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The Health sector in Gisagara district is one area that is in serious need of support from all stakeholders. There are 2 hospitals in Gisagara district which are Kibilizi and Gakoma hospitals. Kibilizi Hospital is serviced by 1 medical Doctor while there are only 2 for Gakoma with a number of people of 278858.This implies that the Doctor per patient ration in the district 0.000011.
GISAGARA DISTRICT HOSPITALS
| Number | Hospital | Number of medical doctors |
| 1 | KIBILIZI | 1 |
| 2 | GAKOMA | 2 |
The first seven causes of mortality in the district are serious paludal bout, IAVRI (Infection of Inferior Respiratory Tract), Confirmed simple paludal bout, Non - bloody Diarrhoea, Presumed simple paludal bout, Physical trauma, and HIV/AIDS (presumed or comfirmed)
Size of Population served by each Health facility
| Public health center | Total of the population |
| KIBILIZI | 22180 |
| KANSI | 20485 |
| KIGEMBE | 26325 |
| KIBAYI | 22687 |
| KIRARAMBOGO | 21141 |
| GIKORE | 18400 |
| GISAGARA | 29258 |
| MUGOMBWA | 29032 |
| Total KIBILIZI | 189508 |
| GAKOMA | 27498 |
| GIKONKO | 17403 |
| MUSHA | 19047 |
| SAVE | 25402 |
| Total GAKOMA | 89350 |
Currently, there are several NGO’s supporting the Health Sector in the district and these are presented in a table below
NGO | Activity |
| CARE INTERNATIONAL/COMBAR | Assisting people infected with HIV/AIDS |
| CONCERN | Nutrition, malaria, Women and children’s health and people infected with HIV/AIDS |
| ARBEF | Assisting children heading households by paying insurance scheme "mutuelle de santé" contribution for them, family planning and voluntary HIV/AIDS test. |
| CROIX ROUGE RWANDAISE | Assisting children heading households by paying insurance scheme "mutuelle de santé" contribution and helping people in general concrete their toilets as regards to hygiene |
Health Unlimited:
-IRIRWA
-URUNANA
| Raising up people’s awareness in general through trainings |
| GTZ/ SANTE | Basic health services |
On Mutual Health Insurance
Like in other areas of the country, Citizens are encouraged to join Mutuelle, the Mutual Health Insurance scheme so they can access to health services easily and less costly. Some measures have been agreed upon to promote insurance scheme "mutuelle de santé": These include
- Organising regular meetings for local leaders, insurance scheme "mutuelle de santé" committees, and the general publics, aimed at motivating people to join insurance scheme "mutuelle de santé" associations:
- Training local leaders and insurance scheme "mutuelle de santé" committees.
- Paying insurance scheme "mutuelle de santé" contribution for the poor through donors.
- Negotiating with banks to get credits for Gisagara people.
This has helped improve the level of participation by the populace although many other challenges remain to this end.
Participation by the population of Gisagara District in Mutuelle
No | Public health center | Contribution from each household | Total of households | Percentage |
| 1 | KIBILIZI | 987 households of which 79accomodate single people | 4106 | 26 |
| 2 | KANSI | 1368 | 5575 | 25 |
| 3 | KIGEMBE | 500 | 7032 | 7 |
| 4 | KIBAYI | 1387 | 5220 | 27 |
| 5 | KIRARAMBOGO | 301 | 6170 | 5 |
| 6 | GIKORE | 400 | 4635 | 9 |
| 7 | MUGOMBWA | 1477 | 5503 | 27 |
| 8 | GISAGARA | 3324 | 4882 | 14.7 |
| 9 | MUSHA | 314 | 4014 | 7.8 |
| 10 | GAKOMA | 1335 | 7288 | 18.3 |
| 11 | GIKONKO | 1009 | 4851 | 20.7 |
| 12 | SAVE | 1566 | 5481 | 40 |
Source: Report on the Functioning of the Mutual Insurance scheme (Mutualle de Sante) Term 2006
Challenges to an effective participation in Mutuelle include inability to afford payment of the required contribution as many people are starving, low interest by some sections of the population, failure by some people to pay back on time the credits they have been given and low awareness levels among the population.
Despite the relative poor living standards among the populace there is still considerable investment potential in the health sector. As depicted in the table below, some private health facilities are already established in the district.
Distribution of Private and Public Facilities in Gisagara District
No | Health Center | CPUBLIC OR PRIVATE | SECTOR |
| 1 | KIBILIZI | Public Health Centre | KIBILIZI |
| 2 | KANSI | Private Health Centre | KANSI |
| 3 | KIGEMBE | Public Health Centre | NYANZA |
| 4 | KIBAYI | Public Health Centre | MUKINDOMUGANZA |
| 5 | KIRARAMBOGO | Private Health Centre | KANSI |
| 6 | GIKORE | Private Health Centre | NDORA |
| 7 | MUGOMBWA | Private Health Centre | MUGOMBWA |
| 8 | GISAGARA | Private Health Centre | NDORA |
| 9 | MUSHA | Public Health Centre | MUSHA |
| 10 | GAKOMA | Private Health Centre | MAMBA |
| 11 | GIKONKO | Private Health Centre | GIKONKO |
| 12 | SAVE | Private Health Centre | SAVE |
Contact addresses of Relevant People in the Health Sector in Gisagara District
Number | Names | Brief c.v | Contacts | Qualification |
| 1 | NZIBARIZA Naphtal | Director in charge of health, family promotion and child’s rights protection | 08645386 | Degree |
| 2 | UMUTONIWASE
KAMANA Sosthène
| Responsible for health and public hygiene(sanitation | 08434208
umusoskamana@ yahoo.fr | High dipoma |
