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Lancet. 2014 Jul 26;384(9940):371-5. doi: 10.1016/S0140-6736(14)60574-2. Epub 2014 Apr 4.

Rwanda 20 years on: investing in life.

Author information

1
Ministry of Health, Government of Rwanda, Kigali, Rwanda. Electronic address: agnes_binagwaho@hms.harvard.edu.
2
Harvard Medical School, Boston, MA, USA.
3
Rwanda Biomedical Center, Kigali, Rwanda.
4
Ministry of Health, Government of Rwanda, Kigali, Rwanda.
5
Global Health Delivery Partnership, Boston, MA, USA.
6
Dartmouth Center for Health Care Delivery Science, Hanover, NH, USA.
7
Kigali University Teaching Hospital, Kigali, Rwanda.
8
University of Rwanda School of Medicine, Butare, Rwanda.
9
University of Rwanda School of Public Health, Kigali, Rwanda.
10
Project San Francisco, Kigali, Rwanda.
11
Quality and Equity HealthCare-Social Health Enterprise, Kigali, Rwanda.
12
Partners In Health, Boston, MA, USA.
13
Brigham and Women's Hospital, Boston, MA, USA.
14
Dana-Farber Cancer Institute, Boston, MA, USA.
15
MASS Design Group, Boston, MA, USA.
16
Seed Global Health, Boston, MA, USA.
17
Global Health Corps, New York, NY, USA.
18
Bridge2Rwanda Scholars, Kigali, Rwanda.
19
The Strongheart Group, Austin, TX, USA.
20
Clinton Health Access Initiative, Boston, MA, USA.
21
UNAIDS, Geneva, Switzerland.

Abstract

Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the effects of a devastated health system and economy. In the years that followed, a new course set by a new government set into motion equity-oriented national policies focusing on social cohesion and people-centred development. Premature mortality rates have fallen precipitously in recent years, and life expectancy has doubled since the mid-1990s. Here we reflect on the lessons learned in rebuilding Rwanda's health sector during the past two decades, as the country now prepares itself to take on new challenges in health-care delivery.

PMID:
24703831
PMCID:
PMC4151975
DOI:
10.1016/S0140-6736(14)60574-2
[Indexed for MEDLINE]
Free PMC Article

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