CHAI began working in Sierra Leone in 2015, supporting the government to rebuild its health systems following the devastating Ebola outbreak the year before. Soon after, we began supporting the government with health systems strengthening including, improving the quality and quantity of the health workforce. We helped the Ministry of Health and Sanitation (MoHS) to develop and implement a national human resource for health policy and strategy and human resources for health country profile, as well as develop a long-term plan to retain its health workforce.

CHAI also supported the successful operations of the free healthcare initiative (FHCI) for pregnant women, lactating mothers, and children under the age of five, which eliminates medical fees and provides drugs and treatments at no cost in every public health facility in the country. We supported the initiative by helping the MoHS set up a supply chain system that is responsive to stock scarcity, minimizes stock outs, maintains, and improves existing distribution channels.