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1
Robson, Julia, James Bao, Alissa Wang, et al. "Making sense of Rwanda’s remarkable vaccine coverage success." International Journal of Healthcare 6, no. 1 (2020): 56. http://dx.doi.org/10.5430/ijh.v6n1p56.
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After the Rwandan genocide in 1994, vaccine coverage was close to zero. Several factors, including extreme poverty, rural populations and mountainous geography affect Rwandans’ access to immunizations. Post-conflict, various other factors were identified, including the lack of immunization program infrastructure, and lack of population-level knowledge and demand. In recent years, Rwanda is one of few countries that has demonstrated a sustained increase to near universal vaccination coverage, with a current rate of 98%. Our aim was to ask why and how Rwanda achieved this success so that it could potentially be replicated in other countries.Literature searches of scientific and grey literature, as well as other background research, was conducted from September 2016 through August 2017, including primary fieldwork in Rwanda. We determined that four factors have had a major influence on the Rwandan vaccine program, including strong central government leadership (political will), a culture of accountability, local ownership and a strong health value chain. Rwanda’s national immunization program is rooted in a political landscape shaped by unique aspects of Rwandan history and culture. Rwanda has a strong central government and a hierarchical chain of command supported by decentralized implementation bodies. A culture of accountability transcends the entire health system and there is local-level ownership of the immunization program, including the role of engaged community health workers and a strong health information system. Together, these four factors likely account for Rwanda’s vaccination coverage success.
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Jessee, Erin, and Sarah E. Watkins. "Good Kings, Bloody Tyrants, and Everything In Between: Representations of the Monarchy in Post-Genocide Rwanda." History in Africa 41 (April 23, 2014): 35–62. http://dx.doi.org/10.1017/hia.2014.7.
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AbstractSince assuming power after the 1994 genocide, President Paul Kagame and his political party, the Rwandan Patriotic Front, have struggled to unite Rwanda’s citizens using, among other initiatives, a simplified version of Rwandan history to diminish the ethnic tensions that made the 1994 genocide possible. As a result, Rwanda’s history has become highly politicized, with vastly divergent versions of the nation’s past narrated in private settings, where it is more politically appropriate for Rwandans to share their experiences. This paper focuses on divergent representations of Rwandan monarchical figures – often unnamed – whom the narrators imbue with values according to their individual political affiliations, lived experiences, and identity. These narratives are indicative of the broader ways that modern Rwandans narrate their experiences of history in response to Rwanda’s current official history, as well as previous official histories. Careful analysis reveals much about the current political climate in post-genocide Rwanda: most notably, that Rwandans continue to see their nation’s past through vastly different lenses, demonstrating the enormous challenges facing the Rwandan government as it seeks to reconcile its population using current methods. It also highlights the ongoing need on the part of historians to approach contemporary sources critically, informed by sources produced and debated in the pre-genocide period.
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Gubic, Ilija, and Oana Baloi. "Implementing the New Urban Agenda in Rwanda: Nation-Wide Public Space Initiatives." Urban Planning 4, no. 2 (2019): 223–36. http://dx.doi.org/10.17645/up.v4i2.2005.
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Rwanda, with its population of 12,600,000, growing 2.8% yearly, and significant investments in infrastructure and construction in its capital Kigali and six secondary cities identified as economic poles of growth, aims to achieve a 35% urbanisation rate by 2024. Kigali and Rwanda’s secondary cities are currently revising their master plans in response to the pressure of rapid urban growth in infrastructure and services. To address the lack of public spaces in its cities, the Ministry of Infrastructure, the Rwanda Housing Authority, local authorities, the Global Green Growth Institute, and other stakeholders have committed to deliver a range of activities in this area. Their commitments include the assessment of public spaces, which will be used as a baseline for the purpose of reporting on the Sustainable Development Goals public space indicators (11.7) and further revision of the master plans of Rwanda’s secondary cities. This article firstly builds on the existing knowledge and understanding of public spaces in Rwanda’s planning documents, followed by an examination of how multiple actors in Rwanda interact in order to promote a nation-wide public space agenda. The main findings indicate emerging forms of innovative collaboration and partnerships for public spaces involving all levels of the Rwandan government, development partners, the civil society sector, and other stakeholders. The article concludes that, as planning documents and strategies on public spaces are in place and in line with the recommendations of the New Urban Agenda, given the limited budget for its development, Rwanda needs access to innovative funding sources in order to effectively implement public space initiatives across the country.
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Moss, Sigrun Marie. "Beyond Conflict and Spoilt Identities: How Rwandan Leaders Justify a Single Recategorization Model for Post-Conflict Reconciliation." Journal of Social and Political Psychology 2, no. 1 (2014): 435–49. http://dx.doi.org/10.5964/jspp.v2i1.291.
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Since 1994, the Rwandan government has attempted to remove the division of the population into the ‘ethnic’ identities Hutu, Tutsi and Twa and instead make the shared Rwandan identity salient. This paper explores how leaders justify the single recategorization model, based on nine in-depth semi-structured interviews with Rwandan national leaders (politicians and bureaucrats tasked with leading unity implementation) conducted in Rwanda over three months in 2011/2012. Thematic analysis revealed this was done through a meta-narrative focusing on the shared Rwandan identity. Three frames were found in use to “sell” this narrative where ethnic identities are presented as a) an alien construction; b) which was used to the disadvantage of the people; and c) non-essential social constructs. The material demonstrates the identity entrepreneurship behind the single recategorization approach: the definition of the category boundaries, the category content, and the strategies for controlling and overcoming alternative narratives. Rwandan identity is presented as essential and legitimate, and as offering a potential way for people to escape spoilt subordinate identities. The interviewed leaders insist Rwandans are all one, and that the single recategorization is the right path for Rwanda, but this approach has been criticised for increasing rather than decreasing intergroup conflict due to social identity threat. The Rwandan case offers a rare opportunity to explore leaders’ own narratives and framing of these ‘ethnic’ identities to justify the single recategorization approach.
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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 (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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Banatvala, Nicholas, Alison J. Roger, Ailsa Denny, and John P. Howarth. "Mortality and Morbidity Among Rwandan Refugees Repatriated from Zaire, November, 1996." Prehospital and Disaster Medicine 13, no. 2-4 (1998): 17–21. http://dx.doi.org/10.1017/s1049023x00030107.
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AbstractIntroduction:Following renewed ethnic violence at the end of September 1996, conflict between Tutsi rebels and the Zairian army spread to North Kivu, Zaire where approximately 700,000 Rwandan Hutu refugees resided following the 1994 genocide. After a major rebel offensive against the camps' militia groups on 15 November, a massive movement of refugees towards Rwanda through Goma town, the capital of North Kivu, began. Massive population movements such as this are likely to be associated with substantial mortality and morbidity.Objective:To study patterns of mortality, morbidity, and health care associated with the Rwandan refugee population repatriation during November 1996.Methods:This study observed the functioning of the health-care facilities in the Gisenyi District in Rwanda and the Goma District in Zaire, and surveyed mortality and morbidity among Rwandan refugees returning from Zaire to Rwanda. Patterns of mortality, morbidity, and health care were measured mainly by mortality and health centre consultation rates.Results:Between 15 and 21 November 1996, 553,000 refugees returned to Rwanda and 4,530 (8.2/1,000 refugees) consultations took place at the border dispensary (watery diarrhea, 63%; bloody diarrhea, 1%). There were 129 (0.2/1,000) surgical admissions (72% soft tissue trauma) to the Gisenyi hospital in the subsequent two weeks. The average number of consultations from the 13 health centres during the same period was 500/day. Overall, the recorded death rate was 0.5/10,000 (all associated with diarrhea). A total of 3,586 bodies were identified in the refugee camps and surrounding areas of Goma, almost all the result of trauma. Many had died in the weeks before the exodus. Health centres were overwhelmed and many of the deficiencies in provision of health care identified in 1994 again were evident.Results:Non-violent death rates were low, a reflection of the population's health status prior to migration and immunity acquired from the 1994 cholera out-break. Health facilities were over stretched, principally because of depleted numbers of local, health-care workers associated with the 1994 genocide. Health-care facilities running parallel to the existing health-care system functioned most effectively.
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Nishimwe, Grace, Didier Milindi Rugema, Claudine Uwera, et al. "Natural Capital Accounting for Land in Rwanda." Sustainability 12, no. 12 (2020): 5070. http://dx.doi.org/10.3390/su12125070.
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Land, as a valuable natural resource, is an important pillar of Rwanda’s sustainable development. The majority of Rwanda’s 80% rural population rely on agriculture for their livelihood, and land is crucial for agriculture. However, since a high population density has made land a scarce commodity, growth in the agricultural sector and plans for rapid urbanisation are being constrained, and cross-sectoral trade-offs are becoming increasingly important, with a risk that long-term sustainability may be threatened if these trade-offs are not considered. To help track land value trends and assess trade-offs, and to help assess the sustainability of trends in land use and land cover, Rwanda has begun developing natural capital accounts for land in keeping with the United Nations’ System of Environmental-Economic Accounting. This paper reports on Rwanda’s progress with these accounts. The accounting approach adopted in our study measures changes in land use and land cover and quantifies stocks for the period under study (2014–2015). Rwanda is one of the first developing countries to develop natural capital accounts for land, but the wide range of possible uses in policy analysis suggests that such accounts could be useful for other countries as well.
