History of Rwanda September 1961, a referendum was held to establish whether Rwanda should become a republic or remain a kingdom. Citizens voted overwhelmingly for a republic. After parliamentary elections held on the same day, the first Rwandese Republic was declared, with Kayibanda as prime minister. Dominique Mbonyumutwa was named the first president of the transitional government. Between 1961 and 1962, Tutsi guerrilla groups staged attacks into Rwanda from neighboring countries. Rwandan Hutu-based troops responded, and thousands more were killed in the clashes. On 1 July 1962, Belgium, with UN oversight, granted full independence to the two countries. Rwanda was created as a
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.