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This article explores the impact of health initiatives on public and private hospital performance in Burundi, focusing on four institutions: Van Norman Clinic (CVN) and Kamenge Popular Hospital (HPK) in the private sector, and Prince Regent Charles Hospital (HPRC) and Kamenge University Hospital (CHUK) in the public sector.The primary goal is to compare the performance of these hospitals by evaluating the health initiatives they have implemented and their effects on care quality, service efficiency, and patient satisfaction.In contrast, public institutions like CHUK face challenges due to budgetary and administrative issues, resulting in lower patient satisfaction 15% lower than private facilities. Only 50% of patients in public hospitals deem care adequate compared to 80% in private.The study concludes that while health initiatives significantly impact performance, outcomes vary between sectors. Reforms in public management and enhanced collaboration could improve the healthcare system overall.

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