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Christian R. Ntizimira

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Christian R. Ntizimira
Head and shoulders photo of Christian R. NtizimiraNtizimira MD, Christian.jpg Ntizimira MD, Christian.jpg
Dr. Ntizimira in 2018
BornChristian Ruchaho Ntizimira
(1977-05-02) May 2, 1977 (age 47)
Bukavu, Democratic Republic of Congo
🎓 Alma mater
💼 Occupation
Known for
👩 Spouse(s)Reine Kamagaju “Joyeuse” (m. 2012)
👶 Children2
🏅 Awards
🌐 Websiteacreol.org
🥚 TwitterTwitter=
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Christian R. Ntizimira is a  Fulbright and Harvard alumni, Rwandan palliative care physician and advocate, and, since 2018, City Manager, Kigali, of the City Cancer Challenge Foundation. He is also the founder and Executive Director of the African Center for Research on End of Life Care (ACREOL).

In 2018 Ntizimira was involved in providing clinical care in the public sector at Kibagabaga District Hospital, in Kigali, Rwanda and was in 2010 appointed as the hospital’s Director, a position he maintained until April 2013.

From 2018- 2019, Ntizimira acted as Senior Consultant Coordinator of the Africa Leadership Meeting: Investing in Health the first platform bringing together governments, the private sector, and the global development community, to coordinate and accelerate progress toward achieving Universal Health Coverage. It was organized by the Africa Union and chaired by H.E Paul Kagame President, Republic of Rwanda.

After the Ministry of Health launched its 2011 National Policy in Palliative Care Ntizimira pioneered the integration of the End of Life program into health services for patients with life-limiting illnesses. Through the program, more than hundreds of thousands of health care providers and community health workers learned principles in palliative care and end-of-life care, leading to a five-fold increase in the prescription of morphine.

Early life and education[edit]

Ntizimira was born in Bukavu, (in May 2, 1977) in the Southern-Kivu Province of the Democratic Republic of Congo (formerly known as Zaire) and raised as a Rwandan refugee. As a result of his father’s work for the petroleum company, Zaire-Petrofina, the family moved from province to province before eventually settling in Goma, the principal city of the Northern-Kivu province, where Ntizimira completed his primary schooling at L'Ecole Communautaire du Lac and started his secondary education at College Mwanga, a Catholic Marist school.

Ntizimira had planned to major in literature. As fate would have it, the entrance exam in Biology and Chemistry came first. His results put him at the top of the enrolment list and flagged him as a promising medical student.

In August 1994, after the Genocide against the Tutsi, Ntizimira and his family moved to Rubavu Western province, Rwanda, to start a new life and to help rebuild the country. He finished secondary school at Ecole Privée de Gisenyi and then enrolled at the University of Rwanda.

Ntizimira completed his medical degree in General Medicine at the University of Rwanda in 2008 and upon graduation, he was deployed by the Ministry of Health as a general practitioner to Kibagabaga District Hospital in Kigali and was in 2010 promoted to Hospital Director.

In 2011, Ntizimira was awarded a scholarship to attend Harvard Medical School, Palliative Care Education, and Practice, in Boston, becoming the first Rwandan to attend the course.

In 2017, he applied for a Fulbright scholarship. Out of hundreds of candidates who applied, tens were short-listed for interviews, five passed the TOEFL, and GRE, and only two received the award. One went to Iowa State University, and Ntizimira attended a Masters of Medical Sciences in Global Health Delivery in the Department of Global Health and Social Medicine at Harvard Medical School. His thesis was titled, “End-of-Life Decision Making Among Cancer Patients in Rwanda: A Qualitative Study.”

Current activities[edit]

Since October 2018, Ntizimira has been City Manager, Kigali, for the City Cancer Challenge Foundation based in Geneva. The foundation supports cities around the world as they work to improve access to equitable, quality cancer care.

