InstitutionClaim Cited
Rwanda's community health worker cooperatives
Rwanda's Ministry of Health built a nationally directed volunteer community health worker program around locally elected residents, health-center supervision, protocols, and reporting; it later organized workers into catchment-area cooperatives that received performance funds and ran enterprises. Those cooperatives were an economic and payment layer, not the owners of the care program, and randomized evidence found no added effect from tying their transfers to selected service-use targets.
How can a national health system extend trusted care to every village without making public provision depend on invisible or unsustainable volunteer labor?