Healthy People, Wealthy Nation
Kigali, 28. / 2025
Ref: No ....... /RBC-HDPC/HIV/25
Internal Memo
From: HIV Care and Treatment Unit RO
Verified: HIV, STIs, Viral Hepatitis, and OVDC Division Manager
Through: Head of HDPC Department
To: Chief Finance Officer
Date: 28/7/2025 Request for Approval
PLEASE SIC
Dear CFO.
Given the critical need to maintain the consistency and quality of services in HIV management particularly for adolescents
living with HIV in school settings and to reduce new infections and AIDS-related deaths among this population, the Rwanda
Biomedical Center RBC, through the HIV, STIs, Viral Hepatitis, and OVDC Division, Care and Treatment Unit, organized a
training program for Head Teachers. The training aimed to strengthen their role in supporting adherence and retention in care
among adolescents living with HIV, while also addressing stigma and discrimination within school environments.
The training was conducted at Ruhango District Headquarters in two sessions: from June 4th to 6th, 2025, and from June 11th
to 13th, 2025.
As part of our planning and to ensure the effectiveness of this initiative, we respectfully request financial support to cover
refreshments and transport allowances for participants. This request is specifically for participants from Ruhango District, who
traveled to and from the venue each day after the sessions.
Providing refreshments and transport facilitation encouraged timely attendance, sustained engagement, and overall success
of the training.
We therefore kindly request approval for:
Daily refreshments at a rate of six thousand Rwandan francs (6,000 RWF) per ö participant, for three days.
Sincerely
[Link]
Info@[Link]
/ KG 17 Ave, PO Box : 7162 , Kigali - Rwanda
SPIU Coordinator
Date:
$21.1025$
Dear DDG,
Ap CFO, Kindly $\frac{C}{\frac{1}{25}}$
Re: Request for guidance on Philips imaging equipment
I am writing to seek your guidance regarding ongoing issues with our installed base of Philips imaging equipment, particularly
systems that have been in use for approximately ten years which are reaching end of support and are now facing serious
technical and supportrelated challenges.
We kindly request your guidance on the following points:
1. Possibility of allocating or planning funds for the replacement affected machines.
2. Please advise whether we are permitted to confirm the budget availability for the attached Philips quotation totaling
32,425 Euros. The 28,125 Euros is allocated to labor costs, while the remaining amount covers initial parts identified as
necessary based on remote troubleshooting conducted by Philips. It is also highly likely that additional parts will be
required following on-site assessments by the Philips team.
Background & Current Situation:
Several Philips imaging systems are currently non-functional or operating unreliably, as there is no Philips representative
present in our country, this issue was raised to Philips Kenya in November 2024 and they have not provided a replacement
Due to the magnitude of the issue, Hon. Minister of Health tasked Rwanda Medical Supply to investigate possible solutions.
RMS contacted Philips directly and obtained a diagnostic quotation. Unfortunately, the majority of the quoted cost is
attributed to diagnostic fees, which is considerably high, especially given the uncertainty of follow-up repairs or spare part
availability.
Considering the high cost and lack of local support, there is no viable long-term maintenance pathway for these units.
[Link]/ Info@[Link]
/ KG 644 st, PoBox: 7162 Kigali - Rwanda
Medical Technology Division
Proposed Recommendation:
Given the age of the systems, lack of official support, and increasing downtime, our preferred recommendation is for resource
mobilization for the replacement of affected Philips imaging equipment. Replacing these older units with more reliable,
servicesupported systems will:
Improve operational reliability
Reduce long-term service costs
Ensure continuity of patient imaging services
Another short-term option is to purchase Digital Flat Panel Detector with its viewing station to replace CR systems in
situations where the existing X-ray machines are still functional, but the CR system are defective
We believe a proactive replacement strategy is necessary to maintain service quality and avoid further unproductive
expenditure on unsupported systems.
Below is the hospitals list of machines affected and submitted quotation by Philips to RMS
HOSPITALS WITH DEFECTIVE PHILIPS IMAGING
EQUIPMENT
HOSPITAL EQUIPMENT NAME INSTALLATION DATE
KIBUYE LT2H Fixed X-Ray Machine 2015
RWINKWAVU DH Fixed X-Ray Machine 2017
NYAGATARE DH Fixed X-Ray Machine 2011
4 KIREHE DH Fixed X-Ray Machine 2015
ultrasound machine 2015
KIBILIZI DH Fixed X-Ray Machine 2018
6 KADUHA DH Fixed X-Ray Machine 2018
RIRIMA ORTHOPEDIC Fixed X-Ray Machine 2017
HOSPITAL
8 RUTONGO DH Mobile x-ray 2015
Fixed X-ray machine 2015
2 ultrasound machine 2015
machines
9 GISENYI DH Fixed X-ray machine 2014
10 HVP GATAGARA Mobile X-ray machine 2008
11 KIGEME DH Fixed X-Ray Machine 2018
12 KABUTARE DH Fixed X-Ray Machine 2017
Thank you for your consideration and support, I look forward to your advice on the way forward.
