Rwanda: Health care in the districts
In the southwestern province of Cyangugu, MSF provides assistance in nine health care centres and one hospital in the district of Bushenge. The traditional range of health care services includes consultations, mother and child health care, vaccinations and training. In Bushenge, MSF is helping implement a cost recovery programme initiated by the local authorities. An estimated 162,000 people benefit from this programme.
In Nyagatare, near the Congolese border, MSF provides assistance to a camp of several hundred people, all of whom are either refugees or returnees. MSF's programme in the southern province of Butare which has been running since before the genocide, is finally drawing to a close. Here, MSF has worked in a health district, providing similar services to those it provides in Bushenge with one notable addition - that is the surgical training MSF provides to doctors.
An estimated 340,000 people benefit from this programme.
In January 1999, the insecurity in the border region diminished and MSF finally managed to return to Ruhengeri where a team launched a nutritional programme.
MSF set up a feeding centre in Ruhengeri hospital and two others in Janja and Mataba. Malnutrition has since fallen and the programme will have probably end soon.
MSF is also exploring the possibility of launching a mental health programme. The Rwandan population has still not come to terms with the genocide which destabilised Rwandan society.
MSF is trying to rebuild confidence between Rwandan and International agencies such as MSF.
MSF is also reflecting on its own place in Rwandan society today and in the future.