Child survival

Child survival & development

UNICEF in action

Key achievements



UNICEF in action

UNICEF Rwanda/2015/Lepola
© UNICEF Rwanda/2015/Lepola

Rwanda has made impressive progress towards expanding access to quality care and services. These efforts have significantly reduced rates of child and maternal mortality, malnutrition, and new HIV infections and HIV-related deaths; gains have also been made in expanding access to safe water supplies and sanitation services throughout the country. This progress needs to be accelerated and sustained, however, in order to achieve Rwanda’s goal in these critical areas. Under the umbrella of the One UN, UNICEF will continue to support the Government of Rwanda’s efforts to ensure that young children, adolescents and women have equitable access to improved, high-impact services, including for health; HIV; nutrition; and water, sanitation and hygiene (WASH). UNICEF will contribute to these efforts by strengthening policies, building the capacity of systems, and changing behaviours, with a focus on:
  • Developing and improving national and district-level systems to coordinate, implement and monitor pro-nutrition, evidence-based interventions.
  • Strengthening health systems to ensure that young children, adolescents and women have equitable access to essential health services.
  • Increasing equitable access to safe water and improved sanitation and hygiene services in communities, schools and health centres throughout Rwanda.
  • Improving access to quality PMTCT services, HIV/AIDS prevention, treatment and care services for young children, adolescents and women.
In the WASH sector, UNICEF, through strong multisectoral partnership with the government, will contribute towards the efforts of the Government of Rwanda to reduce mortality and morbidity due to WASH-related diseases and child stunting, as well as improvement of gender equality and education outcomes through accelerating access to improved water and sanitation facilities in communities, schools and health centres and promotion of safe hygiene practices. The UNICEF assisted WASH programme will also support strengthening of institutional and policy frameworks in the WASH sector, with strong focus on sustainability, as well as improved sector coordination and knowledge management.

Expected results

The overall objective of UNICEF’s Child Survival & Development programme is to ensure that infants, children, adolescents and pregnant women are able to access quality, life-saving health, nutrition, WASH and HIV and AIDS services. To achieve this result, continued efforts will be made to ensure that:
  • National policies and strategies are updated with a focus on further reducing child and maternal mortality, malnutrition, gaps in access to water and sanitation, and new HIV infections and HIV-related mortality.
  • Districts have functional multisectoral coordination mechanisms for planning, implementing and tracking progress on stunting reduction.
  • Health facilities and health workers have adequate capacity–including supplies, equipment and skills to deliver high-impact nutrition, health, HIV and hygiene promotion interventions.
  • Communities, schools and health facilities have access to improved water and sanitation facilities.
  • Priority districts have strengthened capacity to coordinate and deliver combined HIV prevention services for adolescents, including the most at risk.
  • A system is established at national and subnational levels to monitor and sustain health, nutrition, HIV and WASH services and outcomes for mothers and children.
  • Community and household capacities are enhanced to demand and access quality child survival and development services at national and subnational levels.



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