Didi Bertrand Farmer

TL;DR: Rwanda’s approach to delivering healthcare in a setting of post-conflict poverty offers lessons for other poor countries, say Paul Farmer and colleagues.

TL;DR: It will be critical to address community perceptions around fertility and desired family size, health worker shortages, and stock-outs, as well as to engage men and boys, improve training and mentorship of health workers to provide quality services, and clarify and enforce national policies about payment for services at the local level.

TL;DR: The 5-SPICE framework is a novel instrument that can be used to guide discussions about CHW projects and can help guide quality improvement efforts, or be used as hypothesis that will form the basis of a program's research agenda.

TL;DR: A system developed for CHW DQAs and results of the first formal assessment in southern Kayonza, Rwanda, May-June 2011 are described and considerations for other programs interested in adopting such systems are discussed.

TL;DR: Dramatic improvements in population health outcomes including under-five mortality between 2005 and 2010 in rural Rwanda generally and in the intervention area specifically are observed.