Kigali, Rwanda · info@ahcglobal.org
Transformative Solutions · Sustainable Impact
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A community health educator addressing a seated community gathering
ALLIANCE FOR HEALTHY COMMUNITIES since 2016

Bringing essential health services closer to people and communities.

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Who we are
A Rwandan non‑governmental organization strengthening public health in Rwanda
Alliance for Healthy Communities (AHC) is a Rwandan non-governmental organization working to strengthen public health and health systems across Rwanda.
We work with communities and populations that face barriers to access quality health services, including people living with HIV, key and priority populations, pregnant women, people in detention, and military personnel and their families. Through strong partnerships, community-led action, and locally driven solutions, we help expand access to quality care and build healthier communities.
An AHC clinician taking a blood sample at an outreach tent
Counselling and testing inside an outreach tent
A peer educator distributing prevention supplies at a community session
A community engagement session with district partners
An AHC outreach site set up in the community
What we do
Four programs. One commitment to quality, evidence‑based care.
From HIV prevention and treatment to laboratory accreditation support, AHC strengthens the systems, skills, and quality practices that make reliable health services possible.
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Read the program →
Emerging priorities
Building on today’s programs toward tomorrow’s health needs
AHC’s four programs represent the work we deliver today to address critical gaps in health services and strengthen Rwanda’s health system. Our emerging priorities set the direction for what comes next, guiding the health needs, populations, partnerships, and systems we will focus on as we deepen and expand our impact.
Together, these priorities help AHC respond to current and emerging public-health needs while remaining evidence-based, locally grounded, and responsive to the communities we serve.
4
Programsdeliver our work today
2
Emerging prioritiesshape where we go next
An AHC community outreach gathering
How we work
How AHC creates sustainable impact
AHC connects community-based delivery with long-term health-system strengthening. Our approach brings four elements together:
01 / 04
Community outreach
We extend essential health services beyond health facilities, reaching communities that face barriers to accessing timely care. Through outreach, AHC provides integrated testing, counselling, screening, treatment initiation, and referral while linking every client to a health facility within their local catchment area for continued care.
02 / 04
Decentralized service delivery
AHC brings HIV treatment and essential health services closer to underserved populations through targeted campaigns with mobile clinics. By linking each client to a facility within their local catchment area, we support continuity of care, regular follow-up, and long-term retention in treatment.
03 / 04
Peer educators
AHC works with community members as peer educators to extend the reach of health services and strengthen the connection between communities and providers. With the right training and support, peer educators help people access health information, testing, treatment, and follow-up care while identifying barriers and advocating for more responsive services.
04 / 04
Government and health-system partnerships
AHC works alongside Rwanda’s health system, government institutions, district authorities, and health facilities to strengthen and extend existing services. By aligning our programs with national and district priorities, building local capacity, and embedding improvements within public-sector structures, we help create results that can be sustained beyond individual grants.
District leadership greeting players before a friendly match in Rusizi
Partners and community members at the Rusizi campaign
Rusizi District
A sports day that ended with the testing and screening tents busier than the touchline.
From the field
Bringing HIV and TB services to where communities gather
A football match in Rusizi became an opportunity to reach key populations with essential HIV and TB services.
For many people, including female sex workers and men who have sex with men, accessing health services can involve concerns about stigma, discrimination, confidentiality, or being recognized. Reaching these communities therefore requires more than simply making services available; it requires bringing care into trusted, familiar settings.
In collaboration with Rusizi District, and with support from the Global Fund through the Rwanda Biomedical Centre, AHC organized an HIV and TB awareness outreach campaign around a community sporting event. Activities took place throughout the afternoon, culminating in a friendly football match that brought community members together.
HIV testing and TB screening were provided alongside the event, at the same location and time, making access to services a natural part of the day rather than a separate or stigmatizing experience. District leadership and the Rwanda National Police also participated, reinforcing the importance of collaboration and community engagement.
Next in the field
See where AHC is working next
Every outreach activity starts with a locally identified need and a partnership to address it. Explore upcoming campaigns by district, including the services being offered, dates, times, and venues. Partners, district teams, community organizations, and prospective volunteers are welcome to learn more and get involved.
At every outreach
Services offered
HIV testing and counselling
TB screening and referral
PrEP initiation and follow-up
Antiretroviral treatment initiation
Linkage to a facility in the client’s catchment area
Condom programming and prevention information
Work with us
Work with AHC
Tell us what you are working to achieve in Rwanda. We will listen, share our experience, and assess openly whether AHC is the right partner for your goals.
Our partners
The partnerships that make this work possible.
Our work is grounded in partnership. AHC collaborates with the Government of Rwanda and its health institutions to align implementation with national priorities and strengthen existing systems. Support from the United States Government’s global HIV programs and the Global Fund enables us to extend evidence-based HIV services and reach communities facing barriers to care.
About AHC

Care that reaches the last mile. Systems built to outlast us.

Learn who we are, what guides our work, and the leadership accountable for delivering it.
Who we are
Alliance for Healthy Communities (AHC) is a Rwandan non‑governmental organization working to strengthen public health and health systems across Rwanda.
