Access Project
Access Project is a Rwanda-focused nonprofit organization that works to improve the quality, management, and accessibility of health care, particularly in rural communities.
Last updated August 25, 2026
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Overview
Access Project is a nonprofit health-care organization established in Rwanda in 2002 by public-health expert Josh Ruxin and economist Jeffrey Sachs. Its work is centered on expanding access to reliable, better-managed health services, with particular attention to rural health centers and maternal and child health. Rather than functioning primarily as a clinical provider, the organization has operated as a technical and operational partner to Rwanda's health system, working with the Rwanda Ministry of Health to strengthen facilities, management practices, infrastructure, and disease-control programs. The organization's distinctive approach applies management methods associated with the private sector to public and community health facilities. Access Project has provided hands-on training and operational support intended to make health centers more efficient, accountable, and financially and organizationally sustainable. Its intervention model addresses multiple management areas, including planning, coordination, procurement of medicines, financial administration, and the day-to-day systems required for a health center to function consistently. This emphasis on institutional capacity distinguishes the organization from a model based only on short-term donations, mobile clinics, or the delivery of individual medical services. Where existing infrastructure was absent or could not be repaired adequately, Access Project worked with the Ministry of Health to develop new facilities. The partnership is associated with the construction of six health centers in Gashora, Gataraga, Kintobo, Juru, Ngeruka, and Nyarugenge. These projects formed part of a broader effort to bring essential health services closer to underserved populations and to reinforce Rwanda's national health-care infrastructure. Access Project's stated areas of interest have included maternal and child health as well as broader primary-care delivery. In collaboration with the Ministry of Health, it also helped establish Rwanda's first program focused on neglected tropical diseases. That work broadened the organization's role from facility management and infrastructure support into public-health programming and disease control. The organization received early seed funding from Rob Glaser, a technology executive and founder of the Glaser Progress Foundation. Additional support is identified in reference material from the GE Foundation, MAC AIDS Fund, Schmidt Family Foundation, Pfizer, MAIA Foundation, Legatum Foundation, and the Garth Brooks Teammates for Kids Foundation. These funders enabled projects involving health-center construction, management improvement, and public-health initiatives, although comprehensive financial figures are not established in the available material. Access Project is best understood as a Rwanda-based health-systems and access initiative rather than a conventional consumer brand. Its identity is associated with practical implementation, collaboration with government, rural service delivery, and the use of management systems to improve the reliability and reach of care. Publicly available reference material provides limited information about its current leadership, present program scale, or continuing operations, so those details remain unconfirmed.
History
Access Project was founded in Rwanda in 2002 by Josh Ruxin and Jeffrey Sachs as a nonprofit initiative addressing the quality and availability of health care. Its operating model combined public-health goals with organizational and management practices drawn from the private sector. The organization sought to help health centers operate more effectively by providing practical assistance rather than limiting its role to financial support or the supply of medical materials. A central element of the model was strengthening rural health centers. Access Project provided hands-on training and technical assistance across eight management domains, including planning, coordination, medicine procurement, and financial management. The intended result was a network of facilities that could serve communities more reliably while becoming more accountable and increasingly self-sustaining. Maternal and child health were among the main areas of focus. The organization also worked with Rwanda's Ministry of Health on physical infrastructure. In locations where no suitable health facility existed, or where existing structures were beyond practical repair, Access Project partnered with the ministry to build new centers. Six facilities are identified in the available reference material: those in Gashora, Gataraga, Kintobo, Juru, Ngeruka, and Nyarugenge. These projects linked facility construction with the broader goal of improving local access to primary health services. Its activities expanded beyond facility operations and construction. In cooperation with the Ministry of Health, Access Project helped lead Rwanda's first neglected tropical diseases control program. This initiative reflected the organization's wider health-systems orientation: improving access not only through buildings and administrative processes, but also through targeted public-health programs addressing diseases that disproportionately affect underserved communities. The initiative received seed financing from Rob Glaser, identified as the chief executive of RealNetworks and a former Microsoft executive, through the Glaser Progress Foundation. Other named funders included the GE Foundation, MAC AIDS Fund, Schmidt Family Foundation, Pfizer, MAIA Foundation, Legatum Foundation, and the Garth Brooks Teammates for Kids Foundation. The available sources do not establish complete funding totals, annual budgets, or the precise timing and amounts of each grant. Reference material presents Access Project as a Rwanda-focused organization working alongside government rather than as an independent replacement for the national health system. Its contribution lay in implementation capacity: helping facilities plan, procure, manage money, coordinate activities, and deliver services; assisting with the creation of new health centers; and supporting a national disease-control effort. Information about later organizational changes, current executives, present program locations, and current website activity is limited. Consequently, the historical record supports a clear account of its founding purpose and principal interventions but does not support detailed claims about its current scale or governance.
- 2002
Access Project founded in Rwanda
[1]Josh Ruxin and Jeffrey Sachs established the nonprofit initiative to improve health-care quality and accessibility, especially through stronger rural health centers.
Partnership with Rwanda's Ministry of Health
[1]Access Project worked with the Ministry of Health on health-center management, infrastructure development, and public-health programming.
Six health centers built
[1]In partnership with the Ministry of Health, the organization helped build centers in Gashora, Gataraga, Kintobo, Juru, Ngeruka, and Nyarugenge.
Neglected tropical disease control program launched
[1]Working with the Ministry of Health, Access Project helped establish Rwanda's first neglected tropical diseases control program.
Products and positioning
A nonprofit health-systems partner focused on making Rwandan health centers more accessible, efficient, accountable, and sustainable through management support, infrastructure development, and public-health programs.
Health-systems strengthening · 2002
Health-center management support
Access Project provided practical assistance and training to improve the operation of health centers. Its management framework covered areas such as planning, coordination, medicine procurement, and financial management, with the goal of making facilities more efficient, accountable, and capable of sustaining their services.
Health-care infrastructure
Health-center construction
Where adequate facilities were unavailable or existing buildings could not be repaired, Access Project partnered with Rwanda's Ministry of Health to construct new health centers. Six locations named in the reference material are Gashora, Gataraga, Kintobo, Juru, Ngeruka, and Nyarugenge.
Public health
Maternal and child health support
Maternal and child health was a principal focus of the organization's work to improve the quality and reach of care through better-managed health centers and stronger local health infrastructure.
Disease-control program
Neglected tropical disease control
In collaboration with Rwanda's Ministry of Health, Access Project helped lead the country's first neglected tropical diseases control program, extending its work into coordinated public-health and disease-prevention activity.
Sources1 sources
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