Ethics in Child Health – Chapter 15: Everyday ethics in Rwanda (ebook)


Chapter 15 of the book – Everyday ethics in Rwanda: perspectives on hope, fatigue, death and regrowth

In this sensitive and deeply personal chapter, the authors describe the complexities and ethical challenges faced by healthcare workers in an under-resourced community with a horrific history that rocked their country and the world only 20 years ago. While the resource limitations in Rwanda make the clinical practice of child healthcare very difficult, the chapter reflects particularly on the personal and ethical dilemmas experienced by healthcare professionals, including the threat of burnout. The authors discuss the potential for professionals to withdraw into fatalism and to lose the humanism that drew them to the healthcare field in the first place.

About the complete book

Have you ever:

  • Wondered how to deal with a family that repeatedly fails to keep clinic appointments?
  • Disagreed with colleagues over a proposed course of treatment for a child?
  • Considered ways to ‘bump’ a child on a waiting to speed up their assessment?

These are a few of the scenarios faced by clinicians in neurodisability on a daily basis. Ethics in Child Health explores the ethical dimensions of these issues that have either been ignored or not recognised. Each chapter is built around a scenario familiar to clinicians and is discussed with respect to how ethical principles can be utilised to inform decision-making. Useful ‘Themes for Discussion’ are provided at the end of each chapter to help professionals and students develop practical ethical thinking. Ethics in Child Health offers a set of principles that clinicians, social workers and policy-makers can utilise in their respective spheres of influence.


Readership: clinicians and paediatricians in neurodisability, service providers in neurodisability, community-based health professionals,  and health policy makers.

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