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Blogs

© UN Photo/Kibae Park | CC BY-NC-ND 2.0
Health
Would you rather give birth in 1900 or 2018? And what can we learn from Sweden?
Blog
July 24, 2019

This blog, written by Alex Jones, originally appeared on the Oxford Policy Management website and is reposted with their permission. The answer to the question ‘would you rather give birth in 1900 or 2018’ might depend on where in the world you are. In 1900 in Sweden, before the construction of modern hospitals or the… Read more

Childbirth, maternal and child health
Education
Social Protection
Support to Sierra Leone Adolescent Girls’ Empowerment Programme (SAGE): Scoping and Design Report
Assignment
May 4, 2018

SAGE is a DFID supported, integrated programme to improve the lives of adolescent girls, responding to the multiple and interrelated disadvantages they face. It comprises two components: Delivery of integrated services for vulnerable adolescent girls through a safe spaces approach, including enhancing their access to sexual and reproductive health (SRH) education and services. Support for… Read more

Adolescents, Female Empowerment, Girls' Education, programme design, safe spaces, SAGE, Sexual and reproductive health
Health
The free healthcare initiative in Sierra Leone: Evaluating a health system reform, 2010‐ 2015
Document Library
February 14, 2018

This article presents the findings of a theory‐based evaluation of the Sierra Leone Free Health Care Initiative (FHCI), using mixed methods. Analytical approaches included time‐series analysis of national survey data to examine mortality and morbidity trends, as well as modelling of impact using the Lives Saved Tool and expenditure trend analysis. We find that the… Read more

cost‐effectiveness, fee exemption, Sierra Leone
Health
Fiscal space analysis in Sierra Leone: the free health care initiative and universal health coverage
Assignment
October 17, 2016

This brief highlights how Sierra Leone can improve the sustainability of the free health care initiative (FHCI) financing, lower household out-of-pocket (OOP) payments on health care, and decrease its dependence on donors. A secondary analysis provides insights into how Sierra Leone could work towards achieving its longer-term health goal of Universal Health Coverage (UHC). If… Read more

free healthcare, health financing, maternal and child health, Sierra Leone, universal health coverage
Health
Monitoring and evaluation in Sierra Leone’s health sector
Assignment
October 17, 2016

As part of the review of Sierra Leone’s Free Health Care Initiative (FHCI), researchers assessed its monitoring and evaluation (M&E) system, strengths and weaknesses, and the changes that took place as a result of the FHCI. This brief notes that a strong M&E system is crucial to help improve performance and achieve results. Several key… Read more

free healthcare, maternal and child health, Sierra Leone, universal health coverage
Health
The free health care initiative (FHCI) in Sierra Leone: real gains for mothers and young children
Assignment
October 17, 2016

In 2010, the Free Health Care Initiative (FHCI) abolished health user fees for pregnant women, lactating mothers and children under five. This was a response to very high mortality and morbidity levels among mothers and children and reports that financial costs were a major barrier to health service uptake and use by these groups. This… Read more

free healthcare, maternal and child health, Sierra Leone, universal health coverage
Health
Sierra Leone’s free health care initiative: financing implications
Assignment
October 17, 2016

In 2010, the Government of Sierra Leone (GoSL) took steps towards establishing the Free Health Care Initiative (FHCI). At its core, this was the removal of user fees (on drugs and consultations) for pregnant women, lactating mothers and children under five. This brief is based on an independent review of FHCI completed in 2016, which looked… Read more

free healthcare, maternal and child health, Sierra Leone, universal health coverage
Education
Gender
Social Protection
Changing the gendered dynamics of refugee classrooms in West Africa: introducing female classroom assistants
Document Library
June 3, 2016

Refugee schools in West Africa tend to be dominated by men, with even early years classes taught mostly by male teachers. There are very few female teachers and even fewer female head teachers or education administrators. Although enrollment in the lower classes is more or less gender balanced, by the upper primary level, many of… Read more

Africa, gender and education, refugee education, Women and girls
Education
Education service delivery in Sierra Leone
Helpdesk Report
April 28, 2016

This report details the results of a rapid review of the evidence with respect to three aspects of education service delivery in Sierra Leone. Firstly it considers the theory of change for a decentralised approach to improving education outcomes. Secondly, it considers the theory of change for Direct Instruction (DI) Lesson Approach. Thirdly, it considers theory… Read more

Gender
Health
Social Protection
Haja Wurie on incorporating gender into health systems reconstruction in post-Ebola Sierra Leