Sustainability

Health care in Rwanda

Access to health care services has improved. A look back at a project and its results.

VITAL TREATMENTS

Projekt: Health care and fight against HIV/AIDS
Country: Rwanda
Commissioned by: German Federal Ministry for Economic Cooperation
Term: 2004 to 2013

THEN: The civil war and 1994 genocide left Rwanda’s economy and society in a disastrous state, which in turn impacted on the health care sector. Since many people had fled the violent conflicts, there was a lack of administrative and medical staff. Infant, child and maternal mortality rates were high, and diseases such as malaria were widespread. HIV prevalence exceeded 4% in 2001. There was no comprehensive health insurance, and poorer families in particular ran the risk of losing their livelihoods through the high cost of treatment.
 
NOW: Access to health care services has significantly improved. A solidarity-based health financing system means that poorer families can also receive vital treatments and therapies. Over 90% of the population now have health insurance. Between 2005 and 2015, infant mortality decreased from 86 to 28 births per 1,000, while maternal mortality fell from 750 to 325 births in every 100,000. Malaria is now less common than illnesses such as the flu and measles. HIV prevalence has dropped to below 3%, and the number of new AIDS infections fell by more than half between 2001 and 2011.

 

published in akzente 2/15

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