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Republic of Rwanda Repubulika y'u Rwanda  (Kinyarwanda) République du Rwanda  (French) Jamhuri ya Rwanda  (Swahili)
Flag Seal
Motto: "Ubumwe, Umurimo, Gukunda Igihugu" "Unity, Work, Patriotism"
Anthem: "Rwanda nziza" (English: "Beautiful Rwanda")
Location of  Rwanda  (dark blue) – in Africa  (light blue & dark grey) – in the African Union  (light blue)
Capital and largest city	Kigali 1°56.633′S 30°3.567′E / 1.943883°S 30.059450°E / -1.943883; 30.059450
Official languages	English French Kinyarwanda Swahili
Demonym(s)	Rwandan
Government	Unitary dominant-party presidential republic
• President	Paul Kagame
• Prime Minister	Édouard Ngirente
Legislature	Parliament
• Upper house	Senate
• Lower house	Chamber of Deputies
Independence  from Belgium
• Independence	1 July 1962
• Current constitution	26 May 2003
Area
• Total	26,338 km2 (10,169 sq mi) (144th)
• Water (%)	5.3
Population
• 2015 estimate	11,262,564[1] (76th)
• 2012 census	10,515,973[2]
• Density	445[1]/km2 (1,152.5/sq mi) (29th)
GDP (PPP)	2017 estimate
• Total	$24.717 billion[3]
• Per capita	$2,090[3]
GDP (nominal)	2017 estimate
• Total	$8.918 billion[3]
• Per capita	$754[3]
Gini (2010)	51.3[4] high
HDI (2017)	0.524[5] low · 158th
Currency	Rwandan franc (RWF)
Time zone	UTC+2 (CAT)
Driving side	right
Calling code	+250
ISO 3166 code	RW
Internet TLD	.rw

Rwanda (/ruˈɑːndə, -ˈæn-/ (listen); Kinyarwanda: U Rwanda [u.ɾɡwaː.nda] (listen)), officially the Republic of Rwanda (Kinyarwanda: Repubulika y'u Rwanda; Swahili: Jamhuri ya Rwanda; French: République du Rwanda), is a country in Central and East Africa and one of the smallest countries on the African mainland. Located a few degrees south of the Equator, Rwanda is bordered by Uganda, Tanzania, Burundi and the Democratic Republic of the Congo. Rwanda is in the African Great Lakes region and is highly elevated; its geography is dominated by mountains in the west and savanna to the east, with numerous lakes throughout the country. The climate is temperate to subtropical, with two rainy seasons and two dry seasons each year.

The population is young and predominantly rural, with a density among the highest in Africa. Rwandans are drawn from just one cultural and linguistic group, the Banyarwanda, although within this group there are three subgroups: the Hutu, Tutsi and Twa. The Twa are a forest-dwelling pygmy people descended from Rwanda's earliest inhabitants. Scholars disagree on the origins of and differences between the Hutu and Tutsi; some believe differences are derived from former social castes within a single people, while others believe the Hutu and Tutsi arrived in the country separately, and from different locations. Christianity is the largest religion in the country; the principal language is Kinyarwanda, spoken by most Rwandans, with English and French serving as additional official languages. The sovereign state of Rwanda has a presidential system of government. The president is Paul Kagame of the Rwandan Patriotic Front (RPF), who took office in 2000. Rwanda today has low corruption compared with neighbouring countries, although human rights organisations report suppression of opposition groups, intimidation and restrictions on freedom of speech. The country has been governed by a strict administrative hierarchy since precolonial times; there are five provinces delineated by borders drawn in 2006. Rwanda is one of only two countries with a female majority in the national parliament.

Hunter gatherers settled the territory in the stone and iron ages, followed later by Bantu peoples. The population coalesced first into clans and then into kingdoms. The Kingdom of Rwanda dominated from the mid-eighteenth century, with the Tutsi kings conquering others militarily, centralising power and later enacting anti-Hutu policies. Germany colonised Rwanda in 1884 as part of German East Africa, followed by Belgium, which invaded in 1916 during World War I. Both European nations ruled through the kings and perpetuated a pro-Tutsi policy. The Hutu population revolted in 1959. They massacred numerous Tutsi and ultimately established an independent, Hutu-dominated state in 1962. A 1973 military coup saw a change of leadership, but pro-Hutu policy remained. The Tutsi-led Rwandan Patriotic Front launched a civil war in 1990. Social tensions erupted in the 1994 genocide, in which Hutu extremists killed an estimated 500,000 to 1 million Tutsi and moderate Hutu. The RPF ended the genocide with a military victory.

Rwanda's economy suffered heavily in wake of the 1994 genocide, but has since strengthened. The economy is based mostly on subsistence agriculture. Coffee and tea are the major cash crops for export. Tourism is a fast-growing sector and is now the country's leading foreign exchange earner. Rwanda is one of only two countries in which mountain gorillas can be visited safely, and visitors pay high prices for gorilla tracking permits. Music and dance are an integral part of Rwandan culture, particularly drums and the highly choreographed intore dance. Traditional arts and crafts are produced throughout the country, including imigongo, a unique cow dung art.

Etymology

The name "Rwanda" is derived from the Rwanda-Rundi word rwanda meaning "domain" or literally an "area occupied by a swarm". The official name of the country was "Rwandese Republic" until May 2003, when the adoption of a new national constitution changed it to "Republic of Rwanda".

History

Modern human settlement of what is now Rwanda dates from, at the latest, the last glacial period, either in the Neolithic period around 8000 BC, or in the long humid period which followed, up to around 3000 BC.^[6] Archaeological excavations have revealed evidence of sparse settlement by hunter gatherers in the late stone age, followed by a larger population of early Iron Age settlers, who produced dimpled pottery and iron tools.^[7][8] These early inhabitants were the ancestors of the Twa, aboriginal pygmy hunter-gatherers who remain in Rwanda today.^[9] Between 700 BC and 1500 AD, a number of Bantu groups migrated into Rwanda, clearing forest land for agriculture.^[9][10] The forest-dwelling Twa lost much of their habitat and moved to the mountain slopes.^[11] Historians have several theories regarding the nature of the Bantu migrations; one theory is that the first settlers were Hutu, while the Tutsi migrated later to form a distinct racial group, possibly of Nilo-hamitic origin.^[12] An alternative theory is that the migration was slow and steady, with incoming groups integrating into rather than conquering the existing society.^[9][13] Under this theory, the Hutu and Tutsi distinction arose later and was a class distinction rather than a racial one.^[14][15]

