Rwanda’s Efforts towards MDGs and ICPD Consultations on SRH meeting Serena, Kigali, September 27 th 2012

 Milestones towards our Vision 2020 & Medium Term Socio-economic plan (EDPRS)  MDGs helped focus on strategic priorities and have been adapted to the local context  Monitoring and Evaluation of ICPD and MDGs is also integrated to the national M&E system  The National Dialogue discusses progress on MDGs  A decade ago (and at time of Cairo ICPD94), the situation in Rwanda was worse than in the early 90s, so it required strong focus and commitment. What do internationally agreed Goals (MDGs & ICPD) mean to us?

Poverty levels are reducing…. More than one million Rwandans got out of poverty More in rural(13.2%) than urban(6.4%) => reduced inequality We can achieve MDG 1(30.2%)

With Food Security, malnutrition is being eradicated… 3 MDG on under-five malnutrition already achieved(we are at 11% while MDG target was 14.5%)

Allow to show you the situation by 2005, Rwanda was off-Track for MDG1

MDG1: Eradicate Extreme Poverty & Hunger, We are now on track for MDG1

 High economic growth rates since 2000  EDPRS 1  Since 2008, higher growth rates in agriculture  The Vision 2020 Umurenge (VUP) flagship program of Rwanda’s EDPRS  The one-cow per family (Girinka) program  The Ubudehe program allows the community to be part of the solution to reduce their poverty  Challenges remain post-2015  For sustainability of results => EDPRS 2 MDG1: Eradicate Extreme Poverty & Hunger

/ target Status Net primary enrolment (%) Completion rate in primary school (%) 62 N/A 70 N/A On track MDG2: Universal Primary Education  Enrolment has increased with introduction of fee- free 9 year basic education  …..But quality proved to be a big challenge.

 Facing arising challenges:  Managing access shock:  Need to build more schools and train more teachers (pupil to teacher ratio from 51 in 2000 to 64 in 2009)  Increase availability of textbooks and teaching aide  Managing financial sustainability of fee-free basic education  Education solidarity fund (for vulnerable children) at district level  Since 2003 capitation grants to schools were introduced  Quality also implies adequacy to labour market needs MDG2: Universal Primary Education

latest2015 target Status Women participation in parliament (%) Gender equality: primary education & secondary education N/A Done  In 2003, new Constitution giving at least 30% of seats to women  Laws discriminating against women have been abolished  Changing culture is not as easy as amending laws (domestic violence, economic empowerment move slower) MDG3: Gender Disparity

MDGs 4 and 5: a healthier population Maternal mortality Under- five mortality

 Facing arising challenges:  Child and Maternal mortality ratios need reducing further  Introduction of Community Health Workers is instrumental in getting children treated within 24hours of onset of fever, pneumonia and diarrhea (leading causes of childhood deaths)  Increase access to reproductive health services (family planning: unmet FP need at 19%), improving antenatal and emergency obstetrical care  Quality of health care in general MDG 4&5: Child & Maternal Mortality

target Status HIV prevalence in population aged (%) Malaria related deaths (%) N/A On track On Track MDG6: HIV/AIDS, Malaria & other Diseases  Access to ARVs increased to reach universal access (covered under health mutuelles)  Pregnant women and children under 5 getting free impregnated bednets (75% of U5 in 2010).  Ongoing National campaign “eradicating malaria in Rwanda”

/ Target Status Land area covered by forest (%) NA On track Terrestrial area protected (%) On track Access to improved water source (%) N/A On track Access to improved sanitation NA On track  Protection against soil erosion, banning the use of plastic bags, planting trees but challenge of adaption MDG7: Environment Sustainability

4 selected lessons to build on…  Working together – with participation of population (e.g. Fast tracking 9YBE, Agriculture CIP, Health achievements) – it has proven cost effective and rapid  Many home-grown initiatives turning into success stories  Putting in place the adequate institutional/ legal framework for implementation –(e.g. RDB, REB, EWSA, etc.)  Improved service delivery where ICT has been well mainstreamed (e.g. Immigration services, business registration, financial sector, IFMIS, etc.)  Ownership of and alignment of resources have made the V2020, MDGs and the EDPRS useful guiding strategies 14

Conclusion  All MDGs in Rwanda are achievable: there has been substantial progress in many areas over the last decade  We need to keep up and/or scale up efforts for greater impact – in some areas  Also need to deliver on economic progress to strengthen impact and ensure sustainability of results  Faster and improved delivery: There is a sense of urgency to achieve set targets!! “ We do not allow statistics make us forget that we are dealing with Rwandan people’s lives”

THANK YOU