Changes in perceptions of teaching quality in secondary schools in Rwanda during the COVID-19 global pandemic and the subsequent closing and reopening of schools.

The stability of measures of teaching quality is essential for making generalizations of results stemming from these measures to other teaching situations. However, no research has examined the effects of unexpected situational factors on the stability of these measures. Therefore, the purpose of this two-phase quantitative research study was to examine the following aspects among secondary school teachers in Rwanda, using a score-validated, multiple-dimension measure: (a) perceptions of teaching quality (PTQ) prior to the onset of the COVID-19 context (Phase 1; descriptive and correlational design); and (b) the extent to which COVID-19 and the subsequent closing and reopening of secondary schools affected PTQ among STEM teachers in Rwanda, and the associations between these changes in PTQ and selected socio-demographic/locational variables (Phase 2; descriptive and correlational research design). Phase 1 findings revealed that two measures of cultural values (i.e., Attitudes Towards Cultural Values Scale, Inculcating Cultural Values Scale, respectively) generated the most positive attitudes, whereas the Satisfaction with Resources and Material Subscale yielded the least positive attitudes. Phase 2 findings revealed that for four of the nine PTQ scales/subscales, the COVID-19 context negatively affected PTQ. These findings provide compelling evidence of the importance of monitoring PTQ, especially during times of crises. Moreover, these findings have implications for Rwandan educational policymakers, Rwandan administrators, teacher training administrators, and, above all, the teachers themselves, as they all seek to maximize teaching quality in Rwandan secondary schools.

Work in Progress: Benefits of Learning Engineering Sciences to Transition from Face-to-Face to Virtual Learning of Engineering, Technology, and Computing due to COVID-19

For equatorial African countries such as Rwanda the power grid in some regions is either absent or highly unreliable even though these locations are blessed with reliable solar radiation most of the time. Designing and implementing solar power systems capable of supporting micro-computer systems such as Raspberry Pi devices that can be used in educational environments is a way to overcome grid challenges while at the same time imparting valuable lessons covering Engineering, Technology, and Computing. Using Learning Engineering Sciences best practices effectively mitigates how COVID-19 that has required standard face-to-face project and learning strategies to transition to virtual or hybrid strategies that utilize Open Educational Resources (OER). These strategies include video conferencing, file sharing platforms, and messaging applications to generate learning activities, create courses to construct the learning program for training teachers in the use of OER and Raspberry Pi desktop devices. © 2023 IEEE.

Recent Trends and Characteristics of Genitourinary Fistulas in Rwanda

INTRODUCTION AND OBJECTIVE: Genitourinary fistulas (GU) in Rwanda have significantly increased in recent years. We previously reported an increase in the proportion of vesicouterine, vesicocervical and uterovaginal fistulas, with the majority occurring after Cesarean section. Our goal is to examine the characteristics of our the most recent cohort. METHOD(S): A cross-sectional study was conducted of women presenting for evaluation to the International Organization for Women and Development (IWOD) in Kigali, Rwanda, from 2018 to 2019, and 2022. No data was collected during years 2020 and 2021, due to the COVID-19 pandemic. Data was collected from medical records and included region of residence, surgical history, presence of fistula, and type. RESULT(S): A total of 434 women were evaluated, of these 194 (44.7%) were diagnosed with GU fistula. In 2018, fistula types were 40 (52%) vesicovaginal, 5 (6%) urethral, 5 (6%) ureterovaginal, 23 (30%) vesicoureterine or vesicocervical, and 7 (9%) juxtacervical. In 2019, the fistula types were 26 (41%) vesicovaginal, 4 (6%) urethral, 6 (10%) ureterovaginal, 17 (27%) vesicoureterine or vesicocervical, and 10 (16%) juxtacervical. In 2022, the fistula types were 33 (61%) vesicovaginal, no urethral fistula reported, 7 (13%) ureterovaginal, 8 (15%) vesicoureterine or vesicocervical, and 6 (11%) juxtacervical. CONCLUSION(S): In comparison to our prior cohort, recent data shows a stable proportion of types of fistulas. The increased number of vesicouterine, vesicocervical, and juxtacervical fistula may be higher due to increased performance of Cesarean sections.

