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1
Desrosiers, Marie-Eve, and Susan Thomson. "Rhetorical legacies of leadership: projections of ‘benevolent leadership’ in pre- and post-genocide Rwanda." Journal of Modern African Studies 49, no. 3 (August 5, 2011): 429–53. http://dx.doi.org/10.1017/s0022278x11000279.
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ABSTRACTComparing pre- and post-genocide Rwanda, this article argues that clear continuities exist between the regimes of Juvénal Habyarimana and Paul Kagame. Both have projected a remarkably similar image of ‘benevolent leadership’. Presenting themselves as harbingers of an ‘improved’ or ‘new’ Rwanda, both leaderships have claimed to be best able and willing to guide Rwanda along the right path to peace, security, ethnic unity and development. ‘Benevolent leadership’ in both periods has also served as a tool to try and shape regime relationships with international and domestic audiences. Internationally, each government has worked to promote Rwanda and its authorities as a good development partner. Domestically, these projections have served to establish norms of order and obedience. We argue that projections of ‘benevolent leadership’ have been a tool designed to win over the international community and discipline the Rwandan population.
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Cantrell, Phillip A. "The Anglican Church of Rwanda: domestic agendas and international linkages." Journal of Modern African Studies 45, no. 3 (July 16, 2007): 333–54. http://dx.doi.org/10.1017/s0022278x07002650.
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ABSTRACTThe article analyses the relationship between the Anglican Church of Rwanda and evangelical Episcopalians in the United States. In 2000, the archbishop of Rwanda, Emmanuel Kolini, in a move that gained great support for Rwanda's post-genocide recovery, ordained several bishops to preside over congregations of orthodox, evangelical Americans who had severed their relationship with the Episcopalian Church of the United States over issues such as the blessing of same-sex marriages and the ordination of openly gay clergy. The result was the creation of the Anglican Mission in the Americas, a missionary province in the United States that acknowledges Kolini as its archbishop. Such actions have made Rwanda the currentcause célèbrenot only of AMIA but the wider evangelical community. While the relationship offers great support for Rwanda's recovery, the Anglican Church has presented to American evangelicals a misleading narrative of Rwanda's past and present political situation.
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Karareba, Gilbert, and Caroline Baillie. "Community engineering education: The case of post-conflict Rwanda." Education, Citizenship and Social Justice 14, no. 3 (September 19, 2018): 211–24. http://dx.doi.org/10.1177/1746197918800667.
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We argue for the need for and provide an example of a new form of community-based engineering education in Rwanda. We draw on Bourdieu’s theories of field and habitus to frame the arguments for an alternative to the current dominant engineering education model. The proposed community engineering education programme has three key facets including the development of critical thinking of students using critical theory, the students’ creation of alternative practices as a result of such critical thinking, and the appropriate pedagogy for delivering the programme. This model programme is aimed to address Rwanda’s endemic problems of economic development, poverty, environment, healthcare and energy. Specifically, it can allow students to develop very much needed, socially and environmentally just engineering systems as well as locally appropriate businesses, thus directly addressing the needs of the country and its people. The programme could apply to any post-conflict situation or indeed any development context.
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Moss, Charles B., and Andrew Schmitz. "Distribution of agricultural productivity gains in selected Feed the Future African countries." Journal of Agribusiness in Developing and Emerging Economies 9, no. 1 (May 14, 2019): 78–90. http://dx.doi.org/10.1108/jadee-01-2018-0009.
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Purpose The purpose of this paper is to examine investments in selected Feed the Future countries in Africa. Design/methodology/approach The authors examine three investments in Feed the Future countries (e.g. Rwanda and Uganda) in the context of non-traded goods, exports and imports. These investments include research and development in Ugandan cassava production, a value chain intervention in the coffee market channel in Rwanda and a program to increase the use of fertilizer for maize production in Rwanda. The authors also stress the importance of distributional impacts in terms of policymaking. Findings The results show that while there can be net gains from each investment discussed, the distributional effects of each are very different. Originality/value The findings will be useful for the development community and agribusiness policymaking.
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Chemouni, Benjamin, and Assumpta Mugiraneza. "Ideology and interests in the Rwandan patriotic front: Singing the struggle in pre-genocide Rwanda." African Affairs 119, no. 474 (June 18, 2019): 115–40. http://dx.doi.org/10.1093/afraf/adz017.
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Abstract In the study of African Politics, the analysis of political ideologies as a normative engine of political action seems to have receded in favour of a treatment of ideology as the support of actors in their pursuit of material interests. Rwanda is not an exception. The ideology of the ruling Rwandan Patriotic Front (RPF) has been predominantly analysed as a self-serving strategy geared towards the reinforcement of the party’s power. Such treatment of ideology prevents a full understanding of the RPF. This article argues that ideology should also be conceptualized as a matrix that can reshape material incentives and through which the RPF’s interests have emerged. To do so, the article analyses new sources of material, the songs of mobilization from RPF members and supporters composed before the Front took power during the genocide, to systematically delineate the RPF’s early ideology. The analysis centres on four main themes—Rwandan national unity, the RPF’s depiction of itself, its depiction of its enemy, and its relationship with the international community—and traces their influence on RPF interests in the post-genocide era. It reveals the surprisingly long-lasting power of ideas despite fast-changing material circumstances.
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Bimenyimana, Samuel, Chen Wang, Aphrodis Nduwamungu, Godwin Norense Osarumwense Asemota, Wellars Utetiwabo, Chun-Ling Ho, Jean De Dieu Niyonteze, et al. "Integration of Microgrids and Electric Vehicle Technologies in the National Grid as the Key Enabler to the Sustainable Development for Rwanda." International Journal of Photoenergy 2021 (July 12, 2021): 1–17. http://dx.doi.org/10.1155/2021/9928551.
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Rwanda is an East African Community (EAC) nation with rapid and remarkable past development in different sectors and still with the ambitious targets and plans to be achieved in the coming years ahead. The government plans universal electricity access by 2024 with 52% grid connection and 48% off-grid connections. In the transport sector, the concept of electric vehicles has been initiated and started in order to contribute to the UN Paris agreement and decrease the reliance of the transport sector on gaseous fuels which are one source of air pollutants leading to climate change, premature deaths, and morbidity associated with poor air quality. With higher electricity demand than the generation of the Rwandan power grid, different energy strategies are being developed with the overall objective to achieve the targeted universal energy access. In order to overcome the aforementioned issue, this paper proposes an integration of solar PV microgrids for the satisfaction of electric vehicle (EV) technology in Rwanda. Using HOMER Grid software, a managed EV charging station is simulated to a grid connected solar PV microgrid with storage in order to assess the economic impact. The results show that the proposed technology can lower the levelized cost (LCOE) of electricity by 139.7%. This study can contribute to further research developments in either different perspectives related to the integration of distributed energy resources (DERs) with electric vehicles or studies related to affordable and environment-energy systems.
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Munyaneza, Claude Munyaneza, and Leopold Mbereyaho. "DEVELOPMENT OF A COMPREHENSIVE PEDESTRIAN FOOTBRIDGE MANAGEMENT SYSTEM." Journal of Civil Engineering, Science and Technology 11, no. 2 (September 30, 2020): 132–43. http://dx.doi.org/10.33736/jcest.2619.2020.
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The footbridges in rural areas have been crucial as the only mean to overcome the rural isolation and allow breaking the cycle of poverty by providing access to such development facilities like education opportunities, markets, medical clinics and other basic services. In Rwanda, under collaboration with Engineers without Borders from German, and International Non-Government Organization Bridge to Prosperity (B2P, some footbridges are already built. In line with the agreement with B2P around 355 bridges are also planned in 5 years. The key challenge is to optimally allocate resources in order to maintain this number of bridges, especially under the current financial constraints. The purpose of this paper was to investigate and propose a pedestrian footbridge management system for Rwanda (PFBMS) which should allow the efficient bridge management, through the analysis of condition data, determination of the ranking and priority of bridge maintenance activities, as well as evaluation of the alternatives of preservation or replacement. The methodology comprises of the use of interview and discussions with district engineers in charge of bridge management, local community using the constructed footbridges as well as bridge builders from B2P. Microsoft Excel analysis tool has been used to developing the deterioration model, and therefore the PFBM was proposed. It is concluded that this system can accurately predict optimal maintenance planning as well as bridge rating.
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Bradshaw, Abigail, Lambert Mugabo, Alemayehu Gebremariam, Evan Thomas, and Laura MacDonald. "Integration of Household Water Filters with Community-Based Sanitation and Hygiene Promotion—A Process Evaluation and Assessment of Use among Households in Rwanda." Sustainability 13, no. 4 (February 3, 2021): 1615. http://dx.doi.org/10.3390/su13041615.
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Unsafe drinking water contributes to diarrheal disease and is a major cause of morbidity and mortality in low-income contexts, especially among children under five years of age. Household-level water treatment interventions have previously been deployed in Rwanda to address microbial contamination of drinking water. In this paper, we describe an effort to integrate best practices regarding distribution and promotion of a household water filter with an on-going health behavior messaging program. We describe the implementation of this program and highlight key roles including the evaluators who secured overall funding and conducted a water quality and health impact trial, the promoters who were experts in the technology and behavioral messaging, and the implementers who were responsible for product distribution and education. In January 2019, 1023 LifeStraw Family 2.0 household water filters were distributed in 30 villages in the Rwamagana District of Rwanda. Approximately a year after distribution, 99.5% of filters were present in the household, and water was observed in 95.1% of filters. Compared to another recent water filter program in Rwanda, a lighter-touch engagement with households and supervision of data collection was observed, while also costing approximately twice per household compared to the predecessor program.
