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Globally research acknowledges that teachers are key determinants of education quality and play a crucial role in nation building, identity construction, and processes of peace and reconciliation. What teachers do in class has the potential to influence what children and young people become in life through shaping their identities and instilling in them values of peacebuilding. To improve Rwandans' relationships and build a peaceful Rwanda, the Government of Rwanda is encouraging cohesion through education for peace in Rwandan schools. Hence, this study investigated the role of Teachers, Parents and Local Community' Involvement in Peace building process after the 1994 Genocide against Tutsi. This study used a qualitative approach because the views were grounded in the interpretive tradition in the development of an understanding of social life and an understanding of how Rwandans construct the meaning of peace in Rwandan society (Neuman, 2000). It was found out that, in every lesson, regardless whether it is natural science or social science, teachers integrate Rwandan traditional social values into these subjects. Parents and local community work with school leadership to enhance social cohesion and peace values among learners. [ABSTRACT FROM AUTHOR]

This article studies the extent to which educational services and schooling outcomes of local children are influenced by the presence of a refugee camp in or near their community. Investigating Congolese refugees in Rwanda and relying on a mixed‐method approach, we examine schooling rates and access to school‐based feeding programmes in communities closer to and further away from three refugee camps. We conduct cohort analyses to compare the schooling outcomes of Rwandans residing at different distances from each of these camps. Our results highlight that children residing closer to the camps have better schooling outcomes and that locals residing closer to the camps have mostly positive views regarding the effects of refugees on local education. These results contribute to the literature on the effects of refugees on host communities and inform policy debates on how refugees need not be a "burden" if a long‐term vision shapes educational investments. [ABSTRACT FROM AUTHOR]

Background: Evidence suggests that iron deficiency (ID) affects cognitive performance, as measured in behavior. Although such effects must be mediated by changes in the brain, very few studies have included measures of brain activity to assess this relation.Objective: We tested the hypothesis that provision of iron-biofortified beans would result in improvements in measures of iron status, brain dynamics, and behavior.Methods: A double-blind, randomized, intervention study was conducted in 55 women aged 18-27 y with low iron status (serum ferritin <20 µg/L). Women were randomly assigned to consume iron-biofortified (86.1 ppm iron) or comparison beans (50.1 ppm iron) daily for 18 wk. Iron status was assessed by hemoglobin, ferritin, transferrin receptor, and body iron; cognitive performance with 5 computerized tasks; and brain dynamics by concurrent electroencephalography (EEG). All measures were taken at baseline and endline.Results: The groups did not differ on any measures at baseline. Intention-to-treat analyses revealed significant (all P < 0.05) improvements in hemoglobin (partial effect size attributable to the independent variable, η2 = 0.16), ferritin (η2 = 0.17), and body iron (η2 = 0.10), speed of responding in attentional and mnemonic tasks (η2 = 0.04-0.29), sensitivity and efficiency of memory retrieval (η2 = 0.12-0.55), and measures of EEG amplitude and spectral power (η2 = 0.08 to 0.49). Mediation models provided evidence in support of the hypothesis that changes in iron status produce changes in behavior by way of changes in brain activity.Conclusions: Behavioral performance and brain activity, as measured by EEG, are sensitive to iron status, and the consumption of iron-biofortified beans for 18 wk resulted in improvements in measures of both, relative to what was obtained with a comparison bean, in a sample of female university students. Furthermore, the results support the conclusion that changes in brain activity resulting from consumption of biofortified beans mediate the relations between changes in iron biomarkers and changes in cognition. Clinical trial registry: ClinicalTrials.gov Reg No. NCT01594359. [ABSTRACT FROM AUTHOR]

Almost 25 years after the extreme cruelty and violence that occurred in Rwanda during the genocide of 1994, the perpetrators and victims live together as neighbors. Psychology is of extraordinary value in explaining both the horror and its overcoming. We cannot explain the processes of interpersonal or national reconciliation without first understanding the dynamics of conflict in general, and of the Rwandan conflict in particular. Before, during and after any violent conflict, emotional, cognitive and behavioral processes take place, affecting those involved and making them capable of the best and the worst. This is the objective of this article: to understand the psychological processes that lead to violent conflict and to analyze the conditions for reconstruction, and personal and social reconciliation, focused on the case of Rwanda, one of the most relevant scenarios for studying violence and the overcoming of it. [ABSTRACT FROM AUTHOR]

