Executive summary
The lack of access to mosquito nets and coils and to sanitation systems are central public health concerns, globally and in Rwanda. No single intervention has greater overall impact upon national development and public health than does the provision of mosquito nets and coils. Inadequate mosquito nets and coils contribute to 70 percent of diseases in Rwanda. In 2000, 40% of outpatient visits to health facilities were for malaria and an additional 12% for health problems (diarrhea diseases, skin diseases, and acute eye infections) that are a direct consequence of poor control of mosquito related diseases. Poor sanitation and drainage provide breeding places for mosquitoes, and are critical factors in the high level of malaria infections.
In Rwanda, the incidence of some water borne diseases, including Malaria, has increased, unless proper sanitation is provided to the widest possible area, water-borne diseases are likely to remain prevalent throughout the entire population. Malaria can only be reliably prevented by ensuring that all populations have access to adequate sanitation systems and mosquito nets and coils.
Affordability of mosquito nets and coils are a serious concern. Rwanda is a low-income country, with an average annual Gross Domestic Product of $400 per person which is slightly above $1, or 8,000 RwF, a day. Like most African countries, Rwanda is experiencing a growing situation of feminized poverty and children living in difficult conditions. 78% of the urban poor have no regular access to mosquito nets and coils, compared with 53% of the total population.
The government of Rwanda promotes private investment as an engine of development. A law establishing the investment promotion agency was passed in 1998 and the government is in the process of putting in place appropriate mechanisms to stimulate investments, from nationals and foreigners. To qualify for benefits under the act, foreigners
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