ABSTRACT.
Authors’ addresses: Donald Shepard and Katharine Rowlands, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, E-mails: To improve access to affordable primary health care and preventive services, in 2019 Rwanda’s Ministry of Health inaugurated eight laboratory-equipped second-generation health posts (SGHPs) in the Bugesera District. Patient fees through Rwanda’s insurance system (
