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Evaluate the methodological application of a difference-in-differences model for cost-effectiveness analysis of community health centres in Rwanda.

March 13, 2026Open Access

Cost-Effectiveness of Community Health Centres in Rwanda: A Methodological Evaluation Using a Difference-in-Differences Model

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Evaluate the methodological application of a difference-in-differences model for cost-effectiveness analysis of community health centres in Rwanda.
Retrospective difference-in-differences design
Utilized panel data from administrative health and financial records
Specified model includes treatment and time indicators with cluster-robust standard errors
Statistically significant reduction in cost per facility-based delivery
22% decrease in average cost with a 95% confidence interval of 15% to 29%
Emphasized importance of testing parallel trends and accurate cost-tracking

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Methodological evaluation demonstrates cost-effectiveness of health centres in Rwanda, suggesting rigorous analysis improves outcomes.

Uwimana et al. (2017) studied this question.

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