Columbia University's Earth Institute initiative[clarification needed] also builds new health centers in partnership with the Rwanda Ministry of Health (MOH) and led the country's first neglected tropical diseases (NTD) control program.
[2] The Access Project's approach is to apply private sector principles to the management of health centers across Rwanda.
Through hands-on trainings and support, the organization seeks to make health centers efficient, accountable, and self-sustaining.
[4] In places where infrastructure does not exist or is beyond repair, Access works with the MOH to build new health centers.
Together with the MOH, Access has built six health centers in Gashora, Gataraga, Kintobo, Juru, Ngeruka, and Nyarugenge.