Rwanda 20 years on: investing in life.

Authors:
Corine Karema, MD, MSc
Corine Karema, MD, MSc
Quality and Equity Health care
Independent Malaria, Infectious diseases, HSS and Global Health consultant and Senior technical advisor
Malaria & infectious diseases- Neglected Tropical Diseases, Malaria control and Elimination, Global Health
Kigali, Kigali City | Rwanda
Claire M Wagner
Claire M Wagner
Harvard Medical School
Maurice Gatera
Maurice Gatera
Rwanda; and ††Harvard University School of Public Health
United States
Dr Jean Baptiste Kakoma, BMed Sc, MD, MMed/OG, PhD, AESM
Dr Jean Baptiste Kakoma, BMed Sc, MD, MMed/OG, PhD, AESM
University of Rwanda School of Public Health & University of Lubumbashi Schools of Medicine and Public Health, DR Congo
Emeritus Professor
Epidemiology/Reproduction Health/Obstetrics & Gynecology/
Lubumbashi, Haut - Katanga | Congo, the Democratic Republic of the
Dr Mutabazi Vincent, MD
Dr Mutabazi Vincent, MD
Rwanda Biomedical Centre
Director
Kigali | Rwanda

Lancet 2014 Jul 4;384(9940):371-5. Epub 2014 Apr 4.

Partners In Health, Boston, MA, USA.

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.

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Source
http://dx.doi.org/10.1016/S0140-6736(14)60574-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151975PMC
July 2014
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