[Link]/ Info@[Link] / KG 644 st,
PoBox: 7162 Kigali - Rwanda
Our details:
Philips Medical Systems Nederland B.V. High Tech Campus 29, Building HTC52.5 5656 AE Eindhoven, The Netherlands
Date: [3-06-25] 2025
This offer is subject to obtaining any of the requisite approvals or permissions under any of the applicable export control
regulations. The conditions of service attached as Annex 1 to this quote apply. Note that Philips reserves the right to lay down
any agreement on this quote in a final service agreement.
Dear Sir/Madam,
We have the pleasure to send you the quotation as specified in the following pages.
Yours faithfully, Philips Medical Systems Nederland B.V.
David Verhoef Service Operation Leader
Philips Medical Systems Nederland BV
Commercial Register Eledhoven no. 17060498 reigh Tech Campus 29, 5656 AE Eindhoven, the Netherlands
BALLATE ACCIDENT
Command of School
PHILIPS PHILIPS Health Systems
1 OUR COMPANY
2 FINANCIAL OVERVIEW
SALES CONDITIONS
Philips Medical Systems Nederland BV Commercial Register Endhovan no. 17060498. High Tech Campus 29, 5656 AE
Eindhoven, the Netherlands
PHILIPS
OUR COMPANY
We strive to make the world healthier and more sustainable through innovation
As a focused leader in health technology, we are determined to build upon our rich heritage by touching billions of lives each
year with our innovative technology solutions.
With our understanding of many of the longer-term challenges our world faces, we see major opportunities to apply our
innovative competencies in the areas of personal health, diagnosis & treatment and connected care & health informatics.
All around the world, resource constraints are driving a shift to
By addressing healthcare as a 'connected whole' in this way, we can unlock gains and efficiencies and drive innovations that
help deliver on the quadruple aim': enhancing the patient experience, improving health outcomes, lowering the cost of care,
and improving the work life of care providers.
value-based healthcare $-$ a system that aims to increase access to care and improve patient outcomes while also raising
cost productivity. At the same time, aging populations and the rise of chronic diseases like heart disease and respiratory
conditions are driving up demand for healthcare.
In parallel, a growing focus on healthy living and prevention means more and more people are looking for new ways to
proactively monitor and manage their health, also in home and community settings. And the digitalization of healthcare has
reached the point where value is shifting from stand-alone products to solutions combining systems, smart devices, software
and services, which deliver greater benefits to customers.
Philips sees significant value in more integrated forms of healthcare, unlocking the power of data and artificial intelligence at
the point of care, while at the same time optimizing care delivery across the health continuum. This includes putting increased
emphasis on both primary and secondary prevention and population health management programs.
At Philips, we are striving to make the world healthier and more sustainable through innovation, with the goal of
With our global reach, deep insights and leading innovations, we are uniquely positioned in 'the last yard' to consumers and
care providers, delivering:
connected products and services supporting the health and well-being of people
integrated modalities and clinical informatics to deliver definitive diagnosis
real-time guidance and smart devices for minimally invasive interventions
connected therapeutic products and services for chronic care patients.
Underpinning these solutions, and spanning the health continuum, our connected care and health informatics solutions
enable us to:
connect patients and providers for more effective, coordinated, personalized care
manage population health, leveraging real-time patient data and clinical analytics.
We are focusing on end-to-end pathways - at present primarily cardiology, oncology, respiratory care, and pregnancy and
parenting - where we believe our integral approach can add even greater value for our customers.
improving the lives of 3 billion people a year by 2025.
In today's increasingly connected world, the convergence of Philips' consumer technologies that facilitate healthy living,
medical technologies that help clinicians to deliver better diagnosis and treatment, and cloud-based technologies that
support data sharing and analysis, will be a key enabler of more effective, lower-cost integrated health solutions.
We like to visualize healthcare as a continuum since it suggests the notion of continuous care. And it becomes very compelling
when one thinks of this continuum as being connected.
Philips Medical Systems Nederland BV Commercial Register Eindhoven no. 17060498 High Tech Campus 29, 5656 AE
Eindhoven, the Netherlands
More and more, we are teaming up with hospital and health systems to understand their needs, provide integrated solutions,
and engage in multi-year cooperation to drive improvements in terms of patient outcomes, quality of care delivery and cost
productivity.
In this context, we are pioneering new business models that fitour customers' needs better. These include Technology
Managed Services, as well as Software as a Service and Product as a Service models. We have also started to take co-
accountability for our customers' patient outcomes and productivity.
Going forward, we aim to expand our strong positions across the health continuum, extend our solutions capability to address
our
Page
PHILIPS
Page:
47
2 FINANCIAL OVERVIEW
Item number Description Amount
451220108523 ELO ET1929LM Monitor ¬ 3,000
451259016942 printed circuit board ¬ 800
Timer
451253548091 Lamp holder ¬ 500
Labor cost 37,500
Discount 25% on labor
¬ 28,125
Total ¬ 32,425
Note:
$,$ *
The labor cost is to cover the inspection of the 10 systems that were shared (2) FSE's for 5 days) with average 2812 EUR per
equipment
Kindly note that the above-mentioned parts are initial parts that are needed based $\bullet$ on the Remote
troubleshooting and it is highly expected to request more parts based on the site visits that will be done by our team
Extra discount is provided on the labor $(25%)$
Philips Medical Systems Nederland BV Commercial Register Eindhoven no. 17060498 High-Tech Carnpus 29, 5656 AE
Eindhoven, the Netherlands