man giving a slide presentation





Rwanda912: Use of an innovative electronic communications platform to improve pre-hospital transport of injured people in Rwanda

In Rwanda, injury causes 9% of deaths; 47% occurring before-hospital. Similar to many LMICs, Rwanda experiences long delays in getting patients to hospital, with all communication between patients, ambulances, and hospitals done using multiple phone-calls. To overcome these difficulties, a local software firm designed Rwanda912, a novel electronic tool for use in low resource settings. Rwanda912 uses an ambulance Destination Decision Support Algorithm (DDSA) which regularly collects information from hospitals on availability of staff and equipment, and from the ambulance crew on patient status; it uses this information to match the patient with the nearest able hospital. It has been endorsed by the Rwandan Ministry of Health (MoH) and won local innovation awards.

In collaboration with the Ministry of Health, Rwanda Biomedical Centre, Service D’Aide Urgent (SAMU - the Rwandan ambulance services), RwandaBuild (a local software developer) and local and international academics, this project will test whether Rwanda912 reduces time from injury to arrival at hospital and improves clinical outcomes such as death and length of stay in hospital.  

This is a RIGHT Call 4 project funded by the UK National Institute for Health and Care Research.



Research Leads



Professor Justine Davies

University of Birmingham


Jean Claure Byiringiro

Professor Jean Claude Byiringiro

University of Rwanda


Related Projects

  • Equi-Injury: NIHR Global Health Group on Equitable Access to Quality Health Care for Injured People in Four Low or Middle Income Countries
  • Equi-Trauma: Equitable access to quality trauma systems in Lower and Middle Income Countries. Assessing gaps and developing priorities. 

Related Publications

Social determinants of seeking and reaching injury care in South Africa: a community-based qualitative study. Owolabi, E. O., Ferreira, K., Nyamathe, S., Ignatowicz, A., Odland, M. L., Abdul-Latif, A-M., Byiringiro, J. C., Davies, J. & Chu, K. M., 27 Jan 2023, In: Annals of Global Health. 89, 1, 13 p., 5.

Access to care following injury in Northern Malawi, a comparison of travel time estimates between Geographic Information System and community household reports. Whitaker, J., Brunelli, G., Van Boeckel, T. P., Dube, A., Amoah, A. S., Rickard, R. F., Leather, A. J. M. & Davies, J., 5 Feb 2022, (E-pub ahead of print) In: Injury. 53, 5, p. 1690-1698

Improving quality of surgical and anaesthesia care in sub-Saharan Africa: a systematic review of hospital-based quality improvement interventions Brima, N., Morhason-Bello, I., Charles, V., Davies, J. & Leather, A. JM., 11 Oct 2022, In: BMJ open. 12, 12 p., e062616

Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessmentsWhitaker, J., O’Donohoe, N., Denning, M., Poenaru, D., Guadagno, E., Leather, A. JM. & Davies, J., 11 May 2021, In: BMJ Global Health. 6, 5, 15 p., e004324

Development and use of clinical vignettes to assess injury care quality in Northern MalawiWhitaker, J., Chirwa, L., Munthali, B., Dube, A., Amoah, A. S., Leather, A. JM. & Davies, J., 14 Jan 2021, (E-pub ahead of print) In: Injury. 52, 4, p. 793-805

Identifying, prioritizing and visually mapping barriers to injury care in Rwanda: a multi-disciplinary stakeholder exercise Odland, M. L., Whitaker, J., Nepogodiev, D., Aling, C. A., Bagawhira, I., Dushime, T., Erlangga, D., Mpirimbanyi, C., Muneza, S., Nkeshimana, M., Nyundo, M., Umuhoza, C., Uwitonce, E., Steans, J., Rushton, A., Belli, T., Byiringiro, J. C., Bekele, A. & Davies, J., 28 Apr 2020, (Accepted/In press) In: World journal of surgery.