Looking into the Malthusian abyss

King, Mary Lou; Wang, Elizabeth Yi

doi:10.1016/s0140-6736(06)68302-5

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“…8 Some development experts even advised withholding primary care services from children to stave off population growth and prevent what they called a “Malthusian abyss”. 9,10 From the outside, it appeared that for years to come, Rwanda would be vulnerable to the donor community’s shifting whims and divergent prescriptions.…”

Section: Introductionmentioning

confidence: 99%

Rwanda 20 years on: investing in life

Binagwaho¹,

Farmer²,

Nsanzimana³

et al. 2014

The Lancet

169

137

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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.

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Section: Introductionmentioning

confidence: 99%