Using telemedicine to improve access to medication abortion in Rwanda

August 14, 2025
UC Berkeley Public Health

In recent years, the African nation of Rwanda has expanded legal grounds for abortion. But the law requires that a doctor authorize the procedure, creating obstacles for women who live in areas with few physicians.

To determine whether a hybrid telemedicine/in-person appointment model could expand access to medication abortions, researchers from UC Berkeley School of Public Health’s Bixby Center for Population, Health, and Sustainability, working with local health care partners and the Rwandan Ministry of Health, launched a pilot program in the predominantly rural Musanze District in Northern Rwanda.

Continued: https://publichealth.berkeley.edu/articles/spotlight/research/telemedicine-in-rwanda

14.08.2025

Research

Bixby Center for Population Health and Sustainability

Dr. Ndola Prata

Karen Weidert

medication abortion

Rwandan Ministry of Health

telemedicine abortion

Rwanda: Gisenyi Hospital Raises Alarm Over Unsafe Abortions in Rural Areas

19 February 2025
By Germain Nsanzimana, The New Times (Kigali)

The Director General of Gisenyi Hospital, Dr. Oreste Tuganeyezu, has raised concerns over the prevalence of unsafe abortions in rural areas, attributing the issue to stigma and cultural beliefs that prevent women from seeking safe medical care.

Medical studies show that unsafe abortions can lead to severe health complications, including infertility, life-threatening infections, incomplete abortion (where pregnancy tissue remains in the uterus), and damage to internal organs.

Continued: https://allafrica.com/stories/202502200053.html

19.02.2025

News

Dr. Oreste Tuganeyezu

Gisenyi Hospital

Husna Vestine Umulisa

Rwanda and Nigeria Still Struggle with Abortion Stigma, Despite Laws

Nigeria Health Watch
Jan 20, 2025

When Francine Nyiramahirwe, 22, decided to consult a health professional to terminate her pregnancy at a private clinic in Nyanza, a district in Southern Rwanda, she was immediately arrested and charged with murder. In 2015 Nyiramahirwe was indicted and sentenced to 15 years in jail after taking the drug Misoprostol at 18 weeks of pregnancy.

Misoprostol is known to be an effective pill for terminating a pregnancy, with a success rate of over 80% for women who are between 10 to 13 weeks pregnant,

Continued: https://nigeriahealthwatch.medium.com/rwanda-and-nigeria-still-struggle-with-abortion-stigma-despite-laws-197a4441d2f3

South-to-north learning exchanges enhance midwives’ skills in abortion care

16 January 2025
World Health Organization

Showing the power of global partnerships and collaboration, midwives from Rwanda shared their skills and knowledge of comprehensive abortion care at a major gathering in Berlin organized as part of a new south-to-north learning approach initiated by the UN Special Programme in Human Reproduction (HRP).

Comprehensive abortion care helps women make informed reproductive health decisions, while ensuring safe access to relevant medical and surgical procedures and quality aftercare. Given the leading role of midwives in supporting women’s health, strengthening their skills in this area is a critical step toward increasing access to safe abortion and improving health outcomes worldwide.

Continued: https://www.who.int/news-room/feature-stories/detail/south-to-north-learning-exchanges-enhance-midwives-skills-in-abortion-care

16.01.2025

Commentary

European Midwives Association

manual vacuum aspiration

midwives and abortion

Philomene Niragire

UN Special Programme in Human Reproduction

Rwanda – Access to Abortion is a Win for Human Rights

Dec 12, 2024

The amended ministerial order determining conditions to be met for a medical doctor to perform an abortion has finally allowed health centres and private clinics to perform abortions as long as they are authorized by the Ministry in charge. If a clinic fulfills requirements for the medical procedure, then it can also be allowed after assessment.

Previously, nurses and midwives were barred from performing abortions. Only doctors who obtained at least a Bachelor’s Degree in Medicine, registered ad licensed by a health profession regulatory body in Rwanda and working in public or private health facilities, were allowed to perform the procedure.