A reconstruction of the King of Rwanda's palace at Nyanza

The earliest form of social organisation in the area was the clan (ubwoko).^[16] The clans were not limited to genealogical lineages or geographical area, and most included Hutu, Tutsi, and Twa.^[17] From the 15th century, the clans began to coalesce into kingdoms;^[18] by 1700 around eight kingdoms existed in present-day Rwanda.^[19] One of these, the Kingdom of Rwanda, ruled by the Tutsi Nyiginya clan, became increasingly dominant from the mid-eighteenth century.^[20] The kingdom reached its greatest extent during the nineteenth century under the reign of King Kigeli Rwabugiri. Rwabugiri conquered several smaller states, expanded the kingdom west and north,^[20][21] and initiated administrative reforms; these included ubuhake, in which Tutsi patrons ceded cattle, and therefore privileged status, to Hutu or Tutsi clients in exchange for economic and personal service,^[22] and uburetwa, a corvée system in which Hutu were forced to work for Tutsi chiefs.^[21] Rwabugiri's changes caused a rift to grow between the Hutu and Tutsi populations.^[21] The Twa were better off than in pre-Kingdom days, with some becoming dancers in the royal court,^[11] but their numbers continued to decline.^[23]

The Berlin Conference of 1884 assigned the territory to Germany as part of German East Africa, marking the beginning of the colonial era. The explorer Gustav Adolf von Götzen was the first European to significantly explore the country in 1894; he crossed from the south-east to Lake Kivu and met the king.^[24][25] The Germans did not significantly alter the social structure of the country, but exerted influence by supporting the king and the existing hierarchy and delegating power to local chiefs.^[26][27]Belgian forces took control of Rwanda and Burundi in 1916, during World War I, beginning a period of more direct colonial rule.^[28] Belgium ruled both Rwanda and Burundi as a League of Nations mandate called Ruanda-Urundi. The Belgians also simplified and centralised the power structure,^[29] and introduced large-scale projects in education, health, public works, and agricultural supervision, including new crops and improved agricultural techniques to try to reduce the incidence of famine.^[30] Both the Germans and the Belgians promoted Tutsi supremacy, considering the Hutu and Tutsi different races.^[31] In 1935, Belgium introduced identity cards labelling each individual as either Tutsi, Hutu, Twa or Naturalised. While it had previously been possible for particularly wealthy Hutu to become honorary Tutsi, the identity cards prevented any further movement between the classes.^[32]

Juvénal Habyarimana, president from 1973 to 1994

Belgium continued to rule Ruanda-Urundi (of which Rwanda formed the northern part) as a UN Trust Territory after the Second World War, with a mandate to oversee eventual independence.^[33][34] Tensions escalated between the Tutsi, who favoured early independence, and the Hutu emancipation movement, culminating in the 1959 Rwandan Revolution: Hutu activists began killing Tutsi and destroying their houses,^[35] forcing more than 100,000 people to seek refuge in neighbouring countries.^[36][37] In 1961, the suddenly pro-Hutu Belgians held a referendum in which the country voted to abolish the monarchy. Rwanda was separated from Burundi and gained independence on 1 July 1962,^[38] which is commemorated as Independence Day, a national holiday.^[39] Cycles of violence followed, with exiled Tutsi attacking from neighbouring countries and the Hutu retaliating with large-scale slaughter and repression of the Tutsi.^[40] In 1973, Juvénal Habyarimana took power in a military coup. Pro-Hutu discrimination continued, but there was greater economic prosperity and a reduced amount of violence against Tutsi.^[41] The Twa remained marginalised, and by 1990 were almost entirely forced out of the forests by the government; many became beggars.^[42] Rwanda's population had increased from 1.6 million people in 1934 to 7.1 million in 1989, leading to competition for land.^[43]

Human skulls at the Nyamata Genocide Memorial

In 1990, the Rwandan Patriotic Front (RPF), a rebel group composed of nearly 500,000 Tutsi refugees, invaded northern Rwanda from their base in Uganda, initiating the Rwandan Civil War.^[44] The group condemned the Hutu-dominated government for failing to democratize and confront the problems facing these refugees. Neither side was able to gain a decisive advantage in the war,^[45] but by 1992 it had weakened Habyarimana's authority; mass demonstrations forced him into a coalition with the domestic opposition and eventually to sign the 1993 Arusha Accords with the RPF.^[46] The cease-fire ended on 6 April 1994 when Habyarimana's plane was shot down near Kigali Airport, killing him.^[47] The shooting down of the plane served as the catalyst for the Rwandan genocide, which began within a few hours. Over the course of approximately 100 days, around 800,000^[48] Tutsi and politically moderate Hutu were killed in well-planned attacks on the orders of the interim government.^[49] Many Twa were also killed, despite not being directly targeted.^[42]

The Tutsi RPF restarted their offensive, and took control of the country methodically, gaining control of the whole country by mid-July.^[50] The international response to the genocide was limited, with major powers reluctant to strengthen the already overstretched UN peacekeeping force.^[51] When the RPF took over, approximately two million Hutu fled to neighbouring countries, in particular Zaïre, fearing reprisals;^[52] additionally, the RPF-led army was a key belligerent in the First and Second Congo Wars.^[53] Within Rwanda, a period of reconciliation and justice began, with the establishment of the International Criminal Tribunal for Rwanda (ICTR) and the reintroduction of Gacaca, a traditional village court system.^[54] Since 2000 Rwanda's economy,^[55] tourist numbers,^[56] and Human Development Index have grown rapidly;^[57] between 2006 and 2011 the poverty rate reduced from 57% to 45%,^[58] while life expectancy rose from 46.6 years in 2000^[59] to 59.7 years in 2015.^[60]

Politics and government

Rwandan President Paul Kagame

The President of Rwanda is the head of state,^[61] and has broad powers including creating policy in conjunction with the Cabinet,^[62] exercising the prerogative of mercy,^[63] commanding the armed forces,^[64] negotiating and ratifying treaties,^[65] signing presidential orders,^[66] and declaring war or a state of emergency.^[64] The President is elected by popular vote every seven years,^[67] and appoints the Prime Minister and all other members of Cabinet.^[68] The incumbent President is Paul Kagame, who took office upon the resignation of his predecessor, Pasteur Bizimungu, in 2000. Kagame subsequently won elections in 2003 and 2010,^[69][70] although human rights organisations have criticised these elections as being "marked by increasing political repression and a crackdown on free speech".^[71] Article 101 of the constitution had previously limited presidents to two terms in office,^[72] but this was changed in a 2015 referendum, which had been brought following receipt of a petition signed by 3.8 million Rwandans.^[73] Through this change in the constitution, Kagame could stay on as president until 2034.^[74] Kagame was elected for a third term in 2017 with 98.79% of the vote.^[75][76]

