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Healthcare in Sierra Leone

August 29, 2023

Healthcare in Sierra Leone is generally charged for[1] and is provided by a mixture of government, private and non-governmental organizations (NGOs). There are over 100 NGOs operating in the health care sector in Sierra Leone. The Ministry of Health and Sanitation is responsible for organizing health care and after the end of the civil war the ministry changed to a decentralized structure of health provision to try to increase its coverage.[2]

Sierra Leone ambulances

Infrastructure Edit

Sierra Leone is divided into 13 health districts that correspond to the districts of Sierra Leone except for the Western Area Rural and Western Area Urban districts which are combined into the Western Area Health district. Each district has a health management team and an average of 50 peripheral health units (PHU) and over 100 technical staff. The management team is responsible for planning, organizing and monitoring health provision, training personnel, working with communities and supplying equipment and drugs.[2]

The PHUs are designed to be the delivery point for primary health care in the country and there are three main types.

  • The community health centre carries out health prevention measures, cures and health promotion activities and is in charge of overseeing the other PHUs in the area. It is planned that each chiefdom, the unit of local government in Sierra Leone below the level of district, should have at least one community health centre.[2]
  • Community health posts perform a similar function to community health centres but have fewer facilities and are used to refer patients to the health centre or the district hospital.[2]
  • Maternal and Child Health posts are the first level of contact on the ground and are located in smaller towns with populations between 500-2000. Much of the health care infrastructure was decimated during the Civil War and the health service is still in the process of being organised with hospitals and PHU being rebuilt or created and staff being trained.[2]

Free healthcare scheme Edit

In April 2010 Sierra Leone launched "Free Health Care Medical Insurance", a system of free healthcare for pregnant and breast-feeding women and children under five.[3][4] A UN population Fund representative said that medical equipment had been ordered and some drugs distributed as part of the new healthcare scheme but the coverage was not yet 100%.[4] The initial set up cost of the scheme was $19 million and it is expected to save the lives of more than a million mothers and children.[4]

Healthcare workers had gone on strike over the plans in March 2010 arguing that free healthcare would increase their workload and working hours, the government settled the dispute with pay rises of 200-500%.[4] Observers argue that many of the women concerned do not even know they have a right for free medical care and that the law would remain a paper tiger if more earnings from the extractive sector was not invested in the countries healthcare system.[5]

The scheme is funded mainly by the United Kingdom and United Nations who have paid to refurbish hospitals, supply drugs and pay healthcare professionals' wages.[4] The UK alone has agreed to pay for a years worth of drugs for the program and the World Health Organization has provided blood banks in each major town.[6] The British government's funding came from the Department for International Development (DFID) and amounted to $22.6 million to fund the scheme for the next three years from a total allocation of $70.5 million for the 10-year-long "Reproduction and Child Health Care" plan.[7] UNICEF also received $7 million from DFID to provide medicines for pregnant women.[7]

Hospitals Edit

 
Nurse at Koidu Hospital consulting with patients.

There were about 80 hospitals in Sierra Leone in 2020.[8]

Traditional medicine Edit

Traditional medicine forms part of the primary health care system in Sierra Leone. The traditional medicine programme, run by the Ministry of Health and Sanitation, has constructed a training school at Makeni, a healing centre at Kono and conducted workshops to promote co-operation between traditional medicine practitioners and orthodox medical workers. Members of the programme have also located and collected plants from throughout Sierra Leone used for medicine.[9] The use of traditional medicine in Sierra Leone is common especially for the treatment of malaria[10] and among hypertensive patients,[11] pregnant women,[12] infertile women[13] lactating mothers,[14] Ebola survivors[15] and healthcare students.[16][17]

