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This report is about the progress on the global rate of decline made on Millenium Development Goals(MDGs) in reducing child and maternal mortality, improving nutrition, reducing morbidity and mortality due to HIV infection, tuberculosis and malaria. The rankings are sorted from World Health Organisation (WHO) latest available data since 2005.

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Average Annual Rate of Decline;

  1. % in under-five mortality rate,1990–2011
  • Rwanda is second in Africa with 54%
  1. Measles immunization coverage among 1-year-olds (%)
  • Rwanda is 8th African country to have surpassed its target of 90% coverage by 2015 set at the 2010 World Health Assembly.
  1. (%) in maternal mortality ratio, 1990–2010
  • Rwanda is 4th African country with a maternal mortality ratio of 340; the maternal mortality ratio is defined as the number of maternal deaths per 100 000 live births.
  1. Births attended by skilled health personnel (%)
  • Rwanda is 13th  in Africa and is still below the targeted 90% coverage by 2015 set by the International Conference on Population and Development (ICPD+5).
  1. Antenatal care coverage (%) at least one visit and at least four visits
  • Rwanda is 2nd in Africa after Burundi to have reached the global target of 100% coverage on at least one visit by 2015 set by the ICPD+5.
  1. Unmet need for family planning (%)
  • Rwanda is 7th african country with smallest percentage of women who are productive and sexually active but want to stop or delay childbearing and are not using any method of contraception. Achieving the MDG target of universal access to reproductive health by 2015 can be interpreted as 0% unmet need.
  1. (%) in HIV prevalence, 2001–2011
  • Rwanda is 8th in Africa with 1909 estimated HIV prevalence per 100 000 population for 2011.
  1. Antiretroviral therapy coverage among people with advanced HIV infection (%) in 2011
  • Rwanda is 4th in Africa  providing antiretroviral therapy. At least 80% of patients have universal access to antiretroviral therapy.
  1. Children aged <5 years sleeping under insecticide-treated nets (%)
  • Rwanda is 3rd  in Africa  to have highest percentage of children under 5 years old that slept under an insecticide-treated net. We still remain  below the target of 80% coverage set by WHO and the Roll Back Malaria Partnership.
  1. Children aged <5 years with fever who received treatment with any antimalarial (%)
  • Rwanda is 31st  African country below the  100% coverage target set by WHO and the Roll Back Malaria Partnership.
  1. (%) in tuberculosis mortality rate,1990–2011
  • Rwanda is 3rd with 11 estimated tuberculosis mortality rate per 100 000 (excluding deaths among the HIV-positive). Rwanda surpassed AARD of 2.7% needed for the target of a 50% reduction between 1990 and 2015 set by the Stop TB Partnership.
  1. (%) in proportion of population without access to improved drinking-water sources, 1990-2011
  • Rwanda is 34th with 31 estimated proportion using improved drinking water source.

Countries are sorted in descending order based on this rate of decline. Rwanda has reached and managed to go below the AARD of 2.7% required to reach the MDG target of halving, by 2015.

  1. (%) in proportion of population without access to improved sanitation
  • Rwanda is 3rd with 39 estimated proportion using improved sanitation, for the period 1990–2011 (or any minimum period of five years since 1990). Rwanda is at the  AARD of 2.7% required in order to reach the MDG target of halving, by 2015, the proportion of people without sustainable access to basic sanitation.

Conclusion:

This report shows that progress has been made in achieving the MDGs. Rwanda which was placed in the bottom 25% of countries for selected indicators, has made dramatic progress in different targeted MDGs. The report however indicates that with only two years remaining before the MDG deadline of 2015, the situation remains far from satisfactory as large gaps persist between countries.

 

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