Rwanda's community health centres (CHCs) play a pivotal role in providing primary healthcare services to underserved populations. However, their effectiveness and efficiency in delivering these services have not been systematically evaluated. A mixed-methods approach was employed, combining quantitative data from service delivery records and qualitative insights from interviews with CHC staff. A modified version of the Quasi-Experimental Design for Yield Improvement (QED-YI) model was utilised, incorporating robust statistical methods to ensure internal validity. The analysis revealed a significant positive correlation between the number of services provided by CHCs and patient satisfaction levels, indicating an improvement in service delivery quality without compromising on patient experience. Specifically, CHCs that exceeded their target service provision reported a 15% higher level of patient satisfaction compared to those below targets. The quasi-experimental design for yield improvement demonstrated promising results, highlighting the importance of monitoring and enhancing service efficiency within CHCs to meet healthcare needs effectively. Based on these findings, recommendations are made to strengthen CHC operational protocols, focusing on targeted training programmes and resource allocation strategies to support better service delivery outcomes. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Nyamwihare et al. (Sun,) studied this question.