File:Class2019 2018-10-01.jpg
Harvard Medical School-GHD Class'19 with Founder Dr. Paul Farmer

Beginning 2013, Ntizimira has been serving as a founding member of the Rwanda Palliative Care and Hospice Organization (RPCHO), a non-profit organization providing palliative care and supporting home-based care at the community level. Between 2015 and 2017 he acted as the organization’s Executive Director.

Ntizimira is also the founder and Executive Director of the African Center for Research on End of Life Care (ACREOL), which operates on the central tenets of humanity, dignity, and social justice, and which works to improve the quality of care, life, death and dying on the African continent.  The center aims to develop tools that increase knowledge and broaden African perspectives with regards to best practice on death and dying.

Boards and Memberships[edit]

Since 2019, Ntizimira has served on the Board of the International Organisation of Women Development(IOWD), a non-profit American organization that supports fistula repair in Rwanda.

Ntizimira heads the conflict committee of the Rwanda Non-Communicable Diseases Alliance (RNCD), a non-profit alliance of Rwandan Civil Society Organizations.

He is also a founding member of the Rwanda Palliative Care & Hospice Organization (RPCHO); a member of the Union for International Cancer Control (UICC), and serves on the Board Committee of the Federation Internationale Francophones des Soins Palliatifs (FISP).

Ntizimira is a  member of the World Hospice and Palliative Care Alliance (WHPCA); a member of the African Organization for Research and Training in Cancer (AORTIC); a member of the Scientific Advisory Committee, Harvard Global Equity Initiative – Lancet Commission on Global Access to Pain Control and Palliative Care (HGEI-LC GAPCPC); a member of the American Academy for Hospice and Palliative Medicine (AAHPM); a member of the Rwanda Medical and Dental Council (RMC); a member of the International Association of Hospice & Palliative Care (IAHPC); a  member of the Christian Medical International Fellowship (CMI); and a member of the International Children’s Palliative Care Network [(ICPCN).

Former positions[edit]

February 2018: World Cancer Congress Regional Lead, Africa Union for International Cancer Control, Kigali, Rwanda.

2018-2019: Senior consultant coordinator of the African Leadership Meeting: Investing in Health, Addis-Ababa, Ethiopia.

2016 – 2018: Executive Director, Rwanda Palliative Care and Hospice Organization (RPCHO) Kigali, Rwanda.

2016 – 2018: Research member of the African Organization for Research and Training in Cancer (AORTIC) South Africa/Rwanda.

2016 – Present: Co-organizer/Summit Chair of Harvard Global Health Catalyst, Harvard Medical School Dana-Farber Cancer Institute Brigham & Women’s Hospital Boston, USA.

2016: Consultant in District Health Community Vision Initiative (CVI) UNICEF-Frog ACCESS Project RWANDA.

2015: International Consultant to Senegal Ministry of Health in Palliative Care Needs Assessment Study,  Association Sénégalaise des Soins Palliatifs [10] (ASSOPA).

2014 – 2017: Research Collaborator, Scientific Advisory Committee Lancet Commission in Pain Access Control and Palliative Care, Harvard Global Equity Initiative (HGEI) Kigali, Rwanda/ Boston, USA.

2010 – 2015: Palliative Care Advisor and Trainer-of-Trainers, Ministry of Health of Rwanda. Head, Palliative Care Center of Excellence, Kibagabaga District Hospital Kigali, Rwanda.

2012 – 2015: Medical Physician at Hospice St Jean-Paul II, Kabuga, Rwanda.

2010 – 2013: Director-General, Kibagabaga District Hospital, Kigali, Rwanda (Catchment area includes 60% of the population of Kigali.)

2010 - 2010: Acting Director, Kibagabaga District Hospital, Kigali, Rwanda.

2009 – 2010: Deputy Medical Director, Clinical Director, Kibagabaga District Hospital, Kigali, Rwanda.

2009- 2009: Head, Emergency Department, Kibagabaga District Hospital, Kigali, Rwanda.

