It deals mainly with the poor and rural populations, who cannot afford private healthcare.
In addition, there is a non-profit health sector operated by the National Social Security Fund which covers 16% of the population.
Rwanda operates a system of universal health insurance through the Ministry of Health called Mutuelle de Santé (Mutual Health), a system of community-based insurance where people pay premiums based on their income level into local health insurance funds, with the wealthiest paying the highest premiums and required to cover a small percentage of their medical expenses, while those at the lowest income levels are exempt from paying premiums and can still utilize the services of their local health fund.
In others tax revenues are used either to fund insurance for the very poor or for those needing long term chronic care.
In some cases, government involvement also includes directly managing the health care system, but many countries use mixed public-private systems to deliver universal health care.
Every year, STC survey the health statistics and health care system to rank the best countries in the world.
STC takes its data from the World Health Organization.