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Rwanda 20 years on: investing in life
- Binagwaho, Agnes;
- Farmer, Paul E;
- Nsanzimana, Sabin;
- Karema, Corine;
- Gasana, Michel;
- de Dieu Ngirabega, Jean;
- Ngabo, Fidele;
- Wagner, Claire M;
- Nutt, Cameron T;
- Nyatanyi, Thierry;
- Gatera, Maurice;
- Kayiteshonga, Yvonne;
- Mugeni, Cathy;
- Mugwaneza, Placidie;
- Shema, Joseph;
- Uwaliraye, Parfait;
- Gaju, Erick;
- Muhimpundu, Marie Aimee;
- Dushime, Theophile;
- Senyana, Florent;
- Mazarati, Jean Baptiste;
- Gaju, Celsa Muzayire;
- Tuyisenge, Lisine;
- Mutabazi, Vincent;
- Kyamanywa, Patrick;
- Rusanganwa, Vincent;
- Nyemazi, Jean Pierre;
- Umutoni, Agathe;
- Kankindi, Ida;
- Ntizimira, Christian;
- Ruton, Hinda;
- Mugume, Nathan;
- Nkunda, Denis;
- Ndenga, Espérance;
- Mubiligi, Joel M;
- Kakoma, Jean Baptiste;
- Karita, Etienne;
- Sekabaraga, Claude;
- Rusingiza, Emmanuel;
- Rich, Michael L;
- Mukherjee, Joia S;
- Rhatigan, Joseph;
- Cancedda, Corrado;
- Bertrand-Farmer, Didi;
- Bukhman, Gene;
- Stulac, Sara N;
- Tapela, Neo M;
- van der Hoof Holstein, Cassia;
- Shulman, Lawrence N;
- Habinshuti, Antoinette;
- Bonds, Matthew H;
- Wilkes, Michael S;
- Lu, Chunling;
- Smith-Fawzi, Mary C;
- Swain, JaBaris D;
- Murphy, Michael P;
- Ricks, Alan;
- Kerry, Vanessa B;
- Bush, Barbara P;
- Siegler, Richard W;
- Stern, Cori S;
- Sliney, Anne;
- Nuthulaganti, Tej;
- Karangwa, Injonge;
- Pegurri, Elisabetta;
- Dahl, Ophelia;
- Drobac, Peter C
- et al.
Published Web Location
https://doi.org/10.1016/s0140-6736(14)60574-2Abstract
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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