Re-building Rwanda’s Access to Ob/Gyn Services

Re-building Rwanda’s Access to Ob/Gyn Services

"In 2011 the Rwandan government embarked on a novel medical education program to improve their health care system.  Human Resources for Health (HRH) Rwanda, a partnership between the government of Rwanda and a consortium of 22 U.S. academic institutions, was designed as a 7-year training program to produce qualified medical personnel with the aim of increasing quality and access to health care for Rwandans."  As one of the earliest ob/gyn specialists to work in Rwanda with HRH, Duke's Dr. Maria Small led an evaluation of the first five years of the program with the aims of 1) examining the number of trained ob/gyn specialists who graduated from the University of Rwanda as beneficiaries of the HRH program, and 2) conducting a geospatial analysis of pregnant women’s access to Rwandan public hospitals with trained Obstetrics and Gynecology providers using a WorldPop data set. Study Results: "In 2011, there were only 14 ob/gyns in the country.  By the end of HRH year 5,...
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Community Impacts of Maternal Child Health Care in Kigali, Rwanda

Community Impacts of Maternal Child Health Care in Kigali, Rwanda

Guest Blog by Suzanna Larkin, T21 The Iranzi Clinic is a pioneering medical clinic in Kigali, Rwanda that focuses entirely on maternal and child health services. As an intern through DukeEngage-Rwanda this past summer, I worked directly alongside the midwives, doctors, and administrative staff that have made Iranzi Clinic their home. Only opened one year ago, the clinic is situated on the edge of the impoverished Nyabisindu neighborhood. Many of the women who visit the clinic are unable to pay for their services, and thus the clinic relies primarily on support from the Christian Life Assembly Church and donors. The commitment that the midwives and staff hold for their patients and clinic is clear. Every Monday, the clinic has a devotions session followed by a tea time, and the scene is joyous­–any observer can notice the deep and genuine friendships that grew between the staff members as they built the clinic from the ground up. Their anecdotes about the clinic’s history, from...
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Refugees in Rwandan camp appeal for help with pregnancy prevention

Refugees in Rwandan camp appeal for help with pregnancy prevention

Refugees in Rwanda's Nyabiheke Refugee Camp have asked the government and other leaders to help reduce teen pregnancies in the camp. The camp, which has hosted Congolese refugees since 2005, is now home to nearly 17,000 refugees. Overcrowding is a key concern, and refugee representative Justin Byiringiro cites teen pregnancy as a driving force of the problem. "The overpopulation in the camp favors early [teen] pregnancies. Some students graduate from secondary schools but a very limited number are advancing to universities while others are dropping out of schools," he explained. While Byiringiro believes that vocational training programs will help prevent teen pregnancy, government officials are advocating for investment in family planning programs. Jeanne d’Arc De Bonheur, the Minister for Disaster Management and Refugee Affairs, believes "reproductive health and family planning will surely be a durable solution to the issue." Organizations like the United Nations Population Fund (UNFPA) are supporting family planning in Rwandan refugee camps, but significant unmet need remains.   - Anna Katz, Communications...
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