Author:
Suluku Roland,Macavoray Abu,Nelphenson Kallon Moinina,A. Buntin-Graden Joseph
Abstract
Sierra Leoneans face multiple barriers to accessing health facilities and services in rural communities leading to morbidity and mortality. The objective of this paper is to identify some of these challenges and proffer possible solutions to mitigate morbidity and mortality in rural communities and prolong the lives of their citizenry. The lack of money, the use of cheaper traditional medicines versus expensive medicines at health centers, lack of confidence in health workers, and transportation access to reach health facilities are barriers to accessing health facilities and services by rural community people. The above barriers outline was obtained through thirty years of interaction, discussion, and observations with people and health workers in rural communities. Possible solutions include the provision of free health care, ambulances to ease transportation, the integration of traditional medicine into the national health system, and the encouragement of rural community people to engage in multiple cropping every year. The above solutions and many others will encourage the citizenry in rural communities to attend health facilities and services in the country’s rural towns and villages.
Reference54 articles.
1. Piabuo SM, Tieguhong JC. Health expenditure and economic growth—A review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review. 2017;2017:7. DOI: 10.1186/s13561-017-0159-1
2. Gatome-Munyua A, Olalere N. Public Financing for Health in Africa: 15% of an Elephant is not 15% of a Chicken. African Union’s 2001 Abuja Declaration on Funding National Health Budgets. 2020. Available from: https://www.un.org/africarenewal/magazine/october-2020/public-financing-health-africa-when-15-elephant-not-15-chicken [Accessed: March 23, 2023]
3. World Health Organization. Make Every Mother and Child Count. The World Health Report 2005. 2005
4. The World Bank Current Health Expenditure. Sierra Leone. 2023. Available from: https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=SL&most_recent_value_desc=false [Retrieved: May 21, 2023]
5. Ali EE. Health care financing in Ethiopia: Implications on access to essential Medicines. Value in Health Regional Issues. 2014;4:37-40