                                                               
            following  documents  to  the  Minister  of  Health:                                                                                   
            x A  letter  of  introduction                                                                                                          
            x An   explanatory   memo   of   the   initiative,   detailing                                                                         
                 ƚŚĞ ǀŽůƵŶƚĞĞƌƐ͛ ĂƌĞĂƐ ŽĨ ŝŶƚĞƌĞƐƚ͕ ƚŚĞŝƌ                                                                                    
                 expectations,  and  the  duration  of  the  stay                                                                                  
            x CV(s)   of   the   health   professional(s)   that   are   to   be                                                                   
                 sent  
            x A   comprehensive   list   of   equipment   that   will   be  
                 brought  
            x Confirmation   that   the   SOPs   relating   to   the  
                 equipment  have  been  followed    
    II.    For  volunteers  staying  for  more  than  15  days,  a  visa                             Human                 PR  Officer             
            extension  is  required.  The  HRD  officer  submits  the  following                     Resource                                      
            to  the  Rwanda  Directorate  General  of  Immigration  and                              Development  
            Emigration:                                                                              officer  
            x sŽůƵŶƚĞĞƌ͛ƐƉĂƐƐƉŽƌƚ  
            x Forms  from  directorate  filled  out  by  volunteer    
    III.    For  volunteers  requiring  a  visa  extension,  the  HRD  officer                       Human                 PR  Officer             
            ƌĞƚƌŝĞǀĞƐƚŚĞǀŽůƵŶƚĞĞƌ͛ƐƉĂƐƐƉŽƌƚĂŶĚǀŝƐĂŽŶĐĞŝƚŚĂƐďĞĞŶ                            Resource  
            processed.                                                                               Development  
                                                                                                     officer  

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STEP  #                             ACTIVITY/TASK  PROCESS                                      TIME/            PRIMARY                 SECONDARY              DATA  SOURCES  
                                                                                               DURATION       RESPONSIBILITY            RESPONSIBILITY            /TOOLS/  
                                                                                                                                                                 TEMPLATES  
    IV.    The  request  is  sent  to  the  Human  Resource  Development                                    Personal                                         
           Officer  who  reviews  the  request  and  passes  it  to  the                                    assistant  or  
           Director  of  Planning  for  approval.                                                           administrative  
                                                                                                            assistant  to  the  
                                                                                                            Minister  
    V.    The  request  is  approved.                                                                       Director  of                                     
                                                                                                            Planning  
    VI.    An  invitation  letter  is  drafted.                                                             Human                  PR  Officer               
                                                                                                            Resource  
                                                                                                            Development  
                                                                                                            officer  
    VII.    The  invitation  letter  is  signed.                                                            Minister  of           Permanent                 
                                                                                                            Health                 Secretary  
    VIII. The  invitation  letter  is  sent  to  the  volunteer(s).  
                                                                                                            Human                                            
                                                                                                            Resource  
                                                                                                            Development  
                                                                                                            officer  
    IX.    The  HRD  officer  starts  to  find  placement  for  the  volunteer                              Human                                            
           and  starts  the  clearance  of  equipment,  if  applicable.                                     Resource  
                                                                                                            Development  
           After  discussion  with  the  Permanent  Secretary  or  Minister,                                officer  
           a    focal  point  person  is  assigned  to  work  with  the  volunteer.  
    X.    Volunteers  must  be  registered  with  the  medical  council  of                                 Volunteer  or                                    
           Rwanda  before  practicing.  To  register,  the  volunteers  must                                sponsoring  
           submit  the  following  to  the  HRD  officer:                                                   agency  
           x A  copy  of  their  medical  or  nursing  license      
           x 2  passport  photos  

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