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A path shared for 27 years - IFAD

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The Socio-Health Programme<br />

in Rwanda, 1997-2002<br />

In April-May 1994, over two million Rwandans fled their<br />

homes to escape ethnic violence. The outbreak of civil unrest<br />

and banditry in the North Kivu area provoked their return<br />

en masse back to Rwanda. The returnees had little more than<br />

the clothes on their backs; they were emaciated and cowed;<br />

over 40 per cent of the children were severely malnourished.<br />

They returned to a devastated country where both private<br />

and especially public facilities had been damaged, pillaged<br />

or destroyed. In 1998, the three <strong>IFAD</strong>-financed agricultural<br />

development projects that had been suspended during the<br />

events were restarted. Four grants were awarded through<br />

the Joint Programme with a view to helping finance the<br />

rehabilitation of health and other social services in the same<br />

project areas. The three grants connected with the <strong>IFAD</strong><br />

projects were managed by the staff of those projects. The<br />

grants were to be used to: a) rehabilitate/build and equip the<br />

primary health care system in Nemba, Ngarama and Kigeme<br />

districts; b) introduce a community-based approach to the<br />

delivery of health and nutrition services; and c) finance<br />

the operating costs of NGO partners engaged to run the<br />

microfinance schemes of the three <strong>IFAD</strong> projects. The aim of a<br />

fourth grant was to strengthen the ability of the central health<br />

administration to improve the delivery of primary health care<br />

services in compliance with the recommendations both of the<br />

World Health Organization and United Nations Children’s<br />

Fund (UNICEF).<br />

Recording a child’s weight on the graph. Green is well<br />

nourished, red is dangerously malnourished, Rwanda.<br />

©<strong>IFAD</strong>/R. Grossman<br />

A consultation at a child-weighing<br />

clinic, Rwanda.<br />

©<strong>IFAD</strong>/R. Grossman<br />

THE SOCIO-HEALTH PROGRAMME<br />

IN RWANDA<br />

103

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