CHW Central

A global resource for and about Community Health Workers

Rwanda

Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms

by

This study examined how Rwanda reformed its community-based health insurance scheme in 2020–2021 after facing ongoing financial difficulties despite covering a large share of the population. The reforms aimed to make the scheme more financially sustainable while improving the benefits available to members. The government placed greater responsibility for funding decisions … [Read more...] about Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms

Driving NCD screening at scale: outcomes of a digital, CHW-led hypertension surveillance program in rural Rwanda

by

This study examined how Community Health Workers (CHWs) in Rwanda used blood pressure monitors and a mobile app to screen people for high blood pressure. Between 2023 and 2024, CHWs screened nearly 500,000 people, and about 63,000 were found to have high blood pressure and referred to health facilities. However, only 7.2% of those referred completed the referral, and nearly … [Read more...] about Driving NCD screening at scale: outcomes of a digital, CHW-led hypertension surveillance program in rural Rwanda

Assessing Community Health Workers’ Experiences with Digital Rehabilitation: Usability, Barriers, and Implementation Needs in Primary Care Settings

by

This study explored how Community Health Workers in Rwanda and Kenya experienced using a digital rehabilitation app to support people with common muscle and joint problems. Overall, CHWs found the app easy to use and helpful for their work, and many felt it strengthened their skills and confidence. However, challenges such as limited access to smartphones, poor internet … [Read more...] about Assessing Community Health Workers’ Experiences with Digital Rehabilitation: Usability, Barriers, and Implementation Needs in Primary Care Settings

Community Health Worker–Reported Observations of Physical and Mental Disabilities among Children in Rural Setting in Rwanda

by

This study looked at how Community Health Workers (CHWs) in Rwanda identify children with physical and mental disabilities in their communities. Of the 358 CHWs surveyed, nearly two-thirds had identified at least one child with a disability, and most reported referring these children to health facilities. Female CHWs and those with more years of experience were more likely to … [Read more...] about Community Health Worker–Reported Observations of Physical and Mental Disabilities among Children in Rural Setting in Rwanda

Cost-Effectiveness of a Community Health Workers-Led Multicomponent Hypertension Intervention in Selected Health Centers in Rwanda: 12-Month Trial- Based Analysis from a Health Care System Perspective

by

This study looked at whether a program led by community health workers could help people control high blood pressure in Rwanda and whether it was worth the cost. The program included home visits, health education, and support for monitoring blood pressure. Patients in the program had clear improvements in their blood pressure compared to those receiving usual care, although the … [Read more...] about Cost-Effectiveness of a Community Health Workers-Led Multicomponent Hypertension Intervention in Selected Health Centers in Rwanda: 12-Month Trial- Based Analysis from a Health Care System Perspective