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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THE CRITICAL ROLE OF A NON-HEALTHCARE APPROACH TO MATERNAL MORTALITY REDUCTION Qualitative insights from Rwanda’s success
TL;DR: The empirical analysis suggests that additional state efforts complementing medical interventions are vital to reduce maternal mortality and achieve the UN’s Sustainable Development Goal target 3.1.
Meeting the challenges of providing universal health coveragew approaches to service delivery must produce greater value for patients
TL;DR: New approaches to service delivery must produce greater value for patients, according to the World Health Organization (WHO) and NHS.
Journal ArticleDOI
Meeting the challenges of providing universal health coverage
TL;DR: The risk is that a welcome global endeavor to ensure that more people can realize their right to health may default to a vast global investment in the replication of past mistakes as mentioned in this paper, and the improvement in people's health cannot be achieved by merely expanding and scaling up the healthcare delivery models of today.
Journal ArticleDOI
Five-year Outcomes Among Children Receiving Antiretroviral Therapy in a Community-based Accompaniment Program in Rural Rwanda.
Felix Cyamatare Rwabukwisi,Bethany Hedt-Gauthier,Muhayimpundu Ribakare,Joyce Mukamana,Yvonne Gatesi,Sara Stulac,Peter Drobac,Cheryl Amoroso,Neil Gupta +8 more
TL;DR: Of 277 HIV-infected children in rural Rwanda enrolled in a community-based accompaniment program, 95.0% were retained in care 5 years after treatment initiation, with only 9 deaths and 3 defaults.
Posted ContentDOI
Catching up to a fast-moving target: Evaluation of a health system strengthening intervention in rural Rwanda 2005-2010 using data from repeated cross-sectional surveys
Dana R. Thomson,Dana R. Thomson,Cheryl Amoroso,Sidney Atwood,Matthew H. Bonds,Matthew H. Bonds,Felix Cyamatare Rwabukwisi,Peter Drobac,Peter Drobac,Karen E Finnegan,Didi Bertrand Farmer,Paul Farmer,Paul Farmer,Antoinette Habinshuti,Lisa R. Hirschhorn,Anatole Manzi,Peter Niyigena,Michael Rich,Michael Rich,Sara Stulac,Sara Stulac,Megan Murray,Agnes Binagwaho,Agnes Binagwaho +23 more
TL;DR: Improvements in coverage of reproductive, maternal and child health indicators explain some, but not all, of the decline in child mortality and that these successes occurred in the context of national gains in health, nutrition and food security, sanitation, poverty reduction, and access to clean water.
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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