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Rwanda, "the land of a thousand hills," is also the land of 10 million people, making it the most densely populated country in Africa. In issue 22 of ESCP's FOCUS series, author Irene Kitzantides describes the SPREAD Project's integration of agribusiness development with community health care and education, including family planning. She outlines the project's successes and challenges in its efforts to simultaneously improve both the lives and livelihoods of coffee farmers and their families.

About the Author

Irene Kitzantides

U.S. Agency for International Development
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Environmental Change and Security Program

The Environmental Change and Security Program (ECSP) explores the connections between environmental, health, and population dynamics and their links to conflict, human insecurity, and foreign policy.  Read more

Africa Program

The Africa Program works to address the most critical issues facing Africa and U.S.-Africa relations, build mutually beneficial U.S.–Africa relations, and enhance knowledge and understanding about Africa in the United States. The Program achieves its mission through in-depth research and analyses, including our blog Africa Up Close, public discussion, working groups, and briefings that bring together policymakers, practitioners, and subject matter experts to analyze and offer practical options for tackling key challenges in Africa and in U.S.-Africa relations.    Read more

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