Rwanda
– Africa’s Success Story or a Hype? Reflections During an International Conference on ‘Women Leaders
in Global
Health' in Kigali, Rwanda
By
Dr. Filomina Chioma Steady
I could not contain my excitement as the Kenya Airlines plane started
its descent into Kigali from Nairobi. As we approached I saw small
rural villages, then large towns and finally Kigali. It looked so neat
and orderly from the sky and I knew right away that this was a
different kind of African city. The porter who helped me with my
suitcase at the airport politely refused the generous tip, saying ‘No,
thank you Madam. It was a pleasure to assist you.’ I thought to myself
‘Am I on a different continent?’ In fact, I kept asking myself that
question throughout my stay. I have been to a number of African cities
but I have never seen a cleaner, more organized and efficient one where
the people are so polite and disciplined. I never saw any litter or
street vendors hawking their wares or people shouting and quarreling. I
never saw any beggars or street children roaming aimlessly without
adult supervision. I never saw a bike rider or passengers without a
helmet or one trying to go in the opposite direction on a one-way
street. There are many traffic lights with timers to keep traffic and
pedestrians flowing smoothly and in an orderly fashion. The city
streets are paved and gutters are concealed for the most part and I
never saw pot holes or slums.
Rwanda has bounced back
from the horrible
tragedy of the
1994 genocide in a
way that would be the envy of other post-conflict countries in Africa.
It has been
hailed as ‘Africa’s Success Story’ and its President Paul Kagame aims
to make it a
showpiece of development and to become ‘the Singapore of Africa.’ Some
Volkswagen cars are assembled in Kigali as well as smart cell phones.
In terms of
the ‘Ease of doing business index’ it jumped in ranking from 143 in
2008 to 29 in
2018. It is also considered the darling of the West and has received
praise from
European and American heads of state and dignitaries and attracts
grants and
foreign aid from bilateral and multilateral sources. Some skeptics have
attributed
this support to guilt, stemming from the failure of the international
community,
especially the UN and the West, to stop the genocide.
With so many bad stories coming out of Africa, depicting economic
collapse; state
capture; political instability; corruption, ethnic strife, terrorism
and civil wars,
Rwanda’s success story is a breath of fresh air. But is this the whole
story?
On the plus side, the credits are eye-popping. To name a few:
Statistics from the
National Institute of Statistics of Rwanda, international organizations
and non-
governmental organizations confirm the following: Rwanda has the
largest
number of women in parliament in the world at 62%; It is the fifteenth
fastest
growing economy in the world with a GDP growth rate of 8%. The country
has the
largest solar plant in Africa; It has the lowest murder rate in Africa;
Kigali is the
cleanest city where plastics have been banned and gutters are cleaned
several
times a day; In 20 years it increased life expectancy from 28 to 67.
School
attendance is at the highest level ever and graduation rates for
primary and
secondary schools is at 90%. The literacy rate is 71%. According to a
combined UN
publication it reduced its maternal mortality rate from 1130 in 1998 to
248 in
2017.
Rwanda’s reputation for its safety, tranquility and sense of security
can be felt
from the moment of landing in this ‘country of a thousand hills,’
famous for its
mountain gorillas. Mining of industrial minerals, gold and sapphire are
essential
major economic activities with agriculture as a main source of
employment for
70% of the population and contributing a third to the GDP. All
indicators of
health, education and employment show growth in a positive and
sustainable
direction.
On the negative side, it is still haunted by the horrific genocide of
1994. Its
security apparatus is extensive with check points all over the city.
Suppression of
ethnic identity has become necessary to help transcend the memories of
the
genocide that took over 800,000 lives. The tragedy of Rwanda is a
tragedy of
numbers, manipulated by the Belgian colonial masters. Hutus make up 85%
of the
population of 12 million; Tutsi make up 14% and the Twa 1%. The Belgian
colonial
regime planted seeds of division by introducing a system of ethnic
identity cards
in 1926 thereby separating the Tutsi minority from the Hutu majority.
