Background Rigorous evidence of the effectiveness male engagement interventions, particularly on how these interventions impact relationship power dynamics and women's decision-making, remains limited. This study assessed Bandebereho gender-transformative couples' intervention multiple behavioral health-related outcomes influenced by gender norms relations. Methods We conducted a multi-site randomised controlled trial in four Rwandan districts with expectant/current fathers their partners,...

Early initiation of antenatal care (ANC) can reduce common maternal complications and perinatal mortality. Though Rwanda demonstrated a remarkable decline in mortality 98% Rwandan women receive from skilled provider, only 38% have an ANC visit their first three months pregnancy. This study assessed factors associated with delayed Rwanda. is cross-sectional using data collected during the 2010 DHS 6,325 age 15–49 that had at least one birth last five years. Factors were identified...

Background Rwandan individuals bordering the Democratic Republic of Congo (DRC) are at-risk Ebola virus disease. A 2019 to 2021 vaccination campaign called UMURINZI offered a Janssen Vaccines & Prevention B.V. 2-dose heterologous vaccine regimen (Ad26.ZEBOV, MVA-BN-Filo) aged ≥2 years and not pregnant. In this region with high rates pregnancy, preventing pregnancy until their second dose is essential ensure full protection. This analysis describes contraceptive use, incidence, serious...

Some countries have undertaken programs that included scaling up kangaroo mother care. The aim of this study was to systematically evaluate the implementation status facility-based care services in four African countries: Malawi, Mali, Rwanda and Uganda. A cross-sectional, mixed-method research design used. Stakeholders provided background information at national meetings individual interviews. Facilities were assessed by means a standardized tool previously applied other settings, employing...

Presenting the results of 5 years implementing health facility-based maternal death audits in Rwanda, showing classification, identification substandard (care) factors that have contributed to death, and conclusive recommendations for quality improvements obstetric care.Nationwide retrospective cohort study.All cases audited by district hospital-based audit teams between January 2009 December 2013 were reviewed. Maternal deaths not subjected a local are part cohort.987 death.Characteristics...

Over the last eight decades, many evidence-based interventions (EBIs) have been developed to reduce amenable under-5 mortality (U5M). Implementation research can help lag between discovery and delivery, including as new EBIs emerge, or existing ones are adapted based on research. Rwanda was first low-income African country implement rotavirus vaccine (RTV) also adopted Option B+ for effective prevention of mother-to-child transmission (PMTCT) before World Health Organization's (WHO)...

Based on research conducted in 2012, we estimate the cost to Rwandan health-care system of providing post-abortion care (PAC) due unsafe abortions, a subject policy importance not studied before at national level. Thirty-nine public and private health facilities representing three levels were randomly selected for data collection from key providers administrators all five regions. Using an ingredients approach costing, gathered drugs, supplies, material, personnel time hospitalization....

Rwanda has achieved great improvements in several key health indicators, including maternal mortality and other outcomes. This raises the question: what made this possible, makes so unique? We describe results of a web-based survey among district managers who gave their personal opinions on factors that drive performance sector, particular those determine service coverage The questionnaire covered six systems building blocks make up WHO framework for analysis, two additional clusters are not...

Introduction Reliable Health Management and Information System (HMIS) data can be used with minimal cost to identify areas for improvement measure impact of healthcare delivery. However, variable HMIS quality in low- middle-income countries limits its value monitoring, evaluation research. We aimed review the Rwandan maternal newborn health (MNH) based on consistency reports facility source documents. Methods conducted a cross-sectional study 76 facilities (HFs) four districts. For 14 MNH...

Rwanda was the first African country to implement national human papillomavirus (HPV) vaccination (against types HPV6, 11, 16, and 18). In 2011, a school-based catch-up programme initiated vaccinate girls aged younger than 15 years but it also reached older in schools. We aimed estimate population-level effect of HPV on prevalence. Cross-sectional surveys were done between July, 2013, April, 2014 (baseline), March, 2019, December, 2020 (repeat), sexually active women 17-29 at health centres...

Abstract Background The Exemplars in Under-5 Mortality (U5M) was a multiple cases study of how six low- and middle-income countries (LMICs), Bangladesh, Ethiopia, Nepal, Peru, Rwanda, Senegal, implemented health system-delivered evidence-based interventions (EBIs) to reduce U5M between 2000 2015 more effectively than others their regions or with similar economic growth. Using implementation research, we conducted cross-country analysis compare decision-making pathways for these chose,...

The COVID-19 pandemic has brought about significant disruptions to health care delivery worldwide, including in Rwanda. Countries experienced variable both at the national and subnational level. Here we report results from mixed methods implementation research on lessons learned Rwanda mitigate inequity of interventions during shocks as pandemic. To estimate coverage primary known reduce under-5 mortality initial period Rwanda, analyzed existing data management information system. Using...

