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Project information


Sierra Leone’s pregnant women are 200 times more likely to die compared to the UK. We are working to reduce these numbers by providing comprehensive maternal health services centred on quality emergency obstetric care and an effective referral system pivoted by a responsive ambulance service.

January 2012 - January 2014

Charity information: MedicAid Africa

MedicAid Africa logo
  • Need


    The war severely compromised health infrastructure and provision of quality emergency obstetric care. Sierra Leone is one of the world’s poorest countries and has one of the worst maternal and infant mortality rates. With 1in5 children dying before their 5th birthday, and 1in8 women dying during pregnancy, the country is off-target for the Health MDGs. Antenatal care is scarce and most births occur outside health facilities mainly due to finance barriers and poor transport and referral services.


    MedicAid aims to reduce maternal deaths by;

    Ensuring a prompt ambulance response for over 75% of pregnancy complications referred to Kindoya Hospital over 24 months.

    Improving by 5% above regional average the number of deliveries occurring in health facilities over 24 months.

    Achieving a below 1% fatality rate for all treated emergency pregnancy complications.

  • Aims

    Aim 1

    Create an effective referral system with responsive AMBULANCE SERVICE for rural pregnant women.


    » Purchase Toyota Landcruiser 4x4 off-road ambulance
    » Strengthen referral communication/mobile network between rural community and Kindoya Hospital
    » Sensitisation campaign on availability of free ambulance and importance of early referrals

    What success will look like

    Success will be....purchase and functionality of the new off-road ambulance and coverage of over 75% of emergencies referred.

    Aim 2

    Improve access and timely provision of safe, high quality EMERGENCY OBSTETRIC CARE


    » Appropriate team and supply to perform procedures and manage all obstetric complications effectively
    » Responsive service to perform normal, assisted and caesarean deliveries safely to high standard
    » Monitoring labour and assessing risk to prevent adverse maternal outcomes
    » Target group sensitisation on availability of good quality free maternal health service

    What success will look like

    Success will be.... improving number of facility based deliveries by 5% and achieving less than 1% case fatality for all cases.

    Aim 3

    Increase uptake of ANTENATAL, POSTNATAL CARE and use of MATERNITY WAITING HOME for high-risk women.


    » Provide 4 antenatal visits, screening and treatment for recognised problems
    » Provide maternity waiting home for women from distant locations with high risk pregnancies for up to 2 weeks
    » Offer family planning, carry out postnatal check-up and treatment for up to 6 weeks following delivery

    What success will look like

    Success will be.....achieving 100% compliance with all 4 antenatal visits and postnatal check ups.

  • Impact


    Reducing maternal death has socio-economic gains and generates a ripple effect of reducing child mortality and infant survival.

    Health staff and students will gain employment and relevant clinical exposure and training maintaining skills that will continue to benefit the community.

    Positive lessons learnt can be disseminated and replicated sector wide serving as a basis for future policy emphasising good action=lasting results.


    The health situation in Sierra Leone remains abysmal and continued poor health infrastructure worsens these easily preventable deaths. In addition to low literacy rates, geography, limited awareness of serious health problems and disproportionately small doctor to patient ratio are often deterrents to patients seeking medical care.


    Our work has objectively verifiable measurable UN process indicators and MedicAid will provide dynamic feedback on progress reports and encourage donor participation in our events and in-country visits.

  • Budget

    Budget - Project Cost: £200,000

    Loading graph....
      Amount Heading Description
      £40,400 Antenatal Care 4 visits including, treatment and ultrasound
      £13,200 Postnatal Care contraception, waiting-home at risk women, check-up and treatment
      £106,400 Labour Care All deliveries, C-section and treatment
      £40,000 New Ambulance Purchase 4x4, shipment and running cost
  • Background


    Bo District has a large rural population of over 500000, of which 90000 are women of reproductive age. Health facilities like our project the Kindoya Hospital, were badly damaged during the conflict. Rural conditions also make access to hospital a problem. This is made worse by the added burdens of internally displaced people (many of who are pregnant) still living in camps after the war. With only few doctors, their healthcare needs are largely unmet.


    Over 20000 births will occur in Bo during our project cycle. Our targeted direct beneficiaries from the Kindoya Hospital are 1200 pregnant women, and their new born babies who will have direct access to good quality maternal healthcare over 24 months.

  • Why Us?

    Why Us?

    Our strategic health focus on improving maternal health draws a track record of delivering successful healthcare initiatives in Bo for over 7 years integrating local and Diaspora expertise. We have worked with WHO Global Initiative, Ministers of Health in UK and Sierra Leone and health stakeholders. Our partner KINDOYA Hospital has concluded a 700 patient pilot of this project with exceptional results. Our M&E framework utilises tools from established reproductive health and UN agencies.

    Read more about the Charity running this project.


    Kindoya Hospital Management Board

    LOCAL IMPLEMENTING PARTNER Care provision and implements all project components as agreed with MedicAid Board of Trustees.

    MedicAid Africa Board Of Trustees

    Setting strategic direction, project design, implementation, fundraising, monitoring