Rwanda

MOMENTUM works with the Government of Rwanda to help women access high-quality surgical care for maternal health and voluntary family planning.

Liz Eddy/MCSP

Known as the “land of a thousand hills,” Rwanda is a geographically small country with the highest population density in Africa.7 Over the past three decades, government efforts to eradicate poverty and improve health care have had a huge positive impact on Rwandan lives. Between 1990 and 2015, Rwanda reduced the number of children under age five who die from preventable causes by 66 percent and achieved an 85 percent decline in maternal deaths.8 Today, 96 percent of Rwandan children are fully vaccinated against major childhood diseases.9

While Rwanda’s overall fertility rate has declined by over 40 percent since 1990,10 it is still high—a Rwandan woman will have an average of 4.1 children in her life11—and, despite progress combating maternal mortality, the number of women who die from pregnancy-related causes each year also remains high. MOMENTUM supports the Government of Rwanda’s efforts to tackle these challenges by helping women access high-quality surgical care for voluntary family planning and maternal health.

Learn more about our programs in East and Southern Africa

Safe Surgical Care

Strengthening Surgical Obstetric Care

MOMENTUM supports Rwanda’s national and local governments, technical resource groups, professional associations, and health workers as they work together to strengthen their capacity to provide high-quality surgical obstetric care, especially for cesarean sections and hysterectomies performed within 24 hours of childbirth. This work includes:

  • Partnering with the government and academic institutions to provide general practitioners, nurses, midwives, and anesthetists with continuous professional development of safe surgery skills.
  • Helping surgical teams safely provide care during the COVID-19 pandemic.
  • Leveraging and improving referral networks for emergency obstetric care and fistula treatment.
  • Supporting the Rwandan government’s efforts to update, adopt, disseminate, and increase the use of national guidelines for safe surgical obstetric care.
Yagazie Emezi/Getty Images/Images of Empowerment
Voluntary Family Planning and Reproductive Health

Maintaining Access to Family Planning and Reproductive Health Care

In Rwanda, MOMENTUM collaborates with local partners to help individuals and couples access the information and services they need to make voluntary and informed family planning decisions at every stage of their lives. We also collaborate with the Ministry of Health to train and mentor health care providers and strengthen their capacity to provide high-quality health care. Our collaboration with the Ministry of Health also includes outreach activities to increase access to long-acting reversible contraception and permanent contraceptive methods.

Yagazie Emezi/Getty Images/Images of Empowerment
Digital Health

Strengthening Data Availability and Use

MOMENTUM works with partners to strengthen the use and availability of health data, especially for budgeting, planning, and monitoring the quality of health care. We are conducting a review of Rwanda’s standard health metrics and monitoring and evaluation frameworks to help the government improve its data for safe surgeries. This review will also help integrate family planning and reproductive health care into maternal, newborn, and child health services, providing a holistic continuum of care.

Global Communities/Juozas Cernius
About the MOMENTUM Project Working in Rwanda

MOMENTUM Safe Surgery in Family Planning and Obstetrics works with the Government of Rwanda to sustainably build awareness of, equitable access to, and provision of high-quality, voluntary, medically necessary and consented safe surgery for family planning and maternal health.

References

  1. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet. Washington, DC: Population Reference Bureau. 2021. https://interactives.prb.org/2021-wpds/
  2. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet.
  3. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet.
  4. Roser, Max and Hannah Ritchie. “Maternal Mortality.” 2017. https://ourworldindata.org/maternal-mortality
  5. United Nations Children’s Fund. 2017. “Data Warehouse Cross-Sector Indicators: Rwanda.” https://data.unicef.org/country/rwa.
  6. Countdown to 2030. Countdown Country Dashboard: Rwanda. https://profiles.countdown2030.org/#/ds/RWA
  7. USAID. “Rwanda.” Last updated September 9, 2021. https://www.usaid.gov/rwanda
  8. World Health Organization, UNICEF, United Nations Population Fund, World Bank Group, and United Nations. Trends in Maternal Mortality: 1990-2015. Geneva: World Health Organization. 2015. https://www.afro.who.int/sites/default/files/2017-05/trends-in-maternal-mortality-1990-to-2015.pdf
  9. National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International. 2020. Rwanda Demographic and Health Survey 2019-2020. Rockville, Maryland, USA: NISR, MOH,and ICF International.
  10. National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International. Rwanda Demographic and Health Survey 2019-2020.
  11. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet.

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