Established on 6 June 2016, AHC began implementing programs in October 2017.
AHC is Rwandan in its registration, staffing, and leadership. We work within Rwanda’s national health system, not alongside it, through the Ministry of Health and the Rwanda Biomedical Centre, district authorities, health centres, and district hospitals.
Our work addresses both communicable and non-communicable diseases. It includes HIV prevention, treatment, and care; tuberculosis; maternal, child, adolescent, and reproductive health; gender-based violence; and mental health. We also strengthen the systems that make quality care possible, including training and mentoring health workers, supporting facility laboratories through accreditation, and conducting the monitoring and evaluation required to measure results and guide responsible decision-making.
AHC exists because the availability of a service does not always mean that people can access it. For some communities, the nearest health facility may be a long and costly journey away. For others, stigma, discrimination, or concerns about disclosure can make seeking care difficult. Our purpose is to close that last-mile gap while leaving the health facilities and systems we work with stronger than before.
We work with populations facing significant barriers to quality care, including people living with HIV, key and priority populations, pregnant women and HIV-exposed infants, adolescents in and out of school, people in detention, and military personnel and their families. Peer educators are recruited from the communities they serve, helping AHC build trust, improve engagement with health services, and make care more responsive to local realities.
Today, AHC delivers four programs across Rwanda, with HIV prevention activities reaching all 30 districts. Building on this foundation, we continue to strengthen local capacity, improve the quality of care, and extend essential services to communities facing the greatest barriers to access.
Three AHC field staff and a community member at an outreach site
AHC health workers registering community members
A facilitator leading a community health session
Our vision
Healthier lives, a better world.
Our mission
To advance health equity and welfare by preventing disease, supporting mental well-being, and building sustainable health systems.
Our motto
01
Prevent
disease before it starts.
02
Build
strong health systems.
03
Sustain
health equity and welfare.
Our values
Five commitments we can be held to
These commitments shape how AHC works, how we measure progress, and how we remain accountable to the communities and partners we serve.
Integrity
We manage public funds and donor investments with total transparency, maintaining accountability to the communities and partners we exist to support.
Sustainability
By embedding improvements within public-sector structures, we ensure that every initiative continues to create sustainable impact beyond initial grant funding.
Collaboration
We work alongside government and other partners, including the Ministry of Health, the Rwanda Biomedical Centre, and district authorities, ensuring collective achievements are recognized together. Peer educators are recruited from the communities they serve, helping AHC build trust, improve engagement with health services, and make care more responsive to local realities.
Excellence
We align with national and global benchmarks, tracking patient outcomes to continuously identify and resolve areas for quality improvement. By leveraging data to direct our intervention strategies, offering ongoing clinical mentorship following baseline instruction, and guiding health facility laboratories toward full accreditation, we instill sustainable quality standards into routine daily operations rather than relying solely on formal audit periods.
Innovation
AHC creates flexible solutions to connect populations facing significant barriers to routine care. By leveraging mobile clinics, decentralized service delivery, targeted outreach, and community-led initiatives in familiar environments, we ensure essential health services reach every last mile. We advance practical strategies for care delivery, rigorously testing new interventions, including intelligent data tools, to enhance service quality while phasing out approaches that yield limited results.
Where we come from
Built on Rwanda’s health‑system journey
AHC’s history is the story of a partnership that evolved from delivering services to building the local capacity to sustain them.
1994 The rupture
A health system under extraordinary strain
Rwanda’s first HIV case was documented in 1983. Eleven years later, the 1994 Genocide against the Tutsi claimed more than one million lives, severely depleting the country’s health workforce and damaging an already fragile health system.
In the years that followed, Rwandan leaders, communities, and health professionals worked to rebuild the country and its health infrastructure while responding to the growing HIV epidemic.
2006 The partnership
Building a focused HIV response
In 2006, the Rwanda Defence Force, Charles R. Drew University of Medicine and Science, and Drew Cares International formed a partnership to strengthen HIV prevention, care, and treatment for military personnel, their families, and surrounding communities.
The partnership combined technical expertise with access to communities that required focused, trusted, and responsive health services.
2017 The organization
Making capacity local
AHC was established in 2017 out of this partnership, with a commitment to building local and sustainable capacity for Rwanda’s HIV response.
With support from the U.S. President’s Emergency Plan for AIDS Relief through the U.S. Department of Defense HIV/AIDS Prevention Program, AHC built on more than a decade of experience working with the Rwanda Defence Force, Charles R. Drew University, and Drew Cares International.
Today, AHC continues to provide technical assistance and evidence-based support to strengthen HIV prevention, care, and treatment programs in Rwanda, while building the health-worker capacity, systems, and partnerships needed to sustain progress over time.
How the work grew
Four programs developed in response to the needs of communities and Rwanda’s health system.
AHC’s programs reflect a deliberate process of learning and adaptation. Each was developed to address a defined gap in health services, strengthen local capacity, or improve the systems that support quality care. Their progression shows how AHC has grown from a focused HIV response into a broader health-system partner.
