Rwanda’s Evolving Community Health Worker System: A Qualitative Assessment of Client and Provider Perspectives

Jeanine Condo
Catherine Mugeni
Brienna Naughton
Kathleen Hall

Jeanine Condo;Catherine Mugeni;Brienna Naughton;Kathleen Hall;Maria Antonia Tuazon;Abiud Omwega;Friday Nwaigwe;Peter Drobac;Ziauddin Hyder;Fidele Ngabo;Agnes Binagwaho


BackgroundCommunity health workers (CHWs) can play important roles in primary health care delivery, particularly in settings of health workforce shortages. However, little is known about CHWs’ perceptions of barriers and motivations, as well as those of the beneficiaries of CHWs. In Rwanda, which faces a significant gap in human resources for health, the Ministry of Health expanded its community health programme beginning in 2007, eventually placing 4 trained CHWs in every village in the count