The efficiency of healthcare systems in developing countries often faces challenges that hinder their effectiveness. A randomized controlled trial design was employed to assess the performance of district hospital systems. Participants were randomly assigned to either an intervention group or a control group. The analysis revealed that the intervention significantly improved system reliability, with a mean improvement score of 35% in service delivery efficiency (95% CI: [28%, 42%]). This study underscores the importance of systematic evaluation and targeted interventions to enhance healthcare delivery. District hospitals should adopt evidence-based practices and continuous quality improvement strategies to sustain system reliability. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.