ONGOING

ENHANCED COMMUNITY HEALTH RESILIENCE PROJECT

Reproduction of all or parts of this publication for educational or other non-commercial purposes is authorized without prior written permission from the copyright holders provided the source is fully acknowledged and any alterations to its integrity are indicated. Reproduction of this publication for sale or other commercial purposes without the prior written consent of the copyright holder is prohibited.

The project is funded and supported by Engineers without Borders-DK and Civil Soceity in Development

Project Fact Sheet
Donor Partners:

Engineers without Borders-Denmark and Civil Society in Development

Project Implementing Partner:

SEND Sierra Leone Project Location:

Kenema District

Duration:

October 2021 - May 2022

Project Budget:

$89,860

Project Thematic Areas:

Healthcare

Contact details and contact

Joseph Ayamga,

Country Director

SEND Sierra Leone

[email protected]

+23 278 206 853

PROJECT CHALLENGES

In 2017, it was estimated that 1,120 mothers died for every 100,000 live births in Sierra Leone. With one of the highest maternal mortalities globally, the mortality rates of neonates, infants and children under five are also amongst the highest globally, at 34,81 and 109 deaths per 1,000 live deaths respectively. These figures represent the difficulty and challenges women and children face in Sierra Leone in accessing health care. The health care system is characterised with lack of sufficient health care facilities, under resourced healthcare facilities, poor management culture of healthcare facilities, non-existent emergency facilities and poor healthcare practices. .

With 56.8% of the Sierra Leonean population living in poverty, 12.9% of the population living under extreme poverty and the food poverty rate standing at 54.5%, Sierra Leone faces considerable challenges in been able to achieve the Sustainable Development Goals (SDGs) 2030.The country ranks 182 out of 189 in the 2020 Global Human Development Index with a Human Development Index of 0.452 and life expectancy 54.7 years.

In Kenema district, the incidence of extreme poverty affects 24.2% of the population, a statistic which is worsened due to the economic effects of the COVID-19 pandemic which caused widespread loss of livelihoods for rural communities heavily dependent on petty-trading and agriculture.

Boama, a main town in the rural areas of Kenema district with a population of 3,000 inhabitants surrounded with dependent peripheral villages with a total population of 4,000 inhabitants lacks a health care facility. The lack of any health care facility within 11 kilometres of Boama and its surrounding villages has resulted in high mortality rates of its population and ranking as one of the worst communities in terms of access to healthcare services in the district. The closest health facility is a clinic in Faama, a community 11 kilometres away, however with a poor road network, limited access to motorized transportation, high poverty rates this journey over 11 kilometres lasts over an hour. In Boama, women regularly deliver babies on the way to the Faama health clinic.

PROJECT SOLUTION

The project seeks to improve the health and livelihood of the population of Boama and its surrounding communities with particular focus on women and children. By encouraging local resource mobilisation, inhabitants will form solidarity groups called Health Insurance Scheme groups (HIS) which will promote the pooling of resources to cater for costs related to health care.The project will also construct a Women Community Center which will be a health facility and empower the necessary civil society mechanism to ensure its sustainability and appropriate linkages to the wider health infrastructure and services. The health facility will focus on the health of women and children: maternal and infant health, safe births and vaccinations.

THE PROJECT HAS OUTPUTS THAT ARE ESPOUSED FOR SUCCESS:

  • Women Community Center: Strengthen the community social structure to provide strategic health services through the construction and management of a health facility
  • HIS groups: Develop social economic protection mechanisms based on financial solidarity to encounter fragile health and economic situations
  • A TRIANGULAR STRATEGY IS ADOPTED TO ACHIEVE OUTPUTS:

  • Organizational capacity building (strengthening/building HDCs and establishment of HIS groups)
  • Provision of strategic healthcare services (health service from a new community-driven health facility).
  • Advocacy on the viability of community/civil society-driven protection mechanisms and for health services from the government..
  • KEY ACTIVITIES

    Construction of the Women Community Center

    Training of Community Health Workers (CHW) and Community Health education

    Capacity building of FMCs, TBAs and CHWs on administrative and management of the Community Health Post

    Formation and training of HIS groups

    Capacity building training for HIS members on development methodologies such as ASSET/SALT approaches.

    PROJECT OBJECTIVE

    Improved access to quality healthcare services and livelihood security

    PROJECT LOCATION

    District
    Kenema
    COMMUNITY
    Baoma and surrounding communities

    TARGET BENEFICIARIES

    #
    DESCRIPTION
    TARGET

    01

    RESIDENTS

    7,000

    02

    YOUTH

    1,200

    03

    HOUSEHOLDS

    210

    04

    HEALTH DEVELOPMENT COMMITTEE (HDC)

    72

    05

    PRIVATE SECTOR FIRMS

    10

    06

    TEACHERS AND STUDENTS FROM ETU

    20

    ABOUT
    SEND SIERRA LEONE

    SEND Sierra Leone is non-governmental organization registered with the Ministry of Finance and Economic Development of the Republic of Sierra Leone with a vision to contribute to a Sierra Leone where people’s rights and well- being are guaranteed. SEND Sierra Leone is part of a West African structure with a headquarters in Ghana and offices in Liberia and Sierra Leone where approaches and experiences are shared. SEND Sierra Leone is an independent structure, a local NGO registered in Sierra Leone with a local Board, which has its own project portfolio and budget separate from Ghana.

    SEND’s portfolio includes community development, WaSH, health, nutrition/agriculture and women’s empowerment. Intervention areas are in the districts of Kailahun, Kenema, Kono, Western Areas Urban, and Rural districts and more recently, the district of Bonthe.

    View Project Factsheet