See also Edit

References Edit

  1. ^ "Sierra Leone". The Kambia Appeal. Archived from the original on 2011-05-11. Retrieved 2008-01-24.
  2. ^ a b c d e . Ministry of Health & Sanitation. 2007-05-25. Archived from the original (doc) on 2008-02-17. Retrieved 2008-01-24.
  3. ^ . Sierra Express Media. 24 April 2010. Archived from the original on October 4, 2011. Retrieved 27 April 2010.
  4. ^ a b c d e "Sierra Leone starts free care for mothers and children". BBC News. 27 April 2010. Retrieved 27 April 2010.
  5. ^ Anne Jung (December 2012). "Wealth, but no health". D+C Development and Cooperation/ dandc.eu.
  6. ^ "Sierra Leone gives new hope to mothers and children". BBC News. 27 April 2010. Retrieved 27 April 2010.
  7. ^ a b Johnson, Kimberley S. (27 April 2010). "Sierra Leone boosts infant health care". Global Post. Retrieved 27 April 2010.
  8. ^ a b c "Find Health and Medical Expertise in Sierra Leone". Commonwealth of Nations. Retrieved January 19, 2021.
  9. ^ "Mission, Objective, Achievements and Aims of the Traditional Medicine Programme". Ministry of Health & Sanitation. 2006-08-11. Retrieved 2008-01-24.[permanent dead link]
  10. ^ Ranasinghe, S; et al. (2015). "Herbs and herbal combinations used to treat suspected malaria in Bo, Sierra Leone". Journal of Ethnopharmacology. 166: 200–204. doi:10.1016/j.jep.2015.03.028. PMID 25794802.
  11. ^ James, PB; et al. (2018). "Herbal medicine use among hypertensive patients attending public and private health facilities in Freetown Sierra Leone". Complementary Therapies in Clinical Practice. 31: 7–15. doi:10.1016/j.ctcp.2018.01.001. PMID 29705483.
  12. ^ James, PB; et al. (2018). "Herbal medicines use during pregnancy in Sierra Leone: An exploratory cross-sectional study". Women and Birth. 31 (5): e302–e309. doi:10.1016/j.wombi.2017.12.006. PMID 29254852.
  13. ^ James, PB; et al. (2018). "Prevalence and Correlates of Herbal Medicine Use among Women Seeking Care for Infertility in Freetown, Sierra Leone". Evid Based Complement Alternat Med. 2018: 9493807. doi:10.1155/2018/9493807. PMC 5937420. PMID 29849738.
  14. ^ James, Peter; Kaikai, Angela; Bah, Abdulai; Steel, Amie; Wardle, Jon (2019). "Herbal medicine use during breastfeeding: a cross-sectional study among mothers visiting public health facilities in the Western area of Sierra Leone". BMC Complementary and Alternative Medicine. 19 (66). doi:10.1186/s12906-019-2479-7. PMC 6420723. PMID 30876454.
  15. ^ James, Peter; Wardle, Jon; Steel, Amie; Adams, Jon (2019). "Utilisation of and Attitude towards Traditional and Complementary Medicine among Ebola Survivors in Sierra Leone". Medicina. 55 (7). doi:10.3390/medicina55070387. PMID 31323758.
  16. ^ James, PB; et al. (2016). "Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: a comparative study". BMC Complementary and Alternative Medicine. 16 (121): 121. doi:10.1186/s12906-016-1102-4. PMC 4847196. PMID 27118576.
  17. ^ James, PB; et al. (2014). "Awareness, use, attitude and perceived need for Complementary and Alternative Medicine (CAM) education among undergraduate pharmacy students in Sierra Leone: a descriptive cross-sectional survey". BMC Complementary and Alternative Medicine. 14: 438. doi:10.1186/1472-6882-14-438. PMC 4236455. PMID 25380656.