Abstract Background The proportion of births attended by skilled health personnel is one two indicators used to measure progress towards Millennium Development Goal 5, which aims for a 75% reduction in global maternal mortality ratios 2015. Rwanda has the highest world, estimated between 249–584 deaths per 100,000 live births. objectives this study were quantify secular trends facility delivery and identify factors that affect uptake intrapartum healthcare services among women living rural...

Rwanda has dramatically reduced child mortality, but the causes and sociodemographic drivers for mortality are poorly understood.We conducted a matched case-control study of all children who died before 5 years age in eastern between 1st March 2013 28th February 2014 to identify risk factors death. We identified deaths at facility level via community health worker reporting system. used verbal social autopsy interview caregivers deceased controls by area age. InterVA4 determine probable...

In 2011, Rwanda became the first African nation to implement a national human papillomavirus (HPV) vaccination program, conceived protect girls aged <15 years (i.e. born ≥1997). After an initial school-grade-targeted catch-up campaign, there was transition routine of 12 year-olds only. We aimed produce population-level vaccine coverage estimates. The Rwandan Expanded Program on Immunization (EPI) collected data number eligible and HPV vaccines delivered, stratified by calendar year...

Abstract Background From 2019 to 2021, Rwandan residents of the border with Democratic Republic Congo were offered Ad26.ZEBOV (adenovirus type 26 vector vaccine encoding Ebola virus glycoprotein) and MVA-BN-Filo (modified vaccinia Ankara vaccine, glycoproteins from Ebola, Sudan, Marburg, nucleoprotein Tai Forest viruses) regimen. Methods Nonpregnant persons aged ≥2 years eligible. Unsolicited adverse events (UAEs) reported through phone calls or visits, serious (SAEs) recorded per...

Introduction The government of Rwanda is exploring strategies that may reduce the incidence prematurity and low birth weight. Large‐scale implementation group antenatal care (ANC) postnatal (PNC) within context national health system under consideration. To launch a cluster randomized controlled trial ANC PNC in 5 districts Rwanda, team needed customized model for this trained workers to deliver program. Process Adapting Rwandan was accomplished through process identical which fundamental...

BackgroundAccording to data from the WHO Vaccine-Preventable Disease Monitoring System, Rwanda has achieved near universal childhood vaccination rates, with an overall national coverage rate for immunisation of 98% in 2015. These rates are striking given country's status as a post-conflict, post-genocide, and low-income country. In this study, we aimed determine factors that contributed success Rwanda's programme.MethodsWe used primary secondary sources identify such factors. Primary...

Background Over half of under-five deaths occur in sub-Saharan Africa and appropriate, timely, quality care is critical for saving children's lives. This study describes the context surrounding from time illness was first noticed, through care-seeking patterns leading up to child's death, identifies factors associated with these children rural Rwanda. Methods Secondary analysis a verbal social autopsy caregivers who reported death child between March 2013 February 2014 that occurred after...

The study aim was to describe human papillomavirus (HPV)-attributable cancer burden in Rwanda, according anogenital site, HPV type, age and HIV status. Tissue specimens of cervical, vulvar, vaginal, penile anal diagnosed 2012-2018 were retrieved from three referral hospitals tested for high-risk (HR) DNA. Cervical represented the majority cases (598 738), which 96.0% HR-HPV positive. HPV-attributable fractions other sites varied 53.1% 81 penile, through 76.7% 30 83.3% 24 up 100% 5 cases....

Maternal and perinatal death surveillance response (MPDSR) systems aim to understand address key contributors maternal deaths prevent future deaths. From 2016-2017, the US Agency for International Development's Child Survival Program conducted an assessment of MPDSR implementation in Nigeria, Rwanda, Tanzania, Zimbabwe.

Abstract Background Between 2000–2015, many low- and middle-income countries (LMICs) implemented evidence-based interventions (EBIs) known to reduce under-5 mortality (U5M). Even among LMICs successful in reducing U5M, this drop was unequal subnationally, with varying success EBI implementation. Building on mixed methods multi-case studies of six (Bangladesh, Ethiopia, Nepal, Peru, Rwanda, Senegal) leading U5M reduction, we describe geographic wealth-based equity facility-based delivery...

Despite a significant decrease in maternal mortality the last decade, Rwanda needs further progress order to achieve Sustainable Development Goals (SDG)3 which addresses among others mortality. Analysis of severe outcomes (SMO) was performed identify their characteristics, causes and contributory factors, using standard indicators for quality care. A prospective case-control study conducted data were collected between November 2015 April 2016 four rural district hospitals. The occurrence SMO...

Rwandan adolescents have limited access to high-quality family planning and reproductive health (FP/RH) information care prevent unplanned pregnancy HIV/STIs. In addition the immediate implications for well-being, teenage is a significant cause of school drop-out, limiting girls' future potential employment opportunities. This study introduces direct-to-consumer digital education program that uses storytelling deliver age-appropriate FP/RH economic empowerment training adolescents. It also...