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Dear Cintia,

What a great work, It will be amazing to have initiative like that all over the world. Applause!

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Isabelle commented on MS Gemura Kitchen Social Enterprise

Dear Mouhamadou,

Thank you for taking the time to review our work.
In December 2004, Rwanda implemented a new national healthcare system known as “Mutuelle de sante" . This system would allow citizen’s health insurance and medical bills to be subsidized by the government. As of today, the system works under four social categories. The first category ( the most poorest of the population {extreme poverty line} whom in 2014 were representing 16.3%) is entitled to receiving full government coverage for health insurance, the second and third category paying 3,000 RWF (3.5 USD) a year for health insurance, and 10% of all hospital bills. The fourth category pays 7,000 RWF (8 USD) a year towards health insurance and 10% of any hospital bills they incur. We have one of the most affordable and inclusive healthcare system in the world considering that 39.1% of the population is living under the poverty line ( in 2014) and that the government pays full coverage for those living under the extreme poverty line. As Solid'Africa, we realized that some of the needs were not covered because of how affordable the public insurance is. That is how we came in place with programs that help patient"s recovery while in public hospital like food delivery, drinking water distribution and many more... to support the government efforts to have every citizen access to healthcare ( In 2012, more than 90% of the population had an insurance).

Best,

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Isabelle commented on MS Gemura Kitchen Social Enterprise

Dear Cintia,

Thank you so much for your kind words and for taking the time to review our work.
We work closely with hospitals administration and each ward have a social worker with whom we team up in identifying beneficiaries. In our food program each hospital ward has a list of the most vulnerable patients and we also have three full time employees working in the hospital to ensure that the most in need are our priority. We prioritize children and mothers before other patients in any of our program. When it comes to the other programs, an other aspect come in place which is the level of illness of the patient, the most urgent cases are the one we take care of. We currently provide a full service to the biggest hospital, and to 3 more hospitals we provide them some of our programs that are within our current means. We are planning to reach a full service level upon the completion of this project.

We will expand, first in different districts hospitals around Rwanda where we will put in place a small kitchen in the hospital and co-managing it with them and the community. We will then try to expand to our neighboring countries.
We are always eager to share our experiences and also learn how other countries are dealing with this issue of nutrition in public hospital.

The government is working tiressely to provide a good healthcare, their involvement will not decrease. From where we were over twenty years ago to now, it is a miracle as everybody has access to healthcare. We provide services that our universal healthcare cannot yet include in its coverage.

Kind regards,

Isabelle