News / Africa

Sierra Leonean Women Face Hurdles in Access to Care

Pregnant women watch television as they wait to give birth in the pre-natal ward at Princess Christian Maternity Hospital in Freetown, Sierra Leone (September 2010 file photo).
Pregnant women watch television as they wait to give birth in the pre-natal ward at Princess Christian Maternity Hospital in Freetown, Sierra Leone (September 2010 file photo).

Amnesty International says pregnant women in Sierra Leone are being denied medical care and forced to pay for medicines despite a nationwide free healthcare initiative launched last year.

In April 2010, Sierra Leone launched a $90 million free healthcare program that eliminates fees for pregnant and breastfeeding women at government-run health centers.  

Sierra Leone is one of the most dangerous places to give birth in the world. The government says the promise of free treatment has gotten record numbers of pregnant women into health centers for pre-natal visits and deliveries.

However, Amnesty International said Tuesday that health facilities are either running out of medicines or are forcing women to buy essential drugs that should be free and then turning away those who cannot pay.

Amnesty International's Health Policy Coordinator, Rajat Khosla, said corruption and poor monitoring are to blame.  

"Drugs and medical supplies are leaking out of the healthcare system and are rerouted as drugs for sale. And second [for] the procurement and management of drugs, the system that has been put in place, is complex and very poorly managed," said Khosla. "The dysfunctionality of the health system in many ways with regards to monitoring and accountability has created a permissive environment for bad practices and corruption. Even when they are detected, there is hardly any punishment meted out."

Amnesty says corruption and delays at the port in Freetown continue to interrupt the drug supply, while poor record keeping and inventory management in health centers make it difficult to track supplies and hold staff accountable.

Amnesty says women who are denied access to treatment have no way to complain.

Khosla said some women told Amnesty they were so frustrated that they will no longer go back to a health center, even if they experience complications during childbirth.

"Unless the government takes measures to strengthen the system, there is a risk of backsliding from the gains that have been made in the last year and a half with the free health care policy," said Khosla.

In July, Sierra Leonean president, Ernest Bai Koroma, called for a crackdown on criminality within the Free Health Care Initiative.

Amnesty says the government has taken certain corrective measures, including increasing health worker's salaries and providing them with training, but more work must be done to bolster accountability and improve healthcare, particularly in rural areas.


You May Like

Photogallery Americans Celebrate Thanksgiving With Feasts, Festivities

Holiday traditions include turkey dinners, 'turkey trots,' American-style football and New York parade with giant balloons More

Video For Obama, Ferguson Violence is a Personal Issue

With two years left in term, analysts say, president has less to lose by taking conversation on race further More

Video Italian Espresso Expands Into Space

When Italian astronaut Samantha Cristoforetti headed for the ISS, her countrymen worried how she would survive six months drinking only instant coffee More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
South Africa Sees Male Circumcision as Way to Reduce HIV Infectionsi
X
November 28, 2014 3:31 PM
South Africa remains plagued by AIDS despite massive government and NGO efforts on prevention and life-sustaining Anti-Retro-Viral programs. But the country has opened up another front to reduce new HIV infections: promoting circumcision. Emilie Iob reports for VOA News from a pioneering circumcision center in Orange Farm, Johannesburg.
Video

Video South Africa Sees Male Circumcision as Way to Reduce HIV Infections

South Africa remains plagued by AIDS despite massive government and NGO efforts on prevention and life-sustaining Anti-Retro-Viral programs. But the country has opened up another front to reduce new HIV infections: promoting circumcision. Emilie Iob reports for VOA News from a pioneering circumcision center in Orange Farm, Johannesburg.
Video

Video To Make A Living, Nairobi Street Vendors Face Legal Hurdles, Physical Violence

The Nairobi City Council has been accused of brutality in dealing with hawkers in the Central Business District - in order to stop them from illegally selling their wares on the streets. Lenny Ruvaga has more for VOA News from the Kenyan capital.
Video

Video For Obama, Ferguson Violence is a Personal Issue

Throughout the crisis in Ferguson, Missouri, President Barack Obama has urged calm, restraint and respect for the rule of law. But the events in Ferguson have prompted him to call — more openly than he has before — for profound changes to end the racism and distrust that he believes still exists between whites and blacks in the United States. VOA White House correspondent Luis Ramirez reports.
Video

Video Online Magazine Gets Kids Discussing Big Questions

Teen culture in America is often criticized for being superficial. But an online magazine has been encouraging some teenagers to explore deeper issues, and rewarding their efforts. VOA religion reporter Jerome Socolovsky went to this year’s Kidspirit awards ceremony in New York.
Video

Video US Community Kicks Off Thanksgiving With Parade

Thursday is Thanksgiving in the United States, a holiday whose roots go back to the country's earliest days as a British colony. One way Americans celebrate the occasion is with parades. Anush Avetisyan takes us to one such event on the day before Thanksgiving near Washington, where a community's diversity is on display. Joy Wagner narrates
Video

Video Aung San Suu Kyi: Myanmar Opposition to Keep Pushing for Constitutional Change

Myanmar opposition leader Aung San Suu Kyi says she and her supporters will continue pushing to amend a constitutional clause that bars her from running for president next year. VOA's Than Lwin Htun reports from the capital Naypyitaw in this report narrated by Colin Lovett.
Video

Video Mali Attempts to Shut Down Ebola Transmission Chain

Senegal and Nigeria were able to stop small Ebola outbreaks by closely monitoring those who had contact with the sick person and quickly isolating anyone with symptoms. Mali is now scrambling to do the same. VOA’s Anne Look reports from Mali on what the country is doing to shut down the chain of transmission.
Video

Video Ukraine Marks Anniversary of Deadly 1930s Famine

During a commemoration for millions who died of starvation in Ukraine in the early 1930s, President Petro Poroshenko lashed out at Soviet-era totalitarianism for causing the deaths and accused today’s Russian-backed rebels in the east of using similar tactics. VOA’s Daniel Shearf reports from Kyiv.
Video

Video Hong Kong Protests at a Crossroads

New public opinion polls in Hong Kong indicate declining support for pro-democracy demonstrations after weeks of street protests. VOA’s Bill Ide in Guangzhou and Pros Laput in Hong Kong spoke with protesters and observers about whether demonstrators have been too aggressive in pushing for change.
Video

Video US Immigration Relief Imminent for Mixed-Status Families

Tens of thousands of undocumented immigrants in the Washington, D.C., area may benefit from a controversial presidential order announced this week. It's not a path to citizenship, as some activists hoped. But it will allow more immigrants who arrived as children or who have citizen children, to avoid deportation and work legally. VOA's Victoria Macchi talks with one young man who benefited from an earlier presidential order, and whose parents may now benefit after years of living in fear.
Video

Video New Skateboard Defies Gravity

A futuristic dream only a couple of decades ago, the hoverboard – a skateboard that floats above the ground - has finally been made possible. While still not ready for mass production, it promises to become a cool mode of transport... at least over some surfaces. VOA’s George Putic reports.
Video

Video Falling Gas Prices Impact US Oil Extraction

With the price of oil now less than $80 a barrel, motorists throughout the United States are benefiting from gas prices below $3 a gallon. But as VOA’s Kane Farabaugh reports, the decreasing price of petroleum has a downside for the hydraulic fracturing industry in the United States.

All About America

AppleAndroid