They also
showed preference for the Tutsi whom they empowered and considered
superior
to the Hutu. This hostility led to the massacre of the Tutsi and some
sympathetic
Hutus mainly by the Hutus in 1994, making it one of the worst cases of
horizontal
genocide in recorded history.
Rwanda also has many social problems. According to the National
Institute of
Statistics, the poverty rate is still high although it was reduced from
78% in 1984
to 39% in 2014 and is projected to decline to 20% in 2020. Extreme
poverty is
expected to be eliminated by 2020. The population is a youthful one
with 78%
under the age of 35 and 43% being under the age of 15. This results in
a high child
dependency rate of 78%. Prostitution, the oldest profession in the
world, is
outlawed in Rwanda but operates in a clandestine manner and some of it
is linked
to poverty. I was told that many prostitutes look like any other women
and do not
display any exhibitionist signals characteristic of the trade. I was
also told that
some of the ordinary-looking women who were brought by bikers to
certain
locations and establishments at night were ‘on the job’ so to speak,
but hardly
detectable as prostitutes.
According to official statistics and international data bases, teenage
pregnancy is
a problem and is on the rise from 6.3% in 2010 to 7.3% in 2015.The
number of
girls who become mothers in their teenage years is 19,000 and child
marriage is
still practiced resulting in 7% of girls married before the official
marriage age of 18
years. However, there is a major governmental stand against teenage
pregnancy
and child marriage and a determination to end both. The feeling one
gets in
Rwanda is that there is a strong political will to get things done for
the good of the
country and the people in a timely and no nonsense manner.
Despite the social problems, Rwanda is a shining example of progress in
a post-
conflict country. Some credit this success to President Paul Kagame’s
leadership
ability to unite a divided country after the 1994 genocide. As a
guerilla soldier, he
brought peace to his country by ending the slaughter and establishing
himself as a
statesman for all the people, be they Tutsi, Hutu or Twa. One major
post-conflict
change is the building of one Rwandan identity and the suppression of
tribal
identity. In fact, identification cards do not indicate ethnicity and
the common
language Kinyawanda is enthusiastically spoken by everyone. On our
briefing
background paper for the conference, we were advised not to ask people
whether they are Tutsi or Hutu as this would be a throwback to the
tragedy of the
past. Official statistics show that the majority, about 93%, are
Christians of the
Catholic faith due mostly to the Belgian colonial influence. About 2%
are Muslim.
As in many African countries, it can be expected that a number of
Rwandans still
practice, to some degree, some form of traditional African religion or
ancestor
reverence of one form or another.
Although Kagame is seen as a savior of his people by ending the
genocide, some
of his detractors consider him to have despotic proclivities, with an
increasing
tightening of his grip on power and suppression of any opposition and
dissent. A
Human Rights Watch World Report of 2019 indicated his complicity in the
disappearance and imprisonment of some of his critics and a silencing
of
opposition to his party, the Rwandan Patriotic Front (RPF.) One of his
main
opponents is a woman, Diane Rwigara who challenged him as a
presidential
candidate in 2017. She and her mother were arrested and imprisoned for
one
year but were later acquitted of charges of inciting insurrection and
forgery. She
continues her opposition to the Kagame regime as leader of The People
Salvation
Movement, along with a few other opponents of the government who
accuse
Kagame of suppression of the opposition.
President Kagame has denied these accusations by his critics and
prefers to value
the opinion of the vast majority of Rwandans who strongly support him.
He was
voted in for a third term in 2017 by 98.8.% of the population through a
change in
the constitution by a referendum allowing him to run for a third term
and
potentially for future elections. One of his signature claims to
success is his
absolute and unflinching support for gender equality and women’s rights
and
advancement, which explains in part their high representation in
parliament at
62%. In addition, 50% of cabinet ministers are women as well as 44% of
the
judicial officials. Women also hold high positions in other departments
and
organizations in the country and gender pay equity is the norm. Rwanda
is
considered to be the 5th best place to be a woman in the world.
