REMA Hospital

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REMA Hospital was founded and is managed by Maison Shalom. It was inaugurated on 22 January 2008 and plays a crucial part at the heart of the health system, making an enormous contribution to the progress achieved in the Ruyigi region. It is also the source of many jobs, contributing to the town’s economic development.

Theoretically, REMA Hospital has a catchment population of about 102,000 people. In fact, however, that figure is largely underestimated. REMA Hospital admits numerous patients not only from Ruyigi province, but also from other provinces in east-central Burundi.

The Hospital is located in the middle of a region of needy inhabitants. Responding to the various health problems caused by poverty requires special assistance.

REMA Hospital’s raison d’être is predicated on Maison Shalom’s overall guiding objective: “Limit the number of orphans to the strict minimum; not always pick up the pieces of what has been broken by war and disease.”

REMA Hospital’s missions

REMA Hospital’s values are derived from its current missions. It is bound to ensure and contribute to:

  1. Prevention: the Hospital plays a key role in detecting health problems, in particular via emergencies. It increasingly works in networks with other health players.
  2. Long-term training: the Hospital has a duty to provide basic and ongoing training for permanent and temporary health personnel.
  3. Quality care: the Hospital has a system for ensuring that the quality of medical care is in line with strict regulatory conditions.
  4. Security: the Hospital helps implement the surveillance mechanism aimed at guaranteeing health security.

Given that most REMA patients live in abject poverty, it follows that they cannot pay for the care they receive. To offset that difficulty, the Hospital has set up a system enabling people to contribute to its development. Once they have been cured, former patients – or members of their families – come back to tend the Hospital’s vegetable garden. This ensures a supply of foodstuffs for the REMA cafeteria and helps improve the meals of the patients and children who go there.

In January 2009, REMA Hospital also obtained authorization, like the other public and private hospitals certified by the authorities, to provide subsidized care to children under the age of 5 and to women in labour. This has had a positive impact on the number of children seen in outpatient consultations and admitted to the hospital, and on the number of births registered.

Another important stage: in April 2010, REMA Hospital, like other certified or public establishments, adhered to the national policy for performance-based funding. The impact on the quantity and quality of care was immediate and positive; the consequences were less positive, however, in financial terms.

In conclusion, REMA Hospital has what it takes to make a marked improvement in the local population’s health. Its activities can clearly help to lower the morbidity rates of certain illnesses regionwide. It nevertheless works within a number of constraints, the two most important being:

  • its location amid a poverty-stricken population, as a consequence of which it treats very many impoverished patients
  • performance-based funding, which, combined with free care for children under the age of 5 and women in labour, results in large losses of earnings

Report REMA Hospital, January 2010 - April 2011 (in French only)