ArticleHealth and human rights2018
A Comparison of Health Achievements in Rwanda and Burundi.
Article in Health and human rights, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- Understanding health system reconstruction in conflict-affected states: a repeated cross-sectional study of healthcare coverage trends in Rwanda.BMC health services research · 2026Article
- A decision-tree model to evaluate the impacts of workforce investments aimed at strengthening emergency obstetric and neonatal care (EmONC) facilities in Burundi.Cost effectiveness and resource allocation : C/E · 2026Article
- Perceptions about COVID-19 vaccine among healthcare workers in Rwanda: A mixed-methods study.Journal of public health in Africa · 2025Article
- Leveraging digital health systems maturity assessments to guide strategic priorities.Journal of public health in Africa · 2024Article
- Oral Health Survey in Burundi; Evaluation of the Caries Experience in Schoolchildren Using the DMFT Index.Medicina (Kaunas, Lithuania) · 2023Article
- Maternal mortality study in the Eastern Democratic Republic of the Congo.BMC pregnancy and childbirth · 2022Article
- Evaluating urban-rural access to pathology and laboratory medicine services in Tanzania.Health policy and planning · 2021Article
- Equity in newborn care, evidence from national surveys in low- and middle-income countries.International journal for equity in health · 2021Article
- Burundi Cancer Care Needs: A Call to Action.The oncologist · 2020Article
- Geospatial evaluation of trade-offs between equity in physical access to healthcare and health systems efficiency.BMJ global health · 2020Article
- Wealth-related inequalities in the coverage of reproductive, maternal, newborn and child health interventions in 36 countries in the African Region.Bulletin of the World Health Organization · 2020Article
- Effects of scaling up various community-level interventions on child mortality in Burundi, Kenya, Rwanda, Uganda and Tanzania: a modeling study.Global health research and policy · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
Strong primary health care systems are essential for implementing universal health coverage and fulfilling health rights entitlements, but disagreement exists over how best to create them. Comparing countries with similar histories, lifestyle practices, and geography but divergent health outcomes can yield insights into possible mechanisms for improvement. Rwanda and Burundi are two such countries. Both faced protracted periods of violence in the 1990s, leading to significant societal upheaval. In subsequent years, Rwanda's improvement in health has been far greater than Burundi's. To understand how this divergence occurred, we studied trends in life expectancy following the periods of instability in both countries, as well as the health policies implemented after these conflicts. We used the World Bank's World Development Indicators to assess trends in life expectancy in the two countries and then evaluated health policy reforms using Walt and Gilson's framework. Following both countries' implementation of health sector policies in 2005, we found a statistically significant increase in life expectancy in Rwanda after adjusting for GDP per capita (14.7 years, 95% CI: 11.4-18.0), relative to Burundi (4.6 years, 95% CI: 1.8-7.5). Strong public sector leadership, investments in health information systems, equity-driven policies, and the use of foreign aid to invest in local capacity helped Rwanda achieve greater health gains compared to Burundi.
Indexed as
Identifiers
30008563PMC6039746W2896446684What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.