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Increasing Access to Primary Care Services through Health Posts in Rwanda

Access to primary care services is of critical importance to significantly impact health outcomes for rural communities in Rwanda, and the Government aims to expand this access by opening 1548 new Health Posts across the country under it's Vision 2020 goals

Increasing Access to Primary Care Services through Health Posts in Rwanda

Rwanda has made significant progress against the Millennium Development Goals (MDGs). However, rural and hard to reach areas continue to lag behind urban centres with regard to key health outcomes.

Rwanda is divided into four provinces plus the City of Kigali. Each province is further broken down into districts, sectors, cells and villages, with each Health Post designed to serve the catchment area of a cell and provide health care according to a package of services defined by the Ministry of Health. Health Posts follow a Public-Private Partnership model and operate as a franchise, with each Health Post being owned, operated and managed by a nurse as a small business. Start-up loans are provided at affordable rates, and the Ministry of Health designates available infrastructure and chooses the location for the Health Post, with a bursary account also established for continued financial and business training of the nurses.

Under this programme, HANSHEP supports the Government of Rwanda to begin scaling the Health Post model through:

  • Constructing and equipping 8 new Health Posts
  • Renovating and equipping 12 existing premises to function as Health Posts
  • Convening a Symposium in March 2015 to disseminate the findings and good practices emerging from this model with other public and private stakeholders interested in scaling primary care services


Implementation Timeline: May 2014 - March 2015

Implementing PartnerGovernment of Rwanda (Ministry of Health)

This programme has been enabled by a World Bank DGF grant awarded to HANSHEP in 2014.