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Complete health documentation during childbirth can reduce complications and improve maternal and foetal outcomes. One such document is the partograph which allows health workers to record and follow the labour progress. However, the completion rates of partograph remain low in some hospitals. This study describes the implementation of a quality improvement project to increase the completion rate of partograph in a district hospital in Rwanda.

The project team tackled the root cause of partograph incompletion by implementing a labour monitoring guideline, assigning patients and duties to midwives and by providing support and supervision.

The intervention successfully increased overall partograph completion rates from 11 to 61 per cent, p < 0.001. This study also showed that completeness of the partograph was statistically associated with a decrease in foetal deaths and higher Apgar score with p < 0.001 for both.

This study describes the establishment of a quality improvement project following the strategic problem solving approach to increase the completion rate of partograph documentation. The intervention was simple, data-driven and cost-neutral. The team achieved its objectives by integrating staff input, obtaining commitment from the multidisciplinary team and applying leadership skills.

The results are useful for hospitals in limited resources settings wishing to improve overall partograph completion and improve foetal and maternal outcomes during labour, in an efficient and cost-neutral way.

If ever Africa had disappeared, it has now reappeared on the maps of investors seeking for land and resources. The entire continent seems to have become attractive for international financial institutions, which intensify their recommendations to single national Governments in order for them to further remove obstacles and make Africa an “ever better place to do business”.

Rwanda represents an emblematic example of the rapidity and size of transformations Africa is faced with, which touch every sector, from the land ownership model to the modes of land use, from the distribution of population, to the construction of infrastructure.

It is a fertile country, with a good water supply and two crop seasons, and is almost entirely cultivated. The majority of the inhabitants work the land, and subside thanks to agriculture. Today, however, the Government's goal, synthetically expressed in the slogan that defines the future of Rwanda as Africa's Singapore (Vesperini, 2010), is the modernization of agriculture, and the reduction of its weight in favour of a service economy. The most visible effects of this approach are the expulsion from the countryside of a huge number of families which lose any type of sustainment, and the grouping of many small plots in large territorial extensions which are often given for long term use to multinational agribusiness corporations. The transformation of agriculture is accompanied by the redistribution of population, traditionally settled in scattered patterns across the whole country. The massive migration from the countryside is explicitly sought by Government, whose target is to reach, by 2020, a 35% urbanization rate up from today's 18%.

The three issues, total and unconditional opening to foreign investment, population resettlement and transformation of the agricultural activities, which are the pillars of the development programs initiated by Government and international advisors, are producing dramatic changes on the physical and built environment, and affect the living conditions of the weakest groups (White, Borras, Hall, Scoones, Walford, 2012).

The paper proposes a reflection on themes which have general relevance, but which also need to be locally grounded. Of particular importance are urbanization, the relationship between towns and countryside, and the relationship between social and economic structure and territorial planning.

In 2012 the author took part as consultant to the drafting of the Urbanization sector strategic plan 2012-2017. The views expressed here are personal and do not in any way represent the Government or Institutions’ point of view.

This paper aims to assess the knowledge, perceptions and mental health impact of COVID-19 among students in Rwanda.

This paper is a cross-sectional online survey questionnaire.

The mean knowledge score among the 375 respondents was 75.14% (SD ± 19.1), with 195 (55.1%) of the respondents scoring below 80%. Students who believed that COVID-19 education was sufficient were more likely to have lower knowledge levels (OR = 1.84, 95% CI = 1.15; 2.94). While most respondents were aware of their vulnerability to the virus, they did not see themselves at risk of becoming infected. The percentage of respondents reported to have some form of mental health issues was 49.7%. The three most important factors in influencing mental health were age, history of mental health issues, and the way news was reported. Education quality was less affected for those who received online schooling (OR = 0.55, 95% CI = 0.33, 0.94).

Education about COVID-19 should be strengthened by capitalizing on existing online and offline learning platforms to frequently update new or changing information.

This paper was the first study assessing the knowledge, perception and mental health impact of COVID-19 among Rwanda students.

The main purpose of this paper is to establish whether trust plays a significant mediating role in the relationship between access to microcredit and survival of young women microenterprises in under-developed financial markets in sub-Saharan Africa. The main focus of this paper is to specifically test whether relational social capital built by young women from homogeneous and heterogeneous groups can be more effective in promoting economic exchange in under-developed financial markets since interpersonal trust has recently been found to harbor group collusion, especially among kins. Overall, the paper distinguishes trust among individuals based on their age, gender and ethnic diversity.

This study used structural equation model to test whether trust significantly mediates the relationship between access to microcredit and survival of young women microenterprises using Analysis of Moments Structures (AMOS) based on recommendations by Hair et al. (2022) and Baron and Kenny (1986).