Managerial capabilities and strategic renewal in family firms in crisis situations: The moderating role of the founding generation

This study examines whether founding generation managed family firms are capable of responding proactively to the COVID-19 disruption via firm renewal. We used a unique global COVID-19 crisis specific survey dataset comprising of 2,130 family firm observations. Our findings indicate that in comparison to the later generations, founding generation-managed family firms only do better at strategic renewal as a response to the crisis when they have sufficient managerial capabilities. Our study recommends that family businesses, especially those managed by the founding generations should emphasize managerial capabilities rather than merely focusing on socioemotional wealth (SEW) when deciding on crisis coping strategies. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Effect of Non-pharmaceutical Interventions on COVID-19 in Rwanda: An Observational Study.

BACKGROUND: On 11 March 2020, COVID-19 was declared as a pandemic by the World Health Organization (WHO). The first case was identified in Rwanda on 24 March 2020. Three waves of COVID-19 outbreak have been observed since the identification of the first case in Rwanda. During the COVID-19 epidemic, the country of Rwanda has implemented many Non-Pharmaceutical Interventions (NPIs) that appear to be effective. However, a study was needed to investigate the effect of non-pharmaceutical interventions applied in Rwanda to guide ongoing and future responses to epidemics of this emerging disease across the World. METHODS: A quantitative observational study was conducted by conducting analysis of COVID-19 cases reported daily in Rwanda from 24 March 2020 to 21 November 2021. Data used were obtained from the official Twitter account of Ministry Health and the website of Rwanda Biomedical Center. Frequencies of COVID-19 cases and incidence rates were calculated, and to determine the effect of non-pharmaceutical interventions on changes in COVID-19 cases an interrupted time series analysis was used. RESULTS: Rwanda has experienced three waves of COVID-19 outbreak from March 2020 to November 2021. The major NPIs applied in Rwanda included lockdowns, movement restriction among districts and Kigali City, and curfews. Of 100,217 COVID-19 confirmed cases as of 21 November 2021, the majority were female 51,671 (52%) and 25,713 (26%) were in the age group of 30-39, and 1866 (1%) were imported cases. The case fatality rate was high among men (n = 724/48,546; 1.5%), age > 80 (n = 309/1866; 17%) and local cases (n = 1340/98,846; 1.4%). The interrupted time series analysis revealed that during the first wave NPIs decreased the number of COVID-19 cases by 64 cases per week. NPIs applied in the second wave decreased COVID-19 cases by 103 per week after implementation, while in the third wave after NPIs implementation, a significant decrease of 459 cases per week was observed. CONCLUSION: The early implementation of lockdown, restriction of movements and putting in place curfews may reduce the transmission of COVID-19 across the country. The NPIs implemented in Rwanda appear to be effectively containing the COVID-19 outbreak. Additionally, setting up the NPIs early is important to prevent further spread of the virus.

Severity Status of COVID-19 and Its Associated Factors at the Nyarugenge Treatment Center in Rwanda.

Background The COVID-19 pandemic has continued to be a public health emergency currently; on March 11, 2020, the World Health Organization (WHO) declared it a global pandemic. Despite the Rwanda National Health Measures that have been put in place to protect the public including lockdowns, curfew, face mask mandate, handwashing sensitization, etc., severe morbidity and mortality cases of COVID-19 are continued to be seen. Some studies have linked COVID-19 complications to its direct chain of mechanism; however, other studies have linked comorbidity or underlying disease conditions to its poor prognosis. Studies have not yet been conducted in Rwanda on the severe status of COVID-19 and its associated factors among patients. Therefore, this study aimed to assess the severe status of COVID-19 and its associated factors at the Nyarugenge Treatment Center. Methods A descriptive cross-sectional study was done. All patients admitted to the Nyarugenge Treatment Center from January 8, 2021, when the hospital opened, until the end of May 2021 were recruited in the study. The eligible participants were all patients who were admitted and tested positive for COVID-19 by RT-PCR method according to the Rwanda Ministry of Health criteria. Results All data were analyzed using the Statistical Package for the Social Sciences (SPSS) software, version 25 (IBM Corp., Armonk, NY). The number of patients admitted during the study period was 648, with a median age of 53; 45.2% of them were females, and 54.2% were males. Of these, 81.2% (526) were discharged from the hospital, while 18.8% (122) died. The proportion of severe status of COVID-19 was 42.1%. The factors that showed a risk of severe COVID-19 status were age and the number of comorbidities. Patients aged above 60 years (OR = 11.7, 95% CI: 5.35-25.67, p-value < 0.001) and those between the age of 51 and 60 (OR = 6.86, 95% CI: 2.96-15.93, p-value < 0.001) were 12 and seven times more likely to have severe COVID-19 status compared to those aged below 30 years. Having two comorbidities had twice the risk of developing a severe COVID-19 status compared to those with no comorbidity (OR = 2.13, 95% CI: 1.20-3.77, p-value < 0.001). Conclusion Elderly people and those with comorbidities are encouraged to obtain all standard operating procedures and comply with the vaccination program.