Following the 1994 Rwandan genocide, many Rwandans fled and a modest diaspora was established throughout Canada and the United States. Diaspora are subject to many of the same concerns regarding justice and reconciliation as those who remain in Rwanda. This research focused primarily on how this diaspora attempted to achieve justice and reconciliation, if institutional mechanisms (gacaca) in Rwanda had a residual effect, and if they created any specific mechanism to facilitate justice and reconciliation among themselves. In-person and telephone interviews were conducted with eight members of the diaspora in the United States and Canada between May 2015 and March 2016. Interviews suggested that justice among the diaspora is inherently connected with justice in Rwanda, and participants felt that justice has not been achieved in either location. Reconciliation among the diaspora, while tied to reconciliation in Rwanda, may be its own construct. Interviews demarcated 'thin' reconciliation and 'thick' reconciliation, suggesting that 'thin' reconciliation exists among the diaspora, but that 'thick' reconciliation is rare. Discussion of gacaca was limited, as participants stated it did not address justice and reconciliation in Rwanda. Participants did not report any diaspora specific mechanism regarding attempts at justice and reconciliation. [ABSTRACT FROM AUTHOR]

Rwanda is the country with the highest enrolment in health insurance in Sub-Saharan Africa. Pivotal in setting Rwanda on the path to universal health coverage (UHC) is the community-based health insurance (CBHI), which covers more than three-quarters of the population. The paper seeks to explain how Rwanda, one of the poorest countries in the world, managed to achieve such performance by understanding the political drivers behind the CBHI design and implementation. Using an analytical framework relying on political settlement and ideas, it engages in process-tracing of the critical policy choices of the CBHI development. The study finds that the commitment to expanding health insurance coverage was made possible by a dominant political settlement. CBHI is part of the broader efforts of the regime to foster its legitimacy based on rapid socio-economic development. Yet, CBHI was chosen over other potential solutions to expand access to healthcare because it was also the option the most compatible with the ruling coalition core ideology. The study shows that pursuing UHC is an eminently political process but explanations solely based on objective “interests” of rulers cannot fully account for the emergence and shape of social protection programme. Ideology matters as well. Programme design compatible with the political economy of a country but incompatible with ideas of the ruling coalition is likely to run into political obstructions. The study also questions the relevance for poor countries to reach UHC relying on pure CBHI models based on voluntary enrolment and community management. [ABSTRACT FROM AUTHOR]

Due to the pressure on limited resources produced by a growing population and due to a decade of war, Rwanda is facing a major problem in environmental protection. Because of such problems, it seems only reasonable that environment-related courses should play an important role in the curricula of institutions of higher learning. The main aim of this research is to present a comprehensive picture of Environmental Impact Assessment (EIA) integration in graduate and undergraduate programs in Rwandese higher education institutions and to make recommendations for its improvement. During this study, two surveys were conducted: the first survey targeted Environmental Impact Assessment lecturers and the second survey was for Environmental Impact Assessment practitioners (including EIA certified experts and competent authorities). The study found that Environmental Impact Assessment is not well established in these institutions and it is not taught in some programs; civil engineering, for example, has no Environmental Impact Assessment courses. Recommendations to improve EIA education are proposed, such as requiring that a common core course in Environmental Impact Assessment be made available in Rwandese higher learning institutions. [ABSTRACT FROM AUTHOR]

This paper reports a portion of findings of a large research project that sought to understand social helping and healing practices that have arisen in the post-genocide contexts that could inform social work education and practice in Rwanda. A team of Canadian and Rwandan researchers used a community-based and collaborative practice to invite local partners to share their knowledge through 4 different annual workshops. The findings indicated that the locus of helping in Rwanda is focused on community or collective practices, such gutababarana “mutual rescue," umuganda “community work," and ibimina “tontines." These practices are supported by the Rwandan government policies that encourage the revitalization of traditional ways of solving socio-economic problems and rebuilding social relations. Yet, the study noted a disconnect between learned theories and local practices and locally produced materials as social work becomes professionalized in Rwanda. Implications for social work education and practice in post-colonial post-conflict societies are discussed. [ABSTRACT FROM AUTHOR]

