In Sierra Leone, the Free Health Care Initiative (FHCI) emerged as a key catalyst in a series of human resources for health (HRH) reforms. Results relating to the FHCI have been pulled together for this report. The findings highlight how a flagship policy, combined with high profile support and financial and technical resources, can galvanise systemic changes which were previously not possible. In this regard, the story of Sierra Leone differs from many countries introducing fee exemptions. The impact has been broad and largely positive, in galvanising a series of important health system changes over a period of time.
This research is funded under the Department for International Development’s ReBUILD Programme which is led by Liverpool School of Tropical Medicine
Witter, S.; Wurie, H.; Bertone, M.P. The Free Health Care Initiative: how has it affected health workers in Sierra Leone. (2014) 108 pp.