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Table 3 Factors considered to have contributed most and least to Rwanda’s improved health sector performance

From: Drivers of improved health sector performance in Rwanda: a qualitative view from within

Top five factors:

 1. Widespread presence of community health workers

 2. Expansion of the service package covered by community-based health insurance

 3. Increase in the density of health centres country-wide

 4. Improved diagnostic methods (laboratory investigations, rapid tests, radiology) at various levels of the health system

 5. Improved patient referral system.

Bottom five factors:

 1. Increase in private health facilities country-wide

 2. Improved specialist services at district hospitals

 3. Health research

 4 Health legislation and enforcement

 5. Improved technologies for medical treatment.