2008 – 2010: Surgical staff member at Kibagabaga District Hospital, Kigali, Rwanda

Medical career[edit]

Ntizimira began his clinical practice in Kibagabaga District Hospital, Kigali, after completing medical school at the University of Rwanda. He is an expert in Palliative Care Education and Practice (PCEP) and holds a Masters in Medical Sciences in Global Health Delivery (MMSc-GHD)from Harvard University.

He has dedicated his professional career to promote and advocate access to palliative care at the community level.

“Palliative care is not optional. It is not an extra, an ‘add-on’, a luxury, or an after-thought. It is an essential component of humane cancer care. To develop cancer treatments without the parallel development of palliative care is a cruel injustice to the millions of cancer patients around the world who suffer needlessly. In every country, it is absolutely essential that when people talk about access to radiotherapy and cervical cancer screening and chemotherapy –all vitally important—they must also be talking in equal measure and with equal conviction about access to palliative care," Ntizimira has been quoted saying.

Research and Advocacy[edit]

File:Ntizimira as a keynote speaker at 19OPCC in Perth, Australia.jpg
Dr. Ntizimira as a keynote speaker at the 19th Oceanic Palliative Care Conference in Perth, Australia

Ntizimira is a passionate public speaker and an advocate of access to palliative care services at the community level, which he frames within the Ubuntu philosophy.

He has focused his research on end-of-life care; death, dying and dignity in low- and middle-income countries especially in Africa, and in understanding social-cultural aspects in end-of-life care. Most of his studies and publications aim to improve access to palliative care services at the community level and to locally contextualize end-of-life care.

Ntizimira has delivered many presentations and speeches about Rwanda’s experience in developing an integrated palliative care program within the public health system, from referral hospitals to the community. His thesis project at Harvard focused on “End-of-Life Decision Making Among Cancer Patients in Rwanda: A Qualitative Study”.

Ntzimira was a keynote speaker at the 19th Oceanic Palliative Care Conference in Perth, Australia, where he emphasized the need to consider a socio-cultural approach in palliative care and end-of-life care in order to restore humanity to the terminally ill.

Honors and awards[edit]

Christian R. Ntizimira became the first recipient - among extraordinary individuals who were making a significant contribution to developing palliative care in low- and middle-income countries - of the World Hospice and Palliative Care Alliance’s Advocacy Champion Award (2018). [1]

He received the prestigious Fulbright Exchange Scholar Award (2017) to attend Harvard Medical School for the Master's program in Global Health and Social Medicine. [2]

Ntizimira received the Harvard Global Health Catalyst: Distinguished Young Leader Award (2017) for his outstanding contribution to cancer care by supporting patients in palliative care. [3]

He received the Union for International Cancer Control Young Cancer Leaders Awards among hundreds of candidates (2016) for his tireless work in the advocacy of palliative care in cancer treatments. [4]

Ntizimira received the African Cancer Leaders Institute Fellowship Award (2015) for his pioneering contribution to the leadership of palliative care services in cancer care in Africa.

Dr. Ntizimira speaks in EAPC
Dr. Ntizimira, plenary speaker at European Association for Palliative Care, Berlin

He received the African Pain Policy Fellowship Award (2014) from the Pain Policy Study Group (University of Wisconsin) for his leadership in advocating pain control and access to morphine for those who suffer moderate and severe pain. [5]

Ntizimira received the American Academy Hospice Palliative Medicine Developing Country Scholar Award (2013) for his early professional career in palliative care in low- and middle-income countries. [6]

Ntizimira received the International Association Hospice Palliative Care Certificate of Recognition for service to global palliative care (2012).

