Abstract
No AccessHealth, Nutrition and PopulationFeb 2009The Struggle for Ownership of AssistanceHealth and AIDS in RwandaAuthors/Editors: John RwangombwaJohn RwangombwaSearch for more papers by this authorhttps://doi.org/10.1596/1020-797X-11_1_11SectionsAboutPDF (0.2 MB) ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinked In Aid earmarking reflects donor priorities more than those of the recipient country. Rwanda has sought to reform its health care system, while donor funding was focused on fighting HIV/AIDS. Previous articleNext article FiguresreferencesRecommendeddetails View Volume 11Issue 1February 2009Page: 11-13ISSN: 1020-797X Copyright & Permissions Related RegionsAfricaRelated CountriesRwandaRelated TopicsGenderHealth Nutrition and PopulationLaw and DevelopmentRural Development KeywordsHIV/AIDSFINANCIAL MANAGEMENTHEALTH CAREHEALTH CARE SERVICESHEALTH CENTERSHEALTH EXPENDITUREHEALTH FACILITIESHEALTH INSURANCEHEALTH SECTORHEALTH SERVICESHOSPITALSINFANT MORTALITYINFANT MORTALITY RATEMEDICAL DOCTORMORTALITYPATIENTSPUBLIC HEALTHREPRODUCTIVE HEALTHSUSTAINABLE DEVELOPMENTTUBERCULOSIS PDF DownloadLoading ...
Highlights
As Rwanda recovered and rebuilt its public institutions at the turn of century, national ownership of Rwanda’s development vision has never been stronger
Whilst the destructive and disruptive effects of the 1994 genocide are still felt in modern-day Rwanda, key performance indicators in the health sector have recovered to—and are beginning to exceed—their pre-war levels
The prevalence of HIV stands at 3.1 percent of the population: less half the average for Sub-Saharan Africa, though still a significant burden on our population
Summary
RWANDA HAS, in recent years, registered impressive progress against the Millennium Development Goals in its health sector. RECENT IMPROVEMENTS to Rwanda’s health care system have focused on providing incentives for delivering quality care at the local level Inherent to these approaches is the need to promote and adequately finance preventive services, and to reward performance in the provision of health care. Government expenditure represents a significant proportion of it, with 18 percent of government expenditure earmarked for the health sector in 2006 These increases have allowed the Rwanda’s government to decentralize health services. Block grants to local governments enable greater flexibility in service provision, responding to local needs and incorporating an element of performance-based financing. This model grants full autonomy to health centers and hospitals, backed by central government support for the planning and operationalization of the approach. Whilst ODA to Rwanda’s health sector accounts for approximately 30 percent of all aid, not all of this finds its way into the government structures that have been set up to ensure the equitable and efficient channelling of resources to their intended beneficiaries
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