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Mutanguha, James, and James Kant Kamuhanda. "Assessment of the effects of community participation on sustainable development in Rwanda: A case of Water Aid Rwanda project in Gahanga Sector, Kicukiro District." International Journal of Advanced Scientific Research and Management 6, no. 1 (January 7, 2021): 1–8. http://dx.doi.org/10.36282/ijasrm/6.1.2021.1783.
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Sibomana, Providence, and Aline Ingabire. "Contribution of women entrepreneurs’ initiatives to community welfare in Kanjongo, Nyamasheke District, Rwanda." KIBOGORA POLYTECHNIC SCIENTIFIC JOURNAL 1, no. 1 (April 11, 2018): 37–46. http://dx.doi.org/10.33618/kpscj.2018.01.007.
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Entrepreneurship has been a male-dominated phenomenon from the very early age, but time has changed the situation and brought women as today's most memorable and inspirational entrepreneurs. In almost all the developed countries in the world women are putting their steps at par with the men to increase the productivity of their society. This study has been done purposely to show the contribution of women in country development starting from them towards surroundings in Kanjongo sector of Nyamasheke district, Western province of Rwanda. The socioeconomic contribution of women in community development has been assessed using interview; the economic benefits analysis has been conducted to compare the women entrepreneurs’ status before and after being engaged in entrepreneurial activity. The results indicated that 37.21% of women contributed to the payment of health insurance for themselves and families while they were only 15.12% before. The capacity of paying school fees for their children has increased from 12.79% to 24.42%. The capacity of saving above 50,000 Frw has grown up from 27.91% to 62.8%. Their tax payment capability was raised from 19.77% to 100% as well as the capacity of having domestic animal which has risen from 27.91% to 100%. The construction of houses, job creation and food security also were known as fields where women used their earnings. Women entrepreneurs revealed challenges of lacking experience and skills at a level of 47.67%. These findings show that women entrepreneurs should be more sensitized on the importance of taking entrepreneurships initiatives and the government should organize short and long trainings to women to enhance their entrepreneurships skills and sustain their businesses.
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Buckley-Zistel, Susanne. "Remembering to Forget: Chosen Amnesia as a Strategy for Local Coexistence in Post-Genocide Rwanda." Africa 76, no. 2 (May 2006): 131–50. http://dx.doi.org/10.3366/afr.2006.76.2.131.
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AbstractMore than a decade after the genocide, Rwanda's local communities remain severely affected by the experience of the violence and horror. This is reflected in the way people remember their past, as well as in what they choose to forget. During fieldwork in Nyamata and Gikongoro it became apparent that even though the memory of the genocide as such, its pain and suffering, was essential for all interviewees, a clearer picture of the causes of the genocide had disappeared into oblivion. In this article I argue that this forgetting of pregenocide social cleavages reflects less a mental failure than a conscious coping mechanism. What I shall refer to aschosen amnesia, the deliberate eclipsing of particular memories, allows people to avoid antagonism and enables a degree of community cohesion necessary for the intimacy of rural life in Rwanda. While this is presently essential for local coexistence, it prevents the emergence of a critical challenge to the social cleavages that allowed the genocide to occur in the first place and impedes the social transformation necessary to render ethnicity-based violence impossible.
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Asingizwe, Domina, Marilyn Milumbu Murindahabi, Constantianus J. M. Koenraadt, P. Marijn Poortvliet, Arnold J. H. van Vliet, Chantal M. Ingabire, Emmanuel Hakizimana, Leon Mutesa, Willem Takken, and Cees Leeuwis. "Co-Designing a Citizen Science Program for Malaria Control in Rwanda." Sustainability 11, no. 24 (December 9, 2019): 7012. http://dx.doi.org/10.3390/su11247012.
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Good health and human wellbeing is one of the sustainable development goals. To achieve this goal, many efforts are required to control infectious diseases including malaria which remains a major public health concern in Rwanda. Surveillance of mosquitoes is critical to control the disease, but surveillance rarely includes the participation of citizens. A citizen science approach (CSA) has been applied for mosquito surveillance in developed countries, but it is unknown whether it is feasible in rural African contexts. In this paper, the technical and social components of such a program are described. Participatory design workshops were conducted in Ruhuha, Rwanda. Community members can decide on the technical tools for collecting and reporting mosquito species, mosquito nuisance, and confirmed malaria cases. Community members set up a social structure to gather observations by nominating representatives to collect the reports and send them to the researchers. These results demonstrate that co-designing a citizen science program (CSP) with citizens allows for decision on what to use in reporting observations. The decisions that the citizens took demonstrated that they have context-specific knowledge and skills, and showed that implementing a CSP in a rural area is feasible.
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Chemouni, Benjamin. "The political path to universal health coverage: Power, ideas and community-based health insurance in Rwanda." World Development 106 (June 2018): 87–98. http://dx.doi.org/10.1016/j.worlddev.2018.01.023.
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Kamanzi, Moses. "Community Health Workers and The Promotion of Health Care Services in Gasabo District, Rwanda." Matters of Behaviour 9, no. 10 (April 25, 2019): 1–5. http://dx.doi.org/10.26455/mob.v9i10.57.
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Health care is a primary need of human being. Life expectancy as an indicator of Human Development is below 40 years in most developing countries due to high Maternal Mortality Rate, HIV prevalence, Infant Mortality rate, Malaria prevalence and many other related diseases. This study examined the importance of Community Health Workers (CHWs) role in promoting Health Care services in Gasabo District of Rwanda. A simple random sampling method with the use of a self-administered questionnaire to get primary data was used as well as a literature review for secondary data. The target population was 1500 CHWs with a sample size of 183 CHWs. 55.6% of CHWs have a role of monitoring Malnutrition & growth for children under the age of 5years, 43.2% monitor women during their pregnancy period and diagnose and treat Malaria, Diarrhoea & Pneumonia for children under 5 years old. Other roles of CHWs include; providing health education (43% of CHWs), providing Family Planning services to women (24%), and sensitizing the community for HIV/AIDS testing (14.3%), psychosocial support (11%) and Vaccination (9.8%). The challenges faced by CHWs to accomplish their roles include; transportation facilitation (39.9%), limited time (32.8%), negative perception by communities (37.7%) and no monthly salary pay (38.8%). Although the work of CHWs in Rwanda is voluntary, however, the Ministry of Health should invest more in their work through the provision of transportation facilitation and motivational incentives CHWs.
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Turmusani, Majid. "L’évaluation du programme «réadaptation à base communautaire» au Rwanda." Canadian Journal of Disability Studies 6, no. 2 (June 28, 2017): 213. http://dx.doi.org/10.15353/cjds.v6i2.356.
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Cet article est basé sur une recherche évaluative du projet « réadaptation à base communautaire, RBC », réalisée au Rwanda en 2012 et en 2013. Il concerne un partenariat entre le ministère de la Santé (Minisanté) et Handicap International (HI), où le Minisanté a demandé l’assistance technique de HI dans la mise en œuvre d’un projet pilote de RBC impliquant l’élaboration de politiques, le renforcement des capacités des professionnels de la santé et la prestation de services au niveau communautaire. Le projet est cofinancé par l’Union européenne et Handicap International pour une durée de 4 ans. Une approche émancipatrice de la recherche avec un accent sur le rôle de la société civile (personnes handicapées et leurs organisations) comme protagoniste a été employée au cours de cette évaluation. Des données, majoritairement qualitatives, ont été recueillies à l’aide de plusieurs outils, comme des SSI (semi-structure interviews) avec les planificateurs et des fournisseurs de services, des groupes de discussion avec les usagers du service, des sondages, des études du cas et de l’observation. Les méthodes d’analyse synthétique ont été employées, comme l’analyse FFOM (force, faiblesse, opportunités et menaces), la validation communautaire et l’interprétation synthétique, incluant aussi des statistiques de base comme des tableaux et des pourcentages.Étant donné le succès du projet pilote, des recommandations ont favorisé la mise en œuvre de la RBC à grande échelle dans le pays, avec un accent particulier mis sur le renforcement de la capacité institutionnelle des acteurs locaux en matière de plaidoyer. Cela correspond bien à une meilleure protection des droits des PH selon la convention relative aux droits des personnes handicapées (CDPH).This account is based on an evaluation research to the Community Based Rehabilitation programme in Rwanda which is carried out in 2012-2013. It’s a partnership between Ministry of Health (Minisanté) and Handicap International (HI) where Minisanté requested the technical assistance of HI in implementing a pilot CBR project involving policy development, capacity building of health professionals and the provision of rehabilitation services at community level. The project is financed by the European Union and Handicap International for 4 years. An emancipatory research approach was used in this evaluation where persons with disabilities and their civil society organisations have actively participated in research process. Several tools were used for data collections such as semi-structure interviews with planners and service providers, questionnaires, case study, observations and focus group discussion with service users. Equally, qualitative methods for analysis were used including SWOT (Strength, Weakness, Opportunity and Threat) as well as community validation of research outcomes. Results showed that the objectives of project were adequately fulfilled according to criteria of pertinence, effectiveness, impact, sustainability and gender participation. Given the success of the pilot stage, recommendations were in favor of expanding CBR at the national level with focus on capacity building of local actors on advocacy issues. This may provide higher levels of rights protection and goes in line with the Convention on the Rights of Persons with Disabilities (CRPD).