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Reed, Wm Cyrus. "Exile, Reform, and the Rise of the Rwandan Patriotic Front." Journal of Modern African Studies 34, no. 3 (1996): 479–501. http://dx.doi.org/10.1017/s0022278x00055567.
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In July 1994, the Rwandan Patriotic Front (RPF) and its armed wing, the Rwandan Patriotic Army (RPA),1 entered Kigali after routing the former régime and putting an end to months of genocide in which upwards of 500,000 had lost their lives. By August, another one to two million had fled from Rwanda. All in all, nearly half of the population had been killed, displaced inside the country, or was in exile.
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Musanabaganwa, Clarisse, Vincent Cubaka, Etienne Mpabuka, et al. "One hundred thirty-three observed COVID-19 deaths in 10 months: unpacking lower than predicted mortality in Rwanda." BMJ Global Health 6, no. 2 (2021): e004547. http://dx.doi.org/10.1136/bmjgh-2020-004547.
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The African region was predicted to have worse COVID-19 infection and death rates due to challenging health systems and social determinants of health. However, in the 10 months after its first case, Rwanda recorded 10316 cases and 133 COVID-19-related deaths translating to a case fatality rate (CFR) of 1.3%, which raised the question: why does Rwanda have a low COVID-19 CFR? Here we analysed COVID-19 data and explored possible explanations to better understand the disease burden in the context of Rwanda’s infection control strategies.We investigated whether the age distribution plays a role in the observed low CFR in Rwanda by comparing the expected number of deaths for 10-year age bands based on the CFR reported in other countries with the observed number of deaths for each age group. We found that the age-specific CFRs in Rwanda are similar to or, in some older age groups, slightly higher than those in other countries, suggesting that the lower population level CFR reflects the younger age structure in Rwanda, rather than a lower risk of death conditional on age. We also accounted for Rwanda’s comprehensive SARS-CoV-2 testing strategies and reliable documentation of COVID-19-related deaths and deduced that these measures may have allowed them to likely identify more asymptomatic or mild cases than other countries and reduced their reported CFR.Overall, the observed low COVID-19 deaths in Rwanda is likely influenced by the combination of effective infection control strategies, reliable identification of cases and reporting of deaths, and the population’s young age structure.
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Arsenault, Joanne E., and Deanna K. Olney. "Review of the Micronutrient Situation in Rwanda." Food and Nutrition Bulletin 42, no. 1 (2021): 133–54. http://dx.doi.org/10.1177/0379572120975298.
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Background: Rwanda’s commitment to reducing malnutrition is evident in their multisectoral nutrition policy and wide array of nutrition partners. However, the prevalence of micronutrient deficiencies and the suitability of current strategies to address existing deficiencies is unclear. Objective: To review the available evidence related to the prevalence of micronutrient deficiencies across the life cycle and strategies in place to address them. Methods: We reviewed scientific and grey literature on nutritional problems in Rwanda, emphasizing micronutrient deficiencies and anemia, and current strategies to address micronutrient malnutrition. Results: Overall, there is scant evidence related to the types and prevalence of micronutrient deficiencies among populations across the life cycle in Rwanda. Existing evidence is primarily limited to outdated or small regional surveys focusing on iron or vitamin A among women and young children. Surveys have assessed the prevalence of anemia and indicate that anemia is very high among young children and moderately high among other age-groups. However, there are limited data on the context-specific causes of anemia in Rwanda across population groups. Current nutrition strategies mainly target women and young children and are primarily designed to reduce vitamin A deficiency and/or anemia caused by micronutrient deficiencies. Conclusions: Rwanda has many nutrition programs in place that address micronutrient deficiencies in young children and a few for women of reproductive age. However, gaps exist in knowledge of the extent of different types of micronutrient deficiencies among all populations across the life cycle and whether the delivery of nutrients through current programs is meeting actual needs.
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Reed, Wm Cyrus. "The Rwandan Patriotic Front: Politics and Development in Rwanda." Issue: A Journal of Opinion 23, no. 2 (1995): 48–53. http://dx.doi.org/10.1017/s0047160700502030.
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The past twelve months have witnessed the devastation of Rwanda. More than one half million people were murdered by the Rwandan army and the associated civilian militias, while over two million people fled the country after the death of former President Juvenal Habyarimana. The Rwandan Patriotic Front, which emerged in exile over the past thirty years and now dominates the government in Kigali, faces a dilemma: how does it consolidate its position amongst its core supporters, many of whom grew up in exile and recently returned to Rwanda, while at the same time gain the confidence of the domestic population, many of whom have recently fled? Resolving this dilemma is the central task for the regime, and is critical to the future political and economic development of the country.In spite of its stated desire to create a broad-based government, the core of RPF support lies on a perilously narrow base, located as much outside of the country as inside. Domestically, the country is in ruins. The exodus of refugees resulted in the collapse of production and of the state.
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Owoso, A., S. Jansen, D. M. Ndetei, et al. "A comparative study of psychotic and affective symptoms in Rwandan and Kenyan students." Epidemiology and Psychiatric Sciences 27, no. 2 (2017): 157–68. http://dx.doi.org/10.1017/s2045796016001074.
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Aims.War and conflict are known to adversely affect mental health, although their effects on risk symptoms for psychosis development in youth in various parts of the world are unclear. The Rwandan genocide of 1994 and Civil War had widespread effects on the population. Despite this, there has been no significant research on psychosis risk in Rwanda. Our goal in the present study was to investigate the potential effects of genocide and war in two ways: by comparing Rwandan youth born before and after the genocide; and by comparing Rwandan and Kenyan adolescents of similar age.Methods.A total of 2255 Rwandan students and 2800 Kenyan students were administered the Washington Early Recognition Center Affectivity and Psychosis (WERCAP) Screen. Prevalence, frequency and functional impairment related to affective and psychosis-risk symptoms were compared across groups using univariate and multivariate statistics.Results.Rwandan students born before the end of the genocide and war in 1994 experienced higher psychotic and affective symptom load (p’s < 0.001) with more functional impairment compared with younger Rwandans. 5.35% of older Rwandan students met threshold for clinical high-risk of psychosis by the WERCAP Screen compared with 3.19% of younger Rwandans (χ2 = 5.36; p = 0.02). Symptom severity comparisons showed significant (p < 0.001) group effects between Rwandan and Kenyan secondary school students on affective and psychotic symptom domains with Rwandans having higher symptom burden compared with Kenyans. Rwandan female students also had higher rates of psychotic symptoms compared with their male counterparts – a unique finding not observed in the Kenyan sample.Conclusions.These results suggest extreme conflict and disruption to country from genocide and war can influence the presence and severity of psychopathology in youth decades after initial traumatic events.
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Bangamwabo, Jean Bosco, John David Chetwood, Vincent Dusabejambo, et al. "Prevalence and sociodemographic determinants of dyspepsia in the general population of Rwanda." BMJ Open Gastroenterology 7, no. 1 (2020): e000387. http://dx.doi.org/10.1136/bmjgast-2020-000387.
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IntroductionDyspepsia accounts for a significant burden of worldwide disease, but there is a relative paucity of data from the sub-Saharan African setting. We undertook to describe the burden, risk factors and severity of dyspepsia across Rwanda.MethodsWe performed a population-based clustered cross-sectional survey between November 2015 and January 2016, nationwide in Rwanda, using the Short Form Leeds Dyspepsia Questionnaire to describe the presence and severity of dyspepsia, and the Short Form Nepean Dyspepsia Index to describe the concomitant quality of life effects. Univariate and multivariate logistic regression models were constructed to correlate measured sociodemographic factors with dyspepsia.ResultsThe prevalence of clinically significant dyspepsia in the general Rwandan population was 14.2% (283/2000). The univariate factors that significantly predicted severity were gender, profession, socioeconomic status, and non-steroidal anti-inflammatory drug, aspirin and alcohol use, with gender, current smoking, aspirin use both in the past and currently, and alcohol use in the past remaining significant on multivariate modelling. Dyspeptics had a significantly lower gastrointestinal-related quality of life, though the sociodemographic factors measured did not modify the observed quality of life.ConclusionDyspepsia is prevalent in the Rwandan setting and is associated with a significant burden on quality of life. More work is required to determine the pathological entities involved, and the optimal approach to mitigating this burden.
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André, Charles. "Phrenology and the Rwandan Genocide." Arquivos de Neuro-Psiquiatria 76, no. 4 (2018): 277–82. http://dx.doi.org/10.1590/0004-282x20180022.
