Page 266 - GHES-3-3

Global Health Economics and
Sustainability
Sustainability of Rwanda’s UHC: 2011–2021 and vision 2050

Figure 1. Forecast of the Community-Based Health Insurance system’s income under the fee-for-service provider payment mechanism practice through
2040/2041, based on Scenario I simulation. Image created by the authors using data extracted from Table S7. The software used is Microsoft Excel 2016.

Figure 2. Forecast of the Community-Based Health Insurance system’s income under the practice of the fully active strategic purchasing provider
purchasing mechanism from 2021/2022 to 2040/2041, based on Scenario II. Image created by the authors using data extracted from Table S8. The software
used is Microsoft Excel 2016.
(vi) This study proposes a 50 – 50% shared remuneration 3.4.1. Continuation of the current practice of the fee-
system for health-care facility employers and for-service PPM from 2021/2022 to 2040/2041
professionals for honorary and overtime work.
Figure 1 and Table S7 illustrate Scenario I, which simulates
3.4. Financial sustainability of the CBHI system: the continuation of the current FFS PPM practice from
Feasibility from 2020/2021 to 2040/2041 (Specific 2021/2022 to 2040/2041, primarily based on the data
Objective 4) from the RSSB/CBHI’s strategic budget 2020 – 2023. This
This section outlines the financial sustainability of the scenario assumes the persistence of the issues highlighted in
CBHI system from 2020/2021 to 2040/2041. previous studies (Nyandekwe et al., 2020), with no solutions

Volume 3 Issue 3 (2025) 258 https://doi.org/10.36922/ghes.5842