Over the last two decades, Rwanda has registered tremendous improvement in family planning
(FP). The contraceptive prevalence rate (CPR) in the country has tripled from 17% in 2005
to 53% in 2014-15
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Rwanda’s fertility rate declined slowly up to 2005 when the country initiated one of the fastest fertility declines in human history over a five year period. The total fertility rate fell markedly from 6.3 to 4.6 children per woman between 2005 and 2010, buoyed by an impressive increase in contraceptive use. However, the rate of decline decelerated between 2010 and 2015, with the fertility rate dropping by less than half a child to 4.2 births per woman. The infant mortality rate declined from 86 per 1000 live births to 32 per 1000 live births, while under five mortality rate declined from 152 to 50 deaths per 1,000 live births between 2005 and 2015.
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Rwanda is aiming at malaria pre-elimination by 2018, maximization of existing malaria preventive measures through active community participation is a high priority. Elimination of malaria should not be the responsibility of health professionals alone. Rather health professionals should work with the community to promote their participation in malaria elimination initiatives.
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Stroke kills an estimated 5 million people worldwide each year, with
developing countries contributing 3.3 million; the number one cause of
stroke is hypertension.
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Despite a decreasing malaria burden in children under 5, it remains a notable health concern in Rwanda due to their vulnerability, emphasizing the necessity for strengthened prevention measures.
To lessen the malaria burden, it is crucial to expand the coverage and effectiveness of prevention strategies, address root causes contributing to the rise in cases, and prioritize vulnerable populations, particularly children under 5.
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Measles Rubella (MR2) Vaccination coverage in Rwanda decreased from 96% to 84% during the pandemic. The drop in vaccination coverage has led to measles outbreaks in Rwanda.
Matching Rwanda Civil Registration and Vital Statistics (CRVS) and Immunization Tracker can improve vaccination coverage Integrating Digitalized Rapid Convenience Monitoring with community health workers (CHW) led MR2 vaccination campaign Performance-based financing
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Rwanda has a high cervical cancer incidence rate of 28.2/100,000 women Screening rate is low, with only 18% coverage against the target of 70% Increasing the number of women screened for cervical cancer will have about 160,164 women with precancerous lesions treated and reduce the incidence of cancer cases.
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