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ABSTRACT Belgian colonizers used phrenology to create an irreducible division between the two major groups living for centuries in Rwanda-Urundi. This formed the basis for the implementation of systematic efforts to subdue the large Hutu population. Both the Hutus and the smaller, and initially privileged, Tutsi group soon incorporated the racist discourse, which was pivotal to the gradual increase in violence before and after Rwandan independence in 1962. The Rwandan genocide in 1994 culminated in the horrible pinnacle of this process, involving recurrent episodes of slaughtering. Doctors should not underestimate the racist potential of pseudoscientific misconceptions.
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Williams, Pamela, Katie Morales, Vikram Sridharan, Alekya Tummala, and Elliot Marseille. "Postpartum family planning in Rwanda: a cost effectiveness analysis." Gates Open Research 3 (June 3, 2019): 887. http://dx.doi.org/10.12688/gatesopenres.12934.2.
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Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. Women spend on average about 30 years, or three-quarters of their reproductive lives, attempting to avoid pregnancy. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Methods: This cost effectiveness analysis compared the two most frequently-used family planning methods in Rwanda, longer-acting reversible contraception (LARC), injections and subdermal implants, and shorter-acting reversible contraceptives (non-LARC), pills and condoms. Women who do not use contraception postpartum were also represented. A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and the analysis was conducted from a health systems perspective. Results: For women of reproductive age (15-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: There is an opportunity to avert unplanned pregnancies associated with the increased utilization of LARC methods. Despite the availability of LARC methods in many of Rwanda’s health facilities, the full benefits are not yet realized. LARC is cost-saving compared with non-LARC methods. Effective public health messaging campaigns and other promotion targeting current resistance to LARC use for the postpartum population could both enhance health and save public health funds.
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King, M. "The population "wolf" and demographic entrapment in Rwanda." American Journal of Public Health 86, no. 7 (1996): 1030–31. http://dx.doi.org/10.2105/ajph.86.7.1030-b.
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Thomson, Dana R., Cheryl Amoroso, Sidney Atwood, et al. "Impact of a health system strengthening intervention on maternal and child health outputs and outcomes in rural Rwanda 2005–2010." BMJ Global Health 3, no. 2 (2018): e000674. http://dx.doi.org/10.1136/bmjgh-2017-000674.
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IntroductionAlthough Rwanda’s health system underwent major reforms and improvements after the 1994 Genocide, the health system and population health in the southeast lagged behind other areas. In 2005, Partners In Health and the Rwandan Ministry of Health began a health system strengthening intervention in this region. We evaluate potential impacts of the intervention on maternal and child health indicators.MethodsCombining results from the 2005 and 2010 Demographic and Health Surveys with those from a supplemental 2010 survey, we compared changes in health system output indicators and population health outcomes between 2005 and 2010 as reported by women living in the intervention area with those reported by the pooled population of women from all other rural areas of the country, controlling for potential confounding by economic and demographic variables.ResultsOverall health system coverage improved similarly in the comparison groups between 2005 and 2010, with an indicator of composite coverage of child health interventions increasing from 57.9% to 75.0% in the intervention area and from 58.7% to 73.8% in the other rural areas. Under-five mortality declined by an annual rate of 12.8% in the intervention area, from 229.8 to 83.2 deaths per 1000 live births, and by 8.9% in other rural areas, from 157.7 to 75.8 deaths per 1000 live births. Improvements were most marked among the poorest households.ConclusionWe observed dramatic improvements in population health outcomes including under-five mortality between 2005 and 2010 in rural Rwanda generally and in the intervention area specifically.
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Gubic, Ilija, and Oana Baloi. "Public open space initiatives for healthier cities in Rwanda." Journal of Public Space, Vol. 5 n. 2 (April 30, 2020): 129–46. http://dx.doi.org/10.32891/jps.v5i2.1287.
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With a population of close to 13 million, and an annual growth rate of 2.86 percent, Rwanda plans to position itself as a climate resilient, low carbon, low unemployment, reduced poverty country, with a strong services sector by 2050. Its projected increase in its urbanization rate from a current value of 18.4 percent to 35 percent by 2024 is driven by strong political will, significant investments in infrastructure, service provision, and human capital development. Rwanda’s secondary cities, identified as economic nodes of growth, are currently undergoing revision of their masterplans in consideration of climate change realities and the pressure on infrastructure and services due to rapid urbanization. Currently, cities in Rwanda do not yet have a system of public open spaces. Where available, such spaces are usually hardly accessible and need upgrading. To address this, the Ministry of Infrastructure, Rwanda Housing Authority, City of Kigali and six secondary cities have committed to deliver on public open space related activities and targets under the yearly performance contract ‘Imihigo’. The outcomes of their commitments support the climate-responsive revision of masterplans of the City of Kigali and six secondary cities. This paper presents public open space initiatives in Kigali and the results of the technical assessment of public open spaces and participatory planning and design workshop in Nyagatare, secondary city in Rwanda’s. It also discusses ongoing policy changes and initiatives that aim to promote public open spaces as crucial for urban public health.
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Kalulu, Ronald, Emmy Tushabe, and Abel Chondo. "Air Transport and Its Impact on the Tourism Industry in Rwanda: Case of RwandAir." East African Journal of Business and Economics 2, no. 1 (2020): 43–52. http://dx.doi.org/10.37284/eajbe.2.1.185.
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The study focused on the air transportation and its impact on the tourism industry in Rwanda; the case of RwandAir. The study objectives were to identify the contributions of air transportation to the development of tourism industry in Rwanda; to establish the challenges facing the air transport sector and to propose strategic measures to mitigate the challenges. The study used a cross-sectional survey thus both the qualitative and quantitative approaches were applied. The study used closed-ended questionnaires, structured interview, as well as document review. Purposive sampling was used on the key managers of both RwandAir and Rwanda Development Board. The study targeted 700 international tourists and 200 domestic tourists (conveniently selected), as well as structured interview with 30 senior officers of RwandAir and 20 senior officers of RDB, hence making the total population to be 950 respondents. The study sample size was 274 respondents. However, after validating the returned questionnaires, only 240 questionnaires were found to be valid. It was revealed that RwandAir greatly contributes to tourism development in many ways such as marketing, job creation, transporting tourists, providing a convenient, quick and safe way to get into the country among others. It was revealed by the world bank that international tourism arrivals in 2016 was 932000 tourists bringing in 25.85 % of total exports and total imports and expenditure on travel service es was 11.99 % in Rwanda. The number of tourists’ arrivals was limited to arrivals by air. However, RwandAir and air transport in general faces changing oil prices, expensive jets, terrorism in neighbouring countries, limited funding, skills gap in aviation sector (lack of technical engineers and pilots), geographical location, inadequate infrastructure and to a great extent, lack of safety compliance. The strategies that can be adopted to improve air transport sector are: more funding to air transport industry by government; oil and energy negotiations with oil-producing countries; skills enhancement like training local pilots and engineers; improved airport infrastructure in Rwanda e.g. at Kigali international airport and other domestic airports; space agreements as well as benchmarking best airline companies like Qatar and emirates and others in the region. The study recommends tax concessions for the air transport, oil negotiations, opening up and re-development of the domestic airports in the country, reduced prices for incoming tourists using RwandAir, partnerships between government and private sector in developing air transport, increased training of aviation staff among others. It is believed that when these are done, then air transport will continue to positively transform tourism into a better and developing sector with sustained customer base hence national development.
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May, John F. "Policies on population, land use, and environment in Rwanda." Population and Environment 16, no. 4 (1995): 321–34. http://dx.doi.org/10.1007/bf02208117.
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Hagumimana, Noel, Jishi Zheng, Godwin Norense Osarumwense Asemota, et al. "Concentrated Solar Power and Photovoltaic Systems: A New Approach to Boost Sustainable Energy for All (Se4all) in Rwanda." International Journal of Photoenergy 2021 (June 16, 2021): 1–32. http://dx.doi.org/10.1155/2021/5515513.
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The energy sector of today’s Rwanda has made a remarkable growth to some extent in recent years. Although Rwanda has natural energy resources (e.g., hydro, solar, and methane gas, etc.), the country currently has an installed electricity generation capacity of only 226.7 MW from its 45 power plants for a population of about 13 million in 2021. The current national rate of electrification in Rwanda is estimated to 54.5% (i.e.; 39.7% grid-connected and 14.8% off-grid connected systems). This clearly demonstrates that having access to electricity is still a challenge to numerous people not to mention some blackout-related problems. With the ambition of having electricity for all, concentrated solar power (CSP) and photovoltaic (PV) systems are regarded as solutions to the lack of electricity. The production of CSP has still not been seriously considered in Rwanda, even though the technology has attracted significant global attention. Heavy usage of conventional power has led to the depletion of fossil fuels. At the same time, it has highlighted its unfriendly relationship with the environment because of carbon dioxide (CO2) emission, which is a major cause of global warming. Solar power is another source of electricity that has the potential to generate electricity in Rwanda. Firstly, this paper summarizes the present status of CSP and PV systems in Rwanda. Secondly, we conducted a technoeconomic analysis for CSP and PV systems by considering their strengths, weaknesses, opportunities, and threats (SWOT). The input data of the SWOT analysis were obtained from relevant shareholders from the government, power producers, minigrid, off-grid, and private companies in Rwanda. Lastly, the technical and economical feasibilities of CSP and PV microgrid systems in off-grid areas of Rwanda were conducted using the system advisor model (SAM). The simulation results indicate that the off-grid PV microgrid system for the rural community is the most cost-effective because of its low net present cost (NPC). According to the past literature, the outcomes of this paper through the SWOT analyses and the results obtained from the SAM model, both the CSP and PV systems could undoubtedly play a vital role in Rwanda’s rural electrification. In fact, PV systems are strongly recommended in Rwanda because they are rapid and cost-effective ways to provide utility-scale electricity for off-grid modern energy services to the millions of people who lack electricity access.
