| Literature DB >> 24703831 |
Agnes Binagwaho1, Paul E Farmer2, Sabin Nsanzimana3, Corine Karema3, Michel Gasana3, Jean de Dieu Ngirabega4, Fidele Ngabo4, Claire M Wagner5, Cameron T Nutt6, Thierry Nyatanyi3, Maurice Gatera3, Yvonne Kayiteshonga3, Cathy Mugeni4, Placidie Mugwaneza3, Joseph Shema4, Parfait Uwaliraye4, Erick Gaju4, Marie Aimee Muhimpundu4, Theophile Dushime4, Florent Senyana4, Jean Baptiste Mazarati3, Celsa Muzayire Gaju4, Lisine Tuyisenge7, Vincent Mutabazi3, Patrick Kyamanywa8, Vincent Rusanganwa4, Jean Pierre Nyemazi3, Agathe Umutoni4, Ida Kankindi4, Christian Ntizimira4, Hinda Ruton4, Nathan Mugume4, Denis Nkunda4, Espérance Ndenga4, Joel M Mubiligi4, Jean Baptiste Kakoma9, Etienne Karita10, Claude Sekabaraga11, Emmanuel Rusingiza8, Michael L Rich12, Joia S Mukherjee2, Joseph Rhatigan13, Corrado Cancedda13, Didi Bertrand-Farmer12, Gene Bukhman2, Sara N Stulac13, Neo M Tapela13, Cassia van der Hoof Holstein2, Lawrence N Shulman14, Antoinette Habinshuti12, Matthew H Bonds2, Michael S Wilkes2, Chunling Lu2, Mary C Smith-Fawzi2, JaBaris D Swain13, Michael P Murphy15, Alan Ricks15, Vanessa B Kerry16, Barbara P Bush17, Richard W Siegler18, Cori S Stern19, Anne Sliney20, Tej Nuthulaganti20, Injonge Karangwa20, Elisabetta Pegurri21, Ophelia Dahl12, Peter C Drobac12.
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 effects 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 reflect 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.Entities:
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Year: 2014 PMID： 24703831 PMCID： PMC4151975 DOI： 10.1016/S0140-6736(14)60574-2
Source DB: PubMed Journal: Lancet ISSN： 0140-6736 Impact factor: 79.321