Methodological Evaluation of District Hospitals Systems in Rwanda: Randomized Field Trial for Measuring Clinical Outcomes

District hospitals in Rwanda have been identified as crucial for providing essential healthcare services to rural populations. However, their operational efficiency and clinical outcomes require systematic evaluation. A randomized controlled trial was employed to assess the effectiveness of healthcare delivery in selected district hospitals. Data on patient demographics, treatment protocols, and clinical outcomes were collected over six months. Analysis revealed a significant improvement (p < 0.05) in patient recovery rates from common diseases such as malaria and pneumonia after implementing standardised treatment protocols. The study demonstrated the potential of randomized field trials to enhance healthcare system performance in Rwanda, particularly in improving clinical outcomes for common illnesses. District hospitals should prioritise the adoption of evidence-based treatment guidelines to further improve patient recovery rates and overall health outcomes. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.