The health and livelihoods of Rwandans have greatly improved over the last decade. Men, women and children enjoy better access to lifesaving health services, and indicators point to significant improvements over the past five years.
Despite this progress, Rwanda has some significant health challenges: one child in 18 dies by age 5. Forty-four percent of children suffer from chronic malnutrition and eleven percent of children are underweight. The fertility rate in Rwanda remains high at 4.6 children per woman and maternal mortality is unacceptably high at 487/100,000 births. Rwanda also faces a complex HIV/AIDS epidemic, with a prevalence of 3 percent among the general population but as high as 50 percent among the most at-risk populations.
USAID supports the Government of Rwanda’s initiatives to fight HIV/AIDS, malaria, and tuberculosis; increase the quality and use of family planning and reproductive health services; improve maternal newborn and child health; and strengthen the overall health sector.
Through the President’s Emergency Plan for AIDS Relief, USAID supports prevention of mother-to-child transmission of HIV; voluntary counseling and testing; care and treatment; psycho-social and other support services for people living with HIV/AIDS, orphans and other vulnerable children; and strengthening the health system. The United States is the leading donor of bilateral HIV/AIDS assistance to Rwanda.
Rwanda is a focus of the President’s Malaria Initiative (PMI). Through PMI, USAID supports the Government of Rwanda with a comprehensive approach to prevent and treat malaria, supporting four key areas: spraying homes with insecticides, distributing long-lasting insecticide-treated mosquito nets, providing essential antimalarial drugs, and managing malaria cases. In 2014, an estimated 250,000 homes will be sprayed and PMI will procure 1,400,000 nets to be distributed to vulnerable populations. USAID has supported refresher training and supervision of 355 health workers and 6,053 community health workers on the effective management of malaria at the community level.
Maternal, Child, and Reproductive Health
USAID supports communities, governments and civil society organizations in providing an integrated package of quality, high-impact maternal, neonatal and child health services in a sustainable manner, while promoting good governance and decentralized health services. Building the capacity of nurses and community health workers that deliver the first line of treatment remains a priority. USAID improves nutrition, especially among pregnant women and children under age two. USAID also supports the Government of Rwanda’s national program to increase the availability of voluntary family planning and reproductive health services.
In addition to improving Rwandans’ health and saving lives, USAID’s health activities support the long-term development of the Rwandan health system. Significant support is provided through technical assistance to the Government of Rwanda for decentralization in the health sector, health policy development, strengthening healthcare financing, developing a pharmaceutical logistics system, and building capacity of service providers and systems.
Last updated: March 30, 2015