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
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.