Theogene Uwizeyimana

AbstractThe COVID‐19 pandemic has caused significant disruption to global healthcare systems, including Rwanda's. Rwanda has taken measured actions in response to the pandemic using a multisectoral and one‐government approach. The introduction of the COVID‐19 vaccine boosted the hope of many people but has left debates on the measure of the population required to attain herd immunity. Herd immunity threshold (HIT) was introduced to track progress toward containing COVID‐19. HIT represents the number of people with long‐term immunity from COVID‐19. World Health Organization (WHO) established population vaccination targets for all countries worldwide, which included 40% coverage of the entire population by the end of 2021 and 70% by June 2022. In this paper, we discussed the efforts and progress that have been made so far toward achieving herd immunity in Rwanda.

Health systems play a critical role in providing services that aim to improve, promote, restore, or maintain the health of communities. Unfortunately, health systems in low-income countries are fragile, having an adverse effect on the health of the population. Whereas international development aid remains crucial in strengthening health systems in low-income countries (LICs), COVID-19 has induced changes in the dynamics in the availability, provision and access to international development aid. These changes have aggravated the already weak health systems of LICs. Understanding the effects of the COVID-19 pandemic on the distribution of international development aid and how these effects impacted on the quality of the health systems in response to the outbreak is critical to improving the health of populations in LICs. This article discusses the impact of the challenges faced by LICs in the context of international development aid needed for the development of health systems.