University of Rwanda

Facilitators and barriers influencing the provision of prehospital care following road traffic crashes in Rwanda: a descriptive qualitative study

Prehospital care is essential for improving outcomes among road traffic injury victims. In low- and middle-income countries such as Rwanda, prehospital healthcare providers often face contextual barriers that may hinder timely and effective care, while certain facilitators may su...

Equity in digital palliative care: a scoping review of disparities and facilitators

Digital health technologies offer significant potential to enhance palliative care delivery but concerns persist regarding equitable access across diverse populations. This scoping review maps the existing literature on digital palliative care interventions, identifies barriers a...

Assessment of growth and survival rate of native tree species across COMBIO project areas in Eastern Province of Rwanda

Abstract Restoration of degraded land and deforested landscapes using native tree species has been claimed important in addressing global environmental challenges. In Rwanda, the COMBIO project aims at restoring the degraded lands and forests in the Eastern Province using native...

Cost-consequence analysis and patient-reported outcomes of vitreoretinal surgery in Rwanda: a health economics feasibility study

Abstract Background Investment in vitreoretinal (VR) surgery in sub-Saharan Africa (SSA) is constrained by perceptions of high cost and limited benefit, yet no economic evaluations exist to inform policy decisions. This study assessed the feasibility of conducting economic evalua...

Comprehensive investigation of intermittent large-amplitude excursions in the memristive Hindmarsh-Rose neuron model

Abstract This study systematically investigates intermittent large-amplitude oscillations across all three state variables of the memristive Hindmarsh–Rose neuron model. The large-amplitude excursions, arising from interior crisis-induced intermittency, are first identified throu...

The impact of financial shocks on the continued use of clean cooking technologies in Sub-Saharan Africa: evidence from Nigeria

Clean cooking represents an important pathway through which households in Sub-Saharan Africa can contribute to environmental sustainability and improve health outcomes. While previous studies have primarily examined the determinants of initial adoption of clean-cooking technologi...

A Systematic Review of Randomised Field Trial Methodologies for Evaluating District Hospital System Adoption in Rwanda, 2000–2026.

{ "background": "The evaluation of health system innovations in low-resource settings requires robust methodologies to measure real-world adoption. Randomised field trials (RFTs) are considered a gold standard for impact evaluation, yet their specific application and methodologic...

Trio exome sequencing in patients with global developmental delay and intellectual disability in Rwanda

Intellectual disability (ID) and global developmental delay (GDD) are clinically and genetically heterogeneous conditions characterized by impairments in cognitive, motor, and behavioral functions. Despite advances in genomic medicine, individuals of African ancestry remain signi...

A Systematic Review of Randomised Field Trial Methodologies for Evaluating District Hospital System Adoption in Rwanda, 2000–2026.

{ "background": "The evaluation of health system innovations in low-resource settings requires robust methodologies to measure real-world adoption. Randomised field trials (RFTs) are considered a gold standard for impact evaluation, yet their specific application and methodologic...

Prevalence of burnout among practising anaesthesia providers: a systematic review

Summary Introduction Burnout is characterised by emotional exhaustion, depersonalisation and reduced personal accomplishment. Anaesthesia providers are at particular risk of experiencing burnout, with implications for workforce well‐being and patient safety. We aimed to quantify...

Histological placental abnormalities and associated factors among malaria smear-positive women delivering at two tertiary hospitals in Uganda: a comprehensive multicenter cross-sectional study

Malaria in pregnancy may disrupt placental structure and function, but evidence describing placental abnormalities among malaria-positive women in Uganda remains limited. This study determined the prevalence and patterns of gross and histological placental abnormalities and exami...

Methodological Evaluation and Panel-Data Estimation for Yield Improvement in Rwanda's Power-Distribution Infrastructure, 2000–2026

{ "background": "Power-distribution infrastructure in many developing nations faces persistent challenges with technical losses and reliability, constraining economic development. A rigorous, data-driven methodology for evaluating equipment performance and forecasting yield impro...

Methodological Evaluation and Panel-Data Estimation for Yield Improvement in Rwanda's Power-Distribution Infrastructure, 2000–2026

{ "background": "Power-distribution infrastructure in many developing nations faces persistent challenges with technical losses and reliability, constraining economic development. A rigorous, data-driven methodology for evaluating equipment performance and forecasting yield impro...

Censoring balancing functions for weighted log-rank tests

Censoring is a common feature of survival data. Weighted log-rank tests are widely used to compare survival curves representing different treatments under study, but their performance is often negatively affected by censoring. In this work, censoring balancing functions (CBFs) ar...

Boosted training strategy for physics-informed neural networks in modeling non-linear computer virus dynamics with vertical transmission

Computer-virus propagation in networked systems is often modeled by epidemic-type derivative equations. Still, standard quantitative solvers can become computationally demanding and may exhibit small stability for long-term predictions. This work develops a Physics-Informed Neura...

Using explainable machine learning for early detection of diabetic kidney disease in Rwandan diabetic patients

Abstract Background The global prevalence of diabetes is increasing, often leading to complications such as diabetic kidney disease (DKD). Uncontrolled blood glucose and hypertension are key risk factors that progressively impair kidney function, potentially resulting in kidney f...

Five-year survival and prognostic factors of cervical cancer (stages I-IV) in Rwanda: a population-based analysis, 2017–2021

Cervical cancer remains a leading cause of cancer-related mortality among women in low- and middle-income countries. This study assessed five-year survival and prognostic factors among patients diagnosed with cervical cancer in Rwanda. We conducted a population-based retrospectiv...

Antimicrobial stewardship in practice: determinants of prescription behaviour and developing interventions to improve surgical prophylaxis in a Rwandan tertiary hospital—a mixed methods study using the behaviour change wheel

BACKGROUND: Behavioural sciences should be used to design and improve antimicrobial stewardship (AMS) interventions aiming surgical prophylaxis (SP). METHODS: A mixed-methods study at the University Teaching Hospital of Kigali, Rwanda. The study included an audit on SP practices...

An edge AIoT framework for optimizing the placement of integrated soil sensors in agricultural wireless sensor networks

Edge Artificial Intelligence of Things (AIoT) optimization of integrated soil sensor networks is essential for intelligent, data-driven precision agriculture. However, achieving adequate field coverage while minimizing deployment costs is challenging, especially with integrated s...

Assessment of unsuppressed viral load and its determinants among pregnant and breastfeeding women living with HIV in the prevention of vertical transmission programme in Bugesera District, Rwanda, 2023

Abstract Background Prevention of vertical transmission (PVT) of HIV programs are designed to prevent the transmission of HIV during pregnancy and breastfeeding. Nevertheless, attaining viral suppression among mothers living with HIV remains a major challenge, especially in resou...