Objective: We delivered a point-of-care ultrasound training programme in a resource-limited setting in Rwanda, and sought to determine participants' knowledge and skill retention. We also measured trainees' assessment of the usefulness of ultrasound in clinical practice.Methods: This was a prospective cohort study of 17 Rwandan physicians participating in a point-of-care ultrasound training programme. The follow-up period was 1 year. Participants completed a 10-day ultrasound course, with follow-up training delivered over the subsequent 12 months. Trainee knowledge acquisition and skill retention were assessed via observed structured clinical examinations (OSCEs) administered at six points during the study, and an image-based assessment completed at three points.Results: Trainees reported minimal structured ultrasound education and little confidence using point-of-care ultrasound before the training. Mean scores on the image-based assessment increased from 36.9% (95% CI 32-41.8%) before the initial 10-day training to 74.3% afterwards (95% CI 69.4-79.2; P < 0.001). The mean score on the initial OSCE after the introductory course was 81.7% (95% CI 78-85.4%). The mean OSCE performance at each subsequent evaluation was at least 75%, and the mean OSCE score at the 58-week follow up was 84.9% (95% CI 80.9-88.9%).Conclusions: Physicians providing acute care in a resource-limited setting demonstrated sustained improvement in their ultrasound knowledge and skill 1 year after completing a clinical ultrasound training programme. They also reported improvements in their ability to provide patient care and in job satisfaction. [ABSTRACT FROM AUTHOR]

La investigación realizada en Ruanda tiene el objetivo de ofrecer pruebas contundentes para utilizar con el fin de mejorar los servicios de enseñanza inclusiva a niños refugiados con discapacidad de comunicación. [ABSTRACT FROM AUTHOR]

Introduction: Maternal anthropometric parameters as risk factors for cesarean section have always been a matter of interest and concern for obstetricians. Some of these parameters have been shown to be predictors of dystocia. This study aims at showing the relationship between cesarean section indications and anthropometric parameters sizes in Rwandan nulliparae for the purpose of comparison and appropriate recommendations. Methods: A cross-sectional and analytical study was made on data collected from 32 operated patients among 152 nulliparae with singleton pregnancy at term and vertex presentation. Concerned anthropometric parameters were height, weight and six pelvic distances. Fisher exact and Student's tests were used to compare observed proportions and mean values, respectively. Results: Findings were as follows: 1) the overall cesarean section rate was 21.05%; 2) acute fetal distress (31.3 %), generally contracted pelvis (28.1 %), and engagement failure (25%) were the most frequent indications of cesarean section; 3) all patients = 145 cm tall were operated on for general pelvis contraction whose proportion was significantly higher in them than in the others (p < 0.01); 4) more than half of pelvis contraction cases were observed in patients weighing = 50 kg, but the difference with other weight categories was not significant; 5) considered external pelvic diameters but the Biiliac Diameter displayed average measurements smaller in clinically contracted pelvis than in other CS indications. Conclusion: External pelvimetry associated with specific other anthropometric parameters could be helpful in the screening of generally contracted pelves, and consequently pregnancies at high risk of cephalopelvic disproportion in nulliparous women, particularly in developing countries with limited resources. Further investigations are requested to deal with this topic in depth. [ABSTRACT FROM AUTHOR]

The article analyzes the situation of writers born after African independence, that is to say, who have not known slavery or colonization, but have experienced dictatorships and are forward looking. However, the genocide of Rwandan Tutsis will be pushed to the extreme dissociation on the continent. For it is clear: there is no African country that is free from its insanity, the conditions that have caused its explosion on the Rwandan hills are met in all African countries. Anyway, we can no longer write in Africa as if the genocide did not take place in Africa. [ABSTRACT FROM PUBLISHER]

Global developmental delay (GDD) is defined as a significant delay in two or more developmental domains: gross or fine motor, speech/language, cognitive, social/personal and activities of daily living. Many of these children will go on to be diagnosed with intellectual disability (ID), which is most commonly defined as having an IQ <75 in addition to impairment in adaptive functioning. Cytogenetic studies have been performed in 664 Rwandan pediatric patients presenting GDD/ID and/or multiple congenital abnormalities (MCA). Karyotype analysis was performed in all patients and revealed 260 chromosomal abnormalities. The most frequent chromosomal abnormality was Down syndrome and then Edward syndrome and Patau syndrome. Other identified chromosomal abnormalities included 47,XX,+del(9)(q11), 46,XY,del(13)(q34) and 46,XX,der(22)t(10;22)(p10;p10)mat. In conclusion, our results highlight the high frequency of cytogenetically detectable abnormalities in this series, with implications for the burden on the healthcare. This study demonstrates the importance of cytogenetic analysis in patients with GDD/ID and MCA. [ABSTRACT FROM AUTHOR]

