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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