African Country Rwanda information










Politics and government of Rwanda


The President of Rwanda is the head of state,and has broad powers including creating policy in conjunction with the Cabinet,exercising the prerogative of mercy,commanding the armed forces,negotiating and ratifying treaties,signing presidential orders,and declaring war or a state of emergency.The President is elected by popular vote every seven years,and appoints the Prime Minister and all other members of Cabinet.The incumbent president is Paul Kagame, who took office upon the resignation of his predecessor, Pasteur Bizimungu, in 2000. Kagame subsequently won elections in 2003 and 2010,although human rights organisations have criticised these elections as being "marked by increasing political repression and a crackdown on free speech".Article 101 of the constitution had previously limited presidents to two terms in office,but this was changed in a 2015 referendum, which had been brought following receipt of a petition signed by 3.8 million Rwandans.Through this change in the constitution, Kagame could stay on as president until 2034.Kagame was elected for a third term in 2017 with 98.79% of the vote.


The constitution was adopted following a national referendum in 2003, replacing the transitional constitution which had been in place since 1994. The constitution mandates a multi-party system of government, with politics based on democracy and elections.However, the constitution places conditions on how political parties may operate. Article 54 states that "political organizations are prohibited from basing themselves on race, ethnic group, tribe, clan, region, sex, religion or any other division which may give rise to discrimination".The government has also enacted laws criminalising genocide ideology, which can include intimidation, defamatory speeches, genocide denial and mocking of victims.According to Human Rights Watch, these laws effectively make Rwanda a one-party state, as "under the guise of preventing another genocide, the government displays a marked intolerance of the most basic forms of dissent".Amnesty International is also critical; in its 2014/15 report, Amnesty said that laws against inciting insurrection or trouble among the population had been used to imprison people "for the legitimate exercise of their rights to freedom of association or of expression".

 

The Parliament consists of two chambers. It makes legislation and is empowered by the constitution to oversee the activities of the President and the Cabinet.The lower chamber is the Chamber of Deputies, which has 80 members serving five-year terms. Twenty-four of these seats are reserved for women, elected through a joint assembly of local government officials; another three seats are reserved for youth and disabled members; the remaining 53 are elected by universal suffrage under a proportional representation system.Following the 2018 election, there are 49 female deputies,down from 51 in 2013;as of 2020, Rwanda is one of only three countries with a female majority in the national parliament.The upper chamber is the 26-seat Senate, whose members are selected by a variety of bodies. A mandatory minimum of 30% of the senators are women. Senators serve eight-year terms.



Rwanda's legal system is largely based on German and Belgian civil law systems and customary law.The judiciary is independent of the executive branch,although the President and the Senate are involved in the appointment of Supreme Court judges.Human Rights Watch have praised the Rwandan government for progress made in the delivery of justice including the abolition of the death penalty,but also allege interference in the judicial system by members of the government, such as the politically motivated appointment of judges, misuse of prosecutorial power, and pressure on judges to make particular decisions.The constitution provides for two types of courts: ordinary and specialised.Ordinary courts are the Supreme Court, the High Court, and regional courts, while specialised courts are military courts and a system of commercial courts created in 2011 to expedite commercial litigations.Between 2004 and 2012, a system of Gacaca courts was in operation.Gacaca, a Rwandan traditional court operated by villages and communities, was revived to expedite the trials of genocide suspects.The court succeeded in clearing the backlog of genocide cases, but was criticised by human rights groups as not meeting legal fair standard.

Rwanda has low corruption levels relative to most other African countries; in 2014, Transparency International ranked Rwanda as the fifth cleanest out of 47 countries in Sub-Saharan Africa and 55th cleanest out of 175 in the world.The constitution provides for an Ombudsman, whose duties include prevention and fighting of corruption.Public officials (including the President) are required by the constitution to declare their wealth to the Ombudsman and to the public; those who do not comply are suspended from office.