Background: International medical electives are well-accepted in medical education, with the flow of students generally being North-South. In this article we explore the learning outcomes of Rwandan family medicine residents who completed their final year elective in South Africa. We compare the learning outcomes of this South-South elective to those of North-South electives from the literature. Methods: In-depth interviews were conducted with Rwandan postgraduate family medicine residents who completed a 4-week elective in South Africa during their final year of training. The interviews were thematically analysed in an inductive way. Results: The residents reported important learning outcomes in four overarching domains namely: medical, organisational, educational, and personal. Conclusions: The learning outcomes of the residents in this South-South elective had substantial similarities to findings in literature on learning outcomes of students from the North undertaking electives in the Southern hemisphere. Electives are a useful learning tool, both for Northern students, and students from universities in the South. A reciprocity-framework is needed to increase mutual benefits for Southern universities when students from the North come for electives. We suggest further research on the possibility of supporting South-South electives by Northern colleagues. [ABSTRACT FROM AUTHOR]

This article argues that international aid to Rwandan refugees in Ngara district during decolonization unfolded as part of a broader project of nation-state formation and regulation – one that deeply affected local narratives of community and belonging. While there is an extensive scholarship on decolonization and nationalism, we know less about the history of the nation-state as a refugee-generating project, and the role of international aid agencies therein. The history of Rwandan refugees in Ngara district, Tanzania, reveals the constitutive relationship between nation-building and refugee experiences, illustrating that during decolonization local political imaginations congealed around internationally-reified categorizations of the ‘refugee’ and the ‘citizen’. [ABSTRACT FROM PUBLISHER]

The factor structure of posttraumatic stress disorder (PTSD) symptoms in Euro-American populations has been extensively studied, but confirmatory factor analytic studies from non-Western societies are lacking. Alternative models of DSM-IV symptoms were tested among Rwandan adults ( N = 465) who experienced trauma during the 1994 genocide. A cluster random survey was conducted with interviews held in Rwandan households. PTSD was assessed with the Posttraumatic Stress Disorder Checklist-Civilian version. Competing models were the DSM-IV, emotional numbing, dysphoria, aroused intrusion, and dysphoric arousal models. Results showed that the emotional numbing, dysphoria, and dysphoric arousal models had almost identical, good fit indices and fit the data significantly better than the other models. The emotional numbing and dysphoric arousal models also exhibited good construct validity. Results suggest that the latent structure of PTSD symptoms in Rwanda are comparable to that found in Euro-American samples, thereby lending further support to the cross-cultural validity of the construct. [ABSTRACT FROM AUTHOR]

Rwanda's national development strategy relies heavily on expanding access to higher education, largely due to an assumption that a university education encourages the ability to think critically about problems and to use evidence when making decisions. This study empirically investigated this assumption by administering a performance-task-based test of critical thinking, adapted for use in Rwanda, to students enrolled at three of Rwanda's most prestigious public institutions. Results of the study suggest that Rwandan students are not substantially improving in their critical thinking ability during their time at university. These findings have significant implications for Rwanda's development agenda. [ABSTRACT FROM AUTHOR]

During the last ten years, adaptation to climate change has emerged as a prominent new paradigm in environmental politics in developing countries in general and in Africa in particular. Yet, this new paradigm and its effects are not unproblematic, as the empirical research in Rwanda presented in this paper indicates. The paper analyses why forced resettlement of farmers is considered an innovative action among the climate change adaptation efforts and argues that the concept of adaptation to climate change is a travelling idea that is constantly translated and used politically to frame environmental and developmental interventions in concrete places that heavily impact the everyday lives of rural dwellers. Drawing on actor-network theory and its concept of translation, we provide an alternative view of adaptation to climate change by providing a critical assessment of the linkages between global climate change governance and concrete local adaptation measures, revealing that adaptation to climate change does not always have positive effects on people's livelihoods. [ABSTRACT FROM AUTHOR]

God has been very much present in public domain in the life of Rwandans. Every successful enterprise would lead Rwandans to pay tribute to God. At the end of every other failed try the Rwandan would say, 'ahasigaye ni ah'Imana' -- I have done what I could, the rest belongs to God. His overwhelming presence was expressed in many ways including by theophoric names. This God celebrated by the triumphant 'Christian kingdom' came under fire attacks during the 1994 genocide against the Tutsi, many of them being slaughtered in churches and public buildings. Had God, the life Giver and the protector, become a cynical destroyer, an executioner, or simply a sleeper who didn't care for his creatures? Irrespective to these unanswered questions, the post 1994 genocide Rwandan religious era was imbued with another form of triumphalism, in which God was called, celebrated, and inaugurated as the One who showed the way to new charismatic movements to bring about a spiritual revolution in the country, whilst traditional Christianity remained ambivalent towards the moral guidance they were expected to provide. Yet many survivors continue to tell of their deception about such a ' silent and cynical' God, or at the best they wonder if their fate was sealed with His consent and that of His heralds on earth. This paper takes the view that religious competition and triumphalism of the clergy over crowds that continue to fill in areas of worship, amplified the feeling that God is still a very marketable good in Rwanda. And yet he never ran away from the victims of the tragedies. [ABSTRACT FROM AUTHOR]