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Nsengiyumva, Innocent, and Rama Rao Bokka. "Topical Skills for Accounting Graduates within Changing Business Environment: Stakeholders’ Satisfaction Levels in Rwanda." Rwanda Journal of Social Sciences, Humanities and Business 1, no. 1 (2020): 39–64. http://dx.doi.org/10.4314/rjsshb.v1i1.5.
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Institution managers have always been seeking competent accountants and accounting technicians to fill the gaps created by the requirements of changing business environment and criticize the existing skills of newly graduated and less experienced accounting job aspirants from Rwandan Institutions of Higher Learning. This paper analyses the satisfaction levels of various stakeholders in Rwanda towards the skills held by accounting-employees and employers’ expectations, as this could remedy to the competence gap between the job market demand and human resource availability in accounting field. The target population includes the managers of selected institutions in Rwanda, the accountants employed by these institutions and the heads of departments in higher learning institutions delivering accounting programs. The sample was chosen randomly from each stratum of population from the selected districts. The study discovers that the competences acquired are not appropriate to fulfil the necessary skills required in accounting job. Collaboration between accounting firms and academic institutions is needed to synergize accounting practical training with theoretical learning in the classroom. Accountants will also have to equip with other extra knowledge and soft skills (information technology, critical thinking and effective communication) to match the market needs.
 Key Words: Business environment, competences, topical skills, accountants, accounting technicians, employers’ requirements,
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Musafiri, Ildephonse, and Pär Sjölander. "The importance of off-farm employment for smallholder farmers in Rwanda." Journal of Economic Studies 45, no. 1 (2018): 14–26. http://dx.doi.org/10.1108/jes-07-2016-0129.
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Purpose Based on unique data the authors analyze the Rwandan non-farm employment expansion in rural areas and its relation to agricultural productivity. The purpose of this paper is to analyze the factors that determine off-farm work hours in Rwanda, and how farmers’ off-farm employment affects agricultural output. Since production efficiency may depend on off-farm work and off-farm work depend on production efficiency (Lien et al., 2010), both production and off-farm work are endogenous. While controlling for endogeneity, the authors investigate the relationship between off-farm work and agricultural production. Design/methodology/approach In this paper the authors use a unique panel data set spanning over 26 years originating from household surveys conducted in the northwest and densely populated districts of Rwanda. Econometric estimations are based on a random effects two-stage Tobit model to control for endogeneity. Findings The study confirms theoretical and empirical findings from other developing countries that off-farm employment is one of the essential conditions for having an economically viable agricultural business and vice versa. Research limitations/implications The study is carried out in only one district of Rwanda. Even though most rural areas in Rwanda have similar features the findings cannot necessarily be generalized for the entire country of Rwanda. As in any study, the raw data set suffer from a number of shortcomings which cannot be fully eliminated by the econometric estimation, but this is a new data set which has the best data available for this research question in Rwanda. Practical implications The authors can conclude that there are synergy effects of investing government resources into both on-farm and off-farm employment expansions. Thus, in Rwanda on-farm investments can actually partly contribute to a future natural smooth transformation to more off-farm total output and productivity and vice versa. Though there are still limited off-farm employment opportunities in the studied area, there are considerable potentials to generate income and increase agricultural production through the purchase of additional inputs. Social implications The findings imply that a favorable business climate for off-farm businesses creates spill-over effects which enhance the smallholder farmers’ opportunities to survive, generate wealth, create employment and in effect reduce poverty. Originality/value From the best of the authors’ knowledge, similar studies have not been conducted in Rwanda, nor elsewhere with this type of data set. The findings provide original insights regarding off-farm and agricultural relationships in rural areas under dense population pressure. The results provide some indications that off-farm employment in developing countries (such as Rwanda) is one of the essential conditions for having an economically viable agricultural business and vice versa. The second wave of data was collected by the authors and was used solely for the purpose of this paper.
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Williams, Pamela, Katie Morales, Vikram Sridharan, Alekya Tummala, and Elliot Marseille. "Postpartum family planning in Rwanda: a cost effectiveness analysis." Gates Open Research 3 (August 27, 2019): 887. http://dx.doi.org/10.12688/gatesopenres.12934.3.
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Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Currently, the four most commonly used postpartum family planning methods in Rwanda are injections, subdermal implants, pills, and condoms. The economic and health benefit impact of the current method selection has not yet been evaluated. Methods: To evaluate the impact of current usage rates and method types, this cost effectiveness analysis (CEA) compared the most frequently used family planning methods in Rwanda broken into two categories, longer-acting reversible contraception (LARC) (injections and subdermal implants) and shorter-acting reversible contraceptives (non-LARC) (pills and condoms). A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and was conducted from a health systems perspective. This CEA compared two service package options to provide a comparator for the two method types, thus enabling insights to differences between the two. Results: For women of reproductive age (15-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: There is an opportunity to avert unplanned pregnancies associated with increased utilization of LARC methods. The full benefits of LARC are not yet realized in Rwanda. Under the conditions presented in this study, a service package that includes LARC has the potential to be cost-saving compared with one non-LARC methods. Effective health messaging of LARC use for the postpartum population could both enhance health and reduce costs.
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Nsanzimana, Sabin, Edward J. Mills, Ofir Harari, et al. "Prevalence and incidence of HIV among female sex workers and their clients: modelling the potential effects of intervention in Rwanda." BMJ Global Health 5, no. 8 (2020): e002300. http://dx.doi.org/10.1136/bmjgh-2020-002300.
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BackgroundRwanda has identified several targeted HIV prevention strategies, such as promotion of condom use and provision of antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) for female sex workers (FSWs). Given this country’s limited resources, understanding how the HIV epidemic will be affected by these strategies is crucial.MethodsWe developed a Markov model to estimate the effects of targeted strategies to FSWs on the HIV prevalence/incidence in Rwanda from 2017 to 2027. Our model consists of the six states: HIV-; HIV+ undiagnosed/diagnosed pre-ART; HIV+ diagnosed with/without ART; and death. We considered three populations: FSWs, sex clients and the general population. For the period 2017–2027, the HIV epidemic among each of these population was estimated using Rwanda’s demographic, sexual risk behaviour and HIV-associated morbidity and mortality data.ResultsBetween 2017 and 2027, with no changes in the current condom and ART use, the overall number of people living with HIV is expected to increase from 344,971 to 402,451. HIV incidence will also decrease from 1.36 to 1.20 100 person-years. By 2027, a 30% improvement in consistent condom use among FSWs will result in absolute reduction of HIV prevalence among FSWs, sex clients and the general population by 7.86%, 5.97% and 0.17%, respectively. While recurring HIV testing and improving the ART coverage mildly reduced the prevalence/incidence among FSWs and sex clients, worsening the two (shown by our worst-case scenario) will result in an increase in the HIV prevalence/incidence among FSWs and sex clients. Introduction of PrEP to FSWs in 2019 will reduce the HIV incidence among FSWs by 1.28%.ConclusionsContinued efforts toward improving condom and ART use will be critical for Rwanda to continue their HIV epidemic control. Implementing a targeted intervention strategy in PrEP for FSWs will reduce the HIV epidemic in this high-risk population.
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Rubagumya, Fidel, Ainhoa Costas-Chavarri, Achille Manirakiza, et al. "State of Cancer Control in Rwanda: Past, Present, and Future Opportunities." JCO Global Oncology, no. 6 (September 2020): 1171–77. http://dx.doi.org/10.1200/go.20.00281.
