Dr Christian Ntizimira is a leading voice in global palliative care advocacy and currently the City Manager, City Cancer Challenge Foundation and the former executive secretary of the Rwanda Palliative Care and Hospice Organization (RPCHO). Dr Ntizimira pioneered integration of end-of-life care into health services rendered to Rwandan patients with chronic illnesses in acute care and community settings. Through his program (2008-2013), more than 1500 health care providers and community health workers have learned the principles of palliative care leading to a five-fold increase in prescription of morphine, an essential pain medication. From 2010–13, he was the director of Kibagabaga Hospital in Kigali. He has advised several governments on national palliative care policy, including Burundi, Rwanda and Senegal, on access to palliative care services. He was a member of the scientific Advisory Committee for the Lancet Commission on Global Access to Palliative Care and Pain Control 2014–17. Dr Ntizimira graduated in medicine from the College of Medicine and Health Sciences at the University of Rwanda in 2008. In 2011, he received a scholarship to study palliative care education and practice at Harvard Medical School’s Center for Palliative Care, and in 2017 he received the prestigious Fulbright Scholarship for a Masters program in Global Health and Social Medicine at Harvard Medical School from which he graduated in May 2019. He also trained as an African Pain Policy Expert at the University of Wisconsin. Dr Ntizimira was named Young Cancer Leader by the Union for International Cancer Control in 2016 and Distinguished Young Leader by the Harvard Global Health Catalyst in 2017. In 2018 Dr Ntizimira became the first World Hospice and Palliative Care Alliance (WHPCA) advocacy/policy champion.