A systematic review to describe patterns of animal and human viral research in Rwanda.

Rwanda is located in the Central East African region where several viral pathogens with global importance were originally described, including human immunodeficiency virus (HIV), Ebola, Zika, Rift Valley Fever (RVF), dengue and a long list of other neglected tropical viral pathogens. Due to many factors, this region has the potential to become a global hotspot for viral emergence. In Rwanda, viral diseases are underreported and the question is whether this is due to the absence of these viruses or a lack of investigation. Like many developing countries, capabilities in Rwanda need improvement despite research efforts throughout the years. This review describes the status of human and animal virus research in Rwanda and identifies relevant research and operational gaps. A comprehensive search was conducted in PubMed for virus research in Rwanda: 233 primary studies on viruses/viral diseases are indexed with connection to Rwanda. From 1958 to 2020, yearly publications generally increased and HIV/acquired immunodeficiency syndrome is the most studied virus. Compared with human viruses, few studies focus on animal and/or zoonotic viruses. The occurrence of the current severe acute respiratory syndrome coronavirus 2 pandemic shows strengthening warning and surveillance systems is critical to efficient preparedness and response. We recommend investment in human capacity, laboratory facilities and research to inform policy for viral surveillance in Rwanda.

SMS-based digital health intervention in Rwanda's home-based care program for remote management of COVID-19 cases and contacts: A qualitative study of sustainability and scalability.

Background: COVID-19 pandemic resulted in unprecedented global health challenges. Rwanda identified its first COVID-19 case on March 14, 2020 and subsequently introduced Home-Base Care (HBC) Program in August 2020 following community transmission of the virus and to alleviate logistical and financial strain on the healthcare system. Cases and contacts eligible for HBC were remotely supported by WelTel, an SMS-based mHealth intervention that was successfully implemented before for HIV epidemic in Rwanda. Enrolled cases and contacts were supported and monitored daily via their cell and/or mobile phones until they complete isolation/quarantine period. This study explored the rationale, perspectives, and experiences of key informants (KIs) during the implementation WelTel's mHealth tool for HBC in Rwanda. Methods: Semi-structured one-on-one virtual interviews were conducted with KIs in this qualitative study. The KIs were classified into 2 major categories: (A) Senior staff including policymakers, directors, and senior managers; (B) Technical teams including case managers, and other staff supporting the implementation of WelTel (e.g., IT staff). Interviews were audio-recorded, transcribed, and analyzed in NVivo. Thematic analysis was conducted using a hybrid approach. A topic guide was developed using the Modified Consolidated Framework for Implementation Research and feedback from local stakeholders. Results: 7 KIs were interviewed. Five themes emerged following thematic analysis including: SMS-Based mHealth for Home-Isolation; Facilitators for Intervention Adoption; Barriers for Intervention Adoption; Infection prevention and control for Home-Isolation; and SMS-Based mHealth for Future Pandemics and Epidemics. Based on interviews, strong political commitment and advanced digital infrastructure were major facilitators for adopting WelTel for HBC. A major barrier to adopting WelTel was identified as technical-based issues. This was followed by local communication culture. All participates agreed on the significance of using WelTel to improve access and adherence to infection prevention and control measures, understand transmission dynamics, and inform public health decision-making regarding HBC. Conclusions: Rwanda successfully adopted WelTel for supporting and monitoring COVID-19 cases and contacts in home-isolation and the implementation was instrumental to the country's effort to manage the pandemic. Experiences and perspectives of cases and contacts enrolled into WelTel must be explored to understand the appropriateness and effectiveness of the intervention.