The findings from this study revealed that trust significantly and positively mediate the relationship between access to microcredit and survival of young women microenterprises in under-developed financial markets in sub-Saharan Africa. Trust developed from relational social capital among young women from homogeneous and heterogeneous groups create a stronger basis for economic exchange in under-developed financial markets.

While this study generates a positive evidence on the impact of access to microcredit on survival of young women microenterprises, the results cannot be over emphasized and generalized because the data were collected from only a single developing country. Future research may extend the current study to include other developing countries to make a more justified comprehensive analysis.

The findings from this study highlights the importance of using a blend of social policy guided by norms combined with formal regulations as an informal contract enforcement mechanism to achieve efficient economic exchange in under-developed financial markets. Relational social capital formed on the basis of informal norms among groups from diverse population can supplement formal laws to enforce contractual obligations in microcredit access, especially among youthful microentrepreneurs, who seems to have stronger relational behaviors than adults. Financial institutions such as banks should use informal contract enforcement system to increase the scope of financial inclusion of young microentrepreneurs, especially in unbanked rural communities in sub-Saharan Africa, Uganda inclusive where formal laws are weak and sometimes not functional. The findings also show that younger people have a stronger relationship behavior than adults. Therefore, policy should create structures that can promote social activities among youth. Governments in sub-Saharan Africa, Uganda inclusive through their respective Ministry of Gender, Labour and Youth Affairs should create youth clubs that can increase interaction and relational social capital among the younger population to derive economic empowerment. sub-Saharan African governments, Uganda inclusive should rely more on social policy based on relational social capital as a missing link to promote and achieve economic development.

This paper provides an evidence on the unique role of age, gender and ethnicity in information sharing and exchange based on social policy in the financial market to limit group collusion. The authors indicate that diversity in relational social capital among young women microentrepreneurs prohibit strategic defaults, which promotes access to microcredit for survival of women micro small and medium enterprises (MSMEs) through socialization. High level of interaction among younger women microentrepreneurs from homogeneous and heterogeneous groups allow them to close the information gap to timely meet borrowing contractual obligations to derive economic benefits. The paper shows that younger women have more trust than older women while searching for economic value through socialization. In fact, social policy can wholly supplement formal policy to promote growth and survival of young women microenterprises, especially in sub-Saharan Africa, Uganda inclusive.

Higher education can offer hope and a way forward for vulnerable populations. In particular, access to internationally recognized degrees and credentials has the potential to be a key protection priority for refugee populations, opening alternative solutions to displacement through economic empowerment and increased mobility.

While innovations in online learning have opened new pathways, the delivery of higher education to refugee learners in resource-deprived settings – including camps and urban environments – remains notoriously challenging. Therefore, there is an imperative to draw upon lessons learned from existing programs in order to identify promising practices and emerging innovations.

In this chapter, we draw on our experiences of developing a higher education model for refugee and vulnerable learners to argue that successful delivery of accredited degrees to populations affected by forced displacement relies upon the following three key elements:

• 1)

  Flexible mode of degree delivery and assessment.

• 2)

  Robust blended learning model with in-person academic support.

• 3)

  Provision of adaptive and context-specific interventions and resources.

Flexible mode of degree delivery and assessment.

Robust blended learning model with in-person academic support.

Provision of adaptive and context-specific interventions and resources.

The case study for this chapter is an initiative called the Global Education Movement at Southern New Hampshire University, which delivers accredited degrees to refugee and refugee-hosting populations in five countries. Evidence from the program in Rwanda, operated in partnership with a local partner, Kepler, suggests it is possible for a full degree program to be successful in reaching vulnerable learners, including refugees.

This study aims to develop and test a framework for studying the failure of new women entrepreneurs in the small- and medium-sized enterprises (SMEs) sector.

Using a sample of 114 unsuccessful entrepreneurs in Kigali, Rwanda, this study aimed to identify key failure factors of women-owned SMEs. This study used mixed methods where quantitative data were analysed using the principal component approach with Varimax rotation to reduce the variables to only three clusters.

The study findings revealed that the failure of women-owned SMEs results from the entrepreneur’s inability followed by the enterprise incompetence, which are both internally controllable factors and the inauspicious business environment. These findings contribute to the validity of the dynamic capability theory by explaining how well internal and external factors must stay glued together to avoid failure among women-owned SMEs, something that was not yet previously well documented so far.

New SMEs are considered a noteworthy constituent of Rwandan development. Unfortunately, most new SMEs, in general, do not grow; their failure rate is high (70%), which raised many worries for both researchers and policymakers as to why this occurs at this stage of business growth. Therefore, to the best of the authors’ knowledge this paper is the first to analyse the reasons for the failure of Rwandan women-owned SMEs in the service sector. These findings are important because they suggest that policies designed to reduce the incidence of SMEs’ failure should take account of the two main factors influencing failure among women entrepreneurs.