Binagwaho, AgnesFarmer, E. PaulNsanzimana, SabinKarema, CorineGasana, MichelNgirabega, Jean de DieuNgabo, FideleWagner, Claire MNutt, Cameron TNyatanyi, ThierryGatera, MauriceKayiteshonga, YvonneMugeni, CathyMugwaneza, PlacidieShema, JosephUwaliraye, ParfaitGaju, ErickMuhimpundu, Marie AimeeDushime, TheophileSenyana, FlorentMazarati, Jean BaptisteGaju, Cesla MuzayireTuyisenge, LisineMutabazi, VincentKyamanywa, PatrickRusanganwa, VincentNyemazi, Jean PierreUmutoni, AgatheKankindi, IdaNtizimira, ChristianRuton, HindaMugume, NathanNkunda, DenisNdenga, EspéranceMubiligi, Joel MKakoma, Jean BaptisteKarita, EtienneSekabaraga, ClaudeRusingiza, EmmanuelRich, Michael LMukherjee, Joia SRhatigan, JosephCancedda, CorradoBertrand-Farmer, DidiBukhman, GeneStulac, Sara NTapela, Neo MHolstein, Cassia van der HoofShulman, Lawrence NHabinshuti, AntoinetteBonds, Matthew HWilkes, Michael SLu, ChunlingSmith-Fawzi, Mary CSwain, JaBaris DMurphy, Michael PRicks, AlanKerry, Vanessa BBush, Barbara PSiegler, Richard WStern, Cori SSliney, AnneNuthulaganti, TejKarangwa, InjongePegurri, ElisabettaDahl, OpheliaDrobac, Peter C2022-04-072022-04-072014Binagwaho, A., Farmer, P.E., Nsanzimana, S., Karema, C., Gasana, M., de Dieu Ngirabega, J., Ngabo, F., Wagner, C.M., Nutt, C.T., Nyatanyi, T. and Gatera, M. (2014). Rwanda 20 years on: investing in life. The Lancet, 384(9940), pp.371-375.0140-67361474-547Xhttp://hdl.handle.net/20.500.12280/2922Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the effects of a devastated health system and economy. In the years that followed, a new course set by a new government set into motion equity-oriented national policies focusing on social cohesion and people-centred development. Premature mortality rates have fallen precipitously in recent years, and life expectancy has doubled since the mid-1990s. Here we reflect on the lessons learned in rebuilding Rwanda’s health sector during the past two decades, as the country now prepares itself to take on new challenges in health-care delivery.enRwandaInjury and traumahealth systemPremature mortality ratesHealth-care deliveryArticle