CONCLUSION
malaria, ARIs
MALARIA
Second-generation health posts were introduced and implemented as an additional layer of the health-care system in Rwanda to improve access to health-care services in rural areas. Our results support the importance of this new type of provider in rural areas, where 88% of the outpatient visits occurred at SGHPs. Our analysis indicates that most of the care provided during these visits would not have occurred without the SGHPs. Second-generation health posts’ main benefit was a substantial increase in the use of curative primary care for conditions such as malaria and ARIs. Compared with our estimate that conditions would not have otherwise received treatment, this impact was highly favorable. Second-generation health posts are one of several promising options to improving access to primary care (So far, SGHPs have not achieved their goals for increasing use of preventive services. For pregnant women, Rwanda’s newly approved National Antenatal Care Guidelines