Non-Communicable   Diseases   (NCDs)   are   a   worldwide   epidemic.   Particularly,  the  most  common  diseases  -   Cardiovascular  diseases,  Chronic   Obstructive   Pulmonary   Diseases   (COPD),   Chronic   Kidney Diseases, Cancer,  Diabetes,  injuries  and  disabilities,  EMT, oral,  eye  greatly  contribute  to  the  morbidity  and  mortality  accounting  for  around  60%  of  all  deaths  worldwide.  The  disease  pattern  is  also  changing  from  infectious  to  chronic  in  Rwanda  like  other  developing  countries   due   to   the   epidemiological   transition.