This article explores and analyzes the role of women who exercised agency as perpetrators during the genocide in Rwanda in 1994. Genocide narratives traditionally cast women as victims, and many women did suffer horrific abuses and become victims of torture in Rwanda. However, this gender-based characterization of women is inaccurate and incomplete. After presenting a multidisciplinary body of literature relevant to female agency during genocide, this article explores three core questions related to female agency during the Rwandan genocide. It discusses how women were mobilized before and during the genocide, the specific actions of women who exercised agency and finally what happened to these women in the aftermath of the genocide. This article is based upon research that was gathered by the author and includes interviews of female perpetrators as well as victims and witnesses of direct violence committed by women. The article asserts that women played an active role in the Rwandan genocide but are often excluded from the dominant narrative. This article also addresses the implications of ignoring female perpetrators of genocide. It suggests that such an oversight may have a detrimental impact on the long-term peace and stability in post-genocide Rwanda. [ABSTRACT FROM AUTHOR]

Leadership research is plentiful and multifaceted yet followership, an essential component in leadership, attracts little research attention. This research paper measures followership styles in two cultural contexts: American and Rwandan. Although cultural aspects of followership have been studied to some extent, the literature in this area is lacking. Data are collected from two organizations of similar size and function, one in Rwanda, and the other in Oregon, USA. It is hypothesized that Americans' cultural preferences influence followers to favor critical thinking and active engagement while Rwandan cultural preferences predispose followers to less critical thinking and less active engagement. Results of the research show no significant difference between the cultures on critical thinking and active engagement. However, followership type is significantly different by country. Kelley's (1992) followership survey and the organizational contexts are probed for possible reasons that no significant differences were found between critical thinking and active engagement, while power distance is seen as the main reason for the difference in followership type. Presently little research has been dedicated to the cultural effects on followership and organizations that work internationally would benefit greatly from a deeper understanding of cultural effects on followership. [ABSTRACT FROM AUTHOR]

Objective Acute symptomatic infection with Giardia duodenalis impairs iron absorption, but iron deficiency may protect against infections caused by various micro-organisms including parasites. We therefore examined the association of G. duodenalis infection and iron deficiency in 575 Rwandan children under 5 years of age. Methods Giardia duodenalis infection was diagnosed by triplicate microscopy and PCR assays, and iron deficiency was defined as a ferritin concentration <12 ng/ml. Results Largely asymptomatic G. duodenalis infection was seen in 65.3% of the children and iron deficiency in 17.4%. G. duodenalis infection was less common in iron-deficient children (51%) than in non-deficient children (68%, P = 0.002). In multivariate analysis, the odds of G. duodenalis infection were almost halved in iron-deficient children (adjusted odds ratio, 0.54; 95% confidence interval, 0.33-0.86). Conclusion In this highly endemic setting, there was no evidence that Giardia infection impairs iron status. Rather, iron deficiency appeared to protect against infection with this parasite. [ABSTRACT FROM AUTHOR]

Children and youth, in whom visions of national development are invested, are central to post-conflict state-building efforts. In the case of Rwanda, the Rwandan Patriotic Front (RPF) has initiated an ambitious programme of state re-engineering that seeks to transform Rwanda into a knowledge-based economy and thereby achieve middle-income status by 2020. Success or failure of this imagined future is largely contingent on the 65% of the population under age 25. Through cross-analysis of three research studies, this paper explores how RPF policies have converged with the lives of children and youth, so as to get a pulse on the post-genocide micro-social environment and thereby examine the effectiveness of the RPF's governance. This approach provides key insights into these dynamics by assessing how the RPF's policies related to children's rights, school-based education and transitions to adulthood have affected the lives, expectations and aspirations of young people. It is argued that the RPF's commitment to rapid reconstruction and development, such as universal access to education, has resulted in promising developments for young people, and has generated high aspirations for the future. However, the purposive imposition of the government's goals is predicated on a specific vision of a promised future that is often at odds with young people's daily realities. This dynamic risks generating a new sense of exclusion and foreclosing opportunity for many young people. Thus, as the RPF moves forward with its Vision 2020 goals, it must do so with a nuanced and astute assessment of how these policies interact with young people's experiences and shape expectations. While young people largely subscribe to the RPF's visionary approach to development, where it contradicts their daily realities, young people's responses weigh heavily on the possibility of the vision of either the RPF – or young people – being fully realized. [ABSTRACT FROM PUBLISHER]