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Rwanda is a densely populated low-income country in East Africa. Previously considered a failed state after the genocide against the Tutsi in 1994, Rwanda has seen remarkable growth over the past 2 decades. Health care in Rwanda is predominantly delivered through public hospitals and is emerging in the private sector. More than 80% of patients are covered by community-based health insurance (Mutuelle de Santé). The cancer unit at the Rwanda Biomedical Center (a branch of the Ministry of Health) is responsible for setting and implementing cancer care policy. Rwanda has made progress with human papillomavirus (HPV) and hepatitis B vaccination. Recently, the cancer unit at the Rwanda Biomedical Center launched the country’s 5-year National Cancer Control Plan. Over the past decade, patients with cancer have been able to receive chemotherapy at Butaro Cancer Center, and recently, the Rwanda Cancer Center was launched with 2 linear accelerator radiotherapy machines, which greatly reduced the number of referrals for treatment abroad. Palliative care services are increasing in Rwanda. A cancer registry has now been strengthened, and more clinicians are becoming active in cancer research. Despite these advances, there is still substantial work to be done and there are many outstanding challenges, including the need to build capacity in cancer awareness among the general population (and shift toward earlier diagnosis), cancer care workforce (more in-country training programs are needed), and research.
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Li, Chaodong, Mingyi Yang, Zhanbin Li, and Baiqun Wang. "How Will Rwandan Land Use/Land Cover Change under High Population Pressure and Changing Climate?" Applied Sciences 11, no. 12 (2021): 5376. http://dx.doi.org/10.3390/app11125376.
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In recent decades, population growth and economic development have greatly influenced the pattern of land use/land cover (LULC) in Rwanda. Nevertheless, LULC patterns and their underlying change mechanisms under future climate conditions are not well known. Therefore, it is particularly important to explore the direction of LULC transfer in the study area, identify the factors driving the transfer of different types of LULC and their changes, and simulate future LULC patterns under future climate conditions. Based on LULC analyses of Rwanda in 1990, 2000, 2010, and 2015, the LULC pattern of Rwanda in the next 30 years was simulated using an LULC transition matrix, random forest sampling, the Markov chain model, and the PLUS model. The results showed that LULC change in the study area primarily comprised a decrease in forest area and expansion of cropland area, accompanied by a small increase in grassland area and an annual increase in urban land area. Prior to 2000, the LULC in Rwanda was mainly converted from forest and grassland to cropland, with the ratio being 0.72:0.28. After 2010, the LULC was mainly converted from forest to grassland and cropland, with the ratio being 0.83:0.17. Changes in forests, grasslands, and cropland are driven by multiple factors, whereas changes in wetlands, water, urban land, and unused land are more likely to be driven by a single factor. The existing trend of LULC change will continue for the next 30 years, and the future LULC pattern will exhibit a trend in which cropland area will increase in the west and grassland area will decrease, whereas grassland area will increase in the east and cropland area will decrease.
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Berchmans Niyibizi, Jean, Okop Kufre Joseph, Levitt Naomi, et al. "The Comparability of Lipid-based and Body Mass Index-based Cardiovascular Disease Risk Scores: Using the Rwanda 2012-2013 Non-communicable Diseases Risk Factors Survey Data." Rwanda Journal of Medicine and Health Sciences 4, no. 1 (2021): 166–84. http://dx.doi.org/10.4314/rjmhs.v4i1.12.
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Background
 In Rwanda, cardiovascular diseases (CVDs) ranked second of the most common cause of death in 2016. CVD risk score tools have been recommended to identify people at high risk for management.
 Objective 
 To assess the comparability of body mass index (BMI)-based and lipid-based CVD risk scores in Rwandan population.
 Methods
 Secondary analysis was conducted on 4185 study participants extracted from the dataset of Rwanda 2012-2013 non-communicable diseases risk factors survey. Individual CVD risk scores were calculated using both BMI-based and lipid-based algorithms, one at a time. Spearman rank’s coefficient and Cohen’s Kappa coefficient were used to compare the two tools.
 Results
 About 63.5% of participants were women. There was a significant positive correlation between BMI-based algorithm and lipid-based algorithm vis-à-vis a 10-year CVD risk prediction (Spearman rank correlation coefficients > 0.90, p<0.001) considering either men, women or overall study participants. There was a moderate agreement between BMI-based and lipid-based algorithms vis-à-vis CVD risk characterization, kappa = 0.52; p-value p<0.001 considering either overall study participants or men and kappa = 0.48; p-value p<0.001 considering women.
 Conclusion
 The findings from this study suggest the use of BMI-based algorithm, a cost effective tool compared to lipid-based tool, can be alternatively used in resource-limited settings. 
 Rwanda J Med Health Sci 2021;4(1):166-184
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Umumararungu, Christine Kapita, and Appoline Kabera Bazubagira. "Community perceptions about Covid-19 and its socio-economic effects in Rwanda." International Journal of Research in Business and Social Science (2147- 4478) 10, no. 4 (2021): 302–10. http://dx.doi.org/10.20525/ijrbs.v10i4.1215.
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The covid-19 crisis is global but its socio-economic effects cannot be globally scrutinized. It is deeply local and huge. The research aimed at finding out and assessing community perceptions about Covid-19 and its socio-economic effects in Rwanda. It would inspire policymakers to renovate measures and policies that would help in rehabilitating all sectors in general and more affected groups in particular. From 30 districts of Rwanda, 510 respondents have been sampled through convenience and judgmental techniques. Findings revealed that people misinterpret the pandemic which lowers their level of compliance to Covid-19 preventive measures. Stay home orders were not a fruitful time for families whereby 84% of respondents were victims of domestic and sexual violence. However, with 16%, it was a good time for family cohesion. Isolation and social values frustration, family disorganization and dysfunctional, depression, and anxiety are major social effects of Covid-19. Loss of jobs, decreased salaries, none compliance with preventive measures fines, incapacity to pay bank loans, inability to satisfy family basic needs, government extra investment in medical health care have enormously affected the Rwandan economy. Thus, there is a need of strengthening sensitization of covid-19 spread, preventive measures, short and long-term consequences associated with it. This would shift the population from their wrong perceptions of covid-19 and increase the rate of compliance to established measures so as to free Rwanda from the pandemic and return to a normal life situation.
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Nimbabazi, O. "Breast Cancer Reduction Initiatives in Rwanda." Journal of Global Oncology 4, Supplement 2 (2018): 133s. http://dx.doi.org/10.1200/jgo.18.53000.
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Background and context: Breast cancer is a leading cause of cancer-related death for women. In Africa women are diagnosed much younger, with a substantial number of cases affecting women under the age of 20. In Rwanda, breast cancer patients constitute 15.8% of overall cancer patients and new cases increase as people start being aware and go screening, however breast cancer with early detection can be well treated to live longer and palliative care can be given. It's with that reason in Rwanda different initiatives have put in place to reduce the breast cancer. Aim: The aim of these initiatives is to raise awareness of breast cancer to the population and promoting early detection as breast cancer is treatable when it's diagnosed at early stage. Also these initiatives gives information about risk factors and how changing lifestyle with early detection can help on reducing new cases. Strategy/Tactics: These initiatives are done through public health campaigns, gatherings and walks throughout the country educating breast cancer risk factors, prevention and importance of early diagnosis. The programs reached young ladies to start prevention early by making outreaches at school and youth centers. And all the initiatives are accessible by every citizen as they are all free. Program/Policy process: In promotion of early diagnosis many nurses for health center have been trained how to diagnose breast cancer and how to educate patients that attend those health facilities, then for awareness public health campaigns are done and also with different media are used like talk shows and informative posters are in different public places like hospitals. Outcomes: With the past 2 years of mass campaigns, walks and outreaches, there have been improvement in understanding of population about breast cancer, and both men and women are interested to be educated more with that the number of people going for diagnosis have been increased and participation in outreaches is high. What was learned: The population is always eager to be educated about cancer and how they can prevent it and with these initiatives have been proved by numbers that attend campaigns and it's important to take initiative to reduce its incidence by making the community aware of it and take early preventive measures. And this to be more successful there should be public and private partnership to put effort and reach a large population for breast cancer can be diagnosed treated at early stage hence reduction its prevalence.
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Ruberanziza, Eugene, Kei Owada, Nicholas J. Clark, et al. "Mapping Soil-Transmitted Helminth Parasite Infection in Rwanda: Estimating Endemicity and Identifying At-Risk Populations." Tropical Medicine and Infectious Disease 4, no. 2 (2019): 93. http://dx.doi.org/10.3390/tropicalmed4020093.
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Soil-transmitted helminth (STH) infections are globally distributed intestinal parasite infections caused by Ascaris lumbricoides, Trichuris trichiura, and hookworms (Ancylostoma duodenale and Necator americanus). STH infection constitutes a major public health threat, with heavy burdens observed in many of the world’s tropical and subtropical regions. Mass drug administration and sanitation improvements can drastically reduce STH prevalence and associated morbidity. However, identifying targeted areas in need of treatment is hampered by a lack of knowledge on geographical and population-level risk factors. In this study, we applied Bayesian geostatistical modelling to data from a national school-based STH infection survey in Rwanda to (1) identify ecological and population-level risk factors and (2) provide comprehensive precision maps of infection burdens. Our results indicated that STH infections were heterogeneously distributed across the country and showed signatures of spatial clustering, though the magnitude of clustering varied among parasites. The highest rates of endemic clustering were attributed to A. lumbricoides infection. Concordant infection patterns among the three parasite groups highlighted populations currently most at-risk of morbidity. Population-dense areas in the Western and North-Western regions of Rwanda represent areas that have continued to exhibit high STH burden across two surveys and are likely in need of targeted interventions. Our maps support the need for an updated evaluation of STH endemicity in western Rwanda to evaluate progress in MDA efforts and identify communities that need further local interventions to further reduce morbidity caused by STH infections.