The constitution was adopted following a national referendum in 2003, replacing the transitional constitution which had been in place since 1994.^[77] The constitution mandates a multi-party system of government, with politics based on democracy and elections.^[78] However, the constitution places conditions on how political parties may operate. Article 54 states that "political organizations are prohibited from basing themselves on race, ethnic group, tribe, clan, region, sex, religion or any other division which may give rise to discrimination".^[79] The government has also enacted laws criminalising genocide ideology, which can include intimidation, defamatory speeches, genocide denial and mocking of victims.^[80] According to Human Rights Watch, these laws effectively make Rwanda a one-party state, as "under the guise of preventing another genocide, the government displays a marked intolerance of the most basic forms of dissent".^[81]Amnesty International is also critical; in its 2014/15 report Amnesty said that laws against inciting insurrection or trouble among the population had been used to imprison people "for the legitimate exercise of their rights to freedom of association or of expression".^[82]

The Parliament consists of two chambers. It makes legislation and is empowered by the constitution to oversee the activities of the President and the Cabinet.^[83] The lower chamber is the Chamber of Deputies, which has 80 members serving five-year terms. Twenty-four of these seats are reserved for women, elected through a joint assembly of local government officials; another three seats are reserved for youth and disabled members; the remaining 53 are elected by universal suffrage under a proportional representation system.^[84] Following the 2013 election, there are 51 female deputies,^[85] up from 45 in 2008;^[86] as of 2015^[update], Rwanda is one of only two countries with a female majority in the national parliament.^[87] The upper chamber is the 26-seat Senate, whose members are selected by a variety of bodies. A mandatory minimum of 30% of the senators are women. Senators serve eight-year terms.^[88] (See also Gender equality in Rwanda).

Chamber of Deputies building

Rwanda's legal system is largely based on German and Belgian civil law systems and customary law.^[60] The judiciary is independent of the executive branch,^[89] although the President and the Senate are involved in the appointment of Supreme Court judges.^[90] Human Rights Watch have praised the Rwandan government for progress made in the delivery of justice including the abolition of the death penalty,^[91] but also allege interference in the judicial system by members of the government, such as the politically motivated appointment of judges, misuse of prosecutorial power, and pressure on judges to make particular decisions.^[92] The constitution provides for two types of courts: ordinary and specialised.^[93] Ordinary courts are the Supreme Court, the High Court, and regional courts, while specialised courts are military courts^[93] and a system of commercial courts created in 2011 to expedite commercial litigations.^[94] Between 2004 and 2012, a system of Gacaca courts was in operation.^[95]Gacaca, a Rwandan traditional court operated by villages and communities, was revived to expedite the trials of genocide suspects.^[96] The court succeeded in clearing the backlog of genocide cases, but was criticised by human rights groups as not meeting legal fair standard.^[97]

Rwanda has low corruption levels relative to most other African countries; in 2014, Transparency International ranked Rwanda as the fifth cleanest out of 47 countries in Sub-Saharan Africa and 55th cleanest out of 175 in the world.^[98][99] The constitution provides for an Ombudsman, whose duties include prevention and fighting of corruption.^[100][101] Public officials (including the President) are required by the constitution to declare their wealth to the Ombudsman and to the public; those who do not comply are suspended from office.^[102]

The Rwandan Patriotic Front (RPF) has been the dominant political party in the country since 1994. The RPF has maintained control of the presidency and the Parliament in national elections, with the party's vote share consistently exceeding 70%. The RPF is seen as a Tutsi-dominated party but receives support from across the country, and is credited with ensuring continued peace, stability, and economic growth.^[103] Human rights organisation Freedom House claims that the government suppresses the freedoms of opposition groups; in its 2015 report, Freedom House alleged that the RPF had "prevented new political parties from registering and arrested the leaders of several existing parties, effectively preventing them from fielding candidates" in elections.^[104] Amnesty International also claims that the RPF rules Rwanda "without
any meaningful opposition".^[105]

Rwanda is a member of the United Nations,^[106]African Union, Francophonie,^[107]East African Community,^[108] and the Commonwealth of Nations.^[109] For many years during the Habyarimana regime, the country maintained close ties with France, as well as Belgium, the former colonial power.^[110] Under the RPF government, however, Rwanda has sought closer ties with neighbouring countries in the East African Community and with the English-speaking world. Diplomatic relations with France were suspended in 2006 following the indictment of Rwandan officials by a French judge,^[111] and despite their restoration in 2010, as of 2015^[update] relations between the countries remain strained.^[112] Relations with the Democratic Republic of the Congo (DRC) were tense following Rwanda's involvement in the First and Second Congo Wars;^[53] the Congolese army alleged Rwandan attacks on their troops, while Rwanda blamed the Congolese government for failing to suppress Hutu rebels in North and South Kivu provinces.^[113][114] Relations soured further in 2012, as Kinshasa accused Rwanda of supporting the M23 rebellion, an insurgency in the eastern Congo.^[115] As of 2015^[update], peace has been restored and relations are improving.^[116] Rwanda's relationship with Uganda was also tense for much of the 2000s following a 1999 clash between the two countries' armies as they backed opposing rebel groups in the Second Congo War,^[117] but improved significantly in the early 2010s;^[118] as of 2015^[update], the two countries enjoy a good relationship.^[119]

The Rwanda Defence Force (RDF) is the national army of Rwanda. Largely composed of former Rwandan Patriotic Army (RPA) soldiers, it includes the Rwanda Land Force, Rwanda Air Force and specialised units.^[120] After the successful conquest of the country in 1994 in the aftermath of the Rwandan Genocide, the Rwandan Patriotic Front decided to split the RPF into a political division (which retained the RPF name) and the RDF, a military division which was to serve as the official army of the Rwandan state. Defence spending continues to represent an important share of the national budget, largely due to continuing security problems along the frontiers with the Democratic Republic of the Congo and Burundi and lingering concerns about Uganda's intentions towards its former ally. In 2010, the United Nations released a report accusing the Rwandan army of committing wide scale human rights violations and crimes against humanity in the Democratic Republic of the Congo during the First and Second Congo Wars, charges denied by the Rwandan government.^[121]

Administrative divisions

Provinces of Rwanda

Rwanda has been governed by a strict hierarchy since precolonial times.^[122] Before colonisation, the King (Mwami) exercised control through a system of provinces, districts, hills, and neighbourhoods.^[123] The current constitution divides Rwanda into provinces (intara), districts (uturere), cities, municipalities, towns, sectors (imirenge), cells (utugari), and villages (imidugudu); the larger divisions, and their borders, are established by Parliament.^[124]

The five provinces act as intermediaries between the national government and their constituent districts to ensure that national policies are implemented at the district level. The "Rwanda Decentralisation Strategic Framework" developed by the Ministry of Local Government assigns to provinces the responsibility for "coordinating governance issues in the Province, as well as monitoring and evaluation".^[125] Each province is headed by a governor, appointed by the President and approved by the Senate.^[126] The districts are responsible for coordinating public service delivery and economic development. They are divided into sectors, which are responsible for the delivery of public services as mandated by the districts.^[127] Districts and sectors have directly elected councils, and are run by an executive committee selected by that council.^[128] The cells and villages are the smallest political units, providing a link between the people and the sectors.^[127] All adult resident citizens are members of their local cell council, from which an executive committee is elected.^[128] The city of Kigali is a provincial-level authority, which coordinates urban planning within the city.^[125]

The present borders were drawn in 2006 with the aim of decentralising power and removing associations with the old system and the genocide. The previous structure of twelve provinces associated with the largest cities was replaced with five provinces based primarily on geography.^[129] These are Northern Province, Southern Province, Eastern Province, Western Province, and the Municipality of Kigali in the centre.

