CHUB At the fore of enhancing medical skills patients beds was increased from 200 to 500. In 2002, CHUB was put under the supervision of the Ministry of Health, but retains management autonomy. In January 2014, the hospital was given two more missions; working with the Ministry of Health in establishing Health Care Guideline and establish relationships with local and international health institutions. Quality Services Despite the ravages of war genocide, the hospital has been reconstructed, re-equipped and the personnel, medical and support, equipped with skills to deliver better medical services. The hospital director says the hospital today has modern medical equipment serving Rwandans and others from neighbouring countries.” Dialysis center among new services at CHUB The service of diagnosing and treating patients with kidney failure at CHUB started in January 200 when a dialysis unit where kidney problems are treated was established. Patients under mutuelle de santé are also treated from the facility after applying with the MINISANTE, which subsidizes the medical expenses. Patients say that although it is not easy to access dialysis services, when a patient is admitted in the unit he recovers due to advanced services provided. Samuel Ndayambaje, 50, who this writer finds in the hospital, admitted in dialysis unit, says he was brought here on 26 May 2014when he was unconscious but he is now recovering. The cost of this service is still expensive but cheaper than going abroad. University Teaching Hospital of Butare (CHUB) By Nsengiyumva Fidèle University Teaching Hospital of Butare (CHUB) located in the southern province, Huye district is one of the main hospitals in Rwanda. The hospital offers a number of services; clinical services, teaching and research, supervising district hospitals, working with the Ministry of Health in enhancing quality health services and collaborating with other institutions with the same mission. The Hospital has specialized doctors in various medical practices including; reproductive health, internal health care, pediatrics, ophtamology, surgery, among others. Dr Sendegeya Augustin, Director of University Teaching Hospital of Butare CHUB works with national and international universities and higher institutions in trainings and capacity building to nurses in the country and facilitates students and researchers. It coordinates 15 hospitals in the Southern and Western Province where it provides specialization in different domains like ophtamology, paediatrics and Paediatric Palliative Care. Medical students at CHUB say they get a chance to learn as they practice, strengthening their knowledge, skills and performance. “Here we learn as we practice, translating theory into practice. So when we start practicing, we are not met with many challenges,” confides one of the students. CHUB was constructed in 1928 during the colonial period as a small medical facility. In 1967, the hospital was handed over the National University of Rwanda (UNR), medical department as a training facility until after the 1994 genocide against Tutsi. Dr Sendegeya Augustin, Hospital Director, says that although after genocide the hospital was considered as a referral, it had lost much of its status as a hospital; equipment had been looted, medical workers and other staff had been killed and others had fled the country for fear of being killed or for fear of being brought to book for killing. Only 10 practitioners had been left. Today, the hospital counts 50 specialists and the number of The dialysis unit is equipped with 11 machines that support in the process of treatment making recovery faster. Tuberculosis diagnosis By using BACTEC MGIT 960 machine, CHUB can diagnose TB for early detection and therefore early beginning of treatment. Musangamfura Illuminé who works in TB treatment department says that early detection of tuberculosis helps in treating and healing. “Sometimes a patient is diagnosed and we don’t find TB because the bacteria are still small. Here, with the diagnosing equipment we have, can cultivate the crash from the patient and follow up how bacteria are developing. Compared to the growing number of patients; it is clear that the machine is helping in preventing tuberculosis and determine TB medicines depending on the stage of the disease.” According to Habarugira Felix, who works in HIV/AIDS services, besides diagnosing TB, CHUB laboratory has different facilities used for CD count for HIV positive people, among others. The hospital also has a COBAS C 311 machine, which is used to test and provide results within a very short period. Sangwa Innocent CHUB at the time of the genocide and others that are deemed to be very poor. During this year, the hospital CHUB financially supported a genocide widow with capital of Rwf1,000,000 and gave Rwf500,000 to children and other scholastic materials. The hospital has also given out 19 cows this year (in addition to 49 given out before) to genocide survivors in Kinazi sector through the Girinka program. After the performing of Umuganda, CHUB staff usually engage sanitation and hygiene awareness campaigns and other counseling services. Liberation, consumption of A patient being attended at dialysis unit who works in the diagnosis department at CHUB says COBAS C 311has been operational since 2011. The hospital also has a T-Scanner. CHUB challenges Dr Sendegeya says although they have advanced medical equipment, there is need to acquire more that match with modern technologies. Another challenges hinges around the number of medical doctors which is still low especially specialists in surgery and mental health. The director of CHUB, Dr. Sendegeya Augustin, urges Rwandans to increase the consumption of medical services. “We liberate ourselves from disease by taking timely medical checks and prompt treatment of diseases. Rwandan medical doctors are ready to serve every Rwandan so that they can be productive and contribute to national development.” He says that whenever there’s a service which is not available at CHUB they collaborate with other hospitals for referrals in addition to working with international hospitals. Supporting communities Besides treatment, CHUB supports individuals and households in meeting their non-medical needs, to especially, survivors of the 1994 genocide against the Tutsi. The support is extended to two categories of people; those who lost relatives that were working with medical services Cobas C 311 machine used to diagnose He says with the medical insurance opportunity offered through mutuelle de santé, as a home grown initiative, there is no reason why people should not improve their health with the consumption of medical services.