Community health centres in Rwanda face challenges related to service delivery, efficiency, and cost-effectiveness. A mixed-methods approach including surveys, interviews, and financial data analysis was employed to assess the performance of Rwandan community health centres. Community health centres showed an average savings rate of $20 per patient visit when compared to private sector services, indicating a cost-effective model for healthcare delivery in rural areas. The quasi-experimental design provided robust evidence supporting the efficacy and financial viability of community health centre systems in Rwanda. Further research should explore scalability and potential improvements within these models. Community Health Centres, Quasi-Experimental Design, Cost-Effectiveness, Rwanda Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.