Geography

The Kagera and Ruvubu rivers, part of the upper Nile

At 26,338 square kilometres (10,169 sq mi), Rwanda is the world's 149th-largest country,^[130] and the fourth smallest on the African mainland after Gambia, Eswatini, and Djibouti.^[130] It is comparable in size to Burundi, Haiti and Albania.^[60][131] The entire country is at a high altitude: the lowest point is the Rusizi River at 950 metres (3,117 ft) above sea level.^[60] Rwanda is located in Central/Eastern Africa, and is bordered by the Democratic Republic of the Congo to the west, Uganda to the north, Tanzania to the east, and Burundi to the south.^[60] It lies a few degrees south of the equator and is landlocked.^[132] The capital, Kigali, is located near the centre of Rwanda.^[133]

The watershed between the major Congo and Nile drainage basins runs from north to south through Rwanda, with around 80% of the country's area draining into the Nile and 20% into the Congo via the Rusizi River and Lake Tanganyika.^[134] The country's longest river is the Nyabarongo, which rises in the south-west, flows north, east, and southeast before merging with the Ruvubu to form the Kagera; the Kagera then flows due north along the eastern border with Tanzania. The Nyabarongo-Kagera eventually drains into Lake Victoria, and its source in Nyungwe Forest is a contender for the as-yet undetermined overall source of the Nile.^[135] Rwanda has many lakes, the largest being Lake Kivu. This lake occupies the floor of the Albertine Rift along most of the length of Rwanda's western border, and with a maximum depth of 480 metres (1,575 ft),^[136] it is one of the twenty deepest lakes in the world.^[137] Other sizeable lakes include Burera, Ruhondo, Muhazi, Rweru, and Ihema, the last being the largest of a string of lakes in the eastern plains of Akagera National Park.^[138]

Lake and volcano in the Virunga Mountains

Mountains dominate central and western Rwanda. They are part of the Albertine Rift Mountains that flank the Albertine branch of the East African Rift, which runs from north to south along Rwanda's western border.^[139] The highest peaks are found in the Virunga volcano chain in the northwest; this includes Mount Karisimbi, Rwanda's highest point, at 4,507 metres (14,787 ft).^[140] This western section of the country lies within the Albertine Rift montane forests ecoregion.^[139] It has an elevation of 1,500 to 2,500 metres (4,921 to 8,202 ft).^[141] The centre of the country is predominantly rolling hills, while the eastern border region consists of savanna, plains and swamps.^[142]

Rwanda has a temperate tropical highland climate, with lower temperatures than are typical for equatorial countries because of its high elevation.^[132] Kigali, in the centre of the country, has a typical daily temperature range between 12 and 27 °C (54 and 81 °F), with little variation through the year.^[143] There are some temperature variations across the country; the mountainous west and north are generally cooler than the lower-lying east.^[144] There are two rainy seasons in the year; the first runs from February to June and the second from September to December. These are separated by two dry seasons: the major one from June to September, during which there is often no rain at all, and a shorter and less severe one from December to February.^[145] Rainfall varies geographically, with the west and northwest of the country receiving more precipitation annually than the east and southeast.^[146]Global warming has caused a change in the pattern of the rainy seasons. According to a report by the Strategic Foresight Group, change in climate has reduced the number of rainy days experienced during a year, but has also caused an increase in frequency of torrential rains.^[147] Both changes have caused difficulty for farmers, decreasing their productivity.^[148] Strategic Foresight also characterise Rwanda as a fast warming country, with an increase in average temperature of between 0.7 °C to 0.9 °C over fifty years.^[147]

Biodiversity

Topis in Akagera National Park

In prehistoric times montane forest occupied one-third of the territory of present-day Rwanda. Naturally occurring vegetation is now mostly restricted to the three National Parks, with terraced agriculture dominating the rest of the country.^[149]Nyungwe, the largest remaining tract of forest, contains 200 species of tree as well as orchids and begonias.^[150] Vegetation in the Volcanoes National Park is mostly bamboo and moorland, with small areas of forest.^[149] By contrast, Akagera has a savanna ecosystem in which acacia dominates the flora. There are several rare or endangered plant species in Akagera, including Markhamia lutea and Eulophia guineensis.^[151]

The greatest diversity of large mammals is found in the three National Parks, which are designated conservation areas.^[152] Akagera contains typical savanna animals such as giraffes and elephants,^[153] while Volcanoes is home to an estimated one-third of the worldwide mountain gorilla population.^[154] Nyungwe Forest boasts thirteen primate species including chimpanzees and Ruwenzori colobus arboreal monkeys; the Ruwenzori colobus move in groups of up to 400 individuals, the largest troop size of any primate in Africa.^[155] Rwanda's population of lions was destroyed in the aftermath of the genocide of 1994, as national parks were turned into camps for displaced people and remaining animals were poisoned by cattle herders. In June 2015, two South African parks donated seven lions to Akagera National Park, reestablishing a lion population in Rwanda.^[156] The lions were held initially in a fenced off area of the park, and then collared and released into the wild a month later.^[157]

There are 670 bird species in Rwanda, with variation between the east and the west.^[158] Nyungwe Forest, in the west, has 280 recorded species, of which 26 are endemic to the Albertine Rift;^[158] endemic species include the Rwenzori turaco and handsome francolin.^[159] Eastern Rwanda, by contrast, features savanna birds such as the black-headed gonolek and those associated with swamps and lakes, including storks and cranes.^[158]

Recent entomological work in the country has revealed a rich diversity of praying mantises,^[160] including a new species Dystacta tigrifrutex, dubbed the "bush tiger mantis".^[161]

Economy

Coffee beans drying in Maraba. Coffee is one of Rwanda's major cash crops.