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VanEnk, Lauren, Ronald Kasyaba, Prince Bosco Kanani, Tonny Tumwesigye, and Jeannette Cachan. "Closing the gap: the potential of Christian Health Associations in expanding access to family planning." Christian Journal for Global Health 4, no. 2 (June 30, 2017): 53–65. http://dx.doi.org/10.15566/cjgh.v4i2.164.
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Recognizing the health impact of timing and spacing of pregnancies, the Sustainable Development Goals call for increased access to family planning globally. While faith-based organizations in Africa provide a significant proportion of health services, family planning service delivery has been limited. This evaluation sought to assess the effectiveness of implementing a systems approach in strengthening the capacity of Christian Health Associations to provide family planning and increase uptake in their communities. From January 2014 to September 2015, the capacity of three Christian Health Associations in East Africa—Caritas Rwanda, Uganda Catholic Medical Bureau, and Uganda Protestant Medical Bureau—was strengthened in key components of a systems approach to family planning—training, supervision, commodity availability, family planning promotion, data collection, and creating a supportive environment—with the aim of improving access to women with unmet need and harmonizing faith-based service delivery contributions with the national family planning program. Community-based provision of family planning, including fertility awareness methods, was introduced across intervention sites for the first time. 547 facility- and community-based providers were trained in family planning, and 393,964 people were reached with family planning information. 32,176 clients took up a method, and 43% of clients received this service at the community level. According to a provider competency checklist, facility- and community-based providers were able to adequately counsel clients on new fertility awareness methods. Integration of Christian Health Associations into the national family planning strategy improved through participation in routine technical working group meetings, and the Ministries of Health in Rwanda and Uganda recognized them as credible family planning partners. Findings suggest that by strengthening capacity using a systems approach, Christian Health Associations can meaningfully contribute to national and international family planning goals. Increased attention to mainstreaming family planning service delivery across Christian Health Associations is recommended.
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Gamba, Freddy Jirabi. "SME development policies of Tanzania and Rwanda: comparability of policy presentation on focus, significance, challenges and participation." Journal of Development and Communication Studies 6, no. 1 (February 15, 2019): 1–17. http://dx.doi.org/10.4314/jdcs.v6i1.1.
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The world’s new ideologies of regionalisationism and globalizationism anchor on the role of Small and Medium Enterprises (SMEs) for promotion of a healthy business climate for upgrading the private sector and engineering for economic efficiency and development. SMEs have been a mechanism of inclusion and equity for economic empowerment and deepening of economic and business services especially in developing countries. The SMEs‘cultural and socio-economic importance has driven the initiation of national SME development in many countries. SMEs have gained elevating importance in developed and developing economies, have the capability of quick adaptation, low cost of management, less capital and sometimes labor intensive for enabling cheap production. Despite their size related weaknesses, SMEs are less affected by economic crises due to their inherent flexibility and adaptability characteristics. SMEs are vital actors for enhancing entrepreneurial innovation and innovation system as well as competitiveness in economies. National SME development policies, being high level political intent, directives and guidelines are critical for development, coordination and deployment of potential and available resources and capabilities. The paper, therefore, aims at analyzing and comparing the presentations of SME development policies of Tanzania and Rwanda based on policy framework options namely, focus, significance, challenges and participation. The findings show elevating differences in various spheres of the policy processes including the SME definition, vision, mission and objectives in terms of activeness in presentation, political flavour, sharpness of intent and sense of anticipated commitment. This implies a continued gap of SME development between countries under review and other East African Community (EAC) member countries until policies affecting SMEs are harmonized.Keywords: SMEs, Policy Presentation, Policy Framework, Entrepreneurship, BDS, Tanzania, Rwanda
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Musafiri, Ildephonse. "The Role of Mobile Phones Use on Agricultural Output and Household Income in Rural Rwanda." International Journal of ICT Research in Africa and the Middle East 5, no. 1 (January 2016): 58–68. http://dx.doi.org/10.4018/ijictrame.2016010104.
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This paper assesses the role information and communication technology (ICT) on agricultural output and household welfare of smallholder farmers. The data used in this study comes from a household survey carried out in Nyabihu District, one densely populated area of rural Rwanda. The findings suggest substantial impact of cellular phones technology adoption by farm households. Using the propensity score matching technique, the author finds that agricultural output for mobile phone users is at least 38 percent higher than non-users, whereas their income levels are 26 percent higher on average. The provision of network infrastructure and electricity at community level will enhance agricultural and rural development through increased adoptions of telecommunication technology by smallholder farmers.
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Gross-Camp, Nicole D., Adrian Martin, Shawn McGuire, Bereket Kebede, and Joseph Munyarukaza. "Payments for ecosystem services in an African protected area: exploring issues of legitimacy, fairness, equity and effectiveness." Oryx 46, no. 1 (January 2012): 24–33. http://dx.doi.org/10.1017/s0030605311001372.
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AbstractWe explore the potential for payments for ecosystem services (PES) to reconcile conservation and development goals, using a case study of an experimental PES intervention around the Nyungwe National Park in Rwanda. The scheme involves the purchase of biodiversity conservation services from local communities in four selected locations. Although a portion of the payment is awarded at the household level, it is the collective action of the community that determines the level of the payment. Contracts are negotiated annually and include performance indicators within each participating community. We examine the ability of PES to achieve conservation and development objectives, through three sub-questions: Is the PES scheme effective? Is it legitimate and fair? Is it equitable? Our findings indicate that the relationship between these evaluation criteria is complex, with both trade-offs and synergies. In this case study the effectiveness of PES is dependent on the equitable distribution of the payment, participants’ belief and acceptance of the service being paid for, institutional histories that aid in the establishment of legitimacy and fairness, and the complementary nature of PES to more conventional enforcement methods.
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Ntalindwa, Theoneste, Mathias Nduwingoma, Evariste Karangwa, Tanjir Rashid Soron, Alphonse Uworwabayeho, and Annette Uwineza. "Development of a Mobile App to Improve Numeracy Skills of Children With Autism Spectrum Disorder: Participatory Design and Usability Study." JMIR Pediatrics and Parenting 4, no. 3 (August 31, 2021): e21471. http://dx.doi.org/10.2196/21471.
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Background The use of information and communication technologies is transforming the lives of millions of people including children with autism spectrum disorder (ASD). However, the process of developing a user-friendly and effective mobile app needs to follow a complex standard protocol and culture-sensitive customization, and involves multiple sectors. This complex work becomes even more challenging when considering children with ASD in low- and middle-income countries as the users. Objective This study aimed to design and develop a more intuitive mobile app to improve numeracy skills of children with ASD in Rwanda and evaluate the usability of the app. Methods A participatory design approach was utilized in this study in which 40 children with ASD, 5 teachers, and 10 parents of children with ASD participated in focus group discussions (FGDs) and usability testing. A narrative literature review was performed to explore existing mobile apps and compare previous studies to design the questions for FGD and facilitate a framework for designing the app. The agile methodology was used to develop the mobile app, and the heuristics evaluation method was used to test and evaluate the usability of the initial version of the app to improve its functionalities. The interviews were recorded, transcribed, and analyzed following the guidelines of the qualitative narrative analysis (QNA) method. Results During the FGDs the respondents shared their need for a mobile app in teaching and learning numeracy for children with ASD and pointed to possibilities of integrating the mobile app into existing curriculum. Ten themes emerged from the FGDs and exercise of developing the mobile app. The themes were related to (1) teaching and learning numeracy for children with ASD, (2) planning and development of a mobile app for a person with ASD, (3) testing a mobile app, (4) strength of the developed app against the existing ones, (5) behavioral maintenance and relapse prevention, (6) possibilities to integrate the mobile app into the existing curriculum, (7) data protection for users, (8) social implications, (9) challenges in Rwanda, and (10) focus on future. Conclusions The community plays an important role in the planning, development, and evaluation of a mobile app for children with ASD. In this study, inputs from teachers and parents resulted in an optimally designed mobile app that can improve numeracy skills in children diagnosed with ASD to support the implementation of competency-based curriculum in Rwanda.
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Quinn, Ashlinn K., Kendra Williams, Lisa M. Thompson, Ghislaine Rosa, Anaité Díaz-Artiga, Gurusamy Thangavel, Kalpana Balakrishnan, et al. "Compensating control participants when the intervention is of significant value: experience in Guatemala, India, Peru and Rwanda." BMJ Global Health 4, no. 4 (August 2019): e001567. http://dx.doi.org/10.1136/bmjgh-2019-001567.
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The Household Air Pollution Intervention Network (HAPIN) trial is a randomised controlled trial in Guatemala, India, Peru and Rwanda to assess the health impact of a clean cooking intervention in households using solid biomass for cooking. The HAPIN intervention—a liquefied petroleum gas (LPG) stove and 18-month supply of LPG—has significant value in these communities, irrespective of potential health benefits. For control households, it was necessary to develop a compensation strategy that would be comparable across four settings and would address concerns about differential loss to follow-up, fairness and potential effects on household economics. Each site developed slightly different, contextually appropriate compensation packages by combining a set of uniform principles with local community input. In Guatemala, control compensation consists of coupons equivalent to the LPG stove’s value that can be redeemed for the participant’s choice of household items, which could include an LPG stove. In Peru, control households receive several small items during the trial, plus the intervention stove and 1 month of fuel at the trial’s conclusion. Rwandan participants are given small items during the trial and a choice of a solar kit, LPG stove and four fuel refills, or cash equivalent at the end. India is the only setting in which control participants receive the intervention (LPG stove and 18 months of fuel) at the trial’s end while also being compensated for their time during the trial, in accordance with local ethics committee requirements. The approaches presented here could inform compensation strategy development in future multi-country trials.
