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Summary of Results: Prepayment Schemes in the Rwandan Districts of Byumba, Kbgayi, and Kabutare

By implementing prepayment for health care services, the Rwandan Ministry of Health aimed to accomplish four objectives: to expand the population's financial accessibility to care, to improve the quality of care delivered in health facilities, to increase community participation in health, and to improve financial management capacity in health facilities and mutual health associations. This study analyzes the impact of prepayment on the Ministry's objectives using a quasi-experimental design. Routine data were collected in all participating health facilities and prepayment plans, as well as in the facilities of two control districts (Kibungo and Bugesera). In addition, two stakeholder surveys, one patient exit interview survey, one household, and one provider market survey was conducted.