August 29, 2023
healthcare, sierra, leone, generally, charged, provided, mixture, government, private, governmental, organizations, ngos, there, over, ngos, operating, health, care, sector, sierra, leone, ministry, health, sanitation, responsible, organizing, health, care, af. Healthcare in Sierra Leone is generally charged for 1 and is provided by a mixture of government private and non governmental organizations NGOs There are over 100 NGOs operating in the health care sector in Sierra Leone The Ministry of Health and Sanitation is responsible for organizing health care and after the end of the civil war the ministry changed to a decentralized structure of health provision to try to increase its coverage 2 Sierra Leone ambulances Contents 1 Infrastructure 2 Free healthcare scheme 2 1 Hospitals 2 2 Traditional medicine 3 See also 4 ReferencesInfrastructure EditSierra Leone is divided into 13 health districts that correspond to the districts of Sierra Leone except for the Western Area Rural and Western Area Urban districts which are combined into the Western Area Health district Each district has a health management team and an average of 50 peripheral health units PHU and over 100 technical staff The management team is responsible for planning organizing and monitoring health provision training personnel working with communities and supplying equipment and drugs 2 The PHUs are designed to be the delivery point for primary health care in the country and there are three main types The community health centre carries out health prevention measures cures and health promotion activities and is in charge of overseeing the other PHUs in the area It is planned that each chiefdom the unit of local government in Sierra Leone below the level of district should have at least one community health centre 2 Community health posts perform a similar function to community health centres but have fewer facilities and are used to refer patients to the health centre or the district hospital 2 Maternal and Child Health posts are the first level of contact on the ground and are located in smaller towns with populations between 500 2000 Much of the health care infrastructure was decimated during the Civil War and the health service is still in the process of being organised with hospitals and PHU being rebuilt or created and staff being trained 2 Free healthcare scheme EditIn April 2010 Sierra Leone launched Free Health Care Medical Insurance a system of free healthcare for pregnant and breast feeding women and children under five 3 4 A UN population Fund representative said that medical equipment had been ordered and some drugs distributed as part of the new healthcare scheme but the coverage was not yet 100 4 The initial set up cost of the scheme was 19 million and it is expected to save the lives of more than a million mothers and children 4 Healthcare workers had gone on strike over the plans in March 2010 arguing that free healthcare would increase their workload and working hours the government settled the dispute with pay rises of 200 500 4 Observers argue that many of the women concerned do not even know they have a right for free medical care and that the law would remain a paper tiger if more earnings from the extractive sector was not invested in the countries healthcare system 5 The scheme is funded mainly by the United Kingdom and United Nations who have paid to refurbish hospitals supply drugs and pay healthcare professionals wages 4 The UK alone has agreed to pay for a years worth of drugs for the program and the World Health Organization has provided blood banks in each major town 6 The British government s funding came from the Department for International Development DFID and amounted to 22 6 million to fund the scheme for the next three years from a total allocation of 70 5 million for the 10 year long Reproduction and Child Health Care plan 7 UNICEF also received 7 million from DFID to provide medicines for pregnant women 7 Hospitals Edit Nurse at Koidu Hospital consulting with patients There were about 80 hospitals in Sierra Leone in 2020 8 Choithram Memorial Hospital Freetown 8 27 18 N 13 14 55 W 8 45491678760561 N 13 248621145925025 W 8 45491678760561 13 248621145925025 Choithram Memorial Hospital 8 Connaught Hospital Freetown 8 29 18 N 13 14 18 W 8 488431 N 13 238409 W 8 488431 13 238409 Connaught Hospital 8 Pujehun Government Hospital Pujehun 7 21 01 N 11 43 07 W 7 3503660115298395 N 11 718732190116906 W 7 3503660115298395 11 718732190116906 Pujehun Government Hospital Hatfield Archer Memorial Hospital Rotifunk 8 29 20 N 13 14 19 W 8 48882844309534 N 13 238610972652886 W 8 48882844309534 13 238610972652886 Hatfield Archer Mermorial Hospital Holy Spirit Hospital Makeni 8 53 33 N 12 02 11 W 8 892507 N 12 036286 W 8 892507 12 036286 Holy Spirit Hospital Life care Hospital Kerry Town Ebola Clinic Kerry Town 8 15 46 N 13 05 26 W 8 262693000687987 N 13 090504990108888 W 8 262693000687987 13 090504990108888 Kerry Town Ebola Clinic Koidu Hospital Masanga