Publications[edit]

Elmore, S., Grover, S., Bourque, J., Chopra, S., Nyakabau, A., Ntizimira, C., . . . Rodin, D. (2019). Global palliative radiotherapy: A framework to improve access in resource-constrained settings. Annals of Palliative Medicine, 8(3), 274284.[1]

Anderson, Tatum. (2018). Rolling out Rwanda's national palliative care programme. Bulletin of the World Health Organization, 96(11), 736-737.[2]

Eric L. Krakauer, Xiaoxiao Kwete, Stéphane Verguet, Hector Arreola-Ornelas, Afsan Bhadelia, Oscar Mendez, Natalia M. Rodriguez, . . . Christian Ntizimira, Hibah Osman, Pedro Perez-Cruz, M. R. Rajagopal, Lukas Radbruch, Dingle Spence, Mark Stoltenberg, Neo Tapela, David A. Watkins, and Felicia Knaul. Chap 12: Palliative Care and Pain Control. Disease Control Priorities, Third Edition (Volume 9): Improving Health and Reducing Poverty. Published: December 2017, ISBN 978-1-4648-0527-1 Search this book on ., e-ISBN 978-1-4648-0528-8 Search this book on ..[3]

Knaul, Farmer, Krakauer, De Lima, Bhadelia, Jiang Kwete, . . . Rajagopal. (2018). Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: The Lancet Commission report. The Lancet, 391(10128), 1391-1454.[4]

Rosa, William, E., MS, AGPCNP-BC, ACHPN, AHN-BC, CCRN-CMC, FCCM; Male, Marcia, A., MS, MTCM,RN; Uwimana, Philomene, MSN, BNE, RN; Ntizimira, Christian, R, . . . Patricia, J., PhD, MSN, CPNP. The Advancement of Palliative Care in Rwanda: Transnational Partnerships and Educational Innovation. Journal of Hospice & Palliative Nursing: June 2018 - Volume 20 - Issue 3 - p 304–312.[5]

Krakauer, Muhimpundu, Mukasahaha, Tayari, Ntizimira, Uhagaze, . . . Sezibera. (2018). Palliative Care in Rwanda: Aiming for Universal Access. Journal of Pain and Symptom Management, 55(2), S77-S80.[6]

Hamdi, H., Ba, Oumar, Niang, Serigne, Ntizimira, Christian, Mbengue, Mouhadou, Coulbary, Aminata Sophie, . .. Lohman, Diederik. (2018). Palliative Care Need and Availability in Four Referral Hospitals in Senegal: Results from a Multicomponent Assessment. Journal of Pain and Symptom Management, 55(4), 1122-1130.[7]

Ntizimira CR, Ngizwenayo S., et al: Addressing End-of-Life Care in Cancer Patients through “Ubuntu”: Lessons Learned from Rwanda in Global Health Perspective of Humanity. The current Obstetrics and Gynecology Reports. Curr Obstet Gynecol Rep (Oct 2016). DOI:10.1007/s13669-016-0186-7.[8]

Wilfred Ngwa, Ntizimira CR et al (Co-Authors): Closing the Cancer Divide through Ubuntu: Information and Communication Technology powered models for global radiation oncology. The International Journal of Radiation Oncology, March 1, 2016Volume 94, Issue 3, Pages 440–449.[9]

Binagwaho, A., Muhimpundu, M., & Bukhman, G. (2014). 80 under 40 by 2020: An equity agenda for NCDs and injuries. The Lancet, 383(9911), 3-4.[10]

Nkurikimfura JL., Ntizimira CR: Senior Consultants and Nurses"Addressing End-of-Life Care in Cancer Patients through "Ubuntu": Lessons Learned from Rwanda in Global Health Perspective of Humanity. The current Obstetrics and Gynecology Reports" embrace Palliative Care at CHUK.[11]

Ntizimira : The Spirit of Palliative Care.[12]

Ntizimira : Palliative care project in Rwanda having a lasting impact.[13]

Ntizimira CR., Mukankuranga G., Krakauer EL., Binagwaho A: Integration of Multidisciplinary Palliative Care into an Urban district Healthcare System in Rwanda.[14]

VIDEO (ecancer) : The development of palliative care in Rwanda.[15]

