Health Project Implementation Processes and Performance Efficiency in Rwanda: A Case Study of the HIV Case Based Surveillance Program in Mayange Health Centre, Bugesera District

Abstract

The efficient implementation of health projects is critical to improving the quality of healthcare services and achieving positive health outcomes. However, many factors can influence the performance efficiency of these projects, making it challenging to achieve the desired results. This study aims to investigate the factors that affect the performance efficiency of health projects, with a specific focus on the implementation of the HIV case-based surveillance program at Mayange Health Centre. The study has several objectives, including evaluating the effect of service delivery processes, project responsiveness processes, and accessibility processes on performance efficiency. A mixed-method strategy was used, combining qualitative and quantitative techniques. The study involved 83 respondents; 2 managers, 13 staff, and 68 beneficiaries selected from the CBS program in the health center. The findings of the study shaded light on the variables that can affect the outcome of health projects and guide future initiatives to enhance the provision of healthcare in environments like these. Semi-structured questionnaires were used for data collection, while SPSS was used for data analysis. It was found that positive relationship between independent variables namely service delivery, responsiveness and accessibility and dependent variable in this case the performance efficiency of the HIV case based surveillance program in Mayange health Centre because of their correlation coefficients of .944^**, .761^**and .719^**respectively and that is statistically significant since the Sig. (2-tailed) P-value of .000 is less than 0.01. The study recommends that the project management team should provide adequate finances for project implementation, and capacity building for project efficiency. The study recommends that health centers should frequently organize regular training on project factors that influence the performance efficiency. It was concluded that service delivery, responsiveness and accessibility greatly influence the performance efficiency of the HIV case based surveillance program in Mayange health Centre.

Keywords: Health Project, Implementation Processes, Performance Efficiency, Service Delivery Processes, Project Responsiveness Processes, Accessibility Processes