Course Content
UNIT 1: Overview of the health system in Rwanda
Article 41 of the Rwandan Constitution of 2003 amended in 2015 stipulates that health is a Human Right: “All citizens have rights and duties relating to health. The State has the duty of mobilizing the population for activities aimed at promoting good health and to assist in the implementation of these activities. All citizens have the right of equal access to public services in accordance with their competence and abilities.” Vision 2050 (“The Rwanda We Want”) will translate this health right into socio-economic development strategies in the context of transforming Rwanda into a high-income country by 2050. Through key pillars and crosscutting area, Vision 2050 will be people-centered, thereby encompassing all age cohorts to achieve its short, medium and long-term strategies. The health paragraph of Vision 2050 will address the high population growth rate (2.6% per year), Reproductive Health challenges, the importance of pre-elimination of infectious diseases (including malaria, Vaccine Preventable Diseases and mother to
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1.1. Policy framework and strategic documents
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1.2. Levels of Rwanda Health System and Institutional Arrangement
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1.3. Private health facilities
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1.4. Health education and communication
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1.5. Contribution to NST-1 and SDGs
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Unit 1: Overview of Rwanda Health System
Unit 2: District Health Management and Planning
This unit introduces the DHMT members to the important task of district health planning. It gives an overview and introduces the basic concepts of health planning at district level. For an improved health care service delivery, a well-established network of health facilities with good geographical coverage exists with an adequate fleet of ambulances for the pre-hospital and emergencies services: • Health care packages have been defined for each level; • Accreditation standards developed, disseminated and implemented; • Quality assurance teams established in each health facility; and • Coordination mechanisms are in place at each level.
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2.1. District Health Profile
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2.2. Planning
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2.3. District Health Management Team (DHMT)
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2.4. Imihigo in Health Planning
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2.5. M&E (Coordination Meeting, Supervision, Data Management) ACTIVITY,
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. District Health Management and Planning
Unit 3. Priority areas in health sector
UNIT 3: Priority Areas in Health Sector
Vision by 2024: all persons in Rwanda equitably receive quality Maternal, Neonatal and Child Health services, aligned to the economic development standards of the country.
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3.1. RMNCAH (reproductive, maternal, neonatal, child and adolescent health)
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3.2. Epidemic & infectious diseases
3.3. Non-communicable diseases (NCDs)
UNIT 4: Health System Inputs
Strategic direction: By 2024 Rwanda will ensure a sustainable CBHI scheme through adequate community mobilization.
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4.1. Human resource for health (HRH)
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4.2. Health Insurance & Financing
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4.3. Actors and stakeholders
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4.4. Health systems research (HSR)
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4.5. Hygiene and Sanitation
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Unit 4. Health System Inputs
Induction Handbook for Local Governments Employees On Health /Thematic Area: HEALTH
About Lesson
  • The Rwandan health sector is a pyramidal structure and consists of four levels: the central level, the intermediary level, the peripheral level and the community level.

Central levels:The central level comprised of the following; Ministry of Health (MOH), ,Rwanda Biomedical Center (RBC) and the national referral and teaching hospitals

Peripheral levels: The peripheral level is represented by the health district and consists of an administrative office (DHU), a district hospital (DH), and a network of health centers and health posts (HCs / HPs). As part of the decentralized structure of the GOR, the District Health Unit (DHU) is an administrative unit in charge of coordination of the provision of health services (including the private sector) and responsible for planning, monitoring and supervision of the decentralized implementing agencies. 

Community levels: at the village level, Community Health Workers (CHWs) provide prevention, promotion and some curative health services

Intermediary levels: To decrease the pressure of demand for services in the national referral hospitals, 3 district hospitals were upgraded to referral hospital level (Ruhengeri, Kibuye and Kibungo hospitals) and four other district hospital were upgraded to provincial hospital level (Rwamagana, Bushenge, Ruhango and Kinihira) in order to form an intermediary level of referral hospitals. In addition, there are private practices operating in most of these cities.

Exercise Files
Health unit 1.pdf
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