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Rwanda 20 years on: investing in life

2014; Elsevier BV; Volume: 384; Issue: 9940 Linguagem: Inglês

10.1016/s0140-6736(14)60574-2

1474-547X

Agnès Binagwaho, Paul E. Farmer, Sabin Nsanzimana, Corine Karema, Michel Gasana, Jean de Dieu Ngirabega, Fidèle Ngabo, Claire Wagner, Cameron T. Nutt, Thierry Nyatanyi, Maurice Gatera, Yvonne Kayiteshonga, Cathy Mugeni, Placidie Mugwaneza, Joseph Shema, Parfait Uwaliraye, Erick Gaju, Marie Aimée Muhimpundu, Theophile Dushime, Florent Senyana, Jean Baptiste Mazarati, Celsa Muzayire Gaju, Lisine Tuyisenge, Vincent Mutabazi, Patrick Kyamanywa, Vincent Rusanganwa, Jean Pierre Nyemazi, Agathe Umutoni, Ida Kankindi, Christian Ntizimira, Hinda Ruton, Nathan Mugume, Denis Nkunda, Espérance Ndenga, Joel Mubiligi, Jean Baptiste Kakoma, Etienne Karita, Claude Sekabaraga, Emmanuel Rusingiza, Michael Rich, Joia S. Mukherjee, Joseph Rhatigan, Corrado Cancedda, Didi Bertrand-Farmer, Gene Bukhman, Sara Stulac, Neo Tapela, Cassia van der hoof Holstein, Lawrence N. Shulman, Antoinette Habinshuti, Matthew H. Bonds, Michael S. Wilkes, Chunling Lu, Mary C. Smith-Fawzi, JaBaris D. Swain, Michael P. Murphy, Alan Ricks, Vanessa Kerry, Barbara P Bush, Richard W. Siegler, Cori S Stern, Anne Sliney, Tej Nuthulaganti, Injonge Karangwa, Elisabetta Pegurri, Ophelia Dahl, Peter Drobac,

Child Nutrition and Water Access

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.