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Published in: BMC International Health and Human Rights 1/2016

Open Access 01-12-2016 | Debate

Early childhood development in Rwanda: a policy analysis of the human rights legal framework

Authors: Agnes Binagwaho, Kirstin W. Scott, Sardis H. Harward

Published in: BMC International Health and Human Rights | Issue 1/2016

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Abstract

Background

Early childhood development (ECD) is a critical period that continues to impact human health and productivity throughout the lifetime. Failing to provide policies and programs that support optimal developmental attainment when such services are financially and logistically feasible can result in negative population health, education and economic consequences that might otherwise be avoided. Rwanda, with its commitment to rights-based policy and program planning, serves as a case study for examination of the national, regional, and global human rights legal frameworks that inform ECD service delivery.

Discussion

In this essay, we summarize key causes and consequences of the loss of early developmental potential and how this relates to the human rights legal framework in Rwanda. We contend that sub-optimal early developmental attainment constitutes a violation of individuals’ rights to health, education, and economic prosperity. These rights are widely recognized in global, regional and national human rights instruments, and are guaranteed by Rwanda’s constitution. Recent policy implementation by several Rwandan ministries has increased access to health and social services that promote achievement of full developmental potential. These ECD-centric activities are characterized by an integrated approach to strengthening the services provided by several public sectors. Combining population level activities with those at the local level, led by local community health workers and women’s councils, can bolster community education and ensure uptake of ECD services.

Conclusions

Realization of the human rights to health, education, and economic prosperity requires and benefits from attention to the period of ECD, as early childhood has the potential to be an opportunity for expedient intervention or the first case of human rights neglect in a lifetime of rights violations. Efforts to improve ECD services and outcomes at the population level require multisector collaboration at the highest echelons of government, as well as local education and participation at the community level.
Literature
1.
go back to reference World DataBank. Health Nutrition and Population Statistics. Accessed September 25, 2014. World DataBank. Health Nutrition and Population Statistics. Accessed September 25, 2014.
2.
go back to reference World DataBank. World Development Indicators. Accessed September 25, 2014. World DataBank. World Development Indicators. Accessed September 25, 2014.
4.
go back to reference Walker SP. Inequality in early childhood: Risk and protective factors for early child development. Lancet. 2011;378:1325–38.CrossRefPubMed Walker SP. Inequality in early childhood: Risk and protective factors for early child development. Lancet. 2011;378:1325–38.CrossRefPubMed
11.
go back to reference Fernald LCH. Socioeconomic gradients and child development in a very low income population: Evidence from Madagascar. Dev Sci. 2011;14:832–47.CrossRefPubMed Fernald LCH. Socioeconomic gradients and child development in a very low income population: Evidence from Madagascar. Dev Sci. 2011;14:832–47.CrossRefPubMed
12.
go back to reference Belchew T. Food insecurity, school absenteeism and educational attainment of adolescents in Jimma Zone Southwest Ethiopia: A longitudinal study. Nutri J. 2011;10:29–38.CrossRef Belchew T. Food insecurity, school absenteeism and educational attainment of adolescents in Jimma Zone Southwest Ethiopia: A longitudinal study. Nutri J. 2011;10:29–38.CrossRef
15.
go back to reference Binagwaho A. Rwanda 20 years on: Investing in life. Lancet. 2014;383:1–5.CrossRef Binagwaho A. Rwanda 20 years on: Investing in life. Lancet. 2014;383:1–5.CrossRef
16.
go back to reference Basinga P. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: An impact evaluation. Lancet. 2011;377:1421–8.CrossRefPubMed Basinga P. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: An impact evaluation. Lancet. 2011;377:1421–8.CrossRefPubMed
17.
go back to reference World DataBank. Millennium Development Goals. Accessed September 25, 2014. World DataBank. Millennium Development Goals. Accessed September 25, 2014.
18.
go back to reference Karema C. Trends in malaria cases, hospital admissions and deaths following scale-up of anti-malarial interventions, 2000–2010, Rwanda. Malaria J. 2012;11:236–48.CrossRef Karema C. Trends in malaria cases, hospital admissions and deaths following scale-up of anti-malarial interventions, 2000–2010, Rwanda. Malaria J. 2012;11:236–48.CrossRef
20.
go back to reference Bacugu M. Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review. Reprod Health Matters. 2012;20:50–61.CrossRef Bacugu M. Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review. Reprod Health Matters. 2012;20:50–61.CrossRef
21.
go back to reference Ngabo F. Designing and implementing an innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda. Pan Afr Med J. 2012;13:31.PubMedPubMedCentral Ngabo F. Designing and implementing an innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda. Pan Afr Med J. 2012;13:31.PubMedPubMedCentral
22.
go back to reference Hayman R. Are the MDGs enough? Donor perspectives and recipient visions of education and poverty reduction in Rwanda. Int J Educ Dev. 2007;27:371–82.CrossRef Hayman R. Are the MDGs enough? Donor perspectives and recipient visions of education and poverty reduction in Rwanda. Int J Educ Dev. 2007;27:371–82.CrossRef
26.
go back to reference Republic of Rwanda Ministry of Gender and Family Promotion. Gender Cluster Strategic Plan 2010–2012. Kigali, Rwanda. Republic of Rwanda Ministry of Gender and Family Promotion. Gender Cluster Strategic Plan 2010–2012. Kigali, Rwanda.
Metadata
Title
Early childhood development in Rwanda: a policy analysis of the human rights legal framework
Authors
Agnes Binagwaho
Kirstin W. Scott
Sardis H. Harward
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC International Health and Human Rights / Issue 1/2016
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/s12914-016-0076-0

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