 

The Rwandan Patriotic Front (RPF) has been the dominant political party in the country since 1994. The RPF has maintained control of the presidency and the Parliament in national elections, with the party's vote share consistently exceeding 70%. The RPF is seen as a Tutsi-dominated party but receives support from across the country, and is credited with ensuring continued peace, stability, and economic growth.Human rights organisation Freedom House claims that the government suppresses the freedoms of opposition groups; in its 2015 report, Freedom House alleged that the RPF had "prevented new political parties from registering and arrested the leaders of several existing parties, effectively preventing them from fielding candidates" in elections.Amnesty International also claims that the RPF rules Rwanda "without any meaningful opposition".

 

Rwanda is a member of the United Nations,African Union, Francophonie, East African Community,and the Commonwealth of Nations.For many years during the Habyarimana regime, the country maintained close ties with France, as well as Belgium, the former colonial power.Under the RPF government, however, Rwanda has sought closer ties with neighbouring countries in the East African Community and with the English-speaking world. Diplomatic relations with France were suspended in 2006 following the indictment of Rwandan officials by a French judge,and despite their restoration in 2010, as of 2015 relations between the countries remain strained.Relations with the Democratic Republic of the Congo (DRC) were tense following Rwanda's involvement in the First and Second Congo Wars; the Congolese army alleged Rwandan attacks on their troops, while Rwanda blamed the Congolese government for failing to suppress Hutu rebels in North and South Kivu provinces.Relations soured further in 2012, as Kinshasa accused Rwanda of supporting the M23 rebellion, an insurgency in the eastern Congo.As of 2015, peace has been restored and relations are improving.Rwanda's relationship with Uganda was also tense for much of the 2000s following a 1999 clash between the two countries' armies as they backed opposing rebel groups in the Second Congo War,but improved significantly in the early 2010s.In 2019, relations between the two countries deteriorated, with Rwanda closing its borders with Uganda.

 

 

The Rwanda Defence Force (RDF) is the national army of Rwanda. Largely composed of former Rwandan Patriotic Army (RPA) soldiers, it includes the Rwanda Land Force, Rwanda Air Force and specialised units.After the successful conquest of the country in 1994 in the aftermath of the Rwandan genocide, the Rwandan Patriotic Front decided to split the RPF into a political division (which retained the RPF name) and the RDF, a military division which was to serve as the official army of the Rwandan state. Defence spending continues to represent an important share of the national budget, largely due to continuing security problems along the frontiers with the Democratic Republic of the Congo and Burundi and lingering concerns about Uganda's intentions towards its former ally. In 2010, the United Nations released a report accusing the Rwandan army of committing wide scale human rights violations and crimes against humanity in the Democratic Republic of the Congo during the First and Second Congo Wars, charges denied by the Rwandan government.

 

 

Geography of Rwanda

 

At 26,338 square kilometres (10,169 sq mi), Rwanda is the world's 149th-largest country,and the fourth smallest on the African mainland after Gambia, Eswatini, and Djibouti.It is comparable in size to Burundi, Haiti and Albania.The entire country is at a high altitude: the lowest point is the Rusizi River at 950 metres (3,117 ft) above sea level. Rwanda is located in Central/Eastern Africa, and is bordered by the Democratic Republic of the Congo to the west, Uganda to the north, Tanzania to the east, and Burundi to the south.It lies a few degrees south of the equator and is landlocked.The capital, Kigali, is located near the centre of Rwanda.

 

The watershed between the major Congo and Nile drainage basins runs from north to south through Rwanda, with around 80% of the country's area draining into the Nile and 20% into the Congo via the Rusizi River and Lake Tanganyika.The country's longest river is the Nyabarongo, which rises in the south-west, flows north, east, and southeast before merging with the Ruvubu to form the Kagera; the Kagera then flows due north along the eastern border with Tanzania. The Nyabarongo-Kagera eventually drains into Lake Victoria, and its source in Nyungwe Forest is a contender for the as-yet undetermined overall source of the Nile.Rwanda has many lakes, the largest being Lake Kivu. This lake occupies the floor of the Albertine Rift along most of the length of Rwanda's western border, and with a maximum depth of 480 metres (1,575 ft),it is one of the twenty deepest lakes in the world.Other sizeable lakes include Burera, Ruhondo, Muhazi, Rweru, and Ihema, the last being the largest of a string of lakes in the eastern plains of Akagera National Park.