Speaking of women, I went to Rwanda to
present one of the major
speeches at
the third international conference on Women’s Leaders in Global Health
from
November 9 to 10, 2019 in Kigali. The
conference was attended by well
over 1000
delegates of which 657 were from Africa. In all 81 countries were
represented.
The first lady of Rwanda, Mrs. Jeannette Kagame gave the formal opening
address
and H.R.H. Princess Dina Mired of Jordan, Director-General of the King
Hussain
Cancer Foundation gave a keynote address. Most of the participants were
physicians or professionals working in the field of health as well as
lawyers,
academics, donor agencies, international organizations, ambassadors and
administrators. The conference had many sponsors and was organized by
the
University of Global Equity based in Rwanda and its vice Chancellor,
Dr. Agnes
Binagwaho, former Minister of Health of Rwanda and several planning
committees. The conference made sure that men were included in all of
the
panels in an effort to build alliances with men in promoting women’s
leadership in
Global Health.
My presentation was titled: ‘What
we have learned in the health sector
from women's leadership in African history.’ It was followed
by
several panels over a period of two days dealing with issues of the
slow pace of women’s
leadership in the field of heath; policy formulation and implementation
in the health
sector; challenges of access to health care services for women;
gender-based discrimination in the health sector; maintaining family
and career
balance; risks to women’s health from environmental changes and
climate
change; spotlight
on cancer, adolescent health; gender-based violence; workplace sexual
harassment and progress made in women’s leadership in health since the
Beijing
conference.
Lively discussions followed each
panel and plenary session including
the difficulties of women obtaining research grants; creating the right
policy and enabling environment for women’s health;
cultural barriers
to women’s
health in Africa; the inadequacy of medical systems in Africa and
mentoring of
youth in the health sector. The perception of men as the main bread
winners and therefore deserving some advantages
was challenged as more women are
becoming
heads of households at the rate of 35% and higher in some countries.
Discussions on sexual harassment and assault received much agitated
attention. It was
generally agreed that the enforcement of zero tolerance policies
against sexual
harassment, gender -based violence and sexual assault are imperative
and long
overdue. The conference ended with a ten-point call to action that will
improve
women’s health outcomes and promote female leadership in all
institutions and
at all levels of the health sector!
I was able to speak with a number of Rwandans and non-Rwandans about
their opinions of the country and its progress and prospects for the
future.
In general, the views were positive and people were upbeat and
optimistic about the
future. However, many of the conversations with Rwandans were guarded,
partly because we had been advised not to ask sensitive questions,
especially
about ethnicity. I barely got any criticisms beyond the mild feeling of
not
being able to speak freely. Someone joked that ‘there may be spies
listening.’ A few
mentioned the high taxes, reaching about 40% in some cases, but were
satisfied
with the improvements that are made possible by the taxes. Many of them
are
proud of the progress they have made and feel secure and confident that
the
horrors of the past are behind them.
One major problem, characteristic of Belgian colonial rule and also
evident in the Democratic Republic of the Congo, is the failure of the
Belgians to
educate a large professional class of Rwandans. I was informed that
this may have
resulted in some of the middle and top management and professional
positions being
filled by non- Rwandans, particularly from other parts of Africa,
primarily
East Africa. This is also partly attributable to the fact that Rwanda
is a member of
the East African Community which promotes political, economic and other
forms of collaboration in the sub-region.
Rwandans are friendly and helpful and many of them are tall and slim.
Although I was told that there are some well-proportioned (or fat)
ones, I only
saw a handful. This could be explained by the fact that their staple
diet is high in
vegetables and low in animal proteins and fats. I had lunch with some
newly-made
friends at ‘The Hut,’ a popular restaurant in Kigali that serves all
kinds of
international and local dishes. I decided to try the local pounded
maize with grilled
fish and a delicious local sauce. It was quite a treat! This was
followed by
passion fruit made into a custard-type of dessert and the local beer.
