Community health centres in Rwanda are essential for providing primary healthcare services to rural populations. However, their effectiveness and efficiency vary significantly across different regions. A mixed-methods approach was employed, including surveys, interviews, and data analysis. The primary outcome measure was the proportion of healthcare utilisation among the target population. A significant improvement (p < 0.05) in healthcare utilization rates was observed after implementing new risk reduction strategies at community health centres. The quasi-experimental design successfully identified areas needing further intervention to enhance service delivery and patient outcomes. Further research should be conducted on cost-effectiveness analysis of the implemented risk reduction strategies. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.