Six-month-old Iye Lamin at one of the two inpatient therapeutic feeding centres at MSF's new hospital in Hangha, Sierra Leone.

Sierra Leone

In Sierra Leone, Doctors Without Borders (MSF) supports the recovery of the health services following the 2014-2016 Ebola outbreak, focusing on staff training and improving mother and child healthcare.

Our teams work alongside the Ministry of Health and Sanitation in hospitals, general health facilities and in the community to increase access to healthcare and fill gaps in the provision of essential medicines.

Mother and child health

We are working with the Ministry of Health and Sanitation to strengthen the health system in Kenema district through comprehensive assistance to 13 peripheral healthcare units in three chiefdoms (Gorama Mende, Wandor, and Nongowa) and our new hospital in Hangha town. The aim is to reduce sickness and death among children and women during pregnancy and childbirth in Sierra Leone, a country with one of the highest rates of maternal and child mortality in the world.

The hospital has a range of facilities for pediatric care, including an emergency room, an intensive care unit, an inpatient therapeutic feeding centre, a general ward and an isolation ward for patients with suspected Lassa fever, a disease that is endemic in the country. We have also built a laboratory and a blood bank.

In the most isolated chiefdoms of Gorama Mende and Wandor, malaria prevalence and mortality rates are high. With challenging geography, poor road conditions and dispersed communities, access to healthcare is extremely limited. MSF targets children under the age of five, pregnant women and lactating mothers, providing general healthcare and coordinating emergency referrals for specialist care.

Our mother and child healthcare programme in Tonkolili continues to support Magburaka district hospital and eight peripheral healthcare units, with improvements to infection prevention and control measures and water and sanitation systems, donations of drugs and staff training. As well as assisting with referrals from the healthcare units, we offered family planning sessions, psychosocial support and medical treatment to victims of sexual and gender-based violence.

 

Dr Rosso, MSF surgeon, and Mickael, MSF OT nurse, during the surgery debridement of a 2 years old boy victim of severe malaria.

MSF in Sierra Leone in 2019

7-month-old Adama Musa, from Kenema, and her mother lie on one of the beds in the ITFC at MSF’s newly-opened hospital in Hangha, in Sierra Leone’s Kenema district.

Human resources for health development

The professional development of national health workers is a top priority for MSF. On 18 December, the Nursing and Midwifery Council of Ghana inducted 47 Sierra Leonean registered nurses and midwives following their successful completion of a two-year MSFsponsored Registered Diploma training course. The team will be deployed to work in our hospital in Hangha and other health facilities around the country. Another group of nurses enrolled in a diploma course in February.

Emergencies

In 2019, we provided logistical support to the Ministry of Health and Sanitation in the Kambia district during a measles outbreak. Our teams also assisted with the catch-up measles and rubella vaccination campaigns in Kenema and Tonkolili districts by donating medical supplies, organising transport and safe waste management, and running awareness-raising and health promotion activities. Additionally, we helped manage Lassa fever cases in November, by sharing clinical protocols and guidelines, donating infection prevention and control materials and medical supplies to Kenema and Tonkolili districts and deploying ambulances to transport suspected and confirmed cases.

Diagnosing and treating drug-resistant tuberculosis (DR-TB)

We also started a new drug-resistant TB project in Makeni town in the Bombali District. Our teams are supporting the national TB program efforts to decentralize DRTB diagnosis and treatment by making it available in patients’ communities. In 2019, we helped upgrade the TB ward in Makeni by improving ventilation and building a recreation area for inpatients. The first patients started an all-oral treatment regimen, meaning no injections are required.

 

No. staff in 2019: 1,091 | Expenditure in 2019: €17.7 million | Year MSF first worked in the country: 1986

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