Financing Health Services: Our Impact

 {Photo credit: MSH Rwanda}Left to right: Lisa Godwin, USAID Rwanda Health Office Director, Dr. Diane Gashumba, Rwanda's Minister of Health, Alain Joyal, RHSS Project Director, Management Sciences for Health.Photo credit: MSH Rwanda

Over the past five years, the United States Agency for International Development (USAID) has invested in measures to strengthen and sustain Rwanda’s health sector through its Rwanda Health Systems Strengthening (RHSS) Project (2014-2019). In a ceremony at the Kigali Serena Hotel, USAID, the Ministry of Health (MoH), as well as the implementing partner, Management Sciences for Health (MSH), marked the culmination and remarkable achievements of the five-year effort to strengthen the country’s health sector.

{Photo credit: Todd Shapera}Photo credit: Todd Shapera

Raissa Iradukunda and her two children live near Remera-Rukoma District Hospital, about one hour from Kigali, Rwanda. The family is covered under Rwanda’s community-based health insurance (CBHI) program, known locally as Mutuelle de Santé. “We are farmers,” she explains, “but we can afford to pay the required 3,000 Rwf [USD 3.45] per year because we know that Mutuelle de Santé has enabled us to access health care even in situations where we did not have enough money for some services.”

MSH collaborated with UNICEF and the Government of Burkina Faso to develop an investment case for community health services to reduce maternal and child mortality and achieve UHC.

{Photo credit: MSH}Hon. Dr. Riek Gai Kok (Minister of Health, Republic of South Sudan), Colin Gilmartin (MSH), Alfred Driwale (MSH Consultant), and Chair of the Health Parliamentary Committee of the Republic of South Sudan.Photo credit: MSH

South Sudan faces extraordinary challenges to build and strengthen its health system to meet the basic health needs of its people. After decades of civil war, the country faces a critical shortage of trained health personnel,[1] limited access[2] to essential health services,[3] and consequently experiences some of the worst health indicators globally. The majority of childhood deaths are due to preventable causes such as diarrhea, malaria, and pneumonia while an estimated one in seven women die due to pregnancy related complications.[4]

A mother asks a SILC group for a loan to pay for the treatment of her sick baby.

Throughout Madagascar most families struggle with financial instability. Eighty percent of families work as farmers generating seasonal, unreliable income. In southwestern Tulear II District, the arid climate puts even greater stress on a farmer’s income.

 {Photo Credit: Denise Museminali/MSH} Women waiting at a health center in Rwanda hold up their health insurance identification cards.Photo Credit: Denise Museminali/MSH

The USAID-supported, MSH-led Rwanda Health Systems Strengthening (RHSS) Project works to reinforce the Rwandan government's capacity to plan, lead, and implement strategic interventions to strengthen key health system structures and processes, all while building sustainability and country ownership.