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Mukeshimana, O., B. Uhagaze, and C. Ntizimira. "Home-Based End-of-Life Care Program for Oncology Patients in Rwanda." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 176s. http://dx.doi.org/10.1200/jgo.18.21500.
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Background and context: Almost two-thirds of the 7.6 million deaths every year from cancer worldwide occur in low-income and middle income countries, making cancer a leading cause of mortality in these settings. In Rwanda, we are focused on the development of the tools needed to perform social and health service delivery in addition to policy research in resource-limited settings. There is a real need for qualified staff members who are able to ask appropriate questions, to make relevant hypotheses, develop research protocols, and conduct effective studies to identify innovative approaches in social and health service delivery. Cancer patients undergoing end-of-life care suffer from physical pain, mental illness and psychological trauma. Aim: The aims of this project are to identify cancer patients at end-of-life care at the community level without appropriate support through a mobile clinic, to mobilize existing resources to introduce home based care at the community level with participation of community health workers and to sensitize the population in cancer prevention and supportive care of patient using African socio-cultural perspectives. Strategy/Tactics: This project, the first kind in Rwanda, bring at home the same services cancer patients receive at the hospital level except for access to chemotherapy or radiotherapy. And it's where all those services provided and patients' family are counseled and reduce the burden and challenges they used to have going to hospital. Program/Policy process: During this project patients are visited in their homes and are treated mostly with pain management and their complaints are listened to together with other issues related to cancer, then their families are also approached to clearly explain to them the case of the patient and how to well console him/her and support in their sickness, all these are done periodically with assessment of past visits. Outcomes: Before this project, many people used to die early due to lack of pain management, counseling and follow-up, and also patient families used to abandon them at home or at health facilities. With this current project people have already started to understand that cancer can be treated like other diseases and this awareness helps in the advocacy for pain treatment and availability of pain killers for cancer patients. What was learned: The lessons learned from this project is that home based end of life care for oncology is an important tool to care for oncology patients and to reduce the burdens they have such as pain and depression and also the burdens for their families such as loss of money in the cost of treatment. This program can be expanded to reach as many as possible patients and their families.
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Nabudere, Harriet, Gabriel L. Upunda, and Malick Juma. "Policy brief on improving access to artemisinin-based combination therapies for malaria in the East African community." International Journal of Technology Assessment in Health Care 26, no. 2 (April 2010): 255–59. http://dx.doi.org/10.1017/s026646231000019x.
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The World Health Organization (WHO) since June 1998 has advocated for the use of artemisinin-based combination therapies (ACTs) in countries where Plasmodium falciparum malaria is resistant to traditional antimalarial therapies such as chloroquine, sulfadoxine-pyrimethamine, and amodiaquine (19;22). In 2006, WHO released evidence-based guidelines for the treatment of malaria backed by findings from various scientific studies (21). During the period between 2002 and 2006, all the five East African states Tanzania, Kenya, Uganda, Rwanda, and Burundi changed their national antimalarial treatment policies to use ACTs as first-line treatments for uncomplicated falciparum malaria and commenced with deployment of the drugs in the state-managed health facilities (12–15). To scale up the use of ACTs in the East African region to combat malaria and speed up progress toward the sixth Millennium Development Goal, a combination of delivery, financial, and governance arrangements tailored to national or subnational contexts needs to be considered.
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Habyarimana, Faustin, and Shaun Ramroop. "The Analysis of Socio-Economic and Demographic Factors Associated with Contraceptive Use Among Married Women of Reproductive Age in Rwanda." Open Public Health Journal 11, no. 1 (August 29, 2018): 348–59. http://dx.doi.org/10.2174/1874944501811010348.
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Background: Contraceptive use is seen as pivotal for protecting women’s health and rights, influencing fertility and population growth, and helping to promote economic development. The main objective of this study was to identify the socio-economic and demographic factors associated with contraceptive use among married women of childbearing age in Rwanda. Methods: The current study used survey logistic regression model in order to account for the complexity of sampling design and heterogeneity between the observations from the same cluster. The 2014/2015 Rwanda Demographic and Health Survey data was used as application. Results: The findings from this study revealed that education level of the woman, wealth quintile of the household, woman’s province of residence, woman’s age at first cohabitation, current age of the respondent, woman’s working status, number of living children, husband’s desire for more children compared to the wife or partner, religious affiliation, health facilities, exposure to contraceptive information in media and by family planning workers, and current age of husband or partner were significant determinants of contraceptive use among ever married women of reproductive age. Conclusion: The findings from this study suggest improvement of exposure to the information of contraceptive use in health centres, empowerment of women for access to quality contraceptive use services and religious affiliation to play an important role to explain and inform their adherents on the importance of using a contraceptive method.
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Tayebwa, Edwin, Felix Sayinzoga, Jacqueline Umunyana, Kusum Thapa, Efugbaike Ajayi, Young-Mi Kim, Jeroen van Dillen, and Jelle Stekelenburg. "Assessing Implementation of Maternal and Perinatal Death Surveillance and Response in Rwanda." International Journal of Environmental Research and Public Health 17, no. 12 (June 18, 2020): 4376. http://dx.doi.org/10.3390/ijerph17124376.
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Maternal deaths remain a major public health concern in low- and middle-income countries. Implementation of maternal and perinatal deaths surveillance and response (MPDSR) is vital to reduce preventable deaths. The study aimed to assess implementation of MPDSR in Rwanda. We applied mixed methods following the six-step audit cycle for MPDSR to determine the level of implementation at 10 hospitals and three health centers. Results showed various stages of implementation of MPDSR across facilities. Maternal death audits were conducted regularly, and facilities had action plans to address modifiable factors. However, perinatal death audits were not formally done. Implementation was challenged by lack of enough motivated staff, heavy workload, lack of community engagement, no linkages with existing quality improvement efforts, no guidelines for review of stillbirths, incomplete medical records, poor classification of cause of death, and no sharing of feedback among others. Implementation of MPDSR varied from facility to facility indicating varying capacity gaps. There is need to integrate perinatal death audits with maternal death audits and ensure the process is part of other quality improvement initiatives at the facility level. More efforts are needed to support health facilities to improve implementation of MPDSR and contribute to achieving sustainable development goal (SDG) 3.
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Lavis, John N., and Ulysses Panisset. "EVIPNet Africa's first series of policy briefs to support evidence-informed policymaking." International Journal of Technology Assessment in Health Care 26, no. 2 (April 2010): 229–32. http://dx.doi.org/10.1017/s0266462310000206.
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EVIPNet (Evidence-Informed Policy Network) Africa—a network of World Health Organization (WHO)-sponsored knowledge-translation (KT) platforms in seven sub-Saharan African countries—was launched at a meeting in Brazzaville, Congo, in March 2006 (1;2). EVIPNet Africa can trace its origins to resolutions from both the Ministerial Summit on Health Research (November 2004) and the World Health Assembly (May 2005) (10;11), the spirit of which was re-affirmed at the Global Ministerial Forum on Research for Health (November 2008) (13). The World Health Assembly called for “establishing or strengthening mechanisms to transfer knowledge in support of evidence-based public health and health care delivery systems and evidence-based related policies” (10). EVIPNet Africa can trace its inspiration to a more local development: the preparatory work that led to the establishment of the East African Community–sponsored Regional East African Community Health (REACH) Policy initiative, a KT platform involving Kenya, Tanzania, and Uganda (and more recently Burundi and Rwanda as well). REACH Policy is now part of the EVIPNet Africa family.
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Moon, Sunghye, and Sang-ho Lee. "A Strategy for Sustainable Development of Cooperatives in Developing Countries: The Success and Failure Case of Agricultural Cooperatives in Musambira Sector, Rwanda." Sustainability 12, no. 20 (October 18, 2020): 8632. http://dx.doi.org/10.3390/su12208632.
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Many international aid agencies have been trying to utilize cooperatives as a strategic means for poverty reduction and rural community development in developing countries due to their characteristics, operational efficiency, and effectiveness. However, it is difficult to find a successful case due to various factors. This study tries to propose strategies that the aid agencies and local residents should use for the success of cooperatives in developing countries through an analysis of the success and failure cases of the two cooperatives established under the Saemaul ODA Program in Rwanda. While the length of the ODA program and scale of support significantly affect the cooperatives’ self-reliance, what support they receive from the aid agencies and whether it is a long-term support plan considering exit strategies are also important factors of their success. In addition to the support of the aid agencies, efforts of the cooperative members are essential. Cooperatives should reinforce their sense of ownership to achieve the long-term goals of self-reliance and sustainability by setting clear and feasible short-term goals and achieving them one by one through cooperation among members, as in the case of Korea’s Saemaul Undong.
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Ingabire, Rosine, Julien Nyombayire, Alexandra Hoagland, Vanessa Da Costa, Amelia Mazzei, Lisa Haddad, Rachel Parker, et al. "Evaluation of a multi-level intervention to improve postpartum intrauterine device services in Rwanda." Gates Open Research 2 (October 10, 2018): 38. http://dx.doi.org/10.12688/gatesopenres.12854.2.
