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
03:42
1.2. Levels of Rwanda Health System and Institutional Arrangement
05:20
1.3. Private health facilities
00:00
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)
00:00
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

Under the HRH Programme, six new postgraduate residency programs in emergency medicine, neurosurgery, orthopedic surgery, pathology, psychiatry, and urology were launched in the CMHS School of Medicine and Pharmacy in 2013. The HRH Program funding proposal had planned to launch eight residencies, including family and community medicine, oncology, neurology, and radiology.

However, investments to strengthen internal medicine and general surgery programs were prioritized over family and community medicine, oncology, and neurology before the start of the HRH Program, and the launch of the radiology program was delayed for 2016 (Cancedda et al., 2018; MOH, 2016).

The University of Rwanda had mixed results in retention of Rwandan faculty, but showed early progress in recruiting those trained under the HRH Program. In 2019, the university revised its policies and procedures for hiring academic staff to lessen the requirements for promotion, emphasizing the importance of research, and quantifying student mentorship responsibilities (University of Rwanda, 2019). 

Exercise Files
Health unit 4.pdf
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