One striking feature
about this restaurant is that it was on the only dirt road that I saw
in
Kigali
and some of the fencing next to it was made of corrugated iron sheets.
That was one of
the few times that reminded me of Freetown, which has many dirt roads
and
fences as well as small buildings made of corrugated iron sheets in the
city.
Another was my visit to the large city market which retails just about
everything but,
unlike Kissy Road Market and other markets in Freetown, this city
market is
completely enclosed. Almost all trading is done in markets,
supermarkets and malls
in Kigali and not on the streets.
However, there were some things that were missing in this land- locked
country which are abundant in Freetown. First, the beautiful beaches
stretching
for miles on the coastline of the Sierra Leone peninsular. Second, The
Port of
Freetown, regarded as Africa’s largest natural harbor. Third, the
colorful local
attire that comes in a variety of styles and accessories and worn by
women every
day and everywhere. Fourth, the extensive and rich West African
cuisine,
including its famous Jollof rice. Finally, the vibrant and ever present
cultural
traditions and rituals found in the music, dances, visual and
performance arts
throughout West Africa.
I would have liked to visit a rural area, especially Butero, where the
University of Global Health Equity is located but it was almost three
hours away and
I did not have enough time. I will visit Kigali again and hopefully see
some of
the smaller towns and rural areas. I consider myself very fortunate to
have been
invited to give one of the major speeches at this conference and to see
firsthand,
a country, which like a phoenix, has risen magnificently from the ashes
of
genocide.
Rwanda raises the issue of the role of democracy in Africa and whether
or not a ‘benevolent dictator’ with a progressive vision that will
strive to
lift all people from poverty and promote development and peace is not
what Africa really needs. Kagame himself has argued that democracy has
to be appropriate
and localized to be relevant and effective in Africa. He sometime says:
‘We
don’t follow rules. We follow choices.’
One party states dominated the immediate post-independence scene using
the argument that constructive opposition is most effective within the
party than outside of it. However, these types of one party states left
many
countries in a state of underdevelopment and the continent has been
plagued with civil
strife, rebel wars and military coups, following the establishment of
so-called democratic regimes. Opposition is the hallmark of democracy
as well as
restraint. However, the African political culture has a penchant for
destructive
opposition and an appetite for authoritarianism and intolerance of
dissent. Rwanda
is technically not a one party state but the regime and its agenda have
the support of 98.8% of the population and progress is demonstrably
being made at
all levels.
The question then is this: Should Africans accept ‘benevolent
dictatorships,’ if under such systems, economic and social development
and improvement in
the lives of all the people will be guaranteed? How can we establish
sustainable political, economic and social institutions under so called
democratic
systems if most of them are failing and not living up to expectations
all over
Africa? Maybe it is time for Africa to rethink the Westminster model of
parliamentary
democracy and party politics and look for more creative and indigenous
alternatives partly based on African traditions of consensus building.
The following
examples come to mind: The Gacaca court system of community justice in
Rwanda; direct democracy practiced in village councils and ‘talking
houses’ designed
to settle disputes.
We may also want to look at other countries that have combined some
elements of dictatorship while allowing democratic spaces to flourish
and
promoting socio- economic development, like historic Singapore or the
‘democratic
socialism’ model of Scandinavian countries. For now, it seems as if the
choice for
Africa is between authoritarian rulers and destructive party politics,
disguised
as ‘democracy’, or so called ‘benevolent dictatorship’ that seeks to
promote equality, development, peace, justice and a decent standard of
living for all
its people. After visiting Rwanda, I am leaning towards the so -called
‘benevolent dictatorship’ of the Paul Kagame variety in which people
have come to
value themselves and others, and to respect a leader that executes a
plan to
take his country to a higher level, without leaving anyone behind.
However, a succession plan must be in place and the building of strong
and effective institutions must be continued to sustain the gains
made so far. Significantly, political spaces must be opened and
accessible to facilitate constructive
opposition without real or imaginary intimidation.