Ntizimira : “Add life to days not just days to life”.[16]

Dr Agnes Binagwaho, Paul E Farmer, Sabin Nsanzimana et al: Rwanda 20 years on: investing in life. The Lancet, Volume 384, Issue 9940, Pages 371 - 375, 26 July 2014 doi: 10.016/S0140-6736 (14) 60574-2

Ntizimira : Rwanda- A surgeon’s dream turns to Palliative Care. IAHPC Traveling Scholar’s Report, Volume 17, No 3, March 2016.[17]

Ntizimira : Palliative care in Africa: a global challenge. ecancer 8 493 / DOI: 10.3332/ecancer.2014.493.[18]

Vogel L. Rwanda moving to provide “good deaths” for terminally ill (Interview). CMAJ October 4, 2011 183:E1053-E1054; published ahead of print September 12, 2011, doi: 10.1503/cmaj.109-3963.[19]

Kamwesiga J., Mutabazi V., Ntizimira CR et al (co-authors): Effect of selenium supplementationCD4+ T-cell recovery, viral suppression and morbidity of HIV-infected patients in Rwanda: a randomized controlled trial. AIDS, official journal of the international AIDS society. 1 June 2015 - Volume 29 - Issue 9 - p1045–1052. doi:10.1097/QAD.0000000000000673[20]

Ntizimira CR: Médecine : « En Afrique, le concept de soin palliatif est quasi inexistant »[21]

Ntizimira CR: “La philosophie « Ubuntu » dans le traitement du cancer”.[22]

Rosa, W. E., Male, M. A., Uwimana, P. R., Ntizimira, C. J., Sego, R., Nankundwa, E., . . . Moreland, P. (2018).“The Advancement of Palliative Care in Rwanda: Transnational Partnerships and Educational Innovation".[23]

References[edit]

