health facilities and the maternal mortality rate has decreased from 750/100,000 live births in 2005/6 to 476/100,000 in 2010/11 and 210/100,000 in 2015. 131. Rwanda’s health and medical sector has quite a number of health centres, clinics and dispensaries, as well as government-owned and private hospitals. The primary hospitals include the University Central Hospital of Kigali (CHUK) and King Faisal Hospital, located in Kigali, and the University Central Hospital of Butare (CHUB), in Rwanda’s second city. The Ministry of Health maintains a registry of all Rwandan health facilities. Mental health care services are run by the Mental Health Coordination Office under the Ministry of Health. The National Health Policy of 2015 considers mental health as a priority and insists that mental healthcare services be included in all health structures of the national health system and that mental health problems be taken into account at the community level. 132. The mental health services are effectively decentralized and all of the country's District Hospitals (43) deliver mental healthcare services. This effort is further pursued by targeted training for nurses of the healthcare centres and for community health workers. To remedy the shortage of staff with a psychiatry education background in cooperation with the University of Rwanda, a third specialization cycle in psychiatry was launched at the start of the academic year 2013. Therefore, acting as an intervention designed to suit the emerging needs and training of specialists to ensure quality of mental health care. 133. Since 2013, the number of medical staff have been increasing to about 171 Medical Specialists, 520 General Practitioners, and 22 Master’s holders in Nursing, 147 A0 Nurses, a total of 2536 registered Nurses including, 492 Midwives and 6163 A2 Nurses. Rwanda healthy sector aims at having 1,170 specialized doctors, 7,000 Registered Nurses and Midwives and 2,200 General practitioners by 2019. 134. Rwanda has 213 ambulances distributed in all 30 districts meaning about 7 ambulances per district. The government has also invested in improving access and proximity to health services. The government launched an intensive construction of health centres in 2014 with a target for every Page 49 of 105

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