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Background. The copper intrauterine device is one of the most safe, effective, and cost-effective methods for preventing unintended pregnancy. It can be used postpartum irrespective of breastfeeding to improve birth spacing and reduce unintended pregnancy and maternal-child mortality. However, this method remains highly underutilized. Methods. We developed a multi-level intervention to increase uptake of the postpartum intrauterine device (PPIUD, defined as insertion up to six weeks post-delivery) in Kigali, Rwanda. High-volume hospitals and health centers were selected for implementation of PPIUD counseling and service delivery. Formative work informed development of a PPIUD counseling flipchart to be delivered during antenatal care, labor and delivery, infant vaccination visits, or in the community. Two-day didactic counseling, insertion/removal, and follow-up trainings were provided to labor and delivery and family planning nurses followed by a mentored practicum certification process. Counseling data were collected in government clinic logbooks. Insertions and follow-up data were collected in logbooks created for the implementation. Data were collected by trained government clinic staff and abstracted/managed by study staff. Stakeholders were involved from intervention development through dissemination of results. Results. Two hospitals (and their two associated health centers) and two additional health centers were selected. In 6-months prior to our intervention, 7.7 PPIUDs/month were inserted on average at the selected facilities. From August 2017-July 2018, we trained 83 counselors and 39 providers to provide PPIUD services. N=9,020 women received one-on-one PPIUD counseling after expressing interest in family planning who later delivered at a selected health facility. Of those, n=2,575 had PPIUDs inserted (average of 214.6 insertions/month), a 29% uptake. Most PPIUDs (62%) were inserted within 10 minutes of delivery of the placenta. Conclusions. This successful, comprehensive intervention has the potential to make a significant impact on PPIUD uptake in Rwanda. The intervention is scalable and adaptable to other sub-Saharan African countries.
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Ingabire, Rosine, Julien Nyombayire, Alexandra Hoagland, Vanessa Da Costa, Amelia Mazzei, Lisa Haddad, Rachel Parker, et al. "Evaluation of a multi-level intervention to improve postpartum intrauterine device services in Rwanda." Gates Open Research 2 (February 4, 2019): 38. http://dx.doi.org/10.12688/gatesopenres.12854.3.
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Background. The copper intrauterine device is one of the most safe, effective, and cost-effective methods for preventing unintended pregnancy. It can be used postpartum irrespective of breastfeeding to improve birth spacing and reduce unintended pregnancy and maternal-child mortality. However, this method remains highly underutilized. Methods. We developed a multi-level intervention to increase uptake of the postpartum intrauterine device (PPIUD, defined as insertion up to six weeks post-delivery) in Kigali, Rwanda. High-volume hospitals and health centers were selected for implementation of PPIUD counseling and service delivery. Formative work informed development of a PPIUD counseling flipchart to be delivered during antenatal care, labor and delivery, infant vaccination visits, or in the community. Two-day didactic counseling, insertion/removal, and follow-up trainings were provided to labor and delivery and family planning nurses followed by a mentored practicum certification process. Counseling data were collected in government clinic logbooks. Insertions and follow-up data were collected in logbooks created for the implementation. Data were collected by trained government clinic staff and abstracted/managed by study staff. Stakeholders were involved from intervention development through dissemination of results. Results. Two hospitals (and their two associated health centers) and two additional health centers were selected. In 6-months prior to our intervention, 7.7 PPIUDs/month were inserted on average at the selected facilities. From August 2017-July 2018, we trained 83 counselors and 39 providers to provide PPIUD services. N=9,020 women received one-on-one PPIUD counseling after expressing interest in family planning who later delivered at a selected health facility. Of those, n=2,575 had PPIUDs inserted (average of 214.6 insertions/month), a 29% uptake. Most PPIUDs (62%) were inserted within 10 minutes of delivery of the placenta. Conclusions. This successful, comprehensive intervention has the potential to make a significant impact on PPIUD uptake in Rwanda. The intervention is scalable and adaptable to other sub-Saharan African countries.
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Cherian, Teena, Bethany Hedt-Gauthier, Theoneste Nkurunziza, Kristin Sonderman, Magdalena Anna Gruendl, Edison Nihiwacu, Bahati Ramadhan, et al. "Diagnosing Post-Cesarean Surgical Site Infections in Rural Rwanda: Development, Validation, and Field Testing of a Screening Algorithm for Use by Community Health Workers." Surgical Infections 21, no. 7 (September 1, 2020): 613–20. http://dx.doi.org/10.1089/sur.2020.062.
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Stappert, Nora. "Practice theory and change in international law: theorizing the development of legal meaning through the interpretive practices of international criminal courts." International Theory 12, no. 1 (October 29, 2019): 33–58. http://dx.doi.org/10.1017/s1752971919000150.
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AbstractThe question of change has emerged as one of the main conceptual and empirical challenges for International Relations' practice turn. In the context of international law, such a challenge is brought into particularly stark relief due to the significant development of legal meaning through more informal, interpretive avenues, including through the judgments of international courts. This paper develops a framework for theorizing how interpretive legal practices generate normative content change in international law. Specifically, it uses the example of the development of international criminal law through the decisions of international criminal courts to analyze how legal interpretation can lead to normative change in practice. Drawing on interviews conducted with judges and legal officers at the International Criminal Court (ICC), the International Criminal Tribunal for the former Yugoslavia (ICTY), the International Criminal Tribunal for Rwanda (ICTR), and the Special Court for Sierra Leone (SCSL), I analyze how a community of legal practice centered around these courts was able to construct and alter legal meaning in international criminal law, and how such a potential for change was curbed by understandings of the interpretive process and the role of international courts dominant among international lawyers.
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Ingabire, Rosine, Julien Nyombayire, Alexandra Hoagland, Vanessa Da Costa, Amelia Mazzei, Lisa Haddad, Rachel Parker, et al. "Evaluation of a multi-level intervention to improve post-partum intrauterine device services in Rwanda." Gates Open Research 2 (August 20, 2018): 38. http://dx.doi.org/10.12688/gatesopenres.12854.1.
Full textAbstract:
Background. The copper intrauterine device is one of the most safe, effective, and cost-effective methods for preventing unintended pregnancy. It can be used post-partum irrespective of breastfeeding to improve birth spacing and reduce unintended pregnancy and maternal-child mortality. However, this method remains highly underutilized. Methods. We developed a multi-level intervention targeting supply, demand, and sustainability to increase uptake of the post-partum intrauterine device (PPIUD, defined as insertion up to six weeks post-delivery) in Kigali, Rwanda. High-volume hospitals and health centers were selected for implementation of promotions and service delivery. Formative work informed development of a PPIUD promotional flipchart delivered in-clinic (during antenatal care, labor and delivery, or infant vaccination visits) or in the community. Two-day PPIUD didactic counseling, insertion/removal, and follow-up trainings were provided to labor and delivery and family planning nurses followed by a mentored practicum certification process. Stakeholders were involved from intervention development through dissemination of results. Results. Two hospitals (and their two associated health centers) and two health centers were selected. In the 6-months prior to our intervention, only one nurse and one midwife from each hospital were providing PPIUD services, and just 46 PPIUDs had been placed at the selected health facilities. From August 2017-July 2018, we trained 83 promotional agents and 39 providers to provide PPIUD services. N=9,073 women received PPIUD promotions who later delivered at a selected health facility, and of those n=2,633 had PPIUDs inserted (29% uptake). Most PPIUDs (60%) were inserted within 10 minutes of delivery of the placenta, with an additional 13% intra-cesarean, 17% between 10 minutes and 48 hours after delivery, and 8% between 4 and 6 weeks after delivery. Conclusions. This successful, comprehensive intervention has the potential to make a significant impact on PPIUD uptake in Rwanda. The intervention is scalable and adaptable to other sub-Saharan African countries.
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Joanna Bar. "East African Communities (1967-1978, 1999-) and their Activity for Political Stability of the Region." Politeja 15, no. 56 (June 18, 2019): 247–66. http://dx.doi.org/10.12797/politeja.15.2018.56.14.
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The East African Community (EAC) is a regional intergovernmental organisation founded on 30 November 1999, including such member states as Burundi, Kenya, Rwanda, South Sudan, Tanzania, and Uganda. The EAC was meant as the reactivation and expansion of an earlier organisation founded in 1967 by Kenya, Tanzania and Uganda. Unlike its predecessor (which collapsed in 1978), not only has the contemporary Community been operating stably for almost 20 years, but it has also proved to be successful in improving the economic growth of its member states. Simultaneously, it supports the internal and national security of individual member states and the stability of the entire region. In recent years, the stabilisation capabilities of the Community have been tested through the accession of South Sudan, a country driven by a domestic conflict. Republic of South Sudan contributes not only rich crude oil deposits and water resources, but also a heavy burden of political issues in the form of both domestic conflicts and unresolved international problems such as a border conflict with the Republic of (north) Sudan. Successful economic cooperation may, however, reduce poverty and boost the development of South Sudan, both with regard to its economy and within the social and political aspects. This, in turn, may translate into good governance and the formation of a civil society.
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Denov, Myriam, and Meaghan C. Shevell. "An arts-based approach with youth born of genocidal rape in Rwanda: The river of life as an autobiographical mapping tool." Global Studies of Childhood 11, no. 1 (February 25, 2021): 21–39. http://dx.doi.org/10.1177/2043610621995830.
