Women waiting at the weekly antenatal clinic at Barmoi Munu health centre.

What We Do

Our main focus is on improving maternal and child health in the Kambia District.  We do this by tackling a range of the direct causes of poor health of women and children via a number of different permanent projects.

Our projects address the following problems:

  • The severe shortage of qualified health staff at work in the district
  • The country-wide lack of on-going training for existing health staff
  • Limited access to emergency transportation for at-risk pregnant women between their villages and health services in rural areas

Working in partnership

We work in close collaboration with the Sierra Leone Ministry of Health and Sanitation through our local partners in Kambia - the Kambia District Health Management Team and the Kambia District Council.  Our agenda is set by local needs as prioritised in the Sierra Leone National Health Sector Strategic Plan 2010-2015 and the Kambia District Development Plan 2010-2013, and through regular consulations with partners in Kambia. Our last discussion and planning meeting was in January 2012. Our work is in line with the UN Millennium Development Goals 4 and 5 to reduce child mortality and to improve maternal health.

See our current projects

Health Services in Sierra Leone

The 1992-2002 civil war in Sierra Leone severely undermined the functioning of the health system. Many health workers were killed or displaced; access to health care was disrupted as people were forced to flee to neighbouring countries. Much of the country’s health infrastructure (including hospitals and community-based ‘peripheral health units’, or PHUs) was damaged or destroyed.

Despite some progress in recent years, Sierra Leone is still ranked as one of the poorest countries in the world. Since the end of the war, the government has set up free or low-cost district-level medical services for many vulnerable groups, including pregnant women, lactating mothers, school children, children under the age of 5, and the elderly (65 years and above).

There are regional inequalities in access to health care; service provision in rural areas is poor compared to larger urban areas. Human resources for health remain very limited at the district level, in terms of both the number and skills level of staff. Turnover rates can be very high (partly reflecting the low levels of remuneration.) Much of the country’s health infrastructure remains dilapidated, with shortages of equipment, facilities and drugs.

Source: Health needs and health services of Sierra Leone, A Situational Analysis, March 2007, JICA.

The results of these difficulties can be seen in the country’s health indicators:

  • Life expectancy at birth  - 47.8 years
  • Maternal mortality ratio (deaths/100,000 live births) 890  (WHO 2010)
  • Infant mortality ratio (deaths/1,000 live births) 114 (WHO 2010)
  • Under Fives mortality rate (deaths/1,000 live births) 174 (WHO 2010)

Learn more about the government health services in Kambia via the website of the Sierra Leone Ministry of Heath and Sanitation.

The Kambia Appeal 62 Oxmoor, Abbeydale, Gloucester GL4 5XW

UK Charity number: 1014034

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