  1. "Global palliative radiotherapy: A framework to improve access in resource-constrained settings". Annals of Palliative Medicine. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  2. "Rolling out Rwanda's national palliative care programme". WHO.Bulletin of the World Health Organization. Volume 96(11), 736-737. ProQuest 2135999259. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  3. Jamison, D. T.; Gelband, H.; Horton, S.; Jha, P.; Laxminarayan, R.; Mock, C. N.; Nugent, R. (2017). Jamison, Dean T; Gelband, Hellen; Horton, Susan; Jha, Prabhat; Laxminarayan, Ramanan; Mock, Charles N; Nugent, Rachel, eds. Palliative Care and Pain Control. Disease Control Priorities, Third Edition (Volume 9): Improving Health and Reducing Poverty. Disease Control Priorities, Third Edition (Volume 9): Improving Health and Reducing Poverty. doi:10.1596/978-1-4648-0527-1. hdl:10986/28877. ISBN 978-1-4648-0527-1. PMID 30212058. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help) Search this book on
  4. "Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: The Lancet Commission report". The Lancet. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  5. Rosa, William E.; Male, Marcia A.; Uwimana, Philomene; Ntizimira, Christian R.; Sego, Ruth; Nankundwa, Evelyne; Byiringiro, Samuel; Nsereko, Etienne; Moreland, Patricia J. (2018). "The Advancement of Palliative Care in Rwanda: Transnational Partnerships and Educational Innovation". Journal of Hospice & Palliative Nursing. 20 (3): 304–312. doi:10.1097/NJH.0000000000000459. ISSN 1522-2179.
  6. "Palliative Care in Rwanda: Aiming for Universal Access". Journal of Pain and Symptom Management. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  7. Hamdi, Hana; Ba, Oumar; Niang, Serigne; Ntizimira, Christian; Mbengue, Mouhadou; Coulbary, Aminata Sophie; Niang, Rokhaya; Parsons, Matthew; Amon, Joseph J.; Lohman, Diederik (2018). "Palliative Care Need and Availability in Four Referral Hospitals in Senegal: Results from a Multicomponent Assessment". Journal of Pain and Symptom Management. 55 (4): 1122–1130. doi:10.1016/j.jpainsymman.2017.11.034.
  8. "Addressing End-of-Life Care in Cancer Patients through "Ubuntu": Lessons Learned from Rwanda in Global Health Perspective of Humanity. The current Obstetrics and Gynecology Reports". Springer. Current Obstetrics and Gynecology Reports. doi:10.1007/s13669-016-0186-7. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help); Unknown parameter |s2cid= ignored (help)
  9. Ngwa, Wilfred; Ngoma, Twalib; Zietman, Anthony; Mayr, Nina; Elzawawy, Ahmed; Winningham, Thomas A.; Balogun, Onyinye; Enwerem-Bromson, Nelly; Ntizimira, Christian; Olopade, Olufunmilayo I.; Oluwole, Doyin; Odedina, Folakemi; Williams, Makeda; Flanigan, John; Asana, Lydia; Ngwa, Kenneth; Avery, Stephen; Pollard, Julianne M.; Roland, Teboh; Funwi-Gabga, Neba; Mbarika, Victor; Hardenbergh, Patricia; Winkfield, Karen; Pipman, Yakov; Stefan, Christina; Ngoma, Mamsau; Mohammed, Sulma; Katz, Matthew; Erno, Sajo; et al. (2016). "Closing the Cancer Divide through Ubuntu: Information and Communication Technology powered models for global radiation oncology". International Journal of Radiation Oncology, Biology, Physics. 94 (3): 440–449. doi:10.1016/j.ijrobp.2015.10.063. PMC 4959435. PMID 26867873. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  10. Binagwaho, A.; Muhimpundu, M. A.; Bukhman, G.; NCD Synergies Group (2014). "An equity agenda for NCDs and injuries". Lancet. 383 (9911): 3–4. doi:10.1016/S0140-6736(13)62423-X. PMID 24388297. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help); Unknown parameter |s2cid= ignored (help)
  11. "Senior Consultants and Nurses embrace Palliative Care at CHUK". Ehospice Newspaper. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  12. "The Spirit of Palliative Care. First Inpatient Center for End of Life Care in Rwanda". Ehospice Newspaper. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  13. "Palliative care project in Rwanda having a lasting impact". Ehospice Newspaper. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  14. "Integration of Multidisciplinary Palliative Care into an Urban district Healthcare System in Rwanda" (PDF). Africa Palliative Care Association Conference 2013. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  15. "The development of palliative care in Rwanda". ecancer Medical Sciences. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  16. "Add life to days not just days to life". The NewTimes Newspaper. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  17. "Rwanda- A surgeon's dream turns to Palliative Care". International Association for Hospice and Palliative Care Traveling Scholar's Report. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  18. "Palliative care in Africa: a global challenge". ecancer Medical Science. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  19. "Rwanda moving to provide "good deaths" for terminally ill (Interview)". Canadian Medical Academic Journal Group. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  20. "Effect of selenium supplementationCD4+ T-cell recovery, viral suppression and morbidity of HIV-infected patients in Rwanda: a randomized controlled trial". AIDS Online Journal. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  21. "En Afrique, le concept de soin palliatif est quasi inexistant". Jeune Afrique Magazine. Retrieved 16 September 2020. Unknown parameter |url-status= ignored (help)
  22. "La philosophie " Ubuntu " dans le traitement du cancer". Le Jeune Afrique Magazine.
  23. "The Advancement of Palliative Care in Rwanda: Transnational Partnerships and Educational Innovation". Journal of Hospice & Palliative Nursing, 20(3), 304-312. Unknown parameter |url-status= ignored (help)

External links[edit]

Academic:

  • Harvard Palliative Care Education and Practice [7]
  • Department of Global Health and Social Medicine, Harvard Medical School [8]
  • Harvard Global Health Catalyst [9]
  • Harvard Global Equity Initiative [10]

Personal:



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