 

Mountains dominate central and western Rwanda and the country is sometimes called "Pays des mille collines" in French ("Land of a thousand hills").They are part of the Albertine Rift Mountains that flank the Albertine branch of the East African Rift, which runs from north to south along Rwanda's western border.The highest peaks are found in the Virunga volcano chain in the northwest; this includes Mount Karisimbi, Rwanda's highest point, at 4,507 metres (14,787 ft).This western section of the country lies within the Albertine Rift montane forests ecoregion.It has an elevation of 1,500 to 2,500 metres (4,921 to 8,202 ft).The centre of the country is predominantly rolling hills, while the eastern border region consists of savanna, plains and swamps.

 

Rwanda has a temperate tropical highland climate, with lower temperatures than are typical for equatorial countries because of its high elevation.Kigali, in the centre of the country, has a typical daily temperature range between 12 and 27 °C (54 and 81 °F), with little variation through the year. There are some temperature variations across the country; the mountainous west and north are generally cooler than the lower-lying east. There are two rainy seasons in the year; the first runs from February to June and the second from September to December. These are separated by two dry seasons: the major one from June to September, during which there is often no rain at all, and a shorter and less severe one from December to February.Rainfall varies geographically, with the west and northwest of the country receiving more precipitation annually than the east and southeast.Global warming has caused a change in the pattern of the rainy seasons. According to a report by the Strategic Foresight Group, change in climate has reduced the number of rainy days experienced during a year, but has also caused an increase in frequency of torrential rains.Both changes have caused difficulty for farmers, decreasing their productivity. Strategic Foresight also characterise Rwanda as a fast warming country, with an increase in average temperature of between 0.7 °C to 0.9 °C over fifty years.

 

Biodiversity

 



 

In prehistoric times montane forest occupied one-third of the territory of present-day Rwanda. Naturally occurring vegetation is now mostly restricted to the three National Parks, with terraced agriculture dominating the rest of the country.Nyungwe, the largest remaining tract of forest, contains 200 species of tree as well as orchids and begonias.Vegetation in the Volcanoes National Park is mostly bamboo and moorland, with small areas of forest.By contrast, Akagera has a savanna ecosystem in which acacia dominates the flora. There are several rare or endangered plant species in Akagera, including Markhamia lutea and Eulophia guineensis.


Giraffe in Akagera National Park

The greatest diversity of large mammals is found in the three National Parks, which are designated conservation areas.Akagera contains typical savanna animals such as giraffes and elephants, while Volcanoes is home to an estimated one-third of the worldwide mountain gorilla population.Nyungwe Forest boasts thirteen primate species including common chimpanzees and Ruwenzori colobus arboreal monkeys; the Ruwenzori colobus move in groups of up to 400 individuals, the largest troop size of any primate in Africa.

 

Rwanda's population of lions was destroyed in the aftermath of the genocide of 1994, as national parks were turned into camps for displaced people and remaining animals were poisoned by cattle herders. In June 2015, two South African parks donated seven lions to Akagera National Park, reestablishing a lion population in Rwanda. The lions were held initially in a fenced off area of the park, and then collared and released into the wild a month later.

There are 670 bird species in Rwanda, with variation between the east and the west.Nyungwe Forest, in the west, has 280 recorded species, of which 26 are endemic to the Albertine Rift;endemic species include the Rwenzori turaco and handsome spurfowl. Eastern Rwanda, by contrast, features savanna birds such as the black-headed gonolek and those associated with swamps and lakes, including storks and cranes.

Recent entomological work in the country has revealed a rich diversity of praying mantises,including a new species Dystacta tigrifrutex, dubbed the "bush tiger mantis". 

