Public Health and Health Care in Rwanda

Neonatal unit in CHUK

Neonatal unit in CHUK

Today I had the privilege of meeting with several health leaders here in Kigali.

I was introduced to them via my friend, Nathan Thielman, MD, who is a faculty member at Duke Med School. Nathan is an internist who does work in infectious diseases, HIV/AIDS, and global health.

I visited with two Ob/Gyn physicians with whom he is collaborating here in a project to lower Rwanda's maternal mortality rate. It is currently about 350 maternal deaths per 100,000 live births.

I met Dr. Stephen Rusila, who is head of research at the Central Teaching Hospital of Kigali. It goes by its French acronym, CHUK.

The med school in Rwanda is in Butare, where it is a part of the National University of Rwanda. In North Carolina terms, Butare is the smallish university town ? the Chapel Hill, and Kigali is the large, capital city ? the Raleigh, or even Charlotte. All med students get their basic science teaching in Butare, but a sizeable number get clinical training at the Central Teaching Hospital in Kigali, much like we send students for clinical rotations to AHEC sites across North Carolina.

I also met Dr. Janvier Rwamwejo, who is on the staff of King Faisal Hospital ? it is widely said to be the finest hospital in the country.

We talked about their project ? and the efforts to train mid-wives and other health workers to recognize problem pregnancies and to manage them or refer them.

The infant mortality rate in Rwanda is estimated to be 65 per 1000 live births this year. That is in the middle of the range of the various African countries' rates. By contrast, the US rate this year is between 6 and 7 deaths, before one year of age, per 1000 live births.

P1010969 Tomorrow I am meeting with the dean of the Faculty of Medicine of the National University of Rwanda, and the next day with the Minister of Health. This is proving to be a very enlightening and very pleasant visit.

I added some local beauty to my hotel room today ? I bought some flowers from the shop in the hotel lobby ? the arrangement is not nearly as attractive as those my wife does ? but it still brightens up the room!

I am now also posting photos to my Flickr page. You can see them here.

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