Ikaze Service Rwanda

Executive Summary — 90-Day Pilot Proposal

Darius Safari, Founder / Principal
Dr. Albert LaMotte, Executive Director
[email protected]

The Vision

As Rwanda quadruples its medical workforce to over 58,000 professionals by 2028 under the 4x4 Healthcare Reform, the challenge shifts from quantity to consistency. Ikaze Service Rwanda is a standardized, behavior-based intervention ensuring every patient interaction results in clinical adherence, return-visit compliance, and institutional trust.

The Problem

High Attrition: Significant Loss to Follow-Up (LTFU) in chronic and maternal care programs.

Low Adherence: Passive discharge communication leading to misunderstood dosages and schedules.

Service Gaps: Inconsistent intake protocols that diminish patient trust and satisfaction.

The Ikaze Toolkit

A resource-light, zero-infrastructure toolkit standardizing the "soft skills" of healthcare through four behavioral pillars:

HEAL Intake

Structured greeting & empathy protocol

Teach-Back

Mandatory comprehension verification

Wait-Time Mgmt

Proactive rounding & communication

Barrier Screening

Identify obstacles to follow-up

90-Day Roadmap

Weeks 1–2

Preparation & Setup: Site assessment, material prep, stakeholder alignment

Weeks 3–4

Training of Trainers: 2-day ToT workshops for senior staff at each hospital

Weeks 5–10

Active Implementation: Daily huddles, Teach-Back deployment, barrier screening

Weeks 11–12

Evaluation & Reporting: KPI analysis, final report to RBC

Strategic Objectives

Objective	Method	Target KPI
Verify Adherence	Mandatory Teach-Back	>85% correct recall
Reduce LTFU	Closed-loop follow-up	15-20% reduction
Standardize Quality	Training of Trainers	100% huddle compliance
Improve Trust	HEAL Protocol + rounds	>4.0/5 satisfaction

Budget Summary

Category	Amount (USD)
Personnel (2 Training Specialists)	$42,300
Accommodation	$10,800
Transport & Travel	$5,520
Per Diem & Meals	$6,300
Training Materials	$3,430
Workshop & Venue	$11,100
Communication & Technology	$9,850
Subtotal	$89,300
Contingency (10%)	$8,930
Grand Total	$98,230

Projected Impact

Medication Recall

55% → 85%+

Follow-Up Compliance

60% → 80%+

Patient Satisfaction

3.2/5 → 4.0/5+

Missed Appointments

35% → <15%

Strategic Alignment

WHO Quality StandardsRwanda 4x4 ReformRwanda Biomedical CentreMinistry of Health31 Partner Institutions

The Path Forward

With 6,400+ new graduates joining annually, the Ikaze Service Standard serves as the essential quality safeguard for the 4x4 Reform. This pilot provides a scalable, evidence-based blueprint for a national patient engagement standard that maximizes the ROI of Rwanda's $395M healthcare investment.

Proposed for 2 District Hospitals — 90-Day Pilot