The Status of Maternal and Newborn Care Services in Sierra Leone 8 Years After Ceasefire 22-09-2014
From June to August 2008, a cross-sectional survey was conducted of health facilities in Sierra Leone offering delivery services. Assessment tools were local adaptations of tools developed by the Averting Maternal Death and Disability program at Columbia University, New York, USA.
Results indicated that there were enough comprehensive EmOC (CEmOC) facilities in the country but they were poorly distributed. There were no basic EmOC (BEmOC) facilities. Severe shortages in staff, equipment, and supplies, and unsatisfactory supply of utilities
severely hampered the delivery of quality EmOC services. Demand for maternity and newborn services was low, which may have been related to the poor quality and the high/unpredictable out-of-pocket cost of such services.
Significant increases in the uptake of institutional delivery services, the linkage of remote health workers to the health system, and the recruitment of midwives, in addition to rapid expansion in the
training of health workers are urgently needed to improve the survival of mothers and newborns