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In this paper we review the history of surveillance efforts in Rwanda, dating back For this period, HIV prevalence in four Kigali sentinel ANC sites ranged from.

This paper reviews the history of HIV serological and behavioural surveillance efforts in Rwanda, dating back to the early s, synthesising findings from surveillance, research, and other relevant HIV programmatic data. The documentation reviewed includes published findings, conference abstracts, and unpublished analyses. Special emphasis is given to more recent sentinel surveillance results and data collected using known, documented methods. Recent trends in HIV prevalence were assessed among sites participating in the three most recent consecutive rounds of antenatal clinic sentinel surveillance.

Between and , HIV prevalence may have declined in urban areas, whereas rural areas appear to have remained stable. Age at first sexual intercourse is relatively late in Rwanda 20 years for both males and females and has remained stable since at least The present analysis suggests that Rwanda may have experienced declines over the long term in HIV prevalence in urban areas, especially in Kigali, and may have stable or slightly rising HIV prevalence in rural areas.

The limited behavioural data available suggest that, on the national level, Rwanda may benefit from a unique combination of low numbers of partners and late sexual debut, which may have had a mitigating effect on HIV prevalence. In , the Ministry of Health and the Red Cross established one of the first and most effective blood donor screening programmes in Africa. Rwanda’s civil war began in VCT services, which first became available in , are now available at sites.

PMTCT services began in and have expanded to sites. Since the introduction of the first ART site in , Rwanda has expanded treatment availability to 83 sites.

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It is near the nation’s geographic centre in a region of rolling hills, with a series of valleys and ridges joined by steep slopes. The city has been Rwanda’s economic, cultural, and transport hub since it became the capital following independence from Belgian rule in Situated in an area controlled by the Kingdom of Rwanda from the 17th century and then by the German Empire , the city was founded in when Richard Kandt , the colonial resident , chose the site for his headquarters, citing its central location, views and security.

Foreign merchants began to trade in the city during the German era, and Kandt opened some government-run schools for Tutsi Rwandan students. Kigali remained the seat of colonial administration for Rwanda but Ruanda-Urundi’s capital was at Usumbura now Bujumbura in Burundi and Kigali remained a small city with a population of just 6, at the time of independence. Kigali grew slowly during the following decades. However, in April Rwanda’s president was killed when his aircraft was shot down near Kigali.

Social tensions erupted in the genocide that followed, with Hutu extremists loyal to the interim government killing an estimated ,—1,, Tutsi and moderate Hutu nationwide. The RPF resumed fighting, ending a cease-fire of more than a year. They gradually took control of most of the country and seized Kigali on 4 July Post-genocide Kigali has experienced rapid population growth, with much of the city rebuilt.

The city of Kigali is one of the five provinces of Rwanda , with boundaries set in It is divided into three districts— Gasabo , Kicukiro , and Nyarugenge —which historically had control of significant areas of local governance. Reforms in January transferred much of the districts’ power to the city-wide council.

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