This center, hosted by the University of Rwanda (UR) Regional Centre of Excellence for Biomedical Engineering and eHealth in collaboration with the Ministry of Health, marks a transformative step in the country's efforts to standardize data-driven healthcare.
Following South Africa, Rwanda now becomes the second African country to host such a center, signaling a shift in the balance of global health data leadership toward the region.
The designation was communicated by the Acting WHO Regional Director, Dr Chikwe Ihekweazu, effective from 12 March 2025 for a period of 4-year period up to 12 March 2029.
This positions Rwanda as a key player in the development, implementation and global advocacy for WHO international health classifications, namely the International Classification of Diseases (ICD-11), the International Classification of Health Interventions (ICHI) and the International Classification of Functioning and Disability (ICF).
The center will play a strategic role in strengthening Africa's health data infrastructure through training, policy development, and research cooperation.
Speaking at the launch, Ihekweazu emphasized the center's importance to the region. 'A first for Rwanda, and only the second on the continent, this proud milestone signals Africa's growing capacity for leadership in health information systems. Congratulations to UR's Regional Centre of Excellence in Biomedical Engineering and eHealth upon this designation,' he said.
Ihekweazu stressed the urgent need for countries to shift from development to implementation of global health classification tools.
'Good data, whether for better mortality statistics or smarter resource allocation, makes all the difference. COVID-19 exposed the weaknesses in our systems, but today, we are witnessing progress. Every country now has mechanisms to generate more reliable health and mortality data,' he remarked.
He also encouraged wider adoption of tools like the WHO Digital Open Rule Integrated Cause of Death Selection (DORIS) software and the new online training for medical certification of cause of death. These, he said, are crucial to closing persistent gaps in data accuracy across the continent.
Dr. Muhammed Semakula, Ministry of Health Head of the Department of Planning, Monitoring, Evaluation and Health Financing, representing Minister of Health, lauded the center as a reflection of Rwanda's progress in digital health.
'This recognition signifies our country's commitment to evidence-based policymaking, robust disease surveillance, and efficient resource allocation,' he said.
Semakula revealed that Rwanda has already embedded ICD-11 across its health systems, with 97% of citizens enrolled in health insurance schemes, thus not only improving the accuracy of diagnoses and reimbursements but also enhancing the quality and timeliness of healthcare services.
According to him, implementing a unified classification system will address discrepancies between healthcare facilities and insurance systems, reducing inefficiencies and complaints.
The WHO Country Representative for Rwanda, Dr. Brian Chirombo, applauded the collaborative efforts that led to the establishment of the new center. 'I would like to congratulate University of Rwanda and the Ministry of Health for this tremendous achievement,' he said.
Chirombo emphasized that health classifications are more than just technical tools. They are the language through which experts understand and communicate the complexities of health and disease. 'They allow us to track disease outbreaks, develop public health policies, and evaluate their impact,' he noted.
He further reported that between 2018 and 2024, in collaboration with WHO, the University of Rwanda and the Ministry of Health designed of a short course curriculum on medical coding offered at the University of Rwanda.
Health professionals in medical coding and certification of causes of death were trained, field tested ICD-11 through electronic medical records (EMR) in two hospitals, and embedded the ICD-11 in the OpenMRS and eBuzima platform, an EMR which the country is deploying in health centers.
These initiatives not only improved national systems but also contributed to global knowledge and experience sharing through WHO-FIC meetings.
Central to the development of the Regional Centre of Excellence for Biomedical Engineering and eHealth is Dr. Michael Mugisha, a Senior Lecturer at the University of Rwanda and co-founder of the WHO Collaborating centre. Proudly reflecting on the achievement, he expressed gratitude for this milestone.
Mugisha explained that ICD-11 is not only a tool for documenting diseases but also for capturing health interventions, enabling data-driven planning, resource allocation, and research.
'Now, with structured and uniform data across hospitals, from health posts to referral hospitals, we can aggregate and analyze information to inform policy and guide decisions. We can answer questions like how many cesarean sections were performed last month, or which districts are seeing certain disease trends,' he said.
Crucially, he added, the center will act as Rwanda's voice on the global stage. 'With a WHO Collaborating Center, we now have the platform to reflect Rwanda's unique health context in international classification standards. We will be contributing to revisions, ensuring that African-specific conditions and realities are recognized globally,' he said.
Mugisha highlighted the value of local expertise. 'We have very talented scientists, clinicians, and researchers in Rwanda. We are mobilizing them to contribute to the global cause of improving how diseases and interventions are documented and understood worldwide,' he noted.
As Rwanda steps into this leadership role, this WHO Collaborating Centre is not only a symbol of national progress but also a regional beacon, demonstrating what is possible when technology, data, and public health vision align.
Sam K Nkurunziza