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Given the tragedy of war and genocide, words often cannot adequately capture the complexity of war-related experiences. Researchers are increasingly utilizing the arts to enable multiple forms of expression, as well as for its therapeutic and empowering qualities. This paper outlines the use of the “river of life,” an arts-based autobiographical mapping tool, conducted with 60 youth born of rape during the genocide against Tutsi in Rwanda who continue to live with this intergenerational legacy of sexual violence. The article begins with a review of current arts-based methods and their relevance for war-affected populations and an overview of the genocide, sexual violence, and the lived realities of children born of rape. We then outline the “river of life” mapping tool, where participants drew their life histories using the metaphor of a river, addressing the ebbs and flows of their lives and the obstacles and opportunities they encountered. Developed in collaboration with local researchers, participants were invited to share the meaning of their drawing with researchers, explaining key events throughout their life course, utilizing metaphors, and symbolism to convey their experiences. The article highlights how the “the river of life” facilitated key insights into the post-genocide experiences of children born of rape, and the long-term impacts at the family, community and societal levels, and proved to be especially helpful in enabling youth participants to process and communicate their histories of genocide and experiences of stigma and discrimination. The “river of life” was also reported by participants as having unintended positive effects, including closure and clarity in navigating their past and their futures. While not without limitations, we argue that this mapping tool represents an important addition to arts-based methods that can be used with populations who have experienced profound forms of violence and marginalization.
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Ntakirutimana, Theoneste, Bethesda O’Connell, Megan Quinn, Phillip Scheuerman, Maurice Kwizera, Francois Xavier Sunday, Ifeoma Ozodiegwu, Valens Mbarushimana, Gasana Seka Heka Franck, and Rubuga Kitema Felix. "Linkage between water, sanitation, hygiene, and child health in Bugesera District, Rwanda: a cross-sectional study." Waterlines 40, no. 1 (January 1, 2021): 44–60. http://dx.doi.org/10.3362/1756-3488.20-00008.
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Rwanda met the Millennium Development Goal targets for access to drinking water and sanitation. However, the WASH practices of high-risk communities are undocumented. Lack of information may hide disparities that correlate with disease. The purpose of this study was to assess WASH and childhood diarrhoea in Bugesera District. A survey was administered to caregivers. Water and stool samples were collected to assess physical and biological characteristics. Focus groups provided information on community context. Analysis included descriptive statistics, Chi-square, logistic regression, and thematic analysis. Piped water and unimproved sanitation were used by 45.28 per cent and 88.38 per cent of respondents. Most respondents (51.47 per cent) travelled 30–60 minutes per trip for water and 70 per cent lacked access to hand-washing near the latrine. Diarrhoea was less prevalent in children who used a toilet facility (p = 0.009). Disposal of faeces anywhere other than the toilet increased the odds of having diarrhoea (OR = 3.1, 95 per cent CI = 1.2–8.2). Use of a narrow mouth container for storage was associated with decreased intestinal parasites (p = 0.011). The presence of a hand-washing station within 10 metres of the toilet was associated with lower odds of intestinal parasites (OR = 0.54, 95 per cent CI: 0.29–0.99). Water and sanitation access, water handling and storage, and unsanitary household environment underlie high diarrhoeal disease prevalence.
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Jean Pierre Habiyaremye. "Physical Demarcation of Infrastructures and Making Detailed Physical Planning of Kabeza Site." Technium: Romanian Journal of Applied Sciences and Technology 2, no. 4 (May 30, 2020): 54–60. http://dx.doi.org/10.47577/technium.v2i4.868.
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Physical infrastructure is the basic physical structures required for an economy to function and survive. Rwanda, like other developing countries, its plans focus on the contribution to the solutions of the problems arising due to lack of well-planned local urban upgrading. The infrastructures that allow the access to the services of the population within the country must be maintained, constructed for better achievement of different goals at different levels from the Central Government up to the Sector level. This paper therefore examined the demarcation of the infrastructures and the detailed physical planning as a key component of urban development initiatives. The physical planning sets the boundaries with the purpose of having access to affordable infrastructure services for consumption purposes serves to improve household welfare and affordable housing and promoting a sustainable development for the benefit of the individual, for society and for future generation. The project was conducted in Kabeza Site, Eastern Province, Bugesera District, Ntarama Sector, Kanzenze Cell and Kabeza Village in Republic of Rwanda. Experimental and survey design have used in the assessment of existing physical features around and within the site by observation method using DGNSS Receivers, total stations, and also used participatory approach method. The study involved a detailed topographic survey of existing features on Kabeza site. An interview of stakeholders was conducted during the community meeting. Different software were used to analyze and re-plotting the physical planning. Findings show that the rapid rate of urbanization has led to a rise in informal settlements facing with the problems including lack of sufficient and adequate basic infrastructures. The paper therefore canvassed for immediate evolvement of physical plan that emphasis on keeping commitment to place, establishing the quality recreation areas and diversifying housing options. It was revealed that there is a need to establish a well planned roads, create a more vibrate village centre, light the whole village, establish a water system in the whole village, maintain and upgrade the greening village infrastructures, build community from assessment of the existing land use land cover, make and re-plot the new parcels within the site and to design details physical layout plan of that region. The study recommends the project implementers and partners, particularly the local government units overseeing the project site, to pay attention to the growing income disparity and the exclusion of the poorest from development process. Government should identify measures to minimize the interventions that impact negatively the life of well-being of the poor and women and also to minimize negative impacts on the environment.
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Vostanis, P. "Development and Evaluation of a Psychosocial Model for Children Who Experience Trauma from Low and Middle-income Countries." European Psychiatry 41, S1 (April 2017): S308. http://dx.doi.org/10.1016/j.eurpsy.2017.02.205.
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IntroductionDespite fragmented evidence on individual interventions, good practice and child welfare programmes in low and middle-income countries (LMIC), there is no comprehensive model for early interventions, particularly for children who experience complex trauma.ObjectiveThe objective of the World Awareness for Children in Trauma (WACIT: www.wacit.org) is to develop an evidence-based psychosocial model for vulnerable children in low and middle-income countries with limited or no access to specialist resources.MethodsThe aim of the preliminary evaluation was to establish stakeholders’ views on the extent of need, socio-cultural context, service gaps, and recommendations for improvement and creation of working partnerships. This consisted of four studies:– 1. Participatory workshops in six countries (Turkey, Pakistan, Indonesia, Kenya, Rwanda, Brazil) with a total 250 strategic and operational stakeholders;– 2. Quantitative evaluation in two of these countries (Turkey, 32 participants; and Brazil, 80 participants);– 3. Interviews with 17 stakeholders from the six countries;– 4. Focus groups with 7 children, 7 parents, 9 teachers and 11 other professionals in one country (Kenya).ResultsFindings indicated that lack of resources (funding, facilities, training and personnel), poor collaboration (between church, families, government, schools and community), impaired parenting, socio-economic challenges and limited knowledge on child mental health as key factors that impede interventions.ConclusionsThe findings have informed the next phase of the WACIT programme in developing sustainable networks, training, and culturally appropriate interventions in the participating LMIC.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Uwayezu, Ernest, and Walter T. de Vries. "Can In-Kind Compensation for Expropriated Real Property Promote Spatial Justice? A Case Study Analysis of Resettlement in Kigali City, Rwanda." Sustainability 12, no. 9 (May 6, 2020): 3753. http://dx.doi.org/10.3390/su12093753.
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Kigali city authorities have recently adopted an in-kind compensation option to mitigate some patterns of spatial injustices, reflected in the displacement of expropriated real property owners towards urban outskirts, where they can afford new properties using the in-cash compensation they receive. This study assesses whether this form of compensation promotes a spatially just and inclusive urban (re)development. It applies an evaluative framework comprising a series of indicators connected to three dimensions (rules, processes, and outcomes) of spatial justice and its four forms consisting of procedural, recognitional, redistributive, and intra-generational justice. It relies on data collected through field surveys and a review of literature on expropriation and urban (re)development processes in Kigali city. The findings reveal that the adopted in-kind compensation exhibits some aspects of spatial justice connected with the access to decent houses, basic urban amenities, and increased tenure security. However, these findings unveil deficiencies in procedural, recognitional, redistributive, and intra-generational justice, portrayed in the lack of negotiation on the compensation option, non-participation of expropriated property owners in their resettlement process, overcrowding conditions of the new houses, and loss of the main sources of incomes. Some options for a better implementation of the in-kind compensation are suggested. Two strands of procedural and recognitional justice, namely negotiation and community participation, are central to their successful implementation.
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Ejughemre, Ufuoma John. "Scaling-up health insurance through community- based health insurance schemes in rural sub- Saharan African communities." Journal of Hospital Administration 3, no. 1 (September 12, 2013): 14. http://dx.doi.org/10.5430/jha.v3n1p14.
