The District Health System (DHS) encourages managers to take charge and make decisions about health services and the allocated resources. The role of the District Management Team (DMT) is to: Mix and allocate the available resources in the best possible way to meet the basic health needs of the community they serve. The district health office is usually managed by a team of health workers, called the district health management team (DHMT). A typical team consists of the district health officer, public health nurse, hospital administrator, nutritionist and environmental health officer. The health services extend from the community health workers to the hospitals. The district hospital may be the main centre for curative health care and is commonly referred to as the first referral level. As well as organizing the health services, the DHMT also has to collaborate with local government and non-governmental organizations, to liaise with community representatives and to practice intersectoral coordination.
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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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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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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UNIT 4: Health System Inputs
Strategic direction:
By 2024 Rwanda will ensure a sustainable CBHI scheme through adequate community mobilization.
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