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Maogoto, Jackson Nyamuya. "The International Criminal Tribunal for Rwanda: A Paper Umbrella in the Rain? Initial Pitfalls and Brighter Prospects." Nordic Journal of International Law 73, no. 2 (2004): 187–221. http://dx.doi.org/10.1163/1571810042321177.
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The tragedy which befell Rwanda in 1994 deserves a special place in the bloodstained pages of history. The Rwandan genocide merits distinction primarily because of its shocking ef ficiency, its scale and its proportional dimensions among the victim population. The Security Council's resolution establishing the ICTR articulates a set of decisions, assumptions, wishes, and objectives. Primarily, the States that voted in favour of the creation of the ICTR indicated that the root of the problem was individual violations of international criminal law. Only one State that voted for the resolution did not equate ipso facto ICTR actions with justice. That State considered the ICTR only one of the many tasks at hand for the international community. The ICTR was merely a vehicle of justice, 'but it is hardly designed as a vehicle for reconciliation . . . Reconciliation is a much more complicated process' (Czech Republic). Interestingly, Rwanda, which voted against the resolution, spoke of the problem in terms of a culture of impunity . The UN paid little to no heed to the subtle, but extremely different way in which the problem was characterized and the implications this would have on the type of tool needed to deal with that problem.
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Harelimana, Jean Bosco. "The Effect of Non-Peforming Loans Management on the Financial Performance of Commercial Banks in Rwanda: A Case Study of ECOBANK Rwanda." Enterprise Risk Management 3, no. 1 (2017): 19. http://dx.doi.org/10.5296/erm.v3i1.12188.
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The study assessed the impact of Non-Performing Loans management on the financial performance of commercial Banks in Rwanda: a case study of ECOBANK Rwanda throughout the period from 2013 -2015. Qualitative and quantitative data were collected from the total population of 295 of employees of ECOBANK Rwanda where a sample of 170 of respondents was selected. The findings were summarized below in accordance of research objectives. Methods such as questionnaires, structured interview were used under this study. From the findings, the results confirmed there are many factors account for the incidence of non-performing loans in ECOBANK. The profit ratios performance of ECOBANK RWANDA from 2013 to 2015 indicated an increase from 2013 to 2014 where it came from on 9.24% to 14.92% of profit, while in 2014 to 2015 are characterized by increasing in profit from 14.92% to 15.18% of profit. There is an evidence of association between NPLs management and financial performance of ECOBANK Rwanda which was 0.741. ECOBANK Rwanda should look if it is necessary the participation of all stakeholders in the implementation of credits delivery principles. It should continue to do an improvement since NPLs management contributes 54.9% on financial performance at ECOBANK, they could reach even on 100.0% when improvement is done well at this commercial bank.
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Desrosiers, Marie-Eve. "RETHINKING POLITICAL RHETORIC AND AUTHORITY DURING RWANDA'S FIRST AND SECOND REPUBLICS." Africa 84, no. 2 (2014): 199–225. http://dx.doi.org/10.1017/s0001972014000023.
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ABSTRACTDrawing on rarely analysed primary sources obtained during multi-site archival research, this article examines and proposes to reassesses the political rhetoric deployed in pre-genocide Rwanda (First and Second Republics). The article contends that the First and Second Republics' rhetoric was not as ethnocentric as often contended. It argues instead that this rhetoric, cautious and moderate, should be understood as part of regime resilience strategies. Born of questionable origins, the two regimes faced recurrent instability and only imposed their authority questionably on segments of the Rwandan population. Unlike ethnocentric rhetoric calling upon limited ethnic affinities, moderate rhetoric was meant to ‘persuade’ and ‘pre-empt’, in other words extend support for regimes that were uncertain of their grounding.
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Isabirye, Stephen B., and Kooros M. Mahmoudi. "Rwanda, Burundi, and Their “Ethnic” Conflicts." Ethnic Studies Review 23, no. 1 (2000): 62–80. http://dx.doi.org/10.1525/esr.2000.23.1.62.
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This paper demonstrably dispels the assumption that ethnic conflict in Rwanda and Burundi is a chronic endemic phenomenon. It emphasizes the consolidation of the caste system during the colonial era, intra regional disparities within the two communities, high population densities, very weak economic bases, poverty, and international interference as some of the cardinal dynamics behind the current deadly contentions within the two states. An analysis behind the genocidal tendencies in the two countries is well illustrated, with special emphasis on the Rwandese tragedy of 1994 as well as its parallels and divergences with the Nazi Holocaust.
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Mujawimana, Patricie, Fauste Uwingabire, Felicite Kankindi, Ruth Dusabe, and Pamela Meharry. "Parents’ Knowledge of Neonatal Danger Signs and Associated Factors at Health Centers in Kigali, Rwanda." Rwanda Journal of Medicine and Health Sciences 3, no. 2 (2020): 128–38. http://dx.doi.org/10.4314/rjmhs.v3i2.4.
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Background
 Globally, nearly half of all under-five deaths occur during the neonatal period. About two million dies within the first week, of which 75% come from low-resource countries, such as Rwanda. Many neonatal deaths are preventable or avoidable if parents are knowledgeable of Neonatal Danger Signs (NDS), and do not delay seeking care at a health facility.
 Objective
 To assess the parents’ knowledge of NDS and associated factors within the neonatal period at four health centers in Kigali.
 Method
 This study was a descriptive cross-sectional design. A proportionate stratified probability sampling strategy was used to select 209 parents who attended selected health centers in Kigali. Data analysis used descriptive and inferential statistics.
 Results
 The findings showed that 67% of participants had some information on NDS. Logistic regression showed that educational level, parity, number of antenatal visits, and information from healthcare providers was significantly associated with parents' knowledge of NDS.
 Conclusion 
 Our findings indicate the need to enhance education of parents’ knowledge of NDS in the study population. Educational efforts also should target NDS in health centers where most Rwandan women attend antenatal care.
 Rwanda J Med Health Sci 2020;3(2):128-138
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Easton, Julian, Nerissa Chao, Felix Mulindahabi, Nicolas Ntare, Louis Rugyerinyange, and Innocent Ndikubwimana. "Status and conservation of the only population of the Vulnerable owl-faced monkey Cercopithecus hamlyni in Rwanda." Oryx 45, no. 3 (2011): 435–38. http://dx.doi.org/10.1017/s0030605310001468.
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AbstractThe elusive, Vulnerable owl-faced monkey Cercopithecus hamlyni is a rare and little studied species and one of the least known of the African Cercopithecidae. This study describes the distribution and relative abundance of the only known population in East Africa, in Nyungwe National Park, Rwanda. This species is restricted to a small (32 km2) area of bamboo and bamboo–forest mix in the southern sector of the Park, close to the international border with Burundi. We present the first empirical data of its abundance in the bamboo forests of Nyungwe. A total length of 185 km of transect were surveyed to estimate relative abundance of diurnal primates. Encounter rates with the owl-faced monkey were 0.081 groups km-1 (n = 15). Mean group size was 3.6 individuals. Eight independent photographs of C. hamlyni were obtained from five camera traps during 182 camera-days. Four other species of primates occur in the bamboo forest: eastern chimpanzee Pan troglodytes schweinfurthii, Angola colobus Colobus angolensis, L’Hoest’s monkey Cercopithecus l’hoesti and blue monkey Cercopithecus mitis. The main threats to the bamboo forest are from the illegal harvesting of bamboo, trapping and tree-cutting. These threats originate from both Rwanda and Burundi. There is an urgent need for conservation action to halt the destruction and degradation of the bamboo forest and to ensure the long-term survival of the owl-faced monkey in Rwanda.
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Ashe, Muesiri, and Vivian Ojong. "Population overhang and the Great Lakes crisis : Rwanda and her neighbours." Journal of African Union Studies 7, no. 2 (2018): 127–47. http://dx.doi.org/10.31920/2050-4306/2018/v7n2a7.
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Bright, Tess, Hannah Kuper, David Macleod, David Musendo, Peter Irunga, and Jennifer L. Y. Yip. "Population need for primary eye care in Rwanda: A national survey." PLOS ONE 13, no. 5 (2018): e0193817. http://dx.doi.org/10.1371/journal.pone.0193817.
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Bigirimana, Moïse, and Xu Hongyi. "Financial Inclusion in Rwanda: an Analysis of Role Played by Commercial Banks." INTERNATIONAL JOURNAL OF MANAGEMENT SCIENCE AND BUSINESS ADMINISTRATION 4, no. 2 (2018): 25–31. http://dx.doi.org/10.18775/ijmsba.1849-5664-5419.2014.42.1003.
