Nurse Pelagie Uwamariya (31) starts a line on a pregnant woman in need of fluids in the busy maternity wing of the Gisenyi District Hospital lab, Rwanda, on August 20, 2019. Uwamariya has also been trained in case management of Ebola cases and infection prevention control as a member of the rapid response team.

RwandaÕs health gains in the last decade are among the worldÕs most dramatic. Health insurance Ñ called Mutuelle de SantŽ Ñ 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)