Rwanda contains three terrestrial ecoregions: Albertine Rift montane forests, Victoria Basin forest-savanna mosaic, and Ruwenzori-Virunga montane moorlands.The country had a 2019 Forest Landscape Integrity Index mean score of 3.85/10, ranking it 139th globally out of 172 countries.


Economy of Rwanda

 

Rwanda's economy suffered heavily during the 1994 genocide, with widespread loss of life, failure to maintain infrastructure, looting, and neglect of important cash crops. This caused a large drop in GDP and destroyed the country's ability to attract private and external investment.The economy has since strengthened, with per-capita GDP (PPP) estimated at $2,444 in 2019,compared with $416 in 1994.Major export markets include China, Germany, and the United States.The economy is managed by the central National Bank of Rwanda and the currency is the Rwandan franc; in December 2019, the exchange rate was 910 francs to one United States dollar.Rwanda joined the East African Community in 2007, and has ratified a plan for monetary union amongst the five member nations,which could eventually lead to a common East African shilling.

 

Rwanda is a country of few natural resources,and the economy is based mostly on subsistence agriculture by local farmers using simple tools.An estimated 90% of the working population farms, and agriculture constituted an estimated 32.5% of GDP in 2014.Farming techniques are basic, with small plots of land and steep slopes.Since the mid-1980s, farm sizes and food production have been decreasing, due in part to the resettlement of displaced people.Despite Rwanda's fertile ecosystem, food production often does not keep pace with population growth, and food imports are required,But in recent years, with the growth of agriculture, the situation has improved.

 

Subsistence crops grown in the country include matoke (green bananas), which occupy more than a third of the country's farmland, potatoes, beans, sweet potatoes, cassava, wheat and maize.Coffee and tea are the major cash crops for export, with the high altitudes, steep slopes and volcanic soils providing favourable conditions.Reports have established that more than 400,000 Rwandans make their living from coffee plantation.Reliance on agricultural exports makes Rwanda vulnerable to shifts in their prices.Animals raised in Rwanda include cows, goats, sheep, pigs, chicken, and rabbits, with geographical variation in the numbers of each.Production systems are mostly traditional, although there are a few intensive dairy farms around Kigali. Shortages of land and water, insufficient and poor-quality feed, and regular disease epidemics with insufficient veterinary services are major constraints that restrict output. Fishing takes place on the country's lakes, but stocks are very depleted, and live fish are being imported in an attempt to revive the industry.

 

The industrial sector is small, contributing 14.8% of GDP in 2014. Products manufactured include cement, agricultural products, small-scale beverages, soap, furniture, shoes, plastic goods, textiles and cigarettes.Rwanda's mining industry is an important contributor, generating US$93 million in 2008.Minerals mined include cassiterite, wolframite, gold, and coltan, which is used in the manufacture of electronic and communication devices such as mobile phones.

 

Rwanda's service sector suffered during the late-2000s recession as bank lending, foreign aid projects and investment were reduced.The sector rebounded in 2010, becoming the country's largest sector by economic output and contributing 43.6% of the country's GDP. Key tertiary contributors include banking and finance, wholesale and retail trade, hotels and restaurants, transport, storage, communication, insurance, real estate, business services and public administration including education and health.Tourism is one of the fastest-growing economic resources and became the country's leading foreign exchange earner in 2007.In spite of the genocide's legacy, the country is increasingly perceived internationally as a safe destination.The number of tourist arrivals in 2013 was 864,000 people, up from 504,000 in 2010. Revenue from tourism was US$303 million in 2014, up from just US$62 million in 2000.The largest contributor to this revenue was mountain gorilla tracking, in the Volcanoes National Park; Rwanda is one of only three countries in which mountain gorillas can be visited safely; the gorillas attract thousands of visitors per year, who are prepared to pay high prices for permits.Other attractions include Nyungwe Forest, home to chimpanzees, Ruwenzori colobus and other primates, the resorts of Lake Kivu, and Akagera, a small savanna reserve in the east of the country.


