In 2005, we began partnering with the Government of Rwanda toward its goal of health care reform and equitable, high-quality health care to all. Starting with performance-based financing as a key element of reform, we have helped to improve the availability, delivery, and quality of health services by strengthening financing and improving quality in the public and private health sectors. 


Our work has helped to enhance the resilience of Rwanda’s health sector, including bringing health insurance to more than 80% of Rwanda’s population. By addressing the challenges of human resources shortages, especially in rural areas; poor quality of services; and a high morbidity and mortality rate among women and children, our programs support the Government of Rwanda in building a sustainable health system capable of leading and managing care with a focus on health financing, human resources for health, institutional capacity, gender equity and social inclusion, and health information systems and data use.

We support effective pharmaceutical management in Rwanda by developing standards and an accreditation system for pharmaceutical services, promoting consistent use of regulatory systems, and building the capacity of the Rwanda FDA’s pharmacovigilance system. Current programmatic work is focused on strengthening leadership, resilience, and capacity at all levels of the health system to ensure sustained quality services and advance equitable health outcomes. 

Transitioning Rwanda’s Health Care: Official Launch of USAID Ireme

On December 8, 2023, USAID Ireme was officially launched, drawing over 200 participants from across the Rwandan health sector. The Chief of Party of USAID Ireme, Dr. Anita Asiimwe, presented the project’s expected impact, emphasizing a comprehensive approach across three key areas: optimizing health financing; strengthening leadership, management, and governance at all health care levels; and enhancing the management of the health workforce.