Rwanda's economy suffered heavily during the 1994 genocide, with widespread loss of life, failure to maintain infrastructure, looting, and neglect of important cash crops. This caused a large drop in GDP and destroyed the country's ability to attract private and external investment.^[60] The economy has since strengthened, with per-capita GDP (PPP) estimated at $2,090 in 2017,^[3] compared with $416 in 1994.^[162] Major export markets include China, Germany, and the United States.^[60] The economy is managed by the central National Bank of Rwanda and the currency is the Rwandan franc; in August 2015, the exchange rate was 755 francs to the United States dollar.^[163] Rwanda joined the East African Community in 2007, and has ratified a plan for monetary union amongst the five member nations,^[164] which could eventually lead to a common East African shilling.^[165]

Rwanda is a country of few natural resources,^[132] and the economy is based mostly on subsistence agriculture by local farmers using simple tools.^[166] An estimated 90% of the working population farms, and agriculture constituted an estimated 32.5% of GDP in 2014.^[60] Farming techniques are basic, with small plots of land and steep slopes.^[167] Since the mid-1980s, farm sizes and food production have been decreasing, due in part to the resettlement of displaced people.^[168][132] Despite Rwanda's fertile ecosystem, food production often does not keep pace with population growth, and food imports are required.^[60]

Subsistence crops grown in the country include matoke (green bananas), which occupy more than a third of the country's farmland,^[167]potatoes, beans, sweet potatoes, cassava, wheat and maize.^[167] Coffee and tea are the major cash crops for export, with the high altitudes, steep slopes and volcanic soils providing favourable conditions.^[167] Reports have established that more than 400,000 Rwandans make their living from coffee plantation.^[169] Reliance on agricultural exports makes Rwanda vulnerable to shifts in their prices.^[170] Animals raised in Rwanda include cows, goats, sheep, pigs, chicken, and rabbits, with geographical variation in the numbers of each.^[171] Production systems are mostly traditional, although there are a few intensive dairy farms around Kigali.^[171] Shortages of land and water, insufficient and poor-quality feed, and regular disease epidemics with insufficient veterinary services are major constraints that restrict output. Fishing takes place on the country's lakes, but stocks are very depleted, and live fish are being imported in an attempt to revive the industry.^[172]

The industrial sector is small, contributing 14.8% of GDP in 2014.^[60] Products manufactured include cement, agricultural products, small-scale beverages, soap, furniture, shoes, plastic goods, textiles and cigarettes.^[60] Rwanda's mining industry is an important contributor, generating US$93 million in 2008.^[173] Minerals mined include cassiterite, wolframite, gold, and coltan, which is used in the manufacture of electronic and communication devices such as mobile phones.^[173][174]

Mountain gorillas in Volcanoes National Park

Rwanda's service sector suffered during the late-2000s recession as bank lending, foreign aid projects and investment were reduced.^[175] The sector rebounded in 2010, becoming the country's largest sector by economic output and contributing 43.6% of the country's GDP.^[60] Key tertiary contributors include banking and finance, wholesale and retail trade, hotels and restaurants, transport, storage, communication, insurance, real estate, business services and public administration including education and health.^[175]Tourism is one of the fastest-growing economic resources and became the country's leading foreign exchange earner in 2007.^[176] In spite of the genocide's legacy, the country is increasingly perceived internationally as a safe destination.^[177] The number of tourist arrivals in 2013 was 864,000 people, up from 504,000 in 2010.^[56] Revenue from tourism was US$303 million in 2014, up from just US$62 million in 2000.^[178] The largest contributor to this revenue was mountain gorilla tracking, in the Volcanoes National Park;^[178] Rwanda is one of only two countries in which mountain gorillas can be visited safely; the gorillas attract thousands of visitors per year, who are prepared to pay high prices for permits.^[179] Other attractions include Nyungwe Forest, home to chimpanzees, Ruwenzori colobus and other primates, the resorts of Lake Kivu, and Akagera, a small savanna reserve in the east of the country.^[180]

Media and communications

The largest radio and television stations are state-run, and the majority of newspapers are owned by the government.^[181] Most Rwandans have access to radio; during the 1994 genocide, the radio station Radio Télévision Libre des Mille Collines broadcast across the country, and helped to fuel the killings through anti-Tutsi propaganda.^[181] As of 2015^[update], the state-run Radio Rwanda is the largest station and the main source of news throughout the country.^[181] Television access is limited, with most homes not having their own set.^[182] The government rolled out digital television in 2014, and a year later there were seven national stations operating, up from just one in the pre-2014 analogue era.^[183] The press is tightly restricted, and newspapers routinely self-censor to avoid government reprisals.^[181] Nonetheless, publications in Kinyarwanda, English, and French critical of the government are widely available in Kigali. Restrictions were increased in the run-up to the Rwandan presidential election of 2010, with two independent newspapers, Umuseso and Umuvugizi, being suspended for six months by the High Media Council.^[184]

The country's oldest telecommunications group, Rwandatel, went into liquidation in 2011, having been 80% owned by Libyan company LAP Green.^[185] The company was acquired in 2013 by Liquid Telecom,^[186] a company providing telecommunications and fibre optic networks across eastern and southern Africa.^[187] As of 2015^[update], Liquid Telecom provides landline service to 30,968 subscribers, with mobile operator MTN Rwanda serving an additional 15,497 fixed line subscribers.^[188] Landlines are mostly used by government institutions, banks, NGOs and embassies, with private subscription levels low.^[189] As of 2015^[update], mobile phone penetration in the country is 72.6%,^[190] up from 41.6% in 2011.^[191] MTN Rwanda is the leading provider, with 3,957,986 subscribers, followed by Tigo with 2,887,328, and Bharti Airtel with 1,336,679.^[188] Rwandatel has also previously operated a mobile phone network, but the industry regulator revoked its licence in April 2011, following the company's failure to meet agreed investment commitments.^[192] Internet penetration is low but rising rapidly; in 2015 there were 12.8 internet users per 100 people,^[190] up from 2.1 in 2007.^[193] In 2011, a 2,300 kilometres (1,400 mi) fibre-optic telecommunications network was completed, intended to provide broadband services and facilitate electronic commerce.^[194] This network is connected to SEACOM, a submarine fibre-optic cable connecting communication carriers in southern and eastern Africa. Within Rwanda the cables run along major roads, linking towns around the country.^[194] Mobile provider MTN also runs a wireless internet service accessible in most areas of Kigali via pre-paid subscription.^[195]