Hospital Masanga 8 44 57 N 11 50 14 W 8 749249 N 11 837149 W 8 749249 11 837149 Masanga Hospital Njala University Campus Hospital Bonjema 8 14 28 N 12 06 35 W 8 241165478715931 N 12 109691686216474 W 8 241165478715931 12 109691686216474 Njala University Campus Hospital Ola During Children s Hospital Freetown 8 30 35 N 13 13 05 W 8 509702583663435 N 13 21801349729919 W 8 509702583663435 13 21801349729919 Ola During Children s Hospital Princess Christian Maternity Hospital Freetown 8 29 25 N 13 13 08 W 8 490337 N 13 218968 W 8 490337 13 218968 Princess Christian Maternity Hospital Sierra Leone Psychiatric Hospital St John of God Hospital 8 42 14 N 12 31 30 W 8 70381330999338 N 12 524891474759043 W 8 70381330999338 12 524891474759043 St John of God Hospital Map all coordinates using OpenStreetMapDownload coordinates as KML GPX all coordinates GPX primary coordinates GPX secondary coordinates Traditional medicine Edit Traditional medicine forms part of the primary health care system in Sierra Leone The traditional medicine programme run by the Ministry of Health and Sanitation has constructed a training school at Makeni a healing centre at Kono and conducted workshops to promote co operation between traditional medicine practitioners and orthodox medical workers Members of the programme have also located and collected plants from throughout Sierra Leone used for medicine 9 The use of traditional medicine in Sierra Leone is common especially for the treatment of malaria 10 and among hypertensive patients 11 pregnant women 12 infertile women 13 lactating mothers 14 Ebola survivors 15 and healthcare students 16 17 See also EditHealth in Sierra LeoneReferences Edit Sierra Leone The Kambia Appeal Archived from the original on 2011 05 11 Retrieved 2008 01 24 a b c d e The Primary Health Care Hand Book Policing Ministry of Health amp Sanitation 2007 05 25 Archived from the original doc on 2008 02 17 Retrieved 2008 01 24 April 27 2010 Sierra Leone s Independence and Semi Health Care Reform Day Sierra Express Media 24 April 2010 Archived from the original on October 4 2011 Retrieved 27 April 2010 a b c d e Sierra Leone starts free care for mothers and children BBC News 27 April 2010 Retrieved 27 April 2010 Anne Jung December 2012 Wealth but no health D C Development and Cooperation dandc eu Sierra Leone gives new hope to mothers and children BBC News 27 April 2010 Retrieved 27 April 2010 a b Johnson Kimberley S 27 April 2010 Sierra Leone boosts infant health care Global Post Retrieved 27 April 2010 a b c Find Health and Medical Expertise in Sierra Leone Commonwealth of Nations Retrieved January 19 2021 Mission Objective Achievements and Aims of the Traditional Medicine Programme Ministry of Health amp Sanitation 2006 08 11 Retrieved 2008 01 24 permanent dead link Ranasinghe S et al 2015 Herbs and herbal combinations used to treat suspected malaria in Bo Sierra Leone Journal of Ethnopharmacology 166 200 204 doi 10 1016 j jep 2015 03 028 PMID 25794802 James PB et al 2018 Herbal medicine use among hypertensive patients attending public and private health facilities in Freetown Sierra Leone Complementary Therapies in Clinical Practice 31 7 15 doi 10 1016 j ctcp 2018 01 001 PMID 29705483 James PB et al 2018 Herbal medicines use during pregnancy in Sierra Leone An exploratory cross sectional study Women and Birth 31 5 e302 e309 doi 10 1016 j wombi 2017 12 006 PMID 29254852 James PB et al 2018 Prevalence and Correlates of Herbal Medicine Use among Women Seeking Care for Infertility in Freetown Sierra Leone Evid Based Complement Alternat Med 2018 9493807 doi 10 1155 2018 9493807 PMC 5937420 PMID 29849738 James Peter Kaikai Angela Bah Abdulai Steel Amie Wardle Jon 2019 Herbal medicine use during breastfeeding a cross sectional study among mothers visiting public health facilities in the Western area of Sierra Leone BMC Complementary and Alternative Medicine 19 66 doi 10 1186 s12906 019 2479 7 PMC 6420723 PMID 30876454 James Peter Wardle Jon Steel Amie Adams Jon 2019 Utilisation of and Attitude towards Traditional and Complementary Medicine among Ebola Survivors in Sierra Leone Medicina 55 7 doi 10 3390 medicina55070387 PMID 31323758 James PB et al 2016 Exploring self use attitude and interest to study complementary and alternative medicine CAM among final year undergraduate medical pharmacy and nursing students in Sierra Leone a comparative study BMC Complementary and Alternative Medicine 16 121 121 doi 10 1186 s12906 016 1102 4 PMC 4847196 PMID 27118576 James PB et al 2014 Awareness use attitude and perceived need for Complementary and Alternative Medicine CAM education among undergraduate pharmacy students in Sierra Leone a descriptive cross sectional survey BMC Complementary and Alternative Medicine 14 438 doi 10 1186 1472 6882 14 438 PMC 4236455 PMID 25380656 Retrieved from https en wikipedia org w index php title Healthcare in Sierra Leone amp oldid 1064830962 Hospitals, wikipedia, wiki, book, books, library,

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