Service Delivery


Task shifting family planning service delivery from doctors to nurses, and from nurses to community health workers has allowed us to break the geographic inaccessibility to family planning services.

— Dr. Jean de Dieu Ngirabega,
Director General of Clinical Services, Rwanda

Since the 1994 genocide, Rwanda has been steadily rebuilding its economy and improving social welfare. The landlocked, central African country has significantly lowered its poverty rate, increased access to health services, and boasts a high percentage of women representatives in parliament. While the main economy is currently subsistence agriculture, the Rwandan government aims to diversify the country’s economic opportunities.

The Resolve Award

The Resolve Award celebrates country-level, public sector leadership in driving innovations in reproductive health policy development, service delivery, and financing mechanisms. The Global Leaders Council for Reproductive Health (GLC) recognizes national governments for their leadership and for serving as the hub around which civil society, the private sector, donors, and so many others engage.

The GLC celebrated Rwanda with the Resolve Award in 2012 for sharp increases in modern contraceptive prevalence rates. This was achieved through task-shifting, leveraging existing community-based health care workers to spread family planning information, and diversifying the available contraceptive methods.

• Distributed contraceptive prevalence rate has increased from 13% in 2000 to 52% in 2010

• The total fertility rate has dropped from 5.4 in 2005 to 4.5 in 2013