A child plays with a mosquito net as he lies with his mother in the pediatric ward of Gakoma District Hospital, Rwanda, on August 19, 2019. RwandaÕs Gisagara District has the highest number of malaria deaths in the country, despite a mass distribution of bed nets, with a particular focus on the most vulnerable groups such as pregnant women and young children.

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.

Nichole Sobecki/VII for The Global Fund