The AIDS epidemic began in the early 1980s and has since become one of the world’s most difficult and devastating health hurdles to overcome. Due to the quick rise of HIV/AIDS in Rwanda, there was poor public understanding of how the disease spread, causing misinformation and fear. In Rwanda, before the turn of the century, there was little awareness of the dangers of HIV/AIDS and no prevention of mother-to-child transmission. From around 1996 to 1998, cases of HIV in the country peaked, only exacerbating the already permeating stigma and misinformation associated with the disease. Since 2005, however, rates of HIV/AIDS in Rwanda have relatively stabilized due to the persistent efforts of the Ministry of Health in Rwanda and international organizations.
Rwandan Ministry of Health Initiatives
The Ministry of Health combats the stigma surrounding HIV/AIDS by updating its HIV guidelines every two years to curb the spread of misinformation, the World Health Organization (WHO) reports. Furthermore, it promotes age-specific counseling and medical training to help patients who have contracted the disease. Their media campaigns like “STOP SIDA” have also spread awareness for HIV prevention and treatment. The Ministry has increased its HIV testing efforts to catch the disease earlier. Consequently, new HIV infections have decreased by 56% over the last 15 years, according to WHO.
United States Support
The United States President’s Emergency Plan for AIDS Relief (PEPFAR) is just one program that provides medical aid to combat HIV/AIDS in Rwanda. PEPFAR supports more than 50 countries around the world to prevent HIV infections and control the pandemic. Both PEPFAR and the Center for Disease Control and Prevention (CDC) partner with the Rwandan Ministry of Health in their efforts against the spread of HIV/AIDS. This has proven quite effective and the life expectancy of those with HIV who receive treatment has increased by more than 25 years as a result. Of approximately 250,000 infected persons in Rwanda, around 210,000 of them are actively being treated for HIV, a great increase from the 1990s when there was little awareness of the disease at all.
United Nations’ Efforts
The United Nations began the Joint United Nations Programme on HIV/AIDS (UNAIDS) in 1996 to fight AIDS around the world. In Rwanda, UNAIDS has expanded HIV testing services to 99% of the country’s health facilities and prioritized prevention. The program also encourages outreach in communities with high rates of HIV infections. Moreover, UNAIDS implemented the 90-90-90 target as its goal for 2020, which consisted of diagnosing 90% of all people infected by HIV, 90% of those diagnosed beginning antiretroviral therapy (ARV) and 90% of those on ARVs having fully suppressed viral load.
The Present Day
A 2018/2019 study found that HIV among adults in Rwanda was as low as 3%. Research also revealed lower rates of HIV in younger generations than their older counterparts, indicating successful prevention measures in the country. With a negative trend in cases of HIV, it is clear the efforts against HIV/AIDS in Rwanda have proven successful and will continue to decline over time.
– Hannah Hipólito
Hannah is based in Tampa, FL, USA and focuses on Good News and Politics for The Borgen Project.
Photo: Flickr