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Context: The knotty and monumental problem of health inequality and the high burden of diseases in sub-Saharan Africa bothers on the poor state of health of many of its citizens particularly in rural communities. These issues are further exacerbated by the harrowing conditions of health care delivery and the poor financing of health services in many of these communities. Against these backdrops, health policy makers in the region are not just concerned with improving peoples’ health but with protecting them against the financial costs of illness. What is important is the need to support more robust strategies for healthcare financing in these communities in sub-Saharan Africa. Objective: This review assesses the evidence of the extent to which community-based health insurance (CBHI) is a more viable option for health care financing amongst other health insurance schemes in rural communities in sub-Saharan Africa. Patterns of health insurance in sub-Saharan Africa: Theoretically, the basis for health insurance is that it allows for risk pooling and therefore ensures that resources follow sick individuals to seek health care when needed. As it were, there are different models such as social, private and CBHI schemes which could come to bear in different settings in the region. However, not all insurance schemes will come to bear in rural settings in the region. Community based health insurance: CBHI is now recognized as a community-initiative that is community friendly and has a wide reach in the informal sector especially if well designed. Experience from Rwanda, parts of Nigeria and other settings in the region indicate high acceptability but the challenge is that these schemes are still very new in the region. Recommendations and conclusion: Governments and international development partners in the region should collect- ively develop CBHI as it will help in strengthening health systems and efforts geared towards achieving the millennium development goals. This is because it is inextricably linked to the health care needs of the poor.
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Rushigira, Cadeau, Germaine Furaha Mirindi, and Stany Vwima Ngezirabona. "Socio-technical Context of Market Gardening in the Ruzizi Plain in Eastern DRC: Constraints and Stakeholders' Strategies." European Journal of Agriculture and Food Sciences 3, no. 3 (May 23, 2021): 69–75. http://dx.doi.org/10.24018/ejfood.2021.3.3.295.
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The Ruzizi Plain in general and the community of Ruzizi Plain in particular, although having considerable potential for the development of market gardening, do not manage to satisfy the demand for market garden produce in the main consumption area (Bukavu town), which continues largely to depend on Rwanda in its supplies. This situation suggests that market gardening in Ruzizi Plain is conducted in an environment marked by constraints. Some constraints relate to the actual process of production and marketing, and others are related to the quality requirements imposed by demand.
However, all these constraints are all triggers for the malfunction of market gardening sector. Faced with this, market gardeners adopt adaptive behavior to reduce and turn round these constraints. The choice of strategies by market gardeners depends on the perception of the constraints encountered and the resources available. Done on a sample of 81 market gardeners, this study enables to identify, based on an analysis of the technical context, the constraints of tomato and aubergine at Ruzizi Plain, and the strategies developed by market gardeners in the face of these constraints.
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Dirar, Luwam. "Common Market for Eastern and Southern African Countries: Multiplicity of Membership Issues and Choices." African Journal of International and Comparative Law 18, no. 2 (September 2010): 217–32. http://dx.doi.org/10.3366/ajicl.2010.0005.
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The preferential trade agreement of Common Market of Eastern and Southern Africa (COMESA) was formed in 1982 with the objective of achieving deeper integration. In 1994 COMESA member states agreed to form a free trade agreement. The free trade agreement came into effect after nine member states ratified it. In 2004, Rwanda and Burundi joined the free trade agreement and increased the membership size to 11. In 2009 COMESA was transformed into a customs union. The purpose of the article is to analyse how formation of the COMESA customs union affects the current state of multiplicity of membership in Southern and Eastern African countries. The article argues that multiplicity of membership hinders deeper integration. Based on the assumption that deeper regional integration can play a role in the development project of Eastern and Southern African countries, the article tries to make a cursory review of the overlap of membership among COMESA, Southern African Development Community (SADC), Southern African Customs Union (SACU) and East African Community (EAC) states. It tries to draw policy choices of the way forward to end the multiplicity of membership. The analysis of this article is based on the percentile of each member state's rate of export. It is not a percentile of the total regional exports. Not all COMESA member states have been analysed in this article. The article mainly focuses on those COMESA member states that treat COMESA as their main trading block in Africa and that also have multiple memberships in SADC, SACU and EAC.
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Pierre, Gashema, Patrick Gad Iradukunda, Musafiri Tumusiime, Jean De Dieu Harelimana, Gad Rutayisire, Stuart T. Nyakatswau, Oswald Samjeh, et al. "Medical laboratory professional’s week in Rwanda: a field report from the Simbi and Maraba communities." International Journal Of Community Medicine And Public Health 8, no. 5 (April 27, 2021): 2111. http://dx.doi.org/10.18203/2394-6040.ijcmph20211726.
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Background: In response to the need for interventions that facilitate the accessibility of medical services in poor communities, an outreach activity was organized in semi-rural areas of Maraba and Simbi sectors located in Huye district, Southern province of Rwanda. The outreach was undertaken by health sciences students and involved the screening of hypertension, risk of diabetes, hepatitis, anemia, eye disease, and HIV.Methods: Clinical assessments and rapid laboratory diagnostic assays were used to screen invited residents from the two selected communities. An observation research was conducted from May 21 to 25 May, 2018, at Maraba and Simbi sector located in Huye district, Southern province, Rwanda. We employed a purposively sampling technique for participants' recruitment in the outreach. The outreach was conducted as part teaching program and community engagement, and was endorsed by college of medicine and health sciences and all the subjects voluntarily participated in this exercise; the ethical approval was not applicable for this outreach activity. Results: The total beneficiaries from those sectors were 1427 citizens of whom females predominated at 72%. During the screening, hypertension was found to be high at 47.8% among adults. Anemia which mostly presumes iron deficiency was observed at 32.5% among under 15 years old children and at 15% in pregnant women. The vision impairment and cataract were observed at 5.66 and 19.59%, respectively. The assessed viral infection indicated a rate of 0.56% for HIV, 1.03% for HBV, and 7.17% for HCV. High blood glucose was found in 10.4% of the screened population.Conclusions: The findings highlight a high burden of non-communicable diseases (NCDs) in rural communities and call for further investigations and interventions to align with the sustainable development goals (SDGs), particularly access to affordable health services. Furthermore, the success of this outreach highlights the potential contribution of health care trainees in achieving these goals and calls for integration of such interventions in the health education curriculum.
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Austvoll-Dahlgren, Astrid, Daniel Semakula, Allen Nsangi, Andrew David Oxman, Iain Chalmers, Sarah Rosenbaum, and Øystein Guttersrud. "Measuring ability to assess claims about treatment effects: the development of the ‘Claim Evaluation Tools’." BMJ Open 7, no. 5 (May 2017): e013184. http://dx.doi.org/10.1136/bmjopen-2016-013184.
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ObjectivesTo describe the development of the Claim Evaluation Tools, a set of flexible items to measure people's ability to assess claims about treatment effects.SettingMethodologists and members of the community (including children) in Uganda, Rwanda, Kenya, Norway, the UK and Australia.ParticipantsIn the iterative development of the items, we used purposeful sampling of people with training in research methodology, such as teachers of evidence-based medicine, as well as patients and members of the public from low-income and high-income countries. Development consisted of 4 processes: (1) determining the scope of the Claim Evaluation Tools and development of items; (2) expert item review and feedback (n=63); (3) cognitive interviews with children and adult end-users (n=109); and (4) piloting and administrative tests (n=956).ResultsThe Claim Evaluation Tools database currently includes a battery of multiple-choice items. Each item begins with a scenario which is intended to be relevant across contexts, and which can be used for children (from age 10 and above), adult members of the public and health professionals. People with expertise in research methods judged the items to have face validity, and end-users judged them relevant and acceptable in their settings. In response to feedback from methodologists and end-users, we simplified some text, explained terms where needed, and redesigned formats and instructions.ConclusionsThe Claim Evaluation Tools database is a flexible resource from which researchers, teachers and others can design measurement instruments to meet their own requirements. These evaluation tools are being managed and made freely available for non-commercial use (on request) through Testing Treatments interactive (testingtreatments.org).Trial registration numbersPACTR201606001679337 and PACTR201606001676150; Pre-results.
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Collison, Holly, Simon Darnell, Richard Giulianotti, and P. David Howe. "The Inclusion Conundrum: A Critical Account of Youth and Gender Issues Within and Beyond Sport for Development and Peace Interventions." Social Inclusion 5, no. 2 (June 29, 2017): 223–31. http://dx.doi.org/10.17645/si.v5i2.888.
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The sport for development and peace (SDP) sector is made up of various development-focused policies and programs that seek to engage, stabilise, empower and create social and economic change. SDP projects, most often run by non-governmental organisations (NGOs), have been implemented in regions enduring physical conflicts, health pandemics, major gender divisions and other social crises that have a great impact on youth. In this context, sport has been accorded the difficult task of facilitating greater access for marginal, vulnerable or community groups whilst positively contributing to the attainment of diverse development objectives. While the ‘where’ and ‘why’ of SDP has been largely accounted for, the attention in this article is on the ‘who’ of SDP in relation to the notion of inclusion. Drawing on extensive research conducted in Jamaica, Kosovo, Rwanda and Sri Lanka, the idea of SDP as an inclusionary practice is critically investigated. While SDP may ‘give voice’ to participants, especially to individuals with athletic ability or sporting interests, the extent to which this creates social contexts that are fundamentally inclusive remains open to discussion. In this sense, while targeting populations, groups or individuals remains an attractive strategy to achieve specific goals, for example youth empowerment or gender equality, empirical assessments complicate the presumption that SDP programming leads to inclusion, particularly at a larger societal level. The article considers a matrix of inclusion criteria, potential outcomes, and the tensions arising between targeted SDP programming and the often-exclusionary dimensions of sport more broadly, with a focus on youth and gender issues.
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De Schaepdryver, André. "Medische Ontwikkelingssamenwerking in Centraal-Afrika." Afrika Focus 6, no. 1 (January 26, 1990): 5–18. http://dx.doi.org/10.1163/2031356x-00601003.
