Human rights in Rwanda withdrawal of Belgium from Africa in 1962, Rwanda separated from Rwanda-Urundi by referendum, which also eliminated the Tutsi monarchy, the mwami. In 1963, the Hutu government killed 14 000 Tutsi, after Tutsi guerillas attacked Rwanda from Burundi. The government maintained mandatory ethnic identity cards, and capped Tutsi numbers in universities and the civil service. During the Rwandan genocide in 1994, 800,000 people were murdered. Subsequent governments, including the current government led by President Paul Kagame, have committed grave violations of human rights. On 22 April 1995 the Rwandan Patriotic Army killed more than 4,000 people in the Kibeho massacre. In
Healthcare in Rwanda make referrals. Rwanda has a shortage of medical professionals, with only 0.84 physicians, nurses, and midwives per 1,000 residents in 2013. The United Nations Development Programme (UNDP) is monitoring the country's health progress towards Millennium Development Goals 4–6, which relate to healthcare. A mid-2015 UNDP report noted that the country was not on target to meet goal 4 on infant mortality, despite it having "fallen dramatically"; the country is "making good progress" towards goal 5, which is to reduce by three quarters the maternal mortality ratio, while goal 6 is not yet met as HIV prevalence has not started falling.