Demographics of Rwanda

 

Religion 

The largest faith in Rwanda is Roman Catholicism, but there have been significant changes in the nation's religious demographics since the genocide, with many conversions to evangelical Christianity, and, to a lesser degree, Islam.According to the 2012 census, Roman Catholics represented 43.7% of the population, Protestants (excluding Seventh-day Adventists) 37.7%, Seventh-day Adventists 11.8%, and Muslims 2.0%; 0.2% claimed no religious beliefs and 1.3% did not state a religion.Traditional religion, despite officially being followed by only 0.1% of the population, retains an influence. Many Rwandans view the Christian God as synonymous with the traditional Rwandan God Imana.


Languages


The country's principal language is Kinyarwanda, which is spoken by nearly all Rwandans. The major European languages during the colonial era were German, though it was never taught or widely used, and then French, which was introduced by Belgium from 1916 and remained an official and widely spoken language after independence in 1962.Dutch was spoken too. The return of English-speaking Rwandan refugees in the 1990s added a new dimension to the country's linguistic diversity.Kinyarwanda, English, French, and Swahili are all official languages.Kinyarwanda is the national language while English is the primary medium of instruction in secondary and tertiary education. Swahili, the lingua franca of the East African Community,is also spoken by some as a second language, particularly returned refugees from Uganda, Kenya, Tanzania, and the Democratic Republic of Congo, and those who live along the border with the DRC.In 2015, Swahili was introduced as a mandatory subject in secondary schools.Inhabitants of Rwanda's Nkombo Island speak Mashi, a language closely related to Kinyarwanda.


LGBT

Homosexuality is generally considered a taboo topic, and there is no significant public discussion of this issue in any region of the country. 

Same-sex sexual activity is legal in Rwanda, and some cabinet-level government officials have expressed support for the rights of lesbian, gay, bisexual, transgender people.However, Rwanda does not recognise same-sex marriages, civil unions or similar unions.

Culture of Rwanda



Music and dance are an integral part of Rwandan ceremonies, festivals, social gatherings and storytelling. The most famous traditional dance is a highly choreographed routine consisting of three components: the umushagiriro, or cow dance, performed by women; the intore, or dance of heroes, performed by men;and the drumming, also traditionally performed by men, on drums known as ingoma.The best known dance group is the National Ballet. It was established by President Habyarimana in 1974, and performs nationally and internationally.Traditionally, music is transmitted orally, with styles varying between the social groups. Drums are of great importance; the royal drummers enjoyed high status within the court of the King (Mwami).Drummers play together in groups of varying sizes, usually between seven and nine in number.The country has a growing popular music industry, influenced by African Great Lakes, Congolese, and American music. The most popular genre is hip hop, with a blend of dancehall, rap, ragga, R&B and dance-pop.

 

Photograph depicting a bowl shaped off-white woven basket with tall conical lid and black zigzag pattern

Rwandan woven agaseke basket

Traditional arts and crafts are produced throughout the country, although most originated as functional items rather than purely for decoration. Woven baskets and bowls are especially common, notably the basket style of the agaseke.Imigongo, a unique cow dung art, is produced in the southeast of Rwanda, with a history dating back to when the region was part of the independent Gisaka kingdom. The dung is mixed with natural soils of various colours and painted into patterned ridges to form geometric shapes.Other crafts include pottery and wood carving.Traditional housing styles make use of locally available materials; circular or rectangular mud homes with grass-thatched roofs (known as nyakatsi) are the most common. The government has initiated a programme to replace these with more modern materials such as corrugated iron.

 

Rwanda does not have a long history of written literature, but there is a strong oral tradition ranging from poetry to folk stories. Many of the country's moral values and details of history have been passed down through the generations.The most famous Rwandan literary figure was Alexis Kagame (1912–1981), who carried out and published research into oral traditions as well as writing his own poetry.The Rwandan Genocide resulted in the emergence of a literature of witness accounts, essays and fiction by a new generation of writers such as Benjamin Sehene. A number of films have been produced about the Rwandan Genocide, including the Golden Globe-nominated Hotel Rwanda, 100 Days, Shake Hands with the Devil, Sometimes in April, and Shooting Dogs, the last four having been filmed in Rwanda and having featured survivors as cast members.