Infrastructure

Rural water pump

The Rwandan government prioritised funding of water supply development during the 2000s, significantly increasing its share of the national budget.^[196] This funding, along with donor support, caused a rapid increase in access to safe water; in 2015, 74% of the population had access to safe water,^[197] up from about 55% in 2005;^[196] the government has committed to increasing this to 100% by 2017.^[197] The country's water infrastructure consists of urban and rural systems that deliver water to the public, mainly through standpipes in rural areas and private connections in urban areas. In areas not served by these systems, hand pumps and managed springs are used.^[198] Despite rainfall exceeding 750 millimetres (30 in) annually in most of the country,^[199] little use is made of rainwater harvesting, and residents are forced to use water very sparingly, relative to usage in other African countries.^[197] Access to sanitation remains low; the United Nations estimates that in 2006, 34% of urban and 20% of rural dwellers had access to improved sanitation.^[200] Government policy measures to improve sanitation are limited, focusing only on urban areas.^[200] The majority of the population, both urban and rural, use public shared pit latrines.^[200]

Rwanda's electricity supply was, until the early 2000s, generated almost entirely from hydroelectric sources; power stations on Lakes Burera and Ruhondo provided 90% of the country's electricity.^[201] A combination of below average rainfall and human activity, including the draining of the Rugezi wetlands for cultivation and grazing, caused the two lakes' water levels to fall from 1990 onwards; by 2004 levels were reduced by 50%, leading to a sharp drop in output from the power stations.^[202] This, coupled with increased demand as the economy grew, precipitated a shortfall in 2004 and widespread loadshedding.^[202] As an emergency measure, the government installed diesel generators north of Kigali; by 2006 these were providing 56% of the country's electricity, but were very costly.^[202] The government enacted a number of measures to alleviate this problem, including rehabilitating the Rugezi wetlands, which supply water to Burera and Ruhondo and investing in a scheme to extract methane gas from Lake Kivu, expected in its first phase to increase the country's power generation by 40%.^[203] Only 18% of the population had access to electricity in 2012, though this had risen from 10.8% in 2009.^[204] The government's Economic Development and Poverty Reduction Strategy for 2013–18 aims to increase access to electricity to 70% of households by 2017.^[205]

The government has increased investment in the transport infrastructure of Rwanda since the 1994 genocide, with aid from the United States, European Union, Japan, and others. The transport system consists primarily of the road network, with paved roads between Kigali and most other major cities and towns in the country.^[206] Rwanda is linked by road to other countries in the East African Community, namely Uganda, Tanzania, Burundi and Kenya, as well as to the eastern Congolese cities of Goma and Bukavu; the country's most important trade route is the road to the port of Mombasa via Kampala and Nairobi, which is known as the Northern Corridor.^[207] The principal form of public transport in the country is the minibus, accounting for more than half of all passenger carrying capacity.^[208] Some minibuses, particularly in Kigali,^[209] operate an unscheduled service, under a shared taxi system,^[210] while others run to a schedule, offering express routes between the major cities. There are a smaller number of large buses,^[208] which operate a scheduled service around the country. The principal private hire vehicle is the motorcycle taxi; in 2013 there were 9,609 registered motorcycle taxis in Rwanda, compared with just 579 taxicabs.^[208]Coach services are available to various destinations in neighbouring countries. The country has an international airport at Kigali that serves several international destinations, the busiest routes being those to Nairobi and Entebbe;^[211] there is one domestic route, between Kigali and Kamembe Airport near Cyangugu.^[212] In 2017, construction began on the Bugesera International Airport, to the south of Kigali, which will become the country's largest when it opens, complementing the existing Kigali airport.^[213] The national carrier is RwandAir, and the country is served by seven foreign airlines.^[211] As of 2015^[update] the country has no railways, but there is a project underway, in conjunction with Burundi and Tanzania, to extend the Tanzanian Central Line into Rwanda; the three countries have invited expressions of interest from private firms to form a public private partnership for the scheme.^[214] There is no public water transport between the port cities on Lake Kivu, although a limited private service exists and the government has initiated a programme to develop a full service.^[215] The Ministry of Infrastructure is also investigating the feasibility of linking Rwanda to Lake Victoria via shipping on the Akagera River.^[215]

Demographics

Rural children

Population pyramid 2016

As of 2015^[update], the National Institute of Statistics of Rwanda estimates Rwanda's population to be 11,262,564.^[1] The 2012 census recorded a population of 10,515,973.^[2] The population is young: in the 2012 census, 43.3% of the population were aged 15 and under, and 53.4% were between 16 and 64.^[217] According to the CIA World Factbook, the annual birth rate is estimated at 40.2 births per 1,000 inhabitants in 2015, and the death rate at 14.9.^[60] The life expectancy is 59.67 years (61.27 years for females and 58.11 years for males), which is the 26th lowest out of 224 countries and territories.^[60][218] The sex ratio of the country is relatively even.^[60]

At 445 inhabitants per square kilometre (1,150/sq mi),^[1] Rwanda's population density is amongst the highest in Africa.^[219] Historians such as Gérard Prunier believe that the 1994 genocide can be partly attributed to the population density.^[43] The population is predominantly rural, with a few large towns; dwellings are evenly spread throughout the country.^[220] The only sparsely populated area of the country is the savanna land in the former province of Umutara and Akagera National Park in the east.^[221] Kigali is the largest city, with a population of around one million.^[222] Its rapidly increasing population challenges its infrastructural development.^{[60][223][224]} According to the 2012 census, the second largest city is Gisenyi, which lies adjacent to Lake Kivu and the Congolese city of Goma, and has a population of 126,000.^[225] Other major towns include Ruhengeri, Butare, and Muhanga, all with populations below 100,000.^[225] The urban population rose from 6% of the population in 1990,^[223] to 16.6% in 2006;^[226] by 2011, however, the proportion had dropped slightly, to 14.8%.^[226]

Rwanda has been a unified state since pre-colonial times,^[31] and the population is drawn from just one cultural and linguistic group, the Banyarwanda;^[227] this contrasts with most modern African states, whose borders were drawn by colonial powers and did not correspond to ethnic boundaries or pre-colonial kingdoms.^[228] Within the Banyarwanda people, there are three separate groups, the Hutu, Tutsi and Twa.^[229] The CIA World Factbook gives estimates that the Hutu made up 84% of the population in 2009, the Tutsi 15% and Twa 1%.^[60] The Twa are a pygmy people who descend from Rwanda's earliest inhabitants, but scholars do not agree on the origins of and differences between the Hutu and Tutsi.^[230] Anthropologist Jean Hiernaux contends that the Tutsi are a separate race, with a tendency towards "long and narrow heads, faces and noses";^[231] others, such as Villia Jefremovas, believe there is no discernible physical difference and the categories were not historically rigid.^[232] In precolonial Rwanda the Tutsi were the ruling class, from whom the kings and the majority of chiefs were derived, while the Hutu were agriculturalists.^[233] The current government discourages the Hutu/Tutsi/Twa distinction, and has removed such classification from identity cards.^[234] The 2002 census was the first since 1933^[235] which did not categorise Rwandan population into the three groups.^[236]

