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Clinic partnership between Pfalzklinikum & Neuro-Psychiatric Hospital Caraes Ndera

Klingenmünster | Deutschland & Ndera, RuandaGeschäftsführer Pfalzklinikum und Koordinator „Klinikpartnerschaft zwischen Pfalzklinikum und Caraes Ndera, Ruanda”

Klingenmünster | Germany & Caraes Ndera | Rwanda

“Mental health in the land of the thousand hills – Same people, same problems, same solutions, but different approaches”

Paul Bomke

Chief executive officer of Pfalzklinikum and coordinator of the „clinic partnership between Pfalzklinikum and Caraes Ndera, Rwanda“

Charles Nkubili

Chief executive officer of Ndera-Hospital

The project

Since July 2017 Pfalzklinikum as regional service provider of mental health has been linked to Rwanda’s only neuro-psychiatric hospital in Caraes Ndera, Kigali (Neuro-Psychiatric Hospital Caraes Ndera, Kigali) by the program „500 clinic partnerships” of the Else Körner-Fresenius Foundation and the German Federal Ministry for economic cooperation and development under the above-mentioned slogan.

In 2016, the partnership was able to develop thanks to the financial support provided by the state and by Pfalzklinikum top executives and due to a great number of small and large donations in combination with a visit to Rwanda in February 2016 and a visit of eight executives and experts from Caraes Ndera in autumn 2016.


The now ongoing project has two priorities. One is the establishment of community-psychiatry structures in Rwanda with the help and support from Caraes Ndera, the second is the practical exchange of knowledge in daily medical-psychological and nursing routine. The cooperation is embedded in a well-founded strategic planning for which we could lay the basis during our visit in July 2017. 

On the occasion of this first visit of Pfalzklinikum experts we had a very detailed look on the different conditions and pre-requisites prevailing in the regions in the East, in the South and in the Southwest together with our Rwandan partners. The corner points of the different visits are marked on a map.  > Open map

Health literacy

This part of the program, which we call „Community in Action“, focused on visits to self-help organizations (OPROMAMER) and private individuals taking care of the inclusion of people with mental impairment in cooperation with the Regional Health Center and the communities. The activities are centered on the allocation of microcredits, of basic investments in agriculture (seeds and cattle) or the provision of housing and shy attempts to strengthen health literacy.

Establishment and self-help

It was the establishment of further forms of self-help that formed a crucial part of the strategy work in the second week of July. Several meetings with the OPROMAMER self-help group revealed that the government and the responsible ministry appreciate the work of this organization but that a sustainable financial support of the self-help beyond the degree of the so-called „community health workers“ does not seem possible at present. The same holds true for the voluntary support of the Caraes Ndera psychiatric hospital whose work is severely restricted because of the solely public funding of its services.


So now the idea is to trigger and enable self-help groups and lobbying by providing an adequate financial support of the administrative and political work of the group and thus also of further small activities in the regions to such an extent that in the long run the available national structures provide financial support. The core idea is to turn a previously voluntary work into an accepted paid work.


At the end of the proposed project, OPROMAMER will be capable of using learned knowledge and skills to efficiently run its member groups with a minimum support from Caraes Ndera Neuropsychiatric Hospital. It is also expected that during the period of the project, OPROMAMER will build partnerships with local authorities, from which it can access available resources.




Upcoming Project Info

Developing Residential Home Care for Patients with Chronic Psychiatric Conditions in Caraes Ndera Neuropsychiatric Hospital, Brother of Charity, located in Kigali, Rwanda (Applicant Institution). 

Justification of the Project: Caraes Ndera Neuropsychiatric Hospital is faced with an overcrowded hospitalization situation, as indicated by a bed occupancy rate of 122% (Hospital annual report 2017). The high bed occupancy rate in Caraes Ndera Neuropsychiatric Hospital is linked to a high number of patients with chronic psychiatric disorders, who stay longer in hospital.

Goal: To facilitate patients safer transition from the hospital to community through the provision of residential home care.

Expected results: The ultimate outcomes of the project include:

  1. A reduction of bed occupancy rate, which will be acquired through a decrease in the number of the patients who stay longer in hospital and
  2. An improved social reintegration of patients in their community.
    • Dezember 2017: From Rwanda into the clinical pharmacy in the Palatinate
      >  Read Article
    • Januar 2017: Palatinate Hospitality
      > Read Article
    • Juli 2016: Rwanda: Exchange at eye level
      > Read Article


Neuro – Psychiatric Hospital Caraes Nedra

Deutsche Gesellschaft für internationale Zusammenarbeit (GIZ) GmbH
(GIZ -German Society for International Cooperation)

Partnerschaftsverein Rheinland-Pfalz/Ruanda e.V.
Michael Nieden 
Leiter der Geschäftsstelle

Bundesministerium für wirtschaftliche Zusammenarbeit und Entwicklung. Klinikpartnerschaften – Partner stärken Gesundheit


Contact Us

Pfalzklinikum für Psychiatrie und Neurologie
(Anstalt des öffentlichen Rechts)
Dienstleister für seelische Gesundheit
Weinstrasse 100
76889 Klingenmünster

Tel. 0049 – (0)6349 900-1000


Projekt Coordinator:

Paul Bomke
CEO of Pfalzklinikum für Psychiatrie und Neurologie (AdöR)

Project Management:

Dr. Gudrun Auert
Head physician of Kaiserslautern Clinic for Psychiatry, Psychosomatics and Psychotherapy

Your contact person:

Daniela Hauck
Assistent to the CEO
Pfalzklinikum für Psychiatrie und Neurologie (AdöR)

If you have any questions or recommendations concerning our project, please feel free to contact us using or online form. We will get back in touch with you as soon as possible.

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