6 June 2016
Established
AHC is registered as a Rwandan non-governmental organization, created to strengthen Rwanda’s health system and extend quality care to communities facing the greatest barriers to access.
Organization established
October 2017
Implementation begins
AHC begins implementation with three complementary programs that connect outreach, HIV treatment, and TB screening. Rather than operating as parallel activities, the programs are designed as an integrated pathway, delivered through district authorities and existing health facilities from the outset.
2018
The enabling programs
A year of delivery made the next set of priorities clear. Health facilities needed skills and systems that would remain in place beyond AHC’s direct support. Laboratories needed the quality systems and accreditation support required to produce reliable results. And AHC needed strong monitoring, evaluation, and learning processes to verify results, improve implementation, and report responsibly.
2019 onward
Laboratory accreditation, adolescent sexual and reproductive health, and gender‑based violence
As AHC’s clinical work expanded, the systems supporting quality care had to grow with it. Laboratory accreditation became a program in its own right, helping facilities produce reliable results that clinicians and patients can trust. AHC also developed dedicated work in adolescent sexual and reproductive health and gender-based violence, recognizing that adolescents need confidential, age-responsive services, while survivors need safe, confidential, and survivor-centered care.
Leadership and governance
Experienced leadership. Clear accountability.
AHC is led by experienced professionals and overseen by a five-member Board of Directors. The Board provides strategic oversight and governance, while the management team is responsible for the organization’s day-to-day operations, program delivery, and performance. Together, these structures support responsible decision-making, effective implementation, and accountability to partners, donors, and the communities AHC serves.
The AHC team
Board of Directors
Five members providing strategic oversight, governance, and accountability. Board profiles are published as they are confirmed.
Executive leadership
Responsible for the strategic and operational leadership of AHC’s programs, partnerships, and organizational growth. Leadership profiles are published as they are confirmed.
Accountability
AHC maintains a dedicated monitoring, evaluation, and learning function to verify results, assess data quality, and ensure that public claims are supported by evidence. Findings are reported routinely to government partners and donors and used to strengthen implementation.
Our team
The people accountable for AHC's work
AHC's leadership team is responsible for the organization's programs, clinical quality, partnerships, field operations, finance, and evidence. Together, they provide the expertise and oversight needed to deliver effectively and remain accountable to communities, government partners, and donors.
Eugene Sangano
Eugene Sangano, MBA, MSc
Executive Director
Overall leadership of AHC's programs, partnerships and growth, and the accountable link between the Board and the organisation.
Noëlla Karusisi
Noëlla Karusisi, PhD
Director of Partnerships and Program Development
Donor and government partnerships, new program design, and the proposals that bring them into being.
Dennis Tumwesigye
Dennis Tumwesigye, MA, MBA
HR and Field Operations Director
Field delivery across the districts, and the people, recruitment and operations systems that make it possible.
Marie-Ève Bayingana
Marie-Ève Bayingana
Deputy Clinical Services Director
Day-to-day clinical oversight across supported facilities and outreach services, supporting the Clinical Services Director.
Esperance Mukatwizeyumukiza
Esperance Mukatwizeyumukiza
Finance Manager
Financial management, grant compliance and the reporting that donors and auditors rely on.
Sam Rusine
Sam Rusine, MSc
Strategic Information Manager
Data collection, verification and evaluation across the portfolio. Decides what AHC may claim and on what evidence.
Monique Niyonzima
Monique Niyonzima
HIV Prevention Coordinator
Planning and coordination of HIV prevention services and outreach across supported communities.
Elizabeth Mukandekezi
Elizabeth Mukandekezi
Key Population Coordinator
Coordination of services and outreach for key populations across supported sites.
Raissah Igiribambe
Raissah Igiribambe
Executive Assistant
Coordination of the Executive Director's office, governance scheduling and the flow of information across the leadership team.
Janet Batamuriza
Janet Batamuriza
Assistant Finance
Day-to-day accounts, payments and records that support financial reporting and grant compliance.
Jeninah Umuhoza
Jeninah Umuhoza
Logistics Assistant
Procurement, transport and supplies that keep outreach activities and field teams running on schedule.
Marie Antoinette Shema
Marie Antoinette Shema
Program Assistant
Coordination and documentation that keep program activities organized and on schedule.
Alice Mukarugwiza
Alice Mukarugwiza
Program Assistant
Coordination and documentation that keep program activities organized and on schedule.
Program staff, outreach teams and peer educators across the districts make up the wider team behind them.
Board of Directors
Five members providing strategic oversight and accountability
AHC's five-member Board of Directors provides strategic oversight, governance, and accountability for the organization.
Col (Rtd) Dr. Marc Sebaganji
Col (Rtd) Dr. Marc Sebaganji
Col (Rtd), Chairman
Ahmed Abajobir
Ahmed Abajobir
MPH, Treasurer
Dr. Judy T. Orikiiriza
Dr. Judy T. Orikiiriza
Secretary
Eugene Sangano
Eugene Sangano MBA, MSc
Executive Director
Charles Hilliard
Charles Hilliard, Ph.D.
Technical Advisor
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