The findings, drawn from a nationally representative sample of over 20,000 women and men, show that 50% of men and 18% of women aged 15–49 drank alcohol in the last month, figures that point to a wide and persistent gender gap in drinking habits, even as frequency patterns look broadly similar across the two groups.

Frequency over volume

Most Rwandans who drink do so occasionally rather than heavily. Among those who consumed alcohol, 78% of women and 51% of men drank on just one to five days in the preceding month. Daily or near-daily drinking was reported by 7% of women and 15% of men.

When they did drink, men were more likely than women to have several drinks in one sitting. Among male drinkers, 32% had no more than one drink per session, compared with 48% of female drinkers. At the other end of the scale, 12% of men and 14% of women who drank consumed six or more drinks on a typical drinking day.

Drinking rises sharply with age

The survey shows a clear age gradient for both sexes. Among women, alcohol consumption climbs from 7.5% among 15–19-year-olds to 28.9% among those aged 45–49. Among men, the increase is steeper and comes earlier: from 22.2% among teenagers to over 60% by their early 30s, peaking at 64.8% among men aged 40–44.

Regional and economic divides

Alcohol use varies markedly by province, and the pattern looks different for men and women.

Among women, Northern Province (26.1%) and Southern Province (25.6%) recorded the highest rates of alcohol consumption, more than double the 10.5% recorded in the City of Kigali, the lowest of any province. Western and Eastern Provinces fell in between, at 13.3% and 15.6% respectively.

Among men, the geography shifts, though Northern Province again tops the list, at 59.4%. It is followed by Southern Province (54.1%), Eastern Province (45.7%), Kigali (49.7%), and Western Province, which recorded the lowest male consumption at 45.3%. Notably, Kigali records the lowest alcohol use among women but sits roughly in the middle among men, while Western Province is consistently the lowest- or near-lowest-consuming province for both sexes.

The rural-urban split tells a smaller but still notable story. Rural women were more likely to drink than urban women (20.5% versus 12.7%), while the gap between rural and urban men was minimal (50.9% versus 48.8%), suggesting alcohol use among men is fairly evenly distributed regardless of setting, whereas for women, urban residence appears to correlate with lower consumption, mirroring the wealth pattern seen nationally.

Wealth shapes drinking for both sexes, though the pattern is clearer among women. Women in the poorest wealth quintile were roughly twice as likely to have consumed alcohol in the last month (24.4%) as those in the wealthiest quintile (11.8%). Among men, consumption was also highest in the poorest quintile (59.3%) and lowest among the wealthiest (41.7%), though the decline was less consistent in between, dipping to 49.4–49.5% in the middle quintiles before falling further at the top.

Education shows a similar gradient for women, alcohol use falls steadily from 24.9% among those with no education to 11.5% among those with more than secondary education. Among men, the pattern is less consistent: consumption drops from 62.5% (no education) to 41.3% (secondary), then rises again to 50.3% among the most educated group.

A different picture from tobacco use

The RDHS report notes that alcohol consumption is far more widespread than tobacco use in Rwanda, where just 1% of women and 6% of men aged 15–49 currently smoke or use tobacco products. Tobacco use among men has declined slightly since the previous survey, from 7% in 2019–20 to 6% in 2025.

Unlike tobacco, which is most heavily concentrated among older, less educated and lower-income men, alcohol consumption follows a somewhat similar socioeconomic gradient among women, while showing a less consistent pattern among men.

The report cautions that heavy alcohol intake carries significant health risks, including increased risk of alcoholism, malnutrition, chronic pancreatitis and liver disease, as well as risks to maternal and child health when consumed during pregnancy.

The 2025 RDHS was implemented by the National Institute of Statistics of Rwanda (NISR) in collaboration with Rwanda's Ministry of Health.