Household air pollution (HAP) is responsible for almost 4 million premature deaths every year, a burden that is primarily carried by women and children in developing countries. The mortality and morbidity impact of HAP can be significantly alleviated through clean cookstove interventions. However, for these interventions to be effective, the new intervention stove must be a substantially cleaner technology and adoption should be high and sustained over time. Woody biomass is the fuel of choice in many developing communities, and contributes substantially to HAP. Several organizations have launched clean cooking interventions to address this issue. However, the majority of those interventions do not address adoption related challenges, that they often face. This thesis explores previous studies on Human-Centered Design (HCD) and the impact of feedback and data access on behavior change. It details a HCD process and methodology applied during the design process of an air quality feedback system, to improve adoption of liquefied petroleum gas (LPG) cookstoves in Rwanda. The feedback system is intended to provide real-time air quality information to stove users and potentially encourage them to abandon traditional biomass cookstoves in favor of the cleaner LPG stoves.

This dissertation offers a single case in-depth analysis of factors precluding civil society from democratizing African polities. Synthesizing existing literature on Rwanda, I first undertake an historical search to trace the origins and qualities of civil society in the colonial era. This effort shows, however, that the central authority—commencing before the inception of the Republic in 1962—consistently organized civil society to buttress its activities, not to challenge them. Next, using ethnographic research, I challenge conventional economic and institutional accounts of civil society’s role in democratization. I show that institutional change and the economic clout of organized groups are marginal and transient in effect, and hence possess considerable limitations to democratize state and non-state-groups relations. I argue that the Genocide and its historical materials, social and economic precariousness, and neo-patrimonial power configurations have erected a prevailing political culture that still conditions how Rwanda’s state-society relations are imagined, realized, and challenged. Conversely, just as that political culture has lengthened the reach of the state into society, limiting the potential autonomy of civil society, it has also been the basis for rebuilding the society, restoring the state’s authority, and enacting major state-building oriented reforms. Consequently, for CSOs to induce a liberal democratic order in domestic politics, subsequent activism will require long-term strategic and organic investment of actors into the dispersed, parochial strands of democracy first, not into ongoing confrontational, yet fruitless, political warfare that hinders social capital formation and that civil society is not yet equipped to win.

Les représentations de l'histoire du Rwanda et du Burundi, construites durant l'époque coloniale, ont influencé de façon décisive l'évolution de ces deux pays après leur indépendance. La vulgate historique du « conflit séculaire » entre Hutu et Tutsi, réinvestie par les élites locales et transformée en axe majeur du combat politique, s'est matérialisée de façon paroxystique lors de deux génocides : en 1972 au Burundi et en 1994 au Rwanda. Les principaux quotidiens français et belges occultèrent presque le premier génocide dans la région des Grands Lacs : en 1972, ils se contentèrent de mobiliser les poncifs de la lutte tribale en guise d' « analyse ». Vingt ans plus tard, une grille de lecture particulière continue d'être appliquée aux crises africaines. La reconnaissance du génocide des Rwandais tutsi n'a pas empêché, en outre, que prévale un mode de traitement « national » de l'information de la part des organes de presse belges et français.

<p>This thesis was aimed at the development of a Geographical Information System (GIS) based model to support the Rwanda Land Use and Development Master Plan. Developing sustainable land management is the main task of this master plan. Stakeholder’s involvement was of key importance. Their demands should be analysed and visualised to support discussions and the decision-making process. Spatial Multicriteria Decision Analysis (MCDA) is a proven method for land-use planning purposes. However, most land-use planning applications focus on a specific theme, such as urban development. In addition, land-use planning is often limited to a relatively small area. This thesis focused at the development of a countrywide GIS model, containing all land-uses accommodated in three main land-use categories: urban, agriculture and conservation. The GIS model was largely based on the Land-Use Conflict Identification Strategy (LUCIS) model. Many of the goals, objectives, and subobjectives that described the earlier mentioned land-use categories were adopted from the original model. However, a significant number of them were dropped, and new were created to suit the Rwandan situation. Stakeholder’s involvement was realized by assigning weights to the goals and preference maps. The Analytical Hierarchy Process (AHP) was used as weighting method. ESRI’s ArcGIS ModelBuilder was used to give the model shape in the GIS. Firstly, suitability maps were created of all elements in the model. The suitability maps were then transformed into preference maps by weighting them. In the next step the preference maps were collapsed in three classes: low, medium and high preference. Finally, the preference maps of the three land-use categories were combined, in order to visualize conflict areas. Ortho photos proved to be useful when acting as reference for the suitability and preference maps. Despite a large number of missing datasets, the GIS model was executed to simplify the understanding. However, many of the obtained results were unreliable because of the incompleteness of datasets, and can therefore not be used for decision-making.  Unfortunately, due to the stage of the project it was not possible to obtain weights from the stakeholders, and should therefore be done when the time is right. Right Choice DSS, a very user-friendly decision support application, was proposed to use for calculating weights. To conclude, the developed GIS model integrated countrywide land-use suitability mapping and stakeholders’ wishes that can be used for discussions and decision making.</p>