Continued: https://www.newtimes.co.rw/article/22512/opinions/editorial/access-to-abortion-is-a-win-for-human-rights

12.12.2024

Rwanda – Student arrested after fetus is found in dustbin on campus

Jean d’Amour Mbonyinshuti
07 December 2023

Following the arrest of a student whose baby was found dead in a dustbin, university staff of the University of Rwanda’s college of arts and social sciences have been trying to restore calm on the campus.

The baby was found near the women’s hostel on 1 December and has prompted an immediate investigation by the Rwanda Investigation Bureau, which secured the area and blocked access in and out of the hostel.

Abortion is illegal in Rwanda and, if found guilty, a woman may face imprisonment for one to three years or a fine of RWF50,000 (US$40) to RWF200,000.

Continued: https://www.universityworldnews.com/post.php?story=20231206203000428

07.12.2023

News

Ignatius Kabagambe

Rwanda Investigation Bureau

sexual and reproductive health and rights

Imprisoned for abortion: Many Rwandan women are now free but stigma remains

September 2, 2023
Sarah McCammon

On the day she was attacked, Akimanizanye Florentine had been trying to earn money to help get through a difficult time at home.

Akimanizanye, who goes by Florentine, was in her late teens then, living in northern Rwanda. She says her family had been struggling after her father had died

Continued: https://www.npr.org/sections/goatsandsoda/2023/09/02/1194431567/rwanda-women-abortion-laws-kagame-presidential-pardon-jail

Rwanda: Evaluating Rwanda’s Progress in Addressing Women’s Sexual and Reproductive Health

20 JULY 2023
By Jade Natacha Iriza

The progress Rwanda has made in promoting and implementing Sexual and Reproductive Health and Rights (SRHR) policies, programmes, and commitments has gained widespread recognition.

However, amidst the gains, there are still numerous untapped opportunities that hold the potential for further advancement. These possibilities encompass a wide range of areas, such as extending support to all adolescents (mainly in rural areas), diminishing the prevalence of unsafe abortion, and ensuring that no individual is left behind.

Continued: https://www.newtimes.co.rw/article/9259/women-deliver/evaluating-rwandas-progress-in-addressing-womens-sexual-and-reproductive-health

20.07.2023

Rwanda Biomedical Centre

Sandrine Umutoni

sexual and reproductive health and rights

Rwanda’s Protestant Council Bans Abortions in its Clinics

Sughnen Yongo
March 1, 2023

Rwanda’s Protestant Council has instructed all healthcare facilities administered by members of its organization to stop performing abortions on patients who come into the facilities to get the procedure done. This latest development, which occurred earlier this month, has put a dent in the plans of women in the country who want to get access to the procedure for a variety of reasons.

Rwanda, which is a predominantly Christian society of around 13 million people, has consistently presented its conservative values in various parts of its government. In the 19th century, Christianity was introduced to Rwandan society after Catholic priests settled in the area at the height of colonialism. By the year 1920 the majority of the population was Christian. The most recent census indicated that 43.7% of Rwanda's population is Roman Catholic, 37.7% is Protestant, 11.8% is Seventh-day Adventist, 2.0% is Muslim, and 0.7% are Jehovah's Witnesses. Only 2.5% of Rwandans claim no religious affiliation.

Continued: https://www.okayafrica.com/abortion-rwanda/

01.03.2023

News

anti-choice bans

anti-choice misogyny

anti-choice restrictions

Rwanda – ‘I Was Forced to Leave the Country for an Abortion’

MAAZA SEYOUM
July 10, 2022

I remember wanting to vomit as the plane took off. I felt anxious; this was not a situation I expected to find myself in. I closed my eyes, adding up how much the trip was costing me—the flight, the hotel and the procedure itself had set me back around $2,000. I would be burdened with more credit card debt but I was still immensely grateful to be on a plane to New York City, where I would be able to have an abortion.

I traveled over 6,000 miles to terminate my unwanted pregnancy in 2005, as I was living in Rwanda at the time, working on a national HIV treatment program. Abortion was only permitted in Rwanda when two physicians certified that it was needed to protect a woman's physical health or to save her life. Neither of these exceptions applied to me. I simply did not want to become a parent.

Continued: https://www.newsweek.com/i-left-country-abortion-illegal-america-1722957

10.07.2022