Ministry of Health of Rwanda - Harvard Medical School - Darmouth College, Geisel School of Medicine, American Enterprise Institute (AEI), Rwanda Biomedical Center - Tuberculosis and Other Respiratory Diseases Division, Quality and equity health care, Rwanda Biomedical Center, Government of the Republic of Rwanda - Ministry of Health, Rwanda, Rwanda Biomedical Center, Dartmouth Center for Health Care Delivery Science, Global Health Delivery Partnership, Pivit and University of Ottawa - Common Law SectionUniversity of Ottawa - Department of Epidemiology and Community Medicine