 

Fourteen regular national holidays are observed throughout the year, with others occasionally inserted by the government. The week following Genocide Memorial Day on 7 April is designated an official week of mourning.The victory for the RPF over the Hutu extremists is celebrated as Liberation Day on 4 July. The last Saturday of each month is umuganda, a national morning of mandatory community service lasting from 8 am to 11 am, during which all able bodied people between 18 and 65 are expected to carry out community tasks such as cleaning streets or building homes for vulnerable people.Most normal services close down during umuganda, and public transportation is limited.

 

Cuisine


The cuisine of Rwanda is based on local staple foods produced by subsistence agriculture such as bananas, plantains (known as ibitoke), pulses, sweet potatoes, beans, and cassava (manioc).Many Rwandans do not eat meat more than a few times a month.For those who live near lakes and have access to fish, tilapia is popular.The potato, thought to have been introduced to Rwanda by German and Belgian colonialists, is very popular.Ugali, locally known as Ubugari (or umutsima) is common, a paste made from cassava or maize and water to form a porridge-like consistency that is eaten throughout the African Great Lakes.Isombe is made from mashed cassava leaves and served with dried fish.Lunch is usually a buffet known as mélange, consisting of the above staples and sometimes meat.Brochettes are the most popular food when eating out in the evening, usually made from goat but sometimes tripe, beef, or fish.In rural areas, many bars have a brochette seller responsible for tending and slaughtering the goats, skewering and barbecuing the meat, and serving it with grilled bananas.Milk, particularly in a fermented yoghurt form called ikivuguto, is a common drink throughout the country.Other drinks include a traditional beer called Ikigage made from sorghum and urwagwa, made from bananas, which features in traditional rituals and ceremonies.The major drinks manufacturer in Rwanda is Bralirwa, which was established in the 1950s, a Heineken partner, and is now listed on the Rwandan Stock Exchange.Bralirwa manufactures soft drink products from The Coca-Cola Company, under license, including Coca-Cola, Fanta, and Sprite,and a range of beers including Primus, Mützig, Amstel, and Turbo King.In 2009 a new brewery, Brasseries des Mille Collines (BMC) opened, manufacturing Skol beer and a local version known as Skol Gatanu;BMC is now owned by Belgian company Unibra.East African Breweries also operate in the country, importing Guinness, Tusker, and Bell, as well as whisky and spirits.

 

Sport


The Rwandan government, through its Sports Development Policy, promotes sport as a strong avenue for "development and peace building",and the government has made commitments to advancing the use of sport for a variety of development objectives, including education.The most popular sports in Rwanda are association football, volleyball, basketball, athletics and Paralympic sports.Cricket has been growing in popularity,as a result of refugees returned from Kenya, where they had learned to play the game.Cycling, traditionally seen largely as a mode of transport in Rwanda, is also growing in popularity as a sport;and Team Rwanda have been the subject of a book, Land of Second Chances: The Impossible Rise of Rwanda's Cycling Team and a film, Rising from Ashes.

 

Rwandans have been competing at the Olympic Games since 1984, and the Paralympic Games since 2004.The country sent seven competitors to the 2012 Summer Olympics in London, representing it in athletics, swimming, mountain biking and judo,and 15 competitors to the London Summer Paralympics to compete in athletics, powerlifting and sitting volleyball.The country has also participated in the Commonwealth Games since joining the Commonwealth in 2009.The country's national basketball team has been growing in prominence since the mid-2000s, with the men's team qualifying for the final stages of the African Basketball Championship four times in a row since 2007.The country bid unsuccessfully to host the 2013 tournament.Rwanda's national football team has appeared in the African Cup of Nations once, in the 2004 edition of the tournament,but narrowly failed to advance beyond the group stages.The team have failed to qualify for the competition since, and have never qualified for the World Cup.Rwanda's highest domestic football competition is the Rwanda National Football League;as of 2015, the dominant team is APR FC of Kigali, having won 13 of the last 17 championships. Rwandan clubs participate in the Kagame Interclub Cup for Central and East African teams, sponsored since 2002 by President Kagame.


