Three decades of community health workers in primary healthcare delivery in Rwanda: evolution, impact and policy lessons.

ABSTRACT:

Background

Community health workers (CHWs) have been instrumental in the delivery of primary healthcare (PHC) services in Rwanda since 1995, with their responsibilities expanding from basic health promotion to integrated community case management. This study explored the evolution, contributions, challenges and policy implications of Rwanda CHW programme over the past three decades.

Methods

A qualitative descriptive study was conducted across 15 districts in Rwanda, using in-depth interviews with 46 purposively selected CHWs and key informants. Data were analysed thematically using Braun and Clarke's framework, supported by NVivo software.

Results

The majority of CHWs were female (65.2%) and had completed primary education (71.7%). CHWs exhibited extended knowledge on

SUBMITTER: Hezagira E 

PROVIDER: S-EPMC12673562 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature