The Provinces of Rwanda, called intara, are further divided into districts (akarere) and municipalities (umujyi). Prior to January 1, 2006, Rwanda was composed of twelve provinces; however, the Rwandan Government decided to establish new provinces in an attempt to address issues that arose from the Rwandan Genocide of 1994.
Despite government efforts Rwanda has one of the highest repetition efforts even in Africa, and no doubt ongoing sectarian violence has contributed to this. The school language of instruction is Kinyarwanda at primary level, and then French and English thereafter, and at University too. The period spent at primary school is nominally 6 years.
In the pre-genocide era before 1994, Rwanda's healthcare was supported by the Bamako Initiative which was sponsored by UNICEF and WHO and adopted by African ministers of health in 1987.