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Medical Development-Cooperation in Central Africa The author describes the Project of Medical Cooperation between the Medical Faculties of the University of Ghent and the National University of Rwanda in Butare. The objectives of this project, which started in 1966, were the following: (1) to organize and dispense the theoretical education and practical training at the G.P.-level; (2) to structure the postgraduate education of alumni selected for higher education posts; (3) to take care of the postgraduate training of specialists; (4) to organize the continuing education of health personnel; (5) to promote and participate in medical research. The results of the Project were, in 1984: (1) at the level of health personnel: the education and training of 220 physicians, 19 university lecturers and 15 specialists; (2) at the level of the infrastructure: the building of the Medical Faculty facilities, the pediatric and medical policlinics and clinics, the community health service for adults; the adaptation of the gynecological-obstetrical policlinic and clinic and of the community health service for children; the founding of the Faculty library, secretariat and workshop, (3) at the research level: the founding and development of the University Center for Research on Traditional Pharmacopoeia and Medicine, aiming at: a) the valorization and integration of traditional medicine; b) the study of Rwandese medicinal plants; c) the local production of pharmaceutical preparations of plant origin and organic raw materials. The attention is drawn to the importance of the postgraduate education in Belgium, for periods of 5 years, of 25 Rwandese medical alumni, which resulted in 15 Ph.D. -theses and a nearly complete rwandization of the Faculty of Medicine and University Hospital in Butare. A pairing Agreement Butare-Ghent has taken the relief of the Project, insuring its continuity through visiting lecturers, and the coaching of trainees and of research projects in various fields of the local pathology.
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Okonya, Joshua Sikhu, Netsayi Noris Mudege, Anne M. Rietveld, Anastase Nduwayezu, Déo Kantungeko, Bernadette Marie Hakizimana, John Njuki Nyaga, Guy Blomme, James Peter Legg, and Jürgen Kroschel. "The Role of Women in Production and Management of RTB Crops in Rwanda and Burundi: Do Men Decide, and Women Work?" Sustainability 11, no. 16 (August 9, 2019): 4304. http://dx.doi.org/10.3390/su11164304.
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This paper evaluates the determinants of decision-making in relation to the production of four crops (banana, cassava, potato, and sweet potato). Understanding the division of labor and decision-making in crop management may lead to designing better interventions targeted at improving efficiency in smallholder agriculture. In 2014, the research team conducted a quantitative household survey with heads of households involving 261 women and 144 men in Burundi and 184 women and 222 men in Rwanda. Most of the decisions and labor provision during the production of both cash crops (potato and banana) and food crops (sweet potato and cassava) were done jointly by men and women in male-headed households. Higher values for ‘credit access’, ‘land size’, and ‘farming as the main occupation of the household head’ increased the frequency of joint decision-making in male-headed households. A decline in the amount of farm income reduced the participation of men as decision-makers. A reduction in total household income and proximity to the market was correlated with joint decision-making. Gender norms also contributed to the lower participation of women in both decision-making and labor provision in banana and potato cultivation. Although a large proportion of decisions were made jointly, women perceived that men participate more in decision-making processes within the household during the production of cash crops. Increased participation by women in decision-making will require an active and practical strategy which can encourage adjustments to existing traditional gender norms that recognize men as the main decision-makers at both the household and community levels.
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Michael, Okoche. "Political Dimension in Pan-African Cross-border Banking: An Inhibitor or Catalyst?" Business and Management Studies 5, no. 1 (January 22, 2019): 1. http://dx.doi.org/10.11114/bms.v5i1.3984.
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The emergence and the dominance of African banks in Africa have been touted as one of the popular mechanisms for financial development leading to a concept termed as Pan-African cross-border banking. African Banks have become dominant in the African market as opposed to European colonial banks substantially increasing their geographic footprints on the continent. African banks have become economically significant beyond their home countries and of systematic importance in a number of jurisdictions. This systematically examined the influence of the political environment on Pan-African cross-border banking using Kenya Commercial bank as a case study.Interpretive research paradigm guided the study seeking using qualitative data by interviewing employees, managers, and policymakers from the three subsidiaries of Kenya Commercial Bank; Uganda, Rwanda, and Burundi. This was further supported by secondary data collected from journal articles and reports from the Kenya Commercial Bank.The study established that political environment plays an important role in influencing Pan-African cross-border banking either through catalysing or inhibiting. Despite effort integration by African Union, regional unions like East African Community there still areas for improvement. In order to enhance Pan-African cross-border banking, there has to be systematically management of political environment which was distorted by history, ideologies, different political systems, different regulatory frameworks between the subsidiaries and home countries. This will further enhance the significance of Pan-African banks African cross-border banks enhancing economic development within Africa.
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Henderson, Susan J., Allison Belemvire, Roman Nelson, Anne Linn, Leah F. Moriarty, Emma Brofsky, Mamadou Diaw, and David Gittelman. "Advancing Malaria Prevention and Control in Africa Through the Peace Corps-US President’s Malaria Initiative Partnership." Global Advances in Health and Medicine 9 (January 2020): 216495612097610. http://dx.doi.org/10.1177/2164956120976107.
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Background Peace Corps is a US government volunteer service agency which provides trained Volunteers to assist host countries in addressing critical development challenges at the community level. The US President’s Malaria Initiative provides technical expertise and financial resources to reduce malaria morbidity and mortality in focus countries in sub-Saharan Africa. Objective We aim to describe the nature of the collaboration between Peace Corps and President’s Malaria Initiative (PMI) and highlight examples of the partnership in select countries. Methods We conducted an analysis of retrospective data obtained from Peace Corps and PMI for the years 2014–2019. Results Volunteers were able to learn about and work on malaria prevention and control with PMI in three key ways: a malaria-specific training program for staff and Volunteers; malaria-focused small grants; and extension of Volunteer assignments for a third year to support malaria projects. Successful Peace Corps projects supported by PMI, at the community level, were highlighted, with a focus on Rwanda, Benin, Zambia, Madagascar, and Senegal. In Fiscal Year 2019, 1408 Volunteers contributed to malaria prevention activities in 18 Peace Corps programs across Africa, of which 15 were PMI focus countries. While the majority of documented work by Volunteers has involved social and behavior change, there were many other ways to partner with PMI staff. Conclusion Each of the proven interventions that PMI supports for malaria prevention and control may have a role for Volunteer involvement. Combined with the technical expertise and the relationships that PMI staff have with national-level counterparts in PMI focus countries, the continued collaboration between Peace Corps and PMI can accelerate the fight against malaria.
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Frère, Marie-Soleil. "Covering Post-Conflict Elections: Challenges for the Media in Central Africa." Africa Spectrum 46, no. 1 (April 2011): 3–32. http://dx.doi.org/10.1177/000203971104600101.
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In the past ten years, elections were held in six countries of Central Africa experiencing “post-conflict” situations. The polls that took place in Burundi (2005), the Central African Republic (2005), the Democratic Republic of the Congo (2006), Congo-Brazzaville (2002, 2007), Chad (1996, 2001, 2006) and Rwanda (2003) were crucial for peace-building. In some cases, they were widely supported and supervised by the international community, being considered the last step of a peace process and the first step toward establishing a truly representative “post-conflict” regime. The media were expected to play a large part in supporting these elections, both to inform the citizens, so they could make an educated choice, and to supervise the way the electoral administration was organizing the polls. This paper attempts to show the many challenges faced by the media while covering these post-conflict electoral processes. In a context of great political tension, in which candidates are often former belligerents who have just put down their guns to go to the polls, the media operate in an unsafe and economically damaged environment, suffering from a lack of infrastructure, inadequate equipment and untrained staff. Given those constraints, one might wonder if the media should be considered actual democratic tools in Central Africa or just gimmicks in a “peace-building kit” (including “free and fair” elections, multipartism and freedom of the press) with no real impact on the democratic commitment of the elite or the political participation of the population.
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Schoenbrun, David Lee. "The Contours of Vegetation Change and Human Agency in Eastern Africa's Great Lakes Region: ca. 2000 BC to ca. AD 1000." History in Africa 21 (1994): 269–302. http://dx.doi.org/10.2307/3171889.
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Elsewhere I have set forth a basic outline for charting histories of vegetation change through the use of paleoenvironmental data (Schoenbrun 1991). This essay builds on the previous one by laying out the contours of vegetation change and human agency in the Great Lakes region (Map 1) over the roughly three millennia after ca. 2000 BC.The history of the vegetation in eastern Africa's Great Lakes region brings into focus several important features of long-term environmental change—human action, climatic shift, and internal successional patterns. The primary sources for this history come from a variety of published palynological and limnological studies from Burundi, Rwanda, Uganda, and Zaire. Perhaps the most rewarding data for reconstructing climatic and vegetational change come from palynological studies. Pollen studies often reflect detailed changes in the constitution of plant communities, and their value for reconstructing the vegetational and climatic contexts for Holocene human history has provoked the development of a rigorous method for their analysis. Contemporary studies of plant community succession and human-vegetation relationships are a secondary source for the history of land clearance in the Great Lakes region. These works provide a means to determine the different imprints of human and climatic action on the paleoenvironmental record.In this study I combine the full range of paleoenvironmental evidence to reconstruct the form and pace of vegetation change. I focus on a part of eastern Africa famous for its great ecological diversity. One of the rewards of this endeavor is to demonstrate to paleoecologists, archaeologists, and historians alike the value of a truly interdisciplinary approach to environmental change.