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The Economy of Rwanda

Community Health Insurance

Rwanda built one of Africa's broadest health insurance systems, with community-based schemes covering most of the population.

Health as an economic strategy.

Coverage

Around 90 per cent of Rwandans have some form of health insurance.

Mutuelles

Community-based schemes pool small premiums, with subsidies for the poorest.

Health workers

Community health workers visit homes and treat common illnesses.

Results

Child mortality and infectious disease deaths fell steeply.

A household premium

Families pay a small annual amount and get access to clinics.

Assuming coverage guarantees quality care

Facilities and staffing still need improvement.

Key takeaways
  • About 90% have insurance.
  • Community schemes pool risk.
  • Health workers reach homes.
  • Mortality fell.
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