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March 13, 2026Open Access

Longitudinal Evaluation of Clinical Outcomes in Rwandan District Hospitals: A Quasi-Experimental Methodological Assessment

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Authors

JUJean de Dieu UwimanaJNJean Paul NiyonzimaMMMarie Aimee Mukantabana

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Overview

Quasi-experimental study demonstrates reduced maternal mortality in Rwandan district hospitals, suggesting effective interventions.

Key Points

  • Assess the effectiveness of quasi-experimental designs for measuring longitudinal clinical outcomes in district hospitals.
  • Conducted a longitudinal, controlled study in multiple district hospitals
  • Collected clinical outcome data from health management information systems
  • Analyzed data using a difference-in-differences model with cluster-robust standard errors
  • Demonstrated successful isolation of programme effects from temporal trends
  • Statistically significant reduction in maternal mortality by 18.2% in intervention hospitals compared to controls

Cite This Study

Uwimana et al. (2017) studied this question.

synapsesocial.com/papers/69b3ab6e02a1e69014ccc52ahttps://doi.org/10.5281/zenodo.18953410
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Longitudinal Quasi-Experimental Evaluation of District Hospital Systems and Clinical Outcomes in Tanzania, 2000–20262018
  2. 2Methodological Evaluation of District Hospitals' Systems in Rwanda Using Quasi-Experimental Design for Clinical Outcomes Assessment2015
  3. 3A Quasi-Experimental Evaluation of Efficiency Gains in Kenyan District Hospital Systems: A Methodological Appraisal2005
  4. 4Methodological Assessment of District Hospital Systems in Uganda: Quasi-Experimental Evaluation of Clinical Outcomes2002
  5. 5A Quasi-Experimental Evaluation of Rural Clinic Systems and Their Impact on Clinical Outcomes in Rwanda2015