Community health centers (CHCs) in Rwanda play a critical role in healthcare delivery, particularly in rural and underserved areas. A mixed-methods approach combining quantitative (panel-data estimation) and qualitative assessments was employed to analyse the performance and efficiency of CHCs across different regions in Rwanda. The study utilised a generalized linear model (GLM) for estimating cost-effectiveness ratios (CER). The GLM analysis revealed that the average cost-effectiveness ratio varied significantly between regions, with some areas showing reductions in costs per health outcome. This research provides insights into the operational efficiency of CHCs and highlights regional disparities which can inform policy decisions to enhance service quality and financial sustainability. The findings suggest that targeted interventions are needed to address cost inefficiencies in certain regions, while maintaining or improving existing services in others. Community Health Centers, Cost-Effectiveness Analysis, Panel Data, Rwanda Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Reed et al. (Fri,) studied this question.