Authors: Regis Hitimana, Ina Kalisa, Parfait Uwaliraye, Shivani Shukla, Soleine Scotney, Amit Chandra, Daniel Palazuelos
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 within central financial institutions, linked efforts to raise more money with better healthcare benefits, and introduced clearer rules for deciding which services would be covered. The study shows how political decisions, government priorities, and the way costs and benefits are shared can influence the success of health financing reforms.
Link: Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms
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Resource Topic: Community Health Financing, Financing, Health equity, Healthcare policy
Year: 2026
Region: Sub-Saharan Africa (SSA)
Country: Rwanda
Publisher May Restrict Access: No