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The purpose of this research is to analyze the role played by commercial banks on financial inclusion in Rwanda. Rwanda which is seen as a model of fast development in Africa has set a target of 90% financial inclusion by the year 2020. This target was almost achieved in 2016 where 89% were financially included but only 26% have accounts with commercial banks. This study reveals that all the three dimensions of financial inclusion i.e. access, penetration and usage of commercial banks have increased from 2004 to 2016. This research found that almost 40% of respondents have accounts in the commercial bank. The rest of respondents have accounts either in microfinance institutions or in SACCOs. The findings show again that 67.7% of people who took loans, took them from commercial banks. Although commercial banks play a great role, there is a long way to go for Rwanda to be formally included because only 26% have an account in commercial banks according to Finscope Survey 2016. On this matter, the government of Rwanda should put more efforts to computerize MFIs and SACCOs as they serve 65% of the population in Rwanda. The government of Rwanda should set policies that support microfinance and SACCOs for them to offer better services at the standards of commercial banks as this would help in having a big number of citizens formally included and it may contribute to its economic growth.
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McNeilage, Alastair, Martha M. Robbins, Maryke Gray, et al. "Census of the mountain gorilla Gorilla beringei beringei population in Bwindi Impenetrable National Park, Uganda." Oryx 40, no. 4 (2006): 419–27. http://dx.doi.org/10.1017/s0030605306001311.
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Mountain gorillas Gorilla beringei beringei are Critically Endangered, with just two small populations: in Bwindi Impenetrable National Park in south-western Uganda and the nearby Virunga Volcanoes on the borders with Rwanda and Uganda. A survey of the Bwindi population was carried out in 2002 and results were compared with the previous census in 1997. Our estimate of total population size increased over that period by c. 7% to 320 individuals and the structure and distribution of the population were largely unchanged. Signs of human disturbance were more common in 2002 than 1997, and gorillas tended to be found in areas of relative low disturbance. This suggested that disturbance could be a constraint on population growth and distribution but demographic stochasticity may also be responsible for the observed level of population change over a short time period. Other potential limiting factors, including habitat availability and disease, are discussed. While conservation activities in Bwindi have probably contributed to the stability of the population, strengthening of law enforcement and continued vigilance are needed to ensure the population's long-term growth and survival.
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Pace, Lydia E., Jean Marie Vianney Dusengimana, Jean Paul Balinda, et al. "Integrating breast cancer screening into a cervical cancer screening program in three rural districts in Rwanda." Journal of Clinical Oncology 38, no. 15_suppl (2020): 2025. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.2025.
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2025 Background: In low-income countries where mammography is not widely available, optimal strategies to facilitate earlier breast cancer detection are not known. We previously conducted a cluster randomized clinical trial of clinician trainings in Burera District in rural Rwanda to facilitate earlier diagnosis among symptomatic women; 1.3% of women evaluated at intervention health centers (HCs) were diagnosed with cancer. Early stage breast cancer incidence was higher in intervention areas. Subsequently, Rwanda Biomedical Centre, Rwanda’s national health implementation agency, adapted the program in 3 other districts, offering screening clinical breast exams (CBE) to all women aged 30-50 years receiving cervical cancer screening and any other woman requesting CBE. A navigator facilitated patient tracking. We sought to examine patient volume, service provision and cancer detection rate in the adapted program. Methods: We abstracted data from weekly HC reports, facility registries, and the referral hospital’s electronic medical record to determine numbers of patients seen, referrals made, biopsies, and cancer diagnoses from July 2018-December 2019. Results: CBE was performed at 17,239 visits in Rwamagana, Rubavu and Kirehe Districts (total population 1.34 million) over 18, 17 and 7 months of program implementation respectively. At 722 visits (4.2%), CBE was abnormal. 571 patients were referred to district hospitals (DH); their average age was 35 years. Of those referred, 388 (68.0%) were seen at DH; 32% were not. Of those seen, 142 (36.6%) were referred to a referral facility; 121 of those referred (85.2%) actually went to the referral facility. Eighty-eight were recommended to have biopsies, 83 (94.3%) had biopsies, and 29 (34.9% of those biopsied; 0.17% of HC visits) were diagnosed with breast cancer. Conclusions: Integrating CBE screening into organized cervical cancer screening in rural Rwandan HCs led to a large number of patients receiving CBE. As expected, patients were young and the cancer detection rate was much lower than in a trial focused on symptomatic women. Even with navigation efforts, loss-to-follow-up was high. Analyses of stage, outcomes, patient and provider experience and cost are planned to characterize CBE screening’s benefits and harms in Rwanda. However, these findings suggest building health system capacity to facilitate referrals and retain patients in care are needed prior to further screening scaleup. In the interim, early diagnosis programs targeting symptomatic women may be more efficient and feasible.
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Mageras, Anna, Ellen Brazier, Théodore Niyongabo, et al. "Comparison of cohort characteristics in Central Africa International Epidemiology Databases to Evaluate AIDS and Demographic Health Surveys: Rwanda and Burundi." International Journal of STD & AIDS 32, no. 6 (2021): 551–61. http://dx.doi.org/10.1177/0956462420983783.
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Clinical health record data are used for HIV surveillance, but the extent to which these data are population representative is not clear. We compared age, marital status, body mass index, and pregnancy distributions in the Central Africa International Databases to Evaluate AIDS (CA-IeDEA) cohorts in Burundi and Rwanda to all people living with HIV and the subpopulation reporting receiving a previous HIV test result in the Demographic and Health Survey (DHS) data, restricted to urban areas, where CA-IeDEA sites are located. DHS uses a probabilistic sample for population-level HIV prevalence estimates. In Rwanda, the CA-IeDEA cohort and DHS populations were similar with respect to age and marital status for men and women, which was also true in Burundi among women. In Burundi, the CA-IeDEA cohort had a greater proportion of younger and single men than the DHS data, which may be a result of outreach to sexual minority populations at CA-IeDEA sites and economic migration patterns. In both countries, the CA-IeDEA cohorts had a higher proportion of underweight individuals, suggesting that symptomatic individuals are more likely to access care in these settings. Multiple sources of data are needed for HIV surveillance to interpret potential biases in epidemiological data.
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Mutagoma, Mwumvaneza, Malamba S. Samuel, Catherine Kayitesi, et al. "High HIV prevalence and associated risk factors among female sex workers in Rwanda." International Journal of STD & AIDS 28, no. 11 (2017): 1082–89. http://dx.doi.org/10.1177/0956462416688137.
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Human immunodeficiency virus (HIV) prevalence is often high among female sex workers (FSWs) in sub-Saharan Africa. Understanding the dynamics of HIV infection in this key population is critical to developing appropriate prevention strategies. We aimed to describe the prevalence and associated risk factors among a sample of FSWs in Rwanda from a survey conducted in 2010. A cross-sectional biological and behavioral survey was conducted among FSWs in Rwanda. Time–location sampling was used for participant recruitment from 4 to 18 February 2010. HIV testing was done using HIV rapid diagnostic tests (RDT) as per Rwandan national guidelines at the time of the survey. Elisa tests were simultaneously done on all samples tested HIV-positive on RDT. Proportions were used for sample description; multivariable logistic regression model was performed to analyze factors associated with HIV infection. Of 1338 women included in the study, 1112 consented to HIV testing, and the overall HIV prevalence was 51.0%. Sixty percent had been engaged in sex work for less than five years and 80% were street based. In multivariable logistic regression, HIV prevalence was higher in FSWs 25 years or older (adjusted odds ratio [aOR] = 1.83, 95% [confidence interval (CI): 1.42–2.37]), FSWs with consistent condom use in the last 30 days (aOR = 1.39, [95% CI: 1.05–1.82]), and FSWs experiencing at least one STI symptom in the last 12 months (aOR = 1.74 [95% CI: 1.34–2.26]). There was an inverse relationship between HIV prevalence and comprehensive HIV knowledge (aOR = 0.65, [95% CI: 0.48–0.88]). HIV prevalence was high among a sample of FSWs in Rwanda, and successful prevention strategies should focus on HIV education, treatment of sexually transmitted infections, and proper and consistent condom use using an outreach approach.
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Umumararungu, Esperance, Fabien Ntaganda, John Kagira, and Naomi Maina. "Prevalence of Hepatitis C Virus Infection and Its Risk Factors among Patients Attending Rwanda Military Hospital, Rwanda." BioMed Research International 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/5841272.
