Kingdom of Rwanda and “Tutsi” were socioeconomic, not ethnic, distinctions. In fact, one could "kwihutura", or “shed Hutuness”, by accumulating wealth and rising through the social hierarchy. Kingdom of Rwanda The Kingdom of Rwanda was a pre-colonial kingdom in East Africa beginning in c. 1081, which survived with some of its autonomy intact under German and Belgian colonial rule until its monarchy was abolished in the Rwandan Revolution. After a 1961 referendum, Rwanda became a republic and received its independence in 1962. In the 15th century, one chiefdom managed to incorporate several of its close neighbor territories establishing the Kingdom of Rwanda after
Health in Rwanda 64%. The unimproved sanitary facilities reduced further from 59% to 23%, while open defecation reduced from 7% to 3%. Healthcare in Rwanda Health in Rwanda The quality of healthcare in Rwanda has historically been very low, both before and immediately after the 1994 genocide. In 1998, more than one in five children died before their fifth birthday, often from malaria. But in recent years Rwanda has seen improvement on a number of key health indicators. Between 2005 and 2013, life expectancy increased from 55.2 to 64.0, under-5 mortality decreased from 106.4 to 52.0 per 1,000 live births, and incidence of