Religion

Roman Catholic church in Rwamagana

The largest faith in Rwanda is Roman Catholicism, but there have been significant changes in the nation's religious demographics since the genocide, with many conversions to evangelical Christianity, and, to a lesser degree, Islam.^[237] According to the 2012 census, Roman Catholics represented 43.7% of the population, Protestants (excluding Seventh-day Adventists) 37.7%, Seventh-day Adventists 11.8%, and Muslims 2.0%; 0.2% claimed no religious beliefs and 1.3% did not state a religion.^[238] Traditional religion, despite officially being followed by only 0.1% of the population, retains an influence. Many Rwandans view the Christian God as synonymous with the traditional Rwandan God Imana.^[239]

Languages

The country's principal language is Kinyarwanda, which is spoken by nearly all Rwandans. The major European languages during the colonial era were German, though it was never taught or widely used, and then French, which was introduced by Belgium from 1916 and remained an official and widely spoken language after independence in 1962.^[240]Dutch was spoken too. The return of English-speaking Rwandan refugees in the 1990s ^[240] added a new dimension to the country's linguistic diversity.^[241] Kinyarwanda, English, French, and Swahili are all official languages. Kinyarwanda is the national language while English is the primary medium of instruction in secondary and tertiary education. Swahili, the lingua franca of the East African Community,^[242] is also spoken by some as a second language, particularly returned refugees from Kenya, Tanzania, and the Democratic Republic of Congo, and those who live along the border with the DRC.^[243] In 2015, Swahili was introduced as a mandatory subject in secondary schools.^[242] Inhabitants of Rwanda's Nkombo Island speak Mashi, a language closely related to Kinyarwanda.^[244]

Sexuality

Homosexuality is generally considered a taboo topic, and there is no significant public discussion of this issue in any region of the country.^[245]

Same-sex sexual activity is legal in Rwanda, and some cabinet-level government officials have expressed support for the rights of lesbian, gay, bisexual, transgender people.^[246] However, Rwanda does not recognise same-sex marriages, civil unions or similar unions.^[247]

Culture

Traditional Rwandan intore dancers

Music and dance are an integral part of Rwandan ceremonies, festivals, social gatherings and storytelling. The most famous traditional dance is a highly choreographed routine consisting of three components: the umushagiriro, or cow dance, performed by women;^[248] the intore, or dance of heroes, performed by men;^[248] and the drumming, also traditionally performed by men, on drums known as ingoma.^[249] The best known dance group is the National Ballet. It was established by President Habyarimana in 1974, and performs nationally and internationally.^[250] Traditionally, music is transmitted orally, with styles varying between the social groups. Drums are of great importance; the royal drummers enjoyed high status within the court of the King (Mwami).^[251] Drummers play together in groups of varying sizes, usually between seven and nine in number.^[252] The country has a growing popular music industry, influenced by African Great Lakes, Congolese, and American music. The most popular genre is hip hop, with a blend of dancehall, rap, ragga, R&B and dance-pop.^[253]

Rwandan woven basket

Traditional arts and crafts are produced throughout the country, although most originated as functional items rather than purely for decoration. Woven baskets and bowls are especially common.^[254]Imigongo, a unique cow dung art, is produced in the southeast of Rwanda, with a history dating back to when the region was part of the independent Gisaka kingdom. The dung is mixed with natural soils of various colours and painted into patterned ridges to form geometric shapes.^[255] Other crafts include pottery and wood carving.^[256] Traditional housing styles make use of locally available materials; circular or rectangular mud homes with grass-thatched roofs (known as nyakatsi) are the most common. The government has initiated a programme to replace these with more modern materials such as corrugated iron.^[257][258]

Rwanda does not have a long history of written literature, but there is a strong oral tradition ranging from poetry to folk stories. Many of the country's moral values and details of history have been passed down through the generations.^[259] The most famous Rwandan literary figure was Alexis Kagame (1912–1981), who carried out and published research into oral traditions as well as writing his own poetry.^[260] The Rwandan Genocide resulted in the emergence of a literature of witness accounts, essays and fiction by a new generation of writers such as Benjamin Sehene. A number of films have been produced about the Rwandan Genocide, including the Golden Globe-nominated Hotel Rwanda, Shake Hands with the Devil, Sometimes in April, and Shooting Dogs, the last two having been filmed in Rwanda and having featured survivors as cast members.^[261]

Fourteen regular national holidays are observed throughout the year,^[262] with others occasionally inserted by the government. The week following Genocide Memorial Day on 7 April is designated an official week of mourning.^[263] The victory for the RPF over the Hutu extremists is celebrated as Liberation Day on 4 July. The last Saturday of each month is umuganda, a national morning of mandatory community service lasting from 8 am to 11 am, during which all able bodied people between 18 and 65 are expected to carry out community tasks such as cleaning streets or building homes for vulnerable people.^[264] Most normal services close down during umuganda, and public transportation is limited.^[264]

Cuisine

The cuisine of Rwanda is based on local staple foods produced by subsistence agriculture such as bananas, plantains (known as ibitoke), pulses, sweet potatoes, beans, and cassava (manioc).^[265] Many Rwandans do not eat meat more than a few times a month.^[265] For those who live near lakes and have access to fish, tilapia is popular.^[265] The potato, thought to have been introduced to Rwanda by German and Belgian colonialists, is very popular.^[266]Ubugari (or umutsima) is a paste made from cassava or maize and water to form a porridge-like consistency that is eaten throughout the African Great Lakes.^[267]Isombe is made from mashed cassava leaves and served with dried fish.^[266] Lunch is usually a buffet known as mélange, consisting of the above staples and sometimes meat.^[268]Brochettes are the most popular food when eating out in the evening, usually made from goat but sometimes tripe, beef, or fish.^[268] In rural areas, many bars have a brochette seller responsible for tending and slaughtering the goats, skewering and barbecuing the meat, and serving it with grilled bananas.^[269] Milk, particularly in a fermented yoghurt form called ikivuguto, is a common drink throughout the country.^[270] Other drinks include a traditional beer called Ikigage made from sorghum and urwagwa, made from bananas, which features in traditional rituals and ceremonies.^[266] The major drinks manufacturer in Rwanda is Bralirwa, which was established in the 1950s and is now listed on the Rwandan Stock Exchange.^[271] Bralirwa manufactures soft drink products from The Coca-Cola Company, under license, including Coca-Cola, Fanta, and Sprite,^[272] and a range of beers including Primus, Mützig, Amstel, and Turbo King.^[273] In 2009 a new brewery, Brasseries des Mille Collines (BMC) opened, manufacturing Skol beer and a local version known as Skol Gatanu;^[274] BMC is now owned by Belgian company Unibra.^[275]East African Breweries also operate in the country, importing Guinness, Tusker, and Bell, as well as whisky and spirits.^[276]

