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Maternal Death Audit (MDA) in Rwanda 2009-2013: Findings from a Nationwide Facility-Based Retrospective Cohort Study

Over the past 10 years and since the inclusion of the Millennium Development Goals (MDGs), Rwanda has experienced significant improvements across its health sector. Amongst these improvements maternal health has become a reference point as, currently, Rwanda is one of 11 countries that are ‘on track’ to meeting MDG 5. An example is the fact that today, more than 90% of all deliveries in Rwanda occur in health facilities and have the assistance of trained health...

What makes Rwanda so unique?

By Leon Bijlmakers, Radboud University Medical Centre, Nijmegen, The Netherlands 20 July 2016

Just a few days ago, Paul Kagame, the President of Rwanda, relieved the Minister of Health from her duties. For many this came as a surprise. Rwanda is a country that has achieved great improvements in maternal health and several other key health indicators over the past decade or so. These achievements are often attributed to a combination of improved population coverage and improved health...

Time to actively involve communities in healthcare quality monitoring and improvement: sharing the WOTRO-COHEiSION experience in Ghana

By the WOTRO-COHEiSION Ghana Project

Authors: Edward Nketiah-Amponsah; Robert Kaba Alhassan; Stephen Opoku Duku

Previous blogs on the KTNET platform by David Roger Walugembe and Denis Muhangi on community engagement attest to the increasing relevance of community engagement to health systems in Africa. The concept of community engagement has been explained...

Growing Africa’s health Insurance.

By Angela Kisakye

Health insurance is attracting more and more attention in low- and middle-income countries as a means for improving health care utilization and protecting households against impoverishment from out-of-pocket expenditures. In many African countries, large percentages of the population are too poor to afford check-ups and medical treatment, and for many the transport costs to treatment facilities are too prohibitive in the first place. Health insurance is desperately needed, but poverty has undermined efforts, particularly...

Drivers of improved service-delivery for safe motherhood

By Angela Kisakye

In order to understand how safe motherhood is effectively promoted it appears critical to explore the entire chain, from policy-making to implementation. This blog outlines the drivers of improved service-delivery for safe motherhood at level of health facilities and District Health Management Teams (DHMTs). Some of the drivers discussed include the impact of capacity-building workshops, supportive supervision and performance-based management.

Capacity-building and information dissemination...

KTNET Africa Summary blogs for April 2016

By Angela Kisakye

Last week we read form Dr. Getnet Alemu based in Ethiopia about the key lessons that could be borrowed from the implementation of the Community Based Health Insurance (CBHI) program in achieving Universal Health Coverage. In his blog, Dr. Alemu emphasized the importance of quality in health care provision as measured by the availability of equipment/drugs/diagnostic facilities, waiting time to get medical services in the contracted health facilities as key contributors to the scale up of...

Community Based Health Insurance scale-up as a path to Universal Health Coverage: Lessons from pilot schemes.

By Dr. Getnet Alemu

Different studies on the impact of pilot Community Based Health Insurance (CBHI) showed that CBHI members are using health services more than the non-members. Impoverishing effect of out of pocket payments on CBHI members is also much less than that of non-members. The insurance scheme has also improved the financial status of the contracted health facilities by...

The power of joining hands: Kicking fistula out of Uganda.

By Angela Kisakye

According to the 2011 Demographic and Health Survey (DHS), 438 women die of birth-related causes for every 100,000 live births in Uganda, and for every woman who dies, six survive with chronic and debilitating ill health (UBOS & ICF International, 2012). Obstetric fistula, a devastating and frequent outcome of prolonged or unattended labor, is an example of this chronic ill health and a significant public health...


How best can existing resources be used for health  promotion in rural Uganda?  By Angela Kisakye

On 5th April, the Knowledge Translation Network Africa supported researchers from the cohere coalition in Uganda to disseminate finding from their PhD projects. For the benefit of our readers who may not be familiar with our partners, cohere is an abridged version for “Developing Sustainable Community Health Resources in Poor Settings in Uganda”-one of the eight coalitions supported by KTNET Africa. Since 2011, CoHeRe’s interventions have aimed at...

 Rice farmers’ contribution to malaria elimination in Eastern Rwanda

By Alexis Rulisa*, Leon Mutesa*

*Malaria Elimination Project at Ruhuha (MEPR), Kigali, Rwanda

Economic activities may entail negative externalities for public health. The case of rice farming in eastern Rwanda fits this description, as it provides breeding sites for malaria-infested mosquitoes, creating significant malaria risk but at the same time generates cash income and improves...


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