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This study examines how journalists in Rwanda, Uganda and Kenya perceive their journalistic role orientations in light of the countries' differing political systems, Rwanda representing the nation with the most restrictive political system, Uganda sitting in the middle and Kenya illustrating the nation that is home to the least restrictive political system. Data were analyzed from a comparative, quantitative online survey completed by 424 journalists from the three East African nations. Overall, the journalistic role orientations that emerged in each country align with the freedoms afforded by the political system in each country, revealing a trend that journalists in non-Western countries lean toward more interventionist roles (at times to the point of actively supporting their government), and journalists in countries with less restrictive political systems lean toward more adversarial roles (keeping their government in check). [ABSTRACT FROM AUTHOR]

In the past decade, many governments around the world have strayed neoliberal prescriptions to get closer to the East Asian governance model – the developmental state. Rwanda, which becomes a model for rapid socio-economic development in Africa, is considered as one of these states that take its inspiration from East Asia. Using an adapted theoretical framework and a rich dataset, we investigate whether the actions of the Rwandan state compare with the East Asian ideal-typical developmental state. Our analysis indicates that post-2000 Rwanda possesses two central features of the developmental state: a developmentally-oriented leadership and an efficient public administration that proved capable to implement its ambitious vision. We elaborate on the transformation of the development paradigm in Rwanda that goes beyond its ultra-market-friendly approach and its welcoming private sector environment. Our findings suggest that it is possible to reproduce the developmental state model today, leaving room for context-dependent adaptations. [ABSTRACT FROM AUTHOR]

Introduction Cancer is a major public health problem in Rwanda and other low- and middle-income countries (LMICs). While there have been some improvements in access to cancer treatment, the cost of care has increased, leading to financial toxicity and treatment barriers for many patients. This study explores the financial toxicity of cancer care in Rwanda. Methods This prospective cross-sectional study was conducted at 3 referral hospitals in Rwanda, which deliver most of the country's cancer care. Data were collected over 6 months from June 1 to December 1, 2022 by trained research assistants (RAs) using a modified validated data collection tool. RAs interviewed consecutive eligible patients with breast cancer, cervical cancer, colorectal cancer, Hodgkin's and non-Hodgkin's lymphoma who were on active systemic therapy. The study aimed to identify sources of financial burden. Data were analyzed using descriptive statistics. Results 239 patients were included; 75% (n  = 180/239) were female and mean age was 51 years. Breast, cervix, and colorectal cancers were the most common diagnoses (42%, 100/239; 24%, 58/239; and 24%, 57/239, respectively) and 54% (n  = 129/239) were diagnosed with advanced stage (stages III-IV). Financial burden was high; 44% (n  = 106/239) of respondents sold property, 29% (n  =  70/239) asked for charity from public, family, or friends, and 16% (n  = 37/239) took loans with interest to fund cancer treatment. Conclusion Despite health insurance which covers many elements of cancer care, a substantial proportion of patients on anti-cancer treatment in Rwanda experience major financial toxicity. Novel health financing solutions are needed to ensure accessible and affordable cancer care. [ABSTRACT FROM AUTHOR]