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Rwanda has successfully institutionalised results-based financing (RBF) to improve prenatal care in several of the country's provinces. [1] Institutional Delivery
Health insurance became mandatory for all individuals in 2008; [5] in 2010 over 90% of the population was covered. [6] In 2012, only about 4% were uninsured. [1]President Kagame made healthcare one of the priorities for the Vision 2020 development programme, [7] boosting spending on health care to 6.5% of the country's gross domestic product in 2013, [8] compared with 1.9% in 1996. [9]
It includes procedures for benign conditions, cancer, infertility, and incontinence. [1] Gynecological surgery may occasionally be performed for optional or cosmetic purposes, such as hymenoplasty or labiaplasty.
Half of the deaths faced in maternal health are caused by hemorrhage, sepsis and unsafe abortion, with 18% of deaths caused by unsafe abortions which makes it a critical issue in Rwanda. [1] Although, skilled care at delivery reached up to 90% in 2015, proving that Rwanda has implemented expansive health reforms and community-based insurance. [1]
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Speculum used in standard vaginal procedures. Cusco's speculum: Bivalved self retaining speculum. Its advantage over Sim's speculum is that no assistance is required to hold it in place. Hence, minor procedures like papsmear, IUCD insertions can be performed independently. Its disadvantage is the limited visualization of vagina walls.
Life expectancy development in Rwanda. The quality of health in Rwanda has historically been very low, both before and immediately after the 1994 genocide. [1] In 1998, more than one in five children died before their fifth birthday, [2] often from malaria. [3] But in recent years Rwanda has seen improvement on a number of key health indicators.