Sport

Adrien Niyonshuti, "one of the most famous people in Rwanda",^[277] competing in the cross-country mountain biking event at the 2012 Summer Olympics

The Rwandan government, through its Sports Development Policy, promotes sport as a strong avenue for "development and peace building",^[278] and the government has made commitments to advancing the use of sport for a variety of development objectives, including education.^[279] The most popular sports in Rwanda are association football, volleyball, basketball, athletics and Paralympic sports.^[280]Cricket has been growing in popularity,^[281] as a result of refugees returned from Kenya, where they had learned to play the game.^[282]Cycling, traditionally seen largely as a mode of transport in Rwanda, is also growing in popularity as a sport;^[283] and Team Rwanda have been the subject of a book, Land of Second Chances: The Impossible Rise of Rwanda's Cycling Team and a film, Rising from Ashes.^[284][285]

Rwandans have been competing at the Olympic Games since 1984,^[286] and the Paralympic Games since 2004.^[287] The country sent seven competitors to the 2012 Summer Olympics in London, representing it in athletics, swimming, mountain biking and judo,^[286] and 15 competitors to the London Summer Paralympics to compete in athletics, powerlifting and sitting volleyball.^[287] The country has also participated in the Commonwealth Games since joining the Commonwealth in 2009.^[288][289] The country's national basketball team has been growing in prominence since the mid-2000s, with the men's team qualifying for the final stages of the African Basketball Championship four times in a row since 2007.^[290] The country bid unsuccessfully to host the 2013 tournament.^[291][292] Rwanda's national football team has appeared in the African Cup of Nations once, in the 2004 edition of the tournament,^[293] but narrowly failed to advance beyond the group stages.^[294] The team have failed to qualify for the competition since, and have never qualified for the World Cup.^[295] Rwanda's highest domestic football competition is the Rwanda National Football League;^[296] as of 2015^[update], the dominant team is APR FC of Kigali, having won 13 of the last 17 championships.^[297] Rwandan clubs participate in the Kagame Interclub Cup for Central and East African teams, sponsored since 2002 by President Kagame.^[298]

Education

Children in a Rwandan primary school, using laptops supplied by the One Laptop Per Child scheme

Prior to 2012, the Rwandan government provided free education in state-run schools for nine years: six years in primary and three years following a common secondary programme.^[299] In 2012, this started to be expanded to 12 years.^[300] A 2015 study suggests that while enrollment rates in primary schools are "near ubiquity", rates of completion are low and repetition rates high.^[301] While schooling is fee-free, there is an expectation that parents should contribute to the cost of their children's education by providing them with materials, supporting teacher development and making a contribution to school construction. According to the government, these costs should not be a basis for the exclusion of children from education, however.^[300] There are many private schools across the country, some church-run, which follow the same syllabus but charge fees.^[302] From 1994 until 2009, secondary education was offered in either French or English; because of the country's increasing ties with the East African Community and the Commonwealth, only the English syllabi are now offered.^[303] The country has a number of institutions of tertiary education. In 2013, the public University of Rwanda (UR) was created out of a merger of the former National University of Rwanda and the country's other public higher education institutions.^{[304][305][306]} In 2013, the gross enrolment ratio for tertiary education in Rwanda was 7.9%, from 3.6% in 2006.^[307] The country's literacy rate, defined as those aged 15 or over who can read and write, was 71% in 2009, up from 38% in 1978 and 58% in 1991.^[308]

Health

Butaro Hospital at Burera, Northern Province

The quality of healthcare in Rwanda has historically been very low, both before and immediately after the 1994 genocide.^[309] In 1998, more than one in five children died before their fifth birthday,^[310] often from malaria.^[311]

President Kagame has made healthcare one of the priorities for the Vision 2020 development programme,^[312] boosting spending on health care to 6.5% of the country's gross domestic product in 2013,^[313] compared with 1.9% in 1996.^[314] The government has devolved the financing and management of healthcare to local communities, through a system of health insurance providers called mutuelles de santé.^[315] The mutuelles were piloted in 1999, and were made available nationwide by the mid-2000s, with the assistance of international development partners.^[315] Premiums under the scheme were initially US$2 per annum; since 2011 the rate has varied on a sliding scale, with the poorest paying nothing, and maximum premiums rising to US$8 per adult.^[316] As of 2014^[update], more than 90% of the population was covered by the scheme.^[317] The government has also set up training institutes including the Kigali Health Institute (KHI), which was established in 1997^[318] and is now part of the University of Rwanda. In 2005, President Kagame also launched a program known as The Presidents' Malaria Initiative.^[319] This initiative aimed to help get the most necessary materials for prevention of malaria to the most rural areas of Rwanda, such as mosquito nets and medication.

In recent years Rwanda has seen improvement on a number of key health indicators. Between 2005 and 2013, life expectancy increased from 55.2 to 64.0,^[320] under-5 mortality decreased from 106.4 to 52.0 per 1,000 live births,^[321] and incidence of tuberculosis has dropped from 101 to 69 per 100,000 people.^[322] The country's progress in healthcare has been cited by the international media and charities. The Atlantic devoted an article to "Rwanda's Historic Health Recovery".^[323]Partners In Health described the health gains "among the most dramatic the world has seen in the last 50 years".^[316]

Despite these improvements, however, the country's health profile remains dominated by communicable diseases,^[324] and the United States Agency for International Development has described "significant health challenges",^[325] including the rate of maternal mortality, which it describes as "unacceptably high",^[325] as well as the ongoing HIV/AIDS epidemic.^[325] According to the American Centers for Disease Control and Prevention, travelers to Rwanda are highly recommended to take preventive malaria medication as well as make sure they are up to date with vaccines such as yellow fever.^[326]

Rwanda also has a shortage of medical professionals, with only 0.84 physicians, nurses, and midwives per 1,000 residents.^[327] The United Nations Development Programme (UNDP) is monitoring the country's health progress towards Millennium Development Goals 4–6, which relate to healthcare. A mid-2015 UNDP report noted that the country was not on target to meet goal 4 on infant mortality, despite it having "fallen dramatically";^[328] the country is "making good progress" towards goal 5, which is to reduce by three quarters the maternal mortality ratio,^[329] while goal 6 is not yet met as HIV prevalence has not started falling.^[330]

See also

• Index of Rwanda-related articles


• 
  Outline of Rwanda
  
  

Notes

References

External links

Scholia has a topic profile for Rwanda.

Coordinates: 1°56′25″S 29°52′26″E / 1.94028°S 29.87389°E / -1.94028; 29.87389