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This briefing examines the implementation of Community Health Clubs (CHCs) in Rwanda, highlighting that while the model is culturally appropriate, its effectiveness is hampered by fragmented, donor-driven funding and a lack of district-level ownership. Key challenges include the unaffordability of soap, water scarcity in hilly regions, and inconsistent monitoring systems across different NGOs. The report warns that without inclusive strategies, men, the extremely poor, and those with mobility issues may be left behind, and notes that the current focus on households ignores critical sanitation needs in public spaces like markets and workplaces.