DFID committed £12 million to uplift frontline health workers’ salaries in Sierra Leone from 2010 to 2015 to support the implementation of the Free Healthcare Initiative (FHCI), launched in April 2010, which made health services free for pregnant women, children under five years of age and nursing mothers. Increasing the availability of frontline health workers to deliver services, by uplifting their salaries and introducing a sanction framework was hoped to discourage the application of user fees for services to mothers and children and support the aims of the FHCI. It was estimated that over the implementation period 1.1 million pregnant women and lactating mothers, and 5 million children under the age of five could benefit, with a total of 141,000 lives saved.
This project completion report provides details of programme performance, output scoring, and value for money and financial performance. It also provides a set of recommendations for the GoSL (particularly the MoSH) and DFID and other development partners.
Anon. Assignment Report: Increasing the provision of essential health care services through support of health workers in Sierra Leone. HEART, UK (2015) 35 pp.