Red and Orange Gradient

SIERRA LEONE

Sierra Leone .jpeg
Sierra Leone .jpeg
 

Provider Density & Statistics

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Primary Care / Specialty Care Distribution

Data on this particular realm does not currently exist, or is in the process of being gathered and verified.

 

Scope of Practice

COMMUNITY HEALTH OFFICERS

Primary Care: including minor surgical procedures

(I&D, suturing), basic lab diagnostic skills, up-referral to District Hospital. 

CHOs plan, implement, and evaluate activities and resources of the primary health care unit, as well as collect, organize and analyze health and health-related data from health institutions, communities and other relevant areas.

Scope of Practice

SURGICAL COMMUNITY HEALTH OFFICERS

Data on this particular realm does not currently exist, or is in the process of being gathered and verified.

 

Age Distribution

Data on this particular realm does not currently exist, or is in the process of being gathered and verified.

Gender Distribution

Data on this particular realm does not currently exist, or is in the process of being gathered and verified.

 

Country Profile

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Rural Practice Data

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Data on the rural AMTC workforce is still in the process of being gathered

 

Training

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CHO training:

3 years Bachelor of Science

Curriculum aligned with other programs in neighboring West African countries, as designated by the West African Health Organization.

History

 

Leadership Bodies

Data on this particular realm does not currently exist, or is in the process of being gathered and verified.

 

Regulation & Accreditation

Data on this particular realm does not currently exist, or is in the process of being gathered and verified.

 

Country Healthcare System Structure 

CHOs are in all chiefdoms – serving populations of 10,000-30,000 people – within a 10 mile radius per Community Health Centre. CHOs serve in the Peripheral Health Units operating under the Ministry of Health and Sanitation.

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Sierra Leone underwent civil war from 1991 to 2002. The health system in post-conflict Sierra Leone can be described as fragile and plagued by having inadequate human resources for health (HRH), together with a history of low, irregular remuneration for health professionals. In addition, attracting and retaining health workers in rural areas, where two thirds of the population can be found, especially areas that are hard to reach, has proven difficult, which has created a geographical imbalance in the distribution of health workers. This creates unequal access to healthcare services as the services are not available where the needs and impact are most needed. A study reported that 90% of all of the surgeons in Sierra Leone are concentrated in the capital city Freetown, meaning rural areas of Sierra Leone are catered by only 10% of the surgeons available in-country.
This study showed that in Sierra Leone, the motivational factors most valued by the rural health workers were serving the community, being effective in your role followed by financial incentives, opportunities for on-the-job training and continued professional development and religion.
Community service as a motivational factor was mostly valued by health workers working in the community (i.e. CHOs). Other cadres of health professionals, including nurses, midwives and district health sisters (DHSs), also reported community service as a motivational factor.

Source: Retention of health workers in rural Sierra Leone: findings from life histories, 2016
Haja R. Wurie, Mohamed Samai, and Sophie Witter

 
 

Please note that data provided on this page was last reviewed & updated in May 2021