Studies on Social and Education Sciences 2021

Studies in the fields of education and social sciences have always been important in terms of their impacts on society. These studies have gained even more importance during the COVID-19 pandemic process. The impact of the pandemic period on children, schools and society has been demonstrated through such studies. This book also includes studies conducted during the pandemic period. The studies in this book contribute to the fields of education and social sciences by different research methods, participants, and contexts and add a global perspective to these fields. The book is divided into two sections related to studies on social sciences and education sciences. Each section includes four chapters. The chapter's contributors are from the following countries: the United States, Turkey, China, Indonesia, Russia, Rwanda, and Malaysia.

Can Smaller Powers Have Grand Strategies? The Case of Rwanda

The conventional wisdom is that grand strategy has always been a great power phenomenon, and previous scholars have predominantly focused on countries with great military and economic capabilities. In this article, we propose that smaller states can have a grand strategy, considering how the country deploys national resources in response to external challenges and opportunities, and how this is largely impacted by the country's historical memory. We explore how Rwanda defines grand strategy as a country, followed by an examination of the country's major external challenges and possibilities, and then a discussion of the national pathologies that drive Rwanda's grand strategy and decision-making process. Finally, we analyze the critical instruments Rwanda employs in its grand strategy and how the African nation dealt with the COVID-19 pandemic.

Building Digital Resilience to Combat Pandemics: Comparison of South Korea, Sri Lanka and Rwanda

Use of digital technologies for management of COVID-19 pandemic was widely observed across the globe. However, building resilient digital systems to better manage the pandemic based on country contexts was a challenge. The objective of this study is to identify socio-technical determinants of building resilient digital technologies based on a comparative study or three countries. Case study method was utilized with qualitative data collection methods to identify thematic areas for comparison. The study revealed that resilient digital pandemic responses will rely on a plurality of technologies, and on agility, flexibility and capacity in producing these solutions. © 2022, IFIP International Federation for Information Processing.

FARMERS' PERSPECTIVE OF COVID-19 EFFECTS ON DEMAND AND SUPPLY OF AGRICULTURAL COMMODITIES IN NYAMASHEKE DISTRICT, RWANDA

COVID-19 is an infectious disease caused by a new strain of coronavirus. This disease disrupted the functionality of the global economy, and the agriculture sector was not spared. It is in this context that this paper aims at assessing farmers' perceptions about the perceived shocks of COVID-19 on the side of demand and supply of agricultural commodities. The study was guided by three objectives viz to investigate the perceptions of farmers on the effects of COVID-19 pandemic on the demand for agricultural commodities, to explore the perceptions of farmers on the effects of COVID-19 pandemic on the supply of agricultural commodities and to analyze the factors affecting farmers' perceptions of COVID-19 pandemic on demand and supply of agricultural commodities in Nyamasheke district. The target population size was 6237 composed of farmers of three irrigated lands in Nyamasheke District. Yamane's formula for the sample size determination was used to find the sample size of the respondents which was 376 and then stratified and systematic sampling procedures were employed to get 174 farmers in Kirimbi, 114 farmers in Mugonero and 88 farmers in Kamiranzovu irrigated lands, respectively. This study employed both descriptive and inferential statistical tools to analyze data. Descriptive statistics were used to analyze data on the perceptions of farmers towards COVID-19 pandemic effects on the demand and the supply for agricultural commodities while the inferential statistics were used to estimate the logit of farmers' perceptions on COVID-19 pandemic effects of demand and supply of agricultural commodities in the area under study. Results from the descriptive statistics revealed that 326 (86.7%) farmers agreed that COVID-19 pandemic has affected the demand of agricultural commodities while 244 (64.9%) farmers confirmed that COVID-19 pandemic has affected the supply of agricultural commodities in the area under study. The output of the model revealed that the independent variables that significantly contribute to the logit of the dependent variable were farming experience and labor. During the COVID-19 pandemic, farmers encountered several challenges that disrupted their livelihoods including changes in household consumption patterns, changes in market functionalities, discontinuity of the planned training and field visits, and low number of farmers in the farms. Researchers recommend that farmers' purchasing power should be reinforced by providing financial support to them through lowering interest rates on loans. [ FROM AUTHOR]

Magnitude and determinants of food insecurity among pregnant women in Rwanda during the COVID-19 pandemic.