Education in Rwanda



Prior to 2012, the Rwandan government provided free education in state-run schools for nine years: six years in primary and three years following a common secondary programme.In 2012, this started to be expanded to 12 years.A 2015 study suggests that while enrollment rates in primary schools are "near ubiquity", rates of completion are low and repetition rates high.While schooling is fee-free, there is an expectation that parents should contribute to the cost of their children's education by providing them with materials, supporting teacher development and making a contribution to school construction. According to the government, these costs should not be a basis for the exclusion of children from education, however.There are many private schools across the country, some church-run, which follow the same syllabus but charge fees.From 1994 until 2009, secondary education was offered in either French or English; because of the country's increasing ties with the East African Community and the Commonwealth, only the English syllabi are now offered.The country has a number of institutions of tertiary education. In 2013, the public University of Rwanda (UR) was created out of a merger of the former National University of Rwanda and the country's other public higher education institutions.In 2013, the gross enrollment ratio for tertiary education in Rwanda was 7.9%, from 3.6% in 2006.The country's literacy rate, defined as those aged 15 or over who can read and write, was 71% in 2009, up from 38% in 1978 and 58% in 1991.

 

Health in Rwanda


The quality of healthcare in Rwanda has historically been very low, both before and immediately after the 1994 genocide.In 1998, more than one in five children died before their fifth birthday,often from malaria.

 

President Kagame has made healthcare one of the priorities for the Vision 2020 development programme,boosting spending on health care to 6.5% of the country's gross domestic product in 2013, compared with 1.9% in 1996.The government has devolved the financing and management of healthcare to local communities, through a system of health insurance providers called mutuelles de santé.The mutuelles were piloted in 1999, and were made available nationwide by the mid-2000s, with the assistance of international development partners.Premiums under the scheme were initially US$2 per annum; since 2011 the rate has varied on a sliding scale, with the poorest paying nothing, and maximum premiums rising to US$8 per adult.As of 2014, more than 90% of the population was covered by the scheme.The government has also set up training institutes including the Kigali Health Institute (KHI), which was established in 1997 and is now part of the University of Rwanda. In 2005, President Kagame also launched a program known as The Presidents' Malaria Initiative.This initiative aimed to help get the most necessary materials for prevention of malaria to the most rural areas of Rwanda, such as mosquito nets and medication.

 

In recent years Rwanda has seen improvement on a number of key health indicators. Between 2005 and 2013, life expectancy increased from 55.2 to 64.0,under-5 mortality decreased from 106.4 to 52.0 per 1,000 live births,and incidence of tuberculosis has dropped from 101 to 69 per 100,000 people.The country's progress in healthcare has been cited by the international media and charities. The Atlantic devoted an article to "Rwanda's Historic Health Recovery".Partners In Health described the health gains "among the most dramatic the world has seen in the last 50 years".

 

 

Despite these improvements, however, the country's health profile remains dominated by communicable diseases,and the United States Agency for International Development has described "significant health challenges",including the rate of maternal mortality, which it describes as "unacceptably high",as well as the ongoing HIV/AIDS epidemic.According to the American Centers for Disease Control and Prevention, travelers to Rwanda are highly recommended to take preventive malaria medication as well as make sure they are up to date with vaccines such as yellow fever.

 

Rwanda also has a shortage of medical professionals, with only 0.84 physicians, nurses, and midwives per 1,000 residents.The United Nations Development Programme (UNDP) is monitoring the country's health progress towards Millennium Development Goals 4–6, which relate to healthcare. A mid-2015 UNDP report noted that the country was not on target to meet goal 4 on infant mortality, despite it having "fallen dramatically";the country is "making good progress" towards goal 5, which is to reduce by three quarters the maternal mortality ratio,while goal 6 is not yet met as HIV prevalence has not started falling.

 









 



 





 

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