The Service Delivery Underperformance Index (SDUI) is used
to analyze healthcare delivery in Rwanda, Uganda and Tanzania
using data from Demographic and Health Surveys Service Provision
Assessment. A cross-country ranking of healthcare delivery
is done for these countries, where it is found that Rwanda has the
best performing healthcare delivery despite being ranked below Tanzania
and Uganda in terms of some health outcomes. A more extensive
analysis of healthcare delivery in Rwanda shows that there
are significant disparities in the performance of different types of
healthcare facilities. An analysis is done of healthcare delivery in
facilities that did and did not participate in policies intended to
improve healthcare delivery. It is found that facilities that participated
in community involvement performed significantly better
than facilities that did not. This observation calls for future work
to be done using the SDUI as an impact evaluation tool to analyze
how policies impact underperforming healthcare delivery.