Globally, food insecurity is becoming a major public health concern, and has seriously been impacted by the COVID-19 pandemic. In the last decade, Rwanda has made significant improvement in terms of overall household food security. However, the magnitude of food insecurity among pregnant women is not well known. This study investigated the magnitude and factors associated with food insecurity among pregnant women during the COVID-19 pandemic. It was a cross-sectional study conducted in 30 health facilities across the country where a total of 1159 pregnant women in their first trimester of pregnancy were recruited during antenatal care visits (ANC). A pre-tested, standardized, and structured questionnaire was used to collect information on food insecurity based on household food insecurity access scale (HFIAS). Descriptive statistics were used to describe the basic characteristics of the study respondents and the status of household food insecurity. Logistic regression analysis was performed to estimate the predictors of food insecurity at a significance level of 5%. The majority (78.1%) of recruited pregnant women were aged 20 to 35 years and 70.3% were from rural areas. Overall, 53.1% of pregnant women were food insecure during COVID-19 pandemic. Pregnant women with low education level {AOR = 4.58; 95%CI = 1.88-11.15} and from low social economic households {AOR = 2.45; 95%CI = 1.59-3.76} were more likely to become food insecure during COVID-19 pandemic. In addition, women from households with farming as the main source of income had 64% more risk of food insecurity compared to women from household with other sources of monthly income. To achieve the sustainable development goals (SDGs) targets related to food security, there is urgent need to transform the agricultural sector from traditional farming to modern/technology farming. This will reduce the level of food insecurity in developing countries. There is also a need to provide social safety nets to pregnant women from families in lower socio-economic categories during pandemics.

Digital mHealth and Virtual Care Use During COVID-19 in 4 Countries: Rapid Landscape Review.

BACKGROUND: As a result of the COVID-19 pandemic, providing health care while maintaining social distancing has resulted in the need to provide care remotely, support quarantined or isolated individuals, monitor infected individuals and their close contacts, as well as disseminate accurate information regarding COVID-19 to the public. This has led to an unprecedented rapid expansion of digital tools to provide digitized virtual care globally, especially mobile phone-facilitated health interventions, called mHealth. To help keep abreast of different mHealth and virtual care technologies being used internationally to facilitate patient care and public health during the COVID-19 pandemic, we carried out a rapid investigation of solutions being deployed and considered in 4 countries. OBJECTIVE: The aim of this paper was to describe mHealth and the digital and contact tracing technologies being used in the health care management of the COVID-19 pandemic among 2 high-income and 2 low-middle income countries. METHODS: We compared virtual care interventions used for COVID-19 management among 2 high-income countries (the United Kingdom and Canada) and 2 low-middle income (Kenya and Rwanda) countries. We focused on interventions used to facilitate patient care and public health. Information regarding specific virtual care technologies was procured from a variety of resources including gray literature, government and health organization websites, and coauthors' personal experiences as implementers of COVID-19 virtual care strategies. Search engine queries were performed to find health information that would be easily accessible to the general public, with keywords including "COVID-19," "contact-tracing," "tool-kit," "telehealth," and "virtual care," in conjunction with corresponding national health authorities. RESULTS: We identified a variety of technologies in Canada, the United Kingdom, Rwanda, and Kenya being used for patient care and public health. These countries are using both video and text message-based platforms to facilitate communication with health care providers (eg, WelTel and Zoom). Nationally developed contact tracing apps are provided free to the public, with most of them using Bluetooth-based technology. We identified that often multiple complimentary technologies are being utilized for different aspects of patient care and public health with the common purpose to disseminate information safely. There was a negligible difference among the types of technologies used in both high-income and low-middle income countries, although the latter implemented virtual care interventions earlier during the pandemic's first wave, which may account for their effective response. CONCLUSIONS: Virtual care and mHealth technologies have evolved rapidly as a tool for health care support for both patient care and public health. It is evident that, on an international level, a variety of mHealth and virtual care interventions, often in combination, are required to be able to address patient care and public health concerns during the COVID-19 pandemic, independent of a country's economic standing.

