In 2000, the Government of Rwanda decentralized health and other services to the district level. After nearly two decades of progressively taking on responsibilities for the health sector, district leaders are demonstrating stronger ownership of health initiatives. With support from the USAID Rwanda Health Systems Strengthening Project, 24 of the 30 districts in Rwanda have achieved scores exceeding the satisfactory functionality score of 75%, based on a review of staff, training, infrastructure, equipment, policies, and their fulfillment of key functions such as planning and supervision.
