The Lancet
Jul 26, 2014 Volume 384 Number 9940 p281 – 376
http://www.thelancet.com/journals/lancet/issue/current

Public Health
Rwanda 20 years on: investing in life
Agnes Binagwaho, Paul E Farmer, Sabin Nsanzimana, Corine Karema, Michel Gasana, Jean de Dieu Ngirabega, Fidele Ngabo, Claire M Wagner, Cameron T Nutt, Thierry Nyatanyi, Maurice Gatera, Yvonne Kayiteshonga, Cathy Mugeni, Placidie Mugwaneza, Joseph Shema, Parfait Uwaliraye, Erick Gaju, Marie Aimee Muhimpundu, Theophile Dushime, Florent Senyana, Jean Baptiste Mazarati, Celsa Muzayire Gaju, Lisine Tuyisenge, Vincent Mutabazi, Patrick Kyamanywa, Vincent Rusanganwa, Jean Pierre Nyemazi, Agathe Umutoni, Ida Kankindi, Christian Ntizimira, Hinda Ruton, Nathan Mugume, Denis Nkunda, Espérance Ndenga, Joel M Mubiligi, Jean Baptiste Kakoma, Etienne Karita, Claude Sekabaraga, Emmanuel Rusingiza, Michael L Rich, Joia S Mukherjee, Joseph Rhatigan, Corrado Cancedda, Didi Bertrand-Farmer, Gene Bukhman, Sara N Stulac, Neo M Tapela, Cassia van der Hoof Holstein, Lawrence N Shulman, Antoinette Habinshuti, Matthew H Bonds, Michael S Wilkes, Chunling Lu, Mary C Smith-Fawzi, JaBaris D Swain, Michael P Murphy, Alan Ricks, Vanessa B Kerry, Barbara P Bush, Richard W Siegler, Cori S Stern, Anne Sliney, Tej Nuthulaganti, Injonge Karangwa, Elisabetta Pegurri, Ophelia Dahl, Peter C Drobac
Preview
Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the effects of a devastated health system and economy. In the years that followed, a new course set by a new government set into motion equity-oriented national policies focusing on social cohesion and people-centred development. Premature mortality rates have fallen precipitously in recent years, and life expectancy has doubled since the mid-1990s.