Population-scale COVID-19 curfew effects on urban black carbon concentrations and sources in Kigali, Rwanda

COVID-19 lockdowns enabled researchers to examine air quality in response to economic shifts. However, sub-Saharan African studies are limited, and lockdowns in tropical countries coincided with the wet season. We provide the first record of variations (including diurnal change, daytime and nighttime curfew) in concentrations of black carbon related to fossil fuel burning (BCff) and biomass burning (BCbb) for 2020, focused on three periods: before lockdown (P1: February 8–March 21), lockdown (P2: March 22–May 3), and after lockdown (P3: May 04–June 14) in 2020, with the same periods in 2018 and 2019 used as a control. The annual average BC concentration in Kigali City was 7.8 μg/m3 in 2020. During curfew hours, BCff was reduced by 59% between P2 and P3 (not observed in previous years), which indicates that the lockdown improved transport-related air pollution in Kigali only during curfew hours. No significant change was observed in BCbb concentrations. When COVID-19 restrictions were lifted, black carbon exceeded the same period in previous years. There is evidence for a link between the decline in Rwanda's vehicle use and a reduction in BCff, suggesting that air pollution in African cities could be reduced by promoting sustainable transportation.

Industrial Wastewater Discharge and Compliance Investigation for Environmentally Resilient Rwanda

While Rwanda is aiming at environmental pollution resilience and green growth, some industries are still discharging untreated effluent into the environment. This study gives a general overview of the compliance level of industrial effluent discharge in Rwanda and the linked negative environmental impacts. It comprises qualitative and quantitative analyses of data obtained from wastewater samples collected from five selected industries in Rwanda. The selected industries had previously been audited and monitored by the Rwanda Environment Management Authority (REMA), due to complains from neighboring residents. The study found that the effluent discharge from wastewater treatment plants (WWTP) for all concerned industries failed to comply with (i) oil and grease (O&G) national and international tolerable parameter limits or the (ii) fecal coliforms national standard. In addition, a compliance level of 66.7% was observed for key water quality monitoring parameters (pH, dissolved oxygen (DO), biochemical oxygen demand (BOD), chemical oxygen demand (COD), total suspended solids (TSS), and heavy metals (i.e., lead (Pb), cadmium (Cd), and chromium (Cr)). Following these study findings, one industry was closed by the REMA for deliberately discharging untreated effluent into an adjacent river. This study recommends the adoption of the best available technology for effluent treatment, installation or renovation of existing WWTPs, and the relocation to industrial zones of industries adjacent to fragile environments.

A good egg: An evaluation of a social behavior change campaign to increase egg consumption among children in Rwanda

Childhood malnutrition, which is endemic in rural areas of low-income countries, leads to a host of deleterious outcomes such as poor cognitive development, worse educational attainment and lower lifetime wages and productivity. However, promoting the consumption of eggs among young children has emerged as a promising strategy to combat childhood malnutrition. Eggs are a convenient and readily available source of animal protein and contain nutrients that promote cell growth and brain development.Rwanda has high rates of malnutrition, particularly in its rural areas, and despite the relatively common practice of chicken rearing, one of the lowest rates of egg consumption in the world. In this dissertation, I evaluate the impact of two interventions which aim to increase the consumption of eggs among young children, using a difference-in-difference estimation strategy with propensity score matching. In the first intervention (poultry-only), participants of a large agricultural social enterprise purchased Sasso chickens, which are bred to be hearty to rural conditions, on credit, thereby increasing access to eggs. The second intervention (poultry + SBCC) arm layered on a social behavior change campaign (SBCC) of radio messages, limited in person training, text message reminders and posters, all of which aimed to encourage families to feed eggs to children. This campaign was designed based in-depth formative work that identified key motivational constraints to egg feeding. I also included a comparison area, which was supposed to have excluded any similar interventions. However, mid-way through the data collection, I discovered that this area had begun a chicken and egg distribution campaign along with an egg promotion campaign, and thus no longer served as an appropriate counterfactual to the two other study arms. Therefore, the primary analysis of interest estimated the impact of the SBCC campaign by comparing the poultry + SBCC to the poultry-only interventions.I found a relatively modest but statistically significant increase in the number of times per week respondents in the poultry + SBCC arm reported feeding eggs to children of .275 (p=.02) compared to the poultry-only arm. This low impact was possibly due to the rather limited exposure of many respondents to the campaign, as under half of respondents reported having heard the radio campaign at all. This low listenership was a somewhat anticipated artifact of using a community radio rather than the more popular national radio station, which was necessary in order to have unexposed comparison areas. In addition, in-person training and poster distribution was curtailed due to COVID-19 related restrictions. So, while the impact was rather low and unlikely to make a significant difference in nutritional outcomes, it suggests that a higher saturation campaign might achieve even greater impacts.There were important trends in the types of respondents for whom the behavior change campaign had a greater impact. Respondents who were feeding boys had a much larger impact (.417 increase in egg feeding per week, p=.002) than those who were feeding girls (.138 increase in egg feeding per week, p=.255). In addition, the campaign had a larger impact on those who were already feeding eggs to children (.629 increase in egg feeding per week, p=.004) than those who were not engaging in those practices at baseline (.256 increase in egg feeding per week, p=.002). Future campaigns should ensure higher saturation of messaging, include specific messaging around the importance of feeding girls as well as boys and could potentially target the easier to reach segment of those who were already occasionally feeding eggs to children. However, the harder to reach non-egg feeders may have greater needs and may also need to be prioritized. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

