The Sierra Leone Free Health Care Initiative (FHCI): process and effectiveness review

by Sophie Witter, Nouria Brikci, Tim Harris et al.
HEART (Health & Education Advice & Resource Team) Technical Report, May 2016

297 pp. 5.3 MB
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Introduced by the President of Sierra Leone in 2010, the Free Health Care Initiative (FHCI) abolished health user fees for pregnant women, lactating mothers and children under five years of age. This action was taken in response to very high mortality and morbidity levels among mothers and children in Sierra Leone – some of the worst in the world – and reports that financial costs were a major barrier to health service uptake and use by these groups. This report presents an independent review of the FHCI. Among others, the authors conclude that the FHCI was one important factor contributing to improvements in coverage and equity of coverage of essential services for mothers and children.

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