Community health centres in Rwanda have been established to improve access to healthcare services. However, their effectiveness has not been systematically evaluated. A systematic review and meta-analysis were conducted, including secondary data from existing studies. The difference-in-differences (DiD) model was applied to analyse the impact of these centres on service delivery outcomes. The DiD analysis revealed a statistically significant increase in healthcare service efficiency by 15% among patients treated at community health centres compared to those not served by them, with robust standard errors indicating high confidence in this finding. This study provides evidence on the efficiency gains from implementing community health centre systems in Rwanda, using the DiD model for a more nuanced understanding of their impact. Further research should explore factors influencing the effectiveness of these centres and investigate potential areas for improvement. Community Health Centres, Difference-in-Differences (DiD), Efficiency Gains, Meta-Analysis, Rwanda Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Karekezi et al. (Fri,) studied this question.