Nurses are the linchpin of health care. They vastly outnumber physicians and often are the chief primary care providers for patients in hospitals, health centers, and clinics around the world. This is the case in Rwanda, though the country has experienced a decades-long shortage of clinicians. Rwanda's supply of nurses, at 0.7 per 1,000 residents, is more constrained even than those of other resource-limited countries. Additionally, training and skill levels are inconsistent among nurses who work in the country, which can result in diminished quality of care.