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Free Health Care. The IRC Experience. Kenema District EmOC Programme. Total Number of Facility Deliveries. Percentage of Delivery. Caesarean Sections Per Annum. Caesarean Section Rate. Referrals to Hospital. Ambulance Services Since Aug 2007. Maternal Deaths at

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Free Health Care

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Free health care

Free Health Care

The IRC Experience

Kenema district emoc programme

Kenema District EmOCProgramme

Free health care

Total Number of Facility Deliveries

Free health care

Percentage of Delivery

Free health care

Caesarean Sections Per Annum

Free health care

Caesarean Section Rate

Free health care

Referrals to Hospital

Free health care

Ambulance Services Since Aug 2007

Free health care

Maternal Deaths at

Kenema Government Hospital

Free health care

Case Fatality Rate

Free health care

Met Need:

Women with obstetric complications who receive Treatment

Free health care

Total EmOC & DHMT Joint Supervsion 2009

Free health care

Units of Blood Collected

Free health care

Transfusion Utilisation per Specialty

Free health care

Community Case Management

Kono District

  • Programme now by CIDA and DFID

  • Free care for under 5’s for treatment of the 3 main morbidities malaria diarrhoea and pnuemonia

  • Community volunteers are trained and equipped to follow protocols to treat children that present with the recognised symptoms

  • Those who do not or who do not respond within 24 hours of treatment are referred and escorted by the volunteer to the nearest PHU

Program me expansion

ProgramME expansion

  • From 2008 expanded from coverage of 20 PHUs to date 56 PHUs

  • By May 2010 all 70 PHUS will be in the programme

  • Trained 1073 CHVs

  • Last quarter of 2009 treated 10,925 children under 5

Cases treated

number of treatments


Free health care

Number of Treatments by CHVs

May 2006 – Dec 2009

Free health care

Community vs. PHU Treatments

Feb 2008 – Dec 2009

Free health care


  • Vision of decentralisation is not well communicated and expectations misunderstood

  • Health Systems and Human Resources – capacity and personnel

  • Corruption and lack of commitment and accountability

  • Monitoring and supervision

  • Infrastructure and accessibility

  • Community support for volunteers

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