Rwanda: Primary Healthcare Standards decentralized down to Health Centers

  • Rwanda - Primary Healthcare Standards decentralized down to Health Centers


Barame project is training Health Centers from the seven districts of intervention, on Primary Health Care Standards, accreditation, and protocols, aiming at improving the quality of health services in the grassroot health facilities. In four consecutive workshops (from 27th June 2022) that are organized by Barame project in partnership with Rwanda Biomedical Center (RBC), health centers and health posts will learn the essential ways of observing the standard protocols that would be used in reducing maternal and early child mortality rate.

Rwandan health system follows universal protocols and standards as it is highlighted in the Quality and standard  ensurance policy adopted in 2008. This policy started being implemented in referral and District hospitals where much emphasis has been put on maternal and early child Mortality rate reduction in hospitals. Since 2022, the ministry of health through the Rwanda biomedical Center (RBC) in partnership with Enabel through Barame projet started transiting these protocols to health centers and health posts to meet quality standards of health care services in the grassroot health facilities.

To ensure that the primary health protocol and standards are observed, Barame in Collaboration with RBC conducted  a three-day workshop which gathered 65 Health post managers and health quality staff from two districts of project intervention namely Nyarugenge and Karongi, which will be followed by three other workshops gathering the rest of the seven districts of Barame intervention area. The workshops will take these health workers to the next level of controlling maternal and child mortality rate in their respective area of work.
The aim of this training is to build the capacity of Health Centers and Health Posts’ managers and staff to be able to comply with PHC standards, implement, sustain capitation payment mechanism, and improve the Maternal, Neonatal and Child Health (MNCH), Family Planning FP and Adolescent sexual & Reproductive Health (ASRH) services offered.

The Ministry of Health has made strong commitments to ensuring the highest achievable quality during provision of essential health services, particularly the primary health care (PHC) services that are following set standard and best outcomes at the minimum cost. The national health care accreditation program was established to guide health facilities in defining, implementing and measuring standards of the expected quality standards of service delivered. The Ministry of health also went further to develop primary healthcare accreditation standards as one of numerous strategies to improve quality of service delivery at health center level. As adopted from internationally recognized standards, the program supports health facilities staff to provide evidence-based interventions, patient-centered care that mitigates unnecessary risks, prevents further harm to patients and fosters access to and demand for health services.

The Government of Rwanda (GoR), through the NST1 has committed to attain 90% of citizen satisfaction with services and ensuring 100% of government services are delivered online by 2024. The National Leadership Retreat resolutions 2016, 2017, 2018 and 2020 respectively emphasized on improving and fast-tracking service delivery in public institutions. Improve Maternal Mortality and Child Health by reducing maternal mortality ratio to 126/100,000 in 2024 from 210/100,000 (2013/14) and under five mortality rate to 35/1000 in 2024 from 50/1000 (2013/14).      

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