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In Rwanda, the prevalence of viral hepatitis (HCV) is poorly understood. The current study investigated the prevalence and risk factors of HCV infection in Rwanda. A total of 324 patients attending Rwanda Military Hospital were randomly selected and a questionnaire was administered to determine the risk factors. Blood was collected and screened for anti-HCV antibodies and seropositive samples were subjected to polymerase chain reaction method. Hematology abnormalities in the HCV infected patients were also investigated. Anti-HCV antibody and active HCV infection were found in 16.0% and 9.6% of total participants, respectively. Prevalence was highest (28.4%; 19/67) among participants above 55 years and least (2.4%; 3/123) among younger participants (18–35 years). There was a significant (P=0.031) relationship between place of residence and HCV infection with residents of Southern Province having significantly higher prevalence. The hematological abnormalities observed in the HCV infected patients included leukopenia (48.4%; 15/52), neutropenia (6.5%; 2/52), and thrombocytopenia (25.8%; 8/52). The HCV infection was significantly higher in the older population (>55 years) and exposure to injection from traditional practitioners was identified as a significant (P=0.036) risk factor of infection. Further studies to determine the factors causing the high prevalence of HCV in Rwanda are recommended.
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Huetz de Lemps, Christian. "Population, problèmes ethniques et développement : les cas du Burundi et du Rwanda." Cahiers d'outre-mer 46, no. 184 (1993): 443–45. http://dx.doi.org/10.3406/caoum.1993.3498.
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Li, Jessica, Rachel Parker, Kristin Wall, Lisa Haddad, and Susan Allen. "2120 Long-acting reversible contraceptive uptake in female sex workers and single mothers in Rwanda and Zambia." Journal of Clinical and Translational Science 2, S1 (2018): 84. http://dx.doi.org/10.1017/cts.2018.292.
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OBJECTIVES/SPECIFIC AIMS: Long-acting reversible contraception (LARC) has been well established as the most cost-effective form of contraception, but LARC usage in developing countries remains low. As part of a multi-center parent study on HIV incidence, we implemented an integrated family planning program to increase LARC uptake in single women in Rwanda and Zambia. We aim to evaluate rates of LARC uptake, LARC discontinuation and incident pregnancy following family planning counseling. METHODS/STUDY POPULATION: We enrolled 3 cohorts of single sexually active HIV-negative women between the ages of 18–45 years: single mothers (SM) in Zambia, female sex workers (FSW) in Zambia and FSW in Rwanda. Participants were followed every 3 months for up to 5 years. At each visit, we discussed fertility goals and counseled participants on HIV risk reduction and contraceptive options. Eligible participants (not pregnant, already using a LARC method, or using a permanent contraceptive method) were offered a LARC method, specifically the copper IUD or Jadelle implant. Data was collected on demographic factors, sexual behavior, sexual and reproductive history, and gynecological exams and laboratory tests were performed if necessary. RESULTS/ANTICIPATED RESULTS: In total, 458 Rwandan FSW, 555 Zambian FSW, and 521 Zambian SM were enrolled, with a median follow-up time of 6 months, 12 months, and 9 months, respectively. Accounting for any LARC uptake during longitudinal follow-up, our preliminary results show an increase in LARC usage from 21% at screening to 51% at the end of follow-up among Rwandan FSW, an increase from 12% to 42% in Zambian FSW and an increase from 18% to 44% in Zambian SM. We hypothesize that demographic factors (e.g., younger age, higher education level) and sexual history (e.g., greater number of sexual partners, any STIs or reproductive health disturbances) will be associated with increased rates of LARC uptake. We also hypothesize that LARC users will have significantly lower proportions of contraceptive method discontinuation and incident pregnancy compared to non-LARC users. DISCUSSION/SIGNIFICANCE OF IMPACT: FSW and SM are disproportionately affected by high rates of unintended pregnancy, which can lead to obstetric complications and poor psychosocial outcomes. It is imperative that family planning interventions in developing countries target these populations to overcome obstacles in reproductive health and promote gender equality. Our study will provide necessary insights to an integrated family planning program, which will guide future efforts to design, implement and evaluate family planning initiatives for high-risk populations.
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Batsinda, Gilbert, and Jaya Shukla. "Inflation and Profitability of Commercial Banks in Rwanda: A Case Study of Bank of Kigali." International Journal of Business and Management 14, no. 10 (2019): 35. http://dx.doi.org/10.5539/ijbm.v14n10p35.
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The study evaluates the impact of inflation on the profitability of commercial banks in Rwanda with specific focus on the Bank of Kigali. In Rwanda, the effect of inflation on the financial performance of commercial banks has not been adequately researched in relation to types of inflation. It is against this issue that the researcher wanted to carry out this research to find the relationship between inflation and profitability of commercial bank in Rwanda. The specific objectives of study were: to examine the trend of inflation in Rwanda; to examine the profitability of Bank of Kigali between 2011 and 2015; and to establish the relationship between inflation and profitability. To achieve objectives study used descriptive research design with population and sample size of 26 respondents. Correlation analysis is used to examine relationship between study variables. The study findings revealed that cost push inflation has positive high correlation to the Profitability of BK. Findings indicated that demand pull inflation and Monetary inflation has also positive high correlation profitability of Bank of Kigali. Finally it is concluded that the types of inflation affect commercial banks are cost push inflation, demand pull inflation and monetary inflation. Inflation has a significant role in enhancing commercial bank&rsquo;s profitability.
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de Lame, Danielle. "Quelle soumission? Identification et rapports de pouvoir au Rwanda." African Studies Review 45, no. 1 (2002): 127–39. http://dx.doi.org/10.1017/s0002020600031590.
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L'ouvrage récemment paru de Jan Vansina, “Le Rwanda ancien. Le royaume nyiginya”, m'a donné l'occasion de me replonger dans l'histoire de la royauté nyiginya en quittant les sentiers battus. Cet ouvrage est, en effet, le produit d'un travail minutieux de dépouillement de textes trop négligés et auxquels l'auteur applique les méthodes rigoureuses de la critique historique. Il nous conduit à une vision plus complète et plus nuancée de la royauté nyiginya que ne l'à fait aucun ouvrage antérieur pour la période pré-coloniale. Certaines hypothèses, souvent très plausibles, font irruption dans l'histoire telle que l'a produite le courant majoritaire de l'époque coloniale, la bousculent et la remettent en mouvement. Elles redonnent vie et humanisent ces rois et leur entourage. Ils quittent le carcan de l'idéologie dominante du moment, cessent d'endosser les costumes propres à satisfaire la contemplation fascinée des élites, tant locales qu'européennes. Les rois, incarnés et faillibles sous la plume de l'historien, restent cependant au centre de son ouvrage et l'interrogation demeure: qu' était le peuple des rois? Partant de l'autre point de vue, demandons-nous à quel point et de quelle façon les rois étaient présents dans la vie des populations? Peut-on faire l'histoire de ces populations? Et enfin, pourquoi est-il important de “repeupler” le pays et de faire parvenir le royaume—et ses séquelles gouvernementales—à la periode actuelle?Comme Vansina l'écrit, l'histoire officielle rwandaise laissait de côté la population. A vrai dire, le but principal de cette histoire était de donner une légitimité à la dynastie.
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Rwigema, Anastase. "Biogas Source of Energy and Solution to the Environment Problems in Rwanda." Applied Mechanics and Materials 705 (December 2014): 268–72. http://dx.doi.org/10.4028/www.scientific.net/amm.705.268.
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In Africa especially in Rwanda, the development of Biogas technology is imperative for development to occur in sustainable manner. Using large centralized power generation facilities to provide electricity to rural population and communities is very expensive and non-viable in Rwanda due to lack of a well dispersed electric grid. In Addition, use of non-renewable fossil fuels is resulting in increased greenhouse gas (GHG) emissions and attendant increased drivers for climate change. Development of Biogas systems serves the purposes of solving sanitation, energy and environmental problems by improving good health conditions and providing a source of energy for cooking and lighting to the communities and households contributing also to the decrease of GHG emissions. In Rwanda, there are 14 prisons, after genocide of 1994, the inmates increased up to 60,000. Number of prisoners was from 2,000 up to 7,500 prisoners in one prison [6]. This high number of inmates caused serious sanitation and environmental problems. Indeed the septic tanks became full and human excreta started to overflow and pollute the environment. In addition, a very big quantity of fuel wood was used for cooking inmates’ food; the consequence was the degradation of the environment. Similar problems were observed in schools. Solution to the mentioned problems was construction of Biogas systems. In Rwanda only about 16% of the population have access to electricity. In order to reduce that deficit of energy, Rwanda Government is developing other sources of energy particularly Biogas for rural areas which so far do not have connection to the national electricity grid. Big size (100 m3) and small size (4, 6, 8 and 10 m3) bio-digesters are installed in several institutions and households and they provide enough Biogas for cooking and lighting in steady of using firewood which is becoming scarce in many areas of the country and their usage as source of energy causes pollution through production of Carbon dioxide (CO2) released in the atmosphere. A study made by SNV (Netherlands Cooperation Development Agency) shows that a domestic bio-digester reduces 4.6 tons of (CO2) per year. Hence, calculation made indicates that the 3,000 domestic bio-digesters currently operational in Rwanda allow to reduce 13,800 tons of Carbon dioxide (CO2) emissions per year. As organic wastes particularly human excreta and other digestible biomass are available everywhere, biogas technology can be developed in all the countries worldwide.