Rwanda 20 years on: Investing in life

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

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the eff ects of a devastated health system and economy. In the years that followed, a new course set by a new government set into motion equity-oriented national policies focusing on social cohesion and people-centred development. Premature mortality rates have fallen precipitously in recent years, and life expectancy has doubled since the mid-1990s. Here we refl ect on the lessons learned in rebuilding Rwanda's health sector during the past two decades, as the country now prepares itself to take on new challenges in health-care delivery.

Original languageEnglish (US)
Pages (from-to)371-375
Number of pages5
JournalThe Lancet
Volume384
Issue number9940
DOIs
StatePublished - 2014
Externally publishedYes

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Rwanda
Genocide
Premature Mortality
Health
Wounds and Injuries
Life Expectancy
Delivery of Health Care
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Binagwaho, A., Farmer, P. E., Nsanzimana, S., Karema, C., Gasana, M., De Dieu Ngirabega, J., ... Drobac, P. C. (2014). Rwanda 20 years on: Investing in life. The Lancet, 384(9940), 371-375. https://doi.org/10.1016/S0140-6736(14)60574-2

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

In: The Lancet, Vol. 384, No. 9940, 2014, p. 371-375.

Research output: Contribution to journalArticle

Binagwaho, A, Farmer, PE, Nsanzimana, S, Karema, C, Gasana, M, De Dieu Ngirabega, J, Ngabo, F, Wagner, CM, Nutt, CT, Nyatanyi, T, Gatera, M, Kayiteshonga, Y, Mugeni, C, Mugwaneza, P, Shema, J, Uwaliraye, P, Gaju, E, Muhimpundu, MA, Dushime, T, Senyana, F, Mazarati, JB, Gaju, CM, Tuyisenge, L, Mutabazi, V, Kyamanywa, P, Rusanganwa, V, Nyemazi, JP, Umutoni, A, Kankindi, I, Ntizimira, C, Ruton, H, Mugume, N, Nkunda, D, Ndenga, E, Mubiligi, JM, Kakoma, JB, Karita, E, Sekabaraga, C, Rusingiza, E, Rich, ML, Mukherjee, JS, Rhatigan, J, Cancedda, C, Bertrand-Farmer, D, Bukhman, G, Stulac, SN, Tapela, NM, Van Der Hoof Holstein, C, Shulman, LN, Habinshuti, A, Bonds, MH, Wilkes, MS, Lu, C, Smith-Fawzi, MC, Swain, JBD, Murphy, MP, Ricks, A, Kerry, VB, Bush, BP, Siegler, RW, Stern, CS, Sliney, A, Nuthulaganti, T, Karangwa, I, Pegurri, E, Dahl, O & Drobac, PC 2014, 'Rwanda 20 years on: Investing in life', The Lancet, vol. 384, no. 9940, pp. 371-375. https://doi.org/10.1016/S0140-6736(14)60574-2
Binagwaho A, Farmer PE, Nsanzimana S, Karema C, Gasana M, De Dieu Ngirabega J et al. Rwanda 20 years on: Investing in life. The Lancet. 2014;384(9940):371-375. https://doi.org/10.1016/S0140-6736(14)60574-2
Binagwaho, Agnes ; Farmer, Paul E. ; Nsanzimana, Sabin ; Karema, Corine ; Gasana, Michel ; De Dieu Ngirabega, Jean ; Ngabo, Fidele ; Wagner, Claire M. ; Nutt, Cameron T. ; Nyatanyi, Thierry ; Gatera, Maurice ; Kayiteshonga, Yvonne ; Mugeni, Cathy ; Mugwaneza, Placidie ; Shema, Joseph ; Uwaliraye, Parfait ; Gaju, Erick ; Muhimpundu, Marie Aimee ; Dushime, Theophile ; Senyana, Florent ; Mazarati, Jean Baptiste ; Gaju, Celsa Muzayire ; Tuyisenge, Lisine ; Mutabazi, Vincent ; Kyamanywa, Patrick ; Rusanganwa, Vincent ; Nyemazi, Jean Pierre ; Umutoni, Agathe ; Kankindi, Ida ; Ntizimira, Christian ; Ruton, Hinda ; Mugume, Nathan ; Nkunda, Denis ; Ndenga, Espérance ; Mubiligi, Joel M. ; Kakoma, Jean Baptiste ; Karita, Etienne ; Sekabaraga, Claude ; Rusingiza, Emmanuel ; Rich, Michael L. ; Mukherjee, Joia S. ; Rhatigan, Joseph ; Cancedda, Corrado ; Bertrand-Farmer, Didi ; Bukhman, Gene ; Stulac, Sara N. ; Tapela, Neo M. ; Van Der Hoof Holstein, Cassia ; Shulman, Lawrence N. ; Habinshuti, Antoinette ; Bonds, Matthew H. ; Wilkes, Michael S ; Lu, Chunling ; Smith-Fawzi, Mary C. ; Swain, Ja Baris D ; Murphy, Michael P. ; Ricks, Alan ; Kerry, Vanessa B. ; Bush, Barbara P. ; Siegler, Richard W. ; Stern, Cori S. ; Sliney, Anne ; Nuthulaganti, Tej ; Karangwa, Injonge ; Pegurri, Elisabetta ; Dahl, Ophelia ; Drobac, Peter C. / Rwanda 20 years on : Investing in life. In: The Lancet. 2014 ; Vol. 384, No. 9940. pp. 371-375.
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AU - De Dieu Ngirabega, Jean

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