And shortcomings in the quality of care result in failures to diagnose and treat pregnancy-related complications. Following the 1994 genocide, it was among the poorest countries in the world, its health system lay in ruins and maternal mortality rates were well above the regional average. Yet, as shown in Figure 3.8, Rwanda has reduced the number of maternal deaths faster than most other countries in sub-Saharan Africa, from 1,400 deaths per 100,000 live births in 1990 to 310 in 2013.