1. PRESENTATION
 In Rwanda the private practice is very young compared
to Kenya, Uganda, Tanzania and Burundi.
 The 1st clinic was established in 1992 after many years
of efforts and after a private doctor decided to be a MP’s
to push on the parliament the advocacy for private
practice.
 But private practice started in real, just after genocide
with the arrival of doctors from outside the country
and leader with new approach concerning medicine.

2.  We started with small clinic with one doctor, generally
a GP and one nurse for usual cares and a lab technician
without forgetting that many small clinics were ran by
nurses.
 There were no medical insurances but some
enterprises (banks, factories, etc..) were able to pay for
their employees.

3.  In 1995, started polyclinics and at this level,two
specialists were necessary in order to get status of
polyclinic.We were just dealing with out patients, in
patients, deliveries, but no surgical operations .
 At the same period, we were few polyclinics (Plateau
and Croix du Sud/southern cross)
 In 1997, started Polyclinic du Carrefour.
 In 1998, after shifting the location, polyclinic la Croix
du sud started surgical operations and was performing
with +/- 1000 deliveries.

4. Polyclinic la Croix du Sud /1995

5. Polyclinic du plateau

6. Carrefour polyclinic

7. Polyclinic la Croix du Sud in 1998

8. Starting of Medical insurances
 In 2000,Suremed,a South African Health insurance
was the first to be used in Rwanda.
 In 2004, RAMA/RSSB which is a heath insurance
devoted to civil servant only started , then after MMI
which is military health insurances, and then private
insurances like SORAS ,CORAR,AAR.

9.  There is also a public insurance for all Rwandan called
Mutuelle de Santé but applicable in public sector only.
 An other step were reached with the opening of the 1st
private hospital :Hospital la Croix du Sud/Southern
Cross Hospital in 2009.

10. La Croix Du Sud Hospital/2009

12. Our achievement and challenge:
 There are many improvement in the way private doctors
are perceived by the population and more important by
all the authorities because we are receiving a large
portion of the population and the impact of our
presence is very well known in all fields (curative
medicine, preventive medicine, family planning,
laboratories, pharmacy etc..).

13. Pharmacy

14. DENTAL DEPARTMENT

15. Neonatology

16. Laboratory

17. Coelioscopie

18. Catering

19. Harmony polyclinic

20. Les 3 ages polyclinic

21. Carrefour polyclinic

22. •I think that we are appreciated from the
community because the number and the capacity
of diversified clinics are increasing. (now we have
ophthalmology clinic, dentistry, ENT clinic,
diabetic clinics, gyneco and obstetric clinics.)
• We are buying more and expensive equipments
but only after individual big sacrifice from
clinical’s owners due to our challenges which are:

23.  Lack of qualified human resources(hospital managers, technicians
for maintenance, nurses, Specialists,etc)
 Most of our patients are ordinary citizens with limited means, a
portions of patients who are affiliated to various medical
insurance schemes of low tariffs that do not reflect market
realities. This regrettable challenge creates inadequate profit
margins, thus compromising our capacity to invest in capable
human resources and top-notch hospital equipment.
 A lack of incentives for investors as in education and agriculture
sectors.
In all, we believe that, these are the main reasons why there are few
investors looking with interest towards our country’s private
health sector

24.  But ,to be honest, I can’ t end my presentation
without appreciating particularly the Minister of
health for the positive policy towards private practice
and in general put emphasis on the vision of our
country in all fields to strengthen the public-private
Partnership.
 We can not end also without expressing gratitude to
organizers of this big forum, in which we learn from
each other experiences, and therefore allows us to
avoid several problems, and most important
encourages private health practitioners.

25. La Croix du Sud Hospital’s Dream

26. THANK YOU