CHOGM 2022: a very African affair

CHOGM Rwanda 2022 was a very African affair, and an important reminder that, of the 54 members of the Commonwealth, 19 were from the African continent. With the recent addition of two more – Gabon and Togo – bringing the total to 56, Africa’s predominance has increased to well over a third of the membership.As we all know, this particular Commonwealth Heads of Government Meeting had been a long time in coming. Delayed by two years because of the COVID-19 pandemic, the choice of Rwanda as host signified a first: not only was Rwanda the newest member of the Commonwealth, having joined in 2009, but it was also the first country without a British colonial past to host CHOGM.With twice the amount of time to organise than would have been normal, Rwanda’s capital, Kigali, was well prepared. All the major hotels appeared to be in pristine condition, as was the Kigali Convention Centre (KCC): looking like a beehive, it was opened in 2016 at the cost of $300 million. With the variegated flags of the member countries on full display, the KCC’s most important function was as the venue for the Opening Ceremony held on a brilliant sunny morning in Kigali.

Women empowerment and health insurance utilisation in Rwanda: a nationwide cross-sectional survey.

BACKGROUND: Health insurance coverage is one of the several measures being implemented to reduce the inequity in access to quality health services among vulnerable groups. Although women's empowerment has been viewed as a cost-effective strategy for the reduction of maternal and child morbidity and mortality, as it enables women to tackle the barriers to accessing healthcare, its association with health insurance usage has been barely investigated. Our study aims at examining the prevalence of health insurance utilisation and its association with women empowerment as well as other socio-demographic factors among Rwandan women. METHODS: We used Rwanda Demographic and Health Survey (RDHS) 2020 data of 14,634 women aged 15-49 years, who were selected using multistage sampling. Health insurance utilisation, the outcome variable was a binary response (yes/no), while women empowerment was assessed by four composite indicators; exposure to mass media, decision making, economic and sexual empowerment. We conducted multivariable logistic regression to explore its association with socio-demographic factors, using SPSS (version 25). RESULTS: Out of the 14,634 women, 12,095 (82.6%) (95% CI 82.0-83.2) had health insurance, and the majority (77.2%) were covered by mutual/community organization insurance. Women empowerment indicators had a negative association with health insurance utilisation; low (AOR = 0.85, 95% CI 0.73-0.98) and high (AOR = 0.66, 95% CI 0.52-0.85) exposure to mass media, high decision making (AOR = 0.78, 95% CI 0.68-0.91) and high economic empowerment (AOR = 0.63, 95% CI 0.51-0.78). Other socio-demographic factors found significant include; educational level, wealth index, and household size which had a negative association, but residence and region with a positive association. CONCLUSIONS: A high proportion of Rwandan women had health insurance, but it was negatively associated with women's empowerment. Therefore, tailoring mass-media material considering the specific knowledge gaps to addressing misinformation, as well as addressing regional imbalance by improving women's access to health facilities/services are key in increasing coverage of health insurance among women in Rwanda.

CHOGM 2022: Rwanda hosts a well-organised revival of Commonwealth rituals

After postponements in 2020 and 2021 because of the pandemic, the Commonwealth Heads of Government Meeting (CHOGM) was finally held for two days on 24–25 June 2022 at Kigali, Rwanda. In spite of warnings as to the suitability of the venue and of possible diversion by arguments about global controversies, Kigali hosted an efficient, friendly and colourful week of consultations, with the leaders’ meetings preceded by four non-governmental forums, several significant side events, and pre-CHOGM ministerial meetings. The Republics of Togo and Gabon were accepted as new members. Secretary-General Baroness Patricia Scotland was retained to complete a second four-year term. © 2022 The Round Table Ltd.