Rwanda 20 years on: investing in life

被引：134

作者：

Binagwaho, Agnes ^{[1
]}

Farmer, Paul E. ^{[2
]}

Nsanzimana, Sabin ^{[3
]}

Karema, Corine ^{[3
]}

Gasana, Michel ^{[3
]}

Ngirabega, Jean de Dieu ^{[1
]}

Ngabo, Fidele ^{[1
]}

Wagner, Claire M. ^{[4
]}

Nutt, Cameron T. ^{[5
]}

Nyatanyi, Thierry ^{[3
]}

Gatera, Maurice ^{[3
]}

Kayiteshonga, Yvonne ^{[3
]}

Mugeni, Cathy ^{[1
]}

Mugwaneza, Placidie ^{[3
]}

Shema, Joseph ^{[1
]}

Uwaliraye, Parfait ^{[1
]}

Gaju, Erick ^{[1
]}

Muhimpundu, Marie Aimee ^{[1
]}

Dushime, Theophile ^{[1
]}

Senyana, Florent ^{[1
]}

Mazarati, Jean Baptiste ^{[3
]}

Gaju, Celsa Muzayire ^{[1
]}

Tuyisenge, Lisine ^{[6
]}

Mutabazi, Vincent ^{[3
]}

Kyamanywa, Patrick ^{[7
]}

Rusanganwa, Vincent ^{[1
]}

Nyemazi, Jean Pierre ^{[3
]}

Umutoni, Agathe ^{[1
]}

Kankindi, Ida ^{[1
]}

Ntizimira, Christian ^{[1
]}

Ruton, Hinda ^{[1
]}

Mugume, Nathan ^{[1
]}

Nkunda, Denis ^{[1
]}

Ndenga, Esperance ^{[1
]}

Mubiligi, Joel M. ^{[1
]}

Kakoma, Jean Baptiste ^{[8
]}

Karita, Etienne ^{[9
]}

Sekabaraga, Claude ^{[10
]}

Rusingiza, Emmanuel ^{[7
]}

Rich, Michael L. ^{[11
]}

Mukherjee, Joia S. ^{[2
]}

Rhatigan, Joseph ^{[12
]}

Cancedda, Corrado ^{[12
]}

Bertrand-Farmer, Didi ^{[11
]}

Bukhman, Gene ^{[2
]}

Stulac, Sara N. ^{[12
]}

Tapela, Neo M. ^{[12
]}

Holstein, Cassia van der Hoof ^{[2
]}

Shulman, Lawrence N. ^{[13
]}

Habinshuti, Antoinette ^{[11
]}

机构：

[1] Minist Hlth, Govt Rwanda, Kigali, Rwanda

[2] Harvard Univ, Sch Med, Boston, MA USA

[3] Rwanda Biomed Ctr, Kigali, Rwanda

[4] Global Hlth Delivery Partnership, Boston, MA USA

[5] Dartmouth Ctr Hlth Care Delivery Sci, Hanover, NH USA

[6] Kigali Univ Teaching Hosp, Kigali, Rwanda

[7] Univ Rwanda, Sch Med, Butare, Rwanda

[8] Univ Rwanda, Sch Publ Hlth, Kigali, Rwanda

[9] Project San Francisco, Kigali, Rwanda

[10] Qual & Equity HealthCare Social Hlth Enterprise, Kigali, Rwanda

[11] Partners Hlth, Boston, MA USA

[12] Brigham & Womens Hosp, Boston, MA 02115 USA

[13] Dana Farber Canc Inst, Boston, MA 02115 USA

[14] MASS Design Grp, Boston, MA USA

[15] Seed Global Hlth, Boston, MA USA

[16] Global Hlth Corps, New York, NY USA

[17] Bridge2Rwanda Scholars, Kigali, Rwanda

[18] Strongheart Grp, Austin, TX USA

[19] Clinton Hlth Access Initiat, Boston, MA USA

[20] UNAIDS, Geneva, Switzerland

来源：

LANCET | 2014年 / 384卷 / 9940期

关键词：

GLOBAL HEALTH; TREATMENT PROGRAM; CARE; WORLD; INNOVATIONS; DELIVERY; LOOKING; EQUITY; SYSTEM; AGENDA;

D O I：

10.1016/S0140-6736(14)60574-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：371 / 375

页数：5

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