<p>Background: Three epidemiological studies conducted in Rwanda have highlighted that many people at different levels in the community of soccer do not implement accepted control measures for reducing the risk of injuries. However, little is known about what soccer community members themselves know about injury prevention. Purpose: The aim of this study was to identify perceptions of factors influencing the implementation of soccer injury prevention strategies in Rwanda.</p>

<p>The number of children with disabilities under the age of 18 years around the world varies from 120 to 150 million. In many countries, throughout the world, the majority of children with disabilities either do not receive any form of education or, if they receive any, it is often inappropriate. UNESCO estimates that more than 90% of children with disabilities in developing countries do not attend schools. Rwanda has recently started inclusive education in a number of schools around the country for ensuring that children with disabilities have access to education. Despite this, in Rwanda, many children with disabilities do not attend school and this number is not known. This study aimed to identify the barriers to school attendance by children with disabilities in Rwanda.</p>

<p>Spinal cord injury is a devastating condition, and its consequences impact on many facets of an individual&rsquo / s life. Activities of daily living such as personal care and housework might be difficult to perform post injury. The majority of spinal cord injury patients receive hospital-based rehabilitation to address these consequences. The normal length of hospital stay among spinal cord injury patients ranges from three to twelve months, and an increased length of stay are caused by development of secondary complications such as pressure sores, urinary tract infection and respiratory infection. The purpose of this study was to determine factors affecting length of hospital stay for individuals with spinal cord injuries at Kanombe Military Hospital in Rwanda. To achieve this, a retrospective study, utilising a quantitative approach was used. The records of individuals with spinal cord injuries discharged from the hospital between 1st January1996 and 31st December 2007 were reviewed to collect data. A data gathering instrument was developed by the researcher and there after used to capture the relevant information from the patients&rsquo / folders. Information collected included demographic data, information relating to the injury, occurrence of medical complications and length of hospital stay. One hundred and twenty four medical folders of patients discharged from 1st January 1996 to 31st December 2007 at Kanombe Military Hospital were reviewed for data extraction. The Statistical Package for Social Sciences (SPSS) version 16.0 for windows was used to analyse the data. Both descriptive and inferential statistics were determined in SPSS. Associations were made between demographic factors and occurrence of secondary medical complications with length of hospital stay. These were computed by means of chi-square tests. One level of significance, alpha set at 5% was used throughout. The linear regression analysis was used to determine factors affecting the length of stay.</p>

The aim of this study was to establish the factors associated with sports injuries among first division Rwandan female soccer players. Conclusion: Advocacy about the safety and improvement of Rwandan female soccer through workshops and trainings involving players, coaches and team owners need to be emphasised.

A descriptive quantitative cross-sectional survey using convenience sampling was used to gather data with a self-administered questionnaire on a sample of 226 nurses. The study population included all registered nurses of Kabgayi District Hospital and Nyanza District Hospitals and their respective health centers. To be included, the nurses had to have suffered from WRLBP during the previous 6 months before data collection. The Nordic Back Pain Questionnaire, the Oswestry Disability Index and an open-ended questionnaire regarding perceived risk factors have been used. Descriptive statistics to summarize data and inferential statistics such as chi- square test to test the relationship between different variables of the study have been studied at 5% levels. Correlation coefficients in terms of cross-tabulation were also studied at 1% level of significance.

Following a growing concern among education stakeholders about the lack of a reading culture and low literacy levels among Rwandans in general and university students in particular, the aim of this thesis is to increase the awareness of Rwandans about the development of a reading culture and early literacy. To achieve this aim, four studies with participants representing different experiences related to reading culture were performed. These qualitative studies draw on different perspectives on the development of a reading culture and emergent literacy by using open-ended questionnaires and interviews. The thesis takes sociocultural and emergent literacy theories as points of departure. The first study investigates students’ reflections on their previous reading experiences, and discuss ways to develop literacy and a reading culture in Rwanda. The next one sheds light on parents’ involvement in literacy practices at home and the third study concerns what literacy knowledge teachers expect from their pupils when they start nursery and lower primary school. An example of a literacy event (storytelling) is given in the fourth study where children’s narratives of fairy tales are followed by their discussions on gender issues, which in turn can develop the children’s interest in reading. This can also help them relate texts to their life and teach them to think critically. In sum, the studies show that there is a limited reading culture in Rwanda. That is attributed to the colonial and post-colonial education system, reliance on verbal communication, limited access to reading materials, and ultimately the low status of the mother tongue Kinyarwanda within the sociolinguistic configuration of Rwanda. Also, the participating students and teachers point out the necessity of involving parents more in the creation of an environment that nurtures children’s emergent literacy development so that it becomes a shared responsibility translated into a teacherparent partnership for children’s success at school. Hence, the findings inform the use of this thesis which is to promote literacy and a reading culture in Rwanda by engaging the whole nation in a national effort to build a sustainable culture of reading. To paraphrase the old African saying ‘it takes a village to raise a child’, I want to conclude by saying that it takes a nation to develop a culture of reading.