Reduced premature mortality in Rwanda: lessons from success
Paul Farmer,Cameron T Nutt,Claire M. Wagner,Claude Sekabaraga,Tej Nuthulaganti,Jonathan Weigel,Didi Bertrand Farmer,Antoinette Habinshuti,Soline Dusabeyesu Mugeni,Jean-Claude Karasi,Peter Drobac,Peter Drobac +11 more
TLDR
Rwanda’s approach to delivering healthcare in a setting of post-conflict poverty offers lessons for other poor countries, say Paul Farmer and colleagues.Abstract:
Rwanda’s approach to delivering healthcare in a setting of post-conflict poverty offers lessons for other poor countries, say Paul Farmer and colleaguesread more
Citations
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Infectious Outcomes Assessment for Health System Strengthening in Low-Resource Settings: The Novel Use of a Trauma Registry in Rwanda
T PetrozeRobin,ByiringiroJean Claude,KyamanywaPatrick,NtakiyirutaGeorges,CallandJ. Forrest,G SawyerRobert +5 more
TL;DR: The development of hospital-acquired infections is associated with an increased hospital stay in the trauma population in Rwanda and has important implications in improving a health system already strained by limited infrastructure, personnel, and finances.
Journal ArticleDOI
The impact of PEPFAR transition on HIV service delivery at health facilities in Uganda.
Jess Wilhelm,Mary Qiu,Ligia Paina,Elizabeth Colantuoni,Moses Mukuru,Freddie Ssengooba,Sara Bennett +6 more
TL;DR: Transition from PEPFAR resulted in facilities reporting worsening patient access and service quality for HIV care, but there is insufficient evidence to suggest negative impacts on volume of HIV services.
Journal ArticleDOI
Initiating Childhood Cancer Treatment in Rural Rwanda: A Partnership-Based Approach
Sara Stulac,Richard B. Mark Munyaneza,Jeanne Chai,Jean Bosco Bigirimana,Merab Nyishime,Neo Tapela,Sara Chaffee,Leslie Lehmann,Leslie Lehmann,Lawrence N. Shulman +9 more
TL;DR: These data suggest that chemotherapy can be administered with curative intent to a subset of cancer patients in this setting, and provide a platform for pediatric cancer care models, relying on local physicians collaborating with remote specialist consultants to deliver subspecialty care in resource‐poor settings.
Journal ArticleDOI
Integrating social protection and early childhood development: open trial of a family home-visiting intervention, Sugira Muryango
Theresa S. Betancourt,Emily E. Franchett,Catherine M. Kirk,Robert T. Brennan,Laura B. Rawlings,Briana Wilson,Aisha K. Yousafzai,Rose Wilder,Sylvere Mukunzi,Josee Mukandanga,Christian Ukundineza,Kalisa Godfrey,Vincent Sezibera +12 more
TL;DR: A pre-post design with 6-13-month follow-up assessed the feasibility and acceptability of a home-visiting intervention to promote early childhood development, improve parenting and shared decision-making.
Journal ArticleDOI
Building from the HIV Response toward Universal Health Coverage.
Jonathan Jay,Kent Buse,Marielle Hart,David Wilson,Robert Marten,Scott E. Kellerman,Morolake Odetoyinbo,Jonathan D. Quick,Timothy G Evans,Peter Piot,Mark Dybul,Agnes Binagwaho +11 more
TL;DR: Jonathan Jay and colleagues draw lessons from the the global HIV response that could help guide the universal health coverage movement.
References
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Journal ArticleDOI
Structural Violence and Clinical Medicine
TL;DR: The impact of social violence upon people living with HIV in the US and Rwanda is described and the social structures that put people in harm's way are described.
Book
Aiding Violence: The Development Enterprise in Rwanda
TL;DR: Uvin this article focused on the 1990s dynamics of militarization and polarization that resulted in the genocide in Rwanda and revealed how aid enterprises reacted, or failed to react, to those dynamics.
Journal ArticleDOI
Levels and trends in child mortality, 1990-2009
TL;DR: This article looks at the levels and trends in child mortality from 1990-2009 and states that removing financial and social barriers to accessing welfare services innovations to make supply of critical services more available to the poor and increasing local accountability of the health systems are examples of policy interventions that have allowed health systems to improve equity.
Journal ArticleDOI
Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance : an impact evaluation
Paulin Basinga,Paul Gertler,Agnes Binagwaho,Agnes Soucat,Jennifer R. Sturdy,Christel M. J. Vermeersch +5 more
TL;DR: P4P financial performance incentives can improve both the use and quality of maternal and child health services, and could be a useful intervention to accelerate progress towards Millennium Development Goals for maternal andChild health.
Journal ArticleDOI
Towards Universal Health Coverage: An Evaluation of Rwanda Mutuelles in Its First Eight Years
Chunling Lu,Brian Chin,Jiwon Lee Lewandowski,Paulin Basinga,Lisa R. Hirschhorn,Kenneth Hill,Megan Murray,Agnes Binagwaho +7 more
TL;DR: Rwanda's experience suggests that community-based health insurance schemes can be effective tools for achieving universal health coverage even in the poorest settings, and a future study on how eliminating Mutuelles copayments for the poorest will improve their healthcare utilization, lower their catastrophic health spending, and affect the finances of health care providers is suggested.
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