A line of women wash their hands with a bleach solution before crossing the border from Goma, the Democratic Republic of Congo, to Gisenyi, Rwanda, on August 20, 2019. Tens of thousands of people cross this border each day, and everyone must have their temperatures checked, wash their hands, and listen to Ebola awareness messages. Since the latest outbreak was discovered in the Democratic Republic of the Congo a year ago, the disease has killed at least 1,800 people.

Rwanda’s health gains in the last decade are among the world’s most dramatic. Health insurance — called Mutuelle de Santé — is nearly universal, life expectancy rose from 29 to 68 years between 1994 and 2015, and mortality during childbirth fell by 70% over the same period. (Photo by Nichole Sobecki/VII for The Global Fund)