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Report on the Health Care Sector and Business Opportunities in Rwanda

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Report on the Health Care Sector and Business Opportunities in Rwanda Report on the Health Care Sector and Business Opportunities in Rwanda Kristina Leuchowius for SWECARE FOUNDATION September 2014 Table of Contents Abbreviations ..................................................................................................................................................................................... I Preface .............................................................................................................................................................................................. II 1 EXECUTIVE SUMMARY ............................................................................................................................................................ 1 1.1 General .......................................................................................................................................................................... 1 1.1.1 Why Rwanda? ........................................................................................................................................................... 1 1.1.2 Health is a prioritized sector ..................................................................................................................................... 1 1.1.3 Health sector bottlenecks and needs ....................................................................................................................... 1 1.1.4 Perception of Swedish technology and health sector .............................................................................................. 2 1.1.5 Competitive situation ............................................................................................................................................... 2 1.2 Main findings and possible areas for investment .......................................................................................................... 3 1.2.1 Capacity building ...................................................................................................................................................... 3 1.2.2 Hospital management .............................................................................................................................................. 3 1.2.3 Hospital facilities and development, incl. specialist hospitals .................................................................................. 4 1.2.4 Medical equipment ................................................................................................................................................... 4 1.2.5 Manufacturing .......................................................................................................................................................... 4 1.2.6 Diagnostics centers ................................................................................................................................................... 4 1.2.7 Community based medical insurance system ........................................................................................................... 4 1.2.8 Mobile clinics and e-health ....................................................................................................................................... 5 1.2.9 Public Private Partnerships (PPPs) ............................................................................................................................ 5 2 Introduction ............................................................................................................................................................................ 6 2.1 Objective of the report .................................................................................................................................................. 6 2.2 Methodology ................................................................................................................................................................. 6 2.3 Structure of the report .................................................................................................................................................. 6 3 Rwanda – background and country facts ................................................................................................................................ 7 3.1 Rwanda at a glance ........................................................................................................................................................ 7 3.2 Historical perspective .................................................................................................................................................... 8 3.3 Political situation ........................................................................................................................................................... 8 3.4 Economy and financial stability ................................................................................................................................... 10 4 Health situation in Rwanda ................................................................................................................................................... 12 4.1 Major diseases and disease patterns .......................................................................................................................... 12 4.2 Determinants of health ............................................................................................................................................... 14 4.2.1 Poverty and malnutrition ........................................................................................................................................ 14 4.2.2 Living conditions ..................................................................................................................................................... 15 4.3 Mother and child health .............................................................................................................................................. 15 4.4 Infectious diseases ...................................................................................................................................................... 16 4.4.1 HIV/AIDS ................................................................................................................................................................. 16 4.4.2 Tuberculosis (TB) .................................................................................................................................................... 17 4.4.3 Malaria .................................................................................................................................................................... 17 4.4.4 Diarrhea .................................................................................................................................................................. 18 4.4.5 Infection control ..................................................................................................................................................... 18 4.4.6 Respiratory diseases ............................................................................................................................................... 19 4.5 Non-communicable diseases ....................................................................................................................................... 19 4.5.1 Cancer ..................................................................................................................................................................... 19 4.5.2 Cardiovascular diseases .......................................................................................................................................... 22 4.5.3 Hypertension .......................................................................................................................................................... 23 4.5.4 Obesity .................................................................................................................................................................... 23 4.5.5 Diabetes .................................................................................................................................................................. 23 4.5.6 Mental health ......................................................................................................................................................... 24 4.5.7 Disabilities............................................................................................................................................................... 24 5 Overview of the health care sector in Rwanda ..................................................................................................................... 26 5.1 The health system ....................................................................................................................................................... 26 5.2 Health insurance in Rwanda ........................................................................................................................................ 27 5.3 The Ministry of Health ................................................................................................................................................. 28 5.4 Rwanda Biomedical Center ........................................................................................................................................
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