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Table 2 Average scores assigned by respondents (N = 57) to other drivers of performance, beyond the health system, ranked in order of importance

From: Drivers of improved health sector performance in Rwanda: a qualitative view from within

Rank

Factor

Average scorea

Range

1

Determination by central government to build a better society

4.5

3 to 5

2

Determination among local govt. administrators to build a better society

4.3

2 to 5

3

Increased awareness among population about health risks

4.3

2 to 5

4

Improved water & sanitation and hygienic conditions

4.3

3 to 5

5

Improved literacy levels, particularly among women

4.2

2 to 5

6

Increased child spacing and family planning; lower fertility levels

4.2

2 to 5

7

Better individual behaviour and protection against health hazards

4.2

2 to 5

7

More focus of local leaders and programme managers on vulnerable groups

4.2

1 to 5

9

Improved economic conditions of Rwandan households

4.1

2 to 5

10

Stronger collective effort of the population to build a better society

4.1

3 to 5

11

More external support from donors and international agencies

4.1

2 to 5

12

Increased population awareness about rights and duties

4.1

1 to 5

13

Determination among non-state actors to build a better society

4.0

2 to 5

14

Improved diets, better nutritional status

4.0

2 to 5

15

Increased sense of responsibility of people to manage their own lives

4.0

2 to 5

  1. aScoring on a scale from 1 (not important at all) to 5 (very important)