Exploring Perspectives of Healthcare Staff on Achieving the Healthcare Quality Standards in District Hospitals in Rwanda: A qualitative Study

Healthcare professionals in Rwanda’s Masaka and Remera-Rukoma district hospitals report that accreditation-focused continuous quality improvement demands more effort than the prior PBF approach.

• Why it matters: Despite Rwanda’s 2012 shift toward continuous QI for accreditation, district hospitals had not achieved accreditation recognition by 2022, leaving standard quality of care delivery uncertain.
• What they did: The study used interpretative qualitative methods, conducting in-depth semi-structured interviews with 14 purposively sampled healthcare professionals from the two district hospitals, then applying thematic content analysis.
• The result: Participants linked stalled progress to low staff involvement and motivation, staff turnover and shortage, and limited accreditation budgets, and suggested incentives, cascaded rollout, and adding accreditation to pre-service curricula.

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