Organizational Restructuring and Rationalization of a Rayon or District Health Delivery System: How to Close Hospital Beds While Improving Access to Care

The program's geographic focus was on Eastern Province, with a specific emphasis on the districts of Kirehe and Nyagatare. The initiative's timeframes were divided into three phases, with the first phase focusing on initial assessments and program design, the second phase on implementation and farmer training, and the third phase on midterm evaluation and program scaling. The initiative's recommendations included the need for continued support for farmer training programs, as well as the development of more effective irrigation systems. Additionally, the program highlighted the importance of involving women in decision-making processes and ensuring that their needs are addressed in program design and implementation.