Page 270 - GHES-3-3

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

Figure 3. Forecast of the Community-Based Health Insurance system’s financial preparedness for the implementation of the health-related Vision 2050,
Scenario III (2024/2025 – 2040/2041), based on data extracted from Table S5. Image created by the authors using microsoft excel 2016.

Figure 4. Forecast of the Community-Based Health Insurance system’s effective implementation of the HRV 2050, Scenario IV, based on data extracted
from Table S10. Image created by the authors using Microsoft Excel 2016.

specialized care nationwide. Of this amount, the study coping with the costs induced by the upgraded benefit
allocates RWF 1,100 billion (15.75%) to KFH, whereas the package for CBHI members, transitioning from primary
remaining RWF 2,415.66 billion (34.58%) is designated care and hospital care to universal access to specialized and
to the modernization of the P/A health-care system at all super-specialized care starting from 2030/2031 and further
levels. This includes the addition of essential medicines extending from 2035/2036. The specific allocation and
required by the new epidemiological profile, such as those related portion from the RWF 2,415.66 billion (34.58%)
for non-communicable diseases, traffic injuries, and mental for each area will be refined at the appropriate time when
health issues. It also covers the integration of disability- sufficient funds are raised, starting from 2027/2028 and/or
related drugs and advanced antiretroviral drugs into the by 2030/2031 at the latest.
national list of essential drugs to meet the 95-95-95 targets
in HIV care. In addition, the allocation addresses the per 3.4.7. Effective utilization of RWF 6,985.66 billion in
capita expenditure for special inclusion (vertical health accumulated reserves from 2024/2025 to 2040/2041
equity) of people living with disabilities and people living The researchers propose allocating the remaining reserve
with AIDS under the CBHI program. Finally, it supports of RWF 3,470.34 billion to modernizing health-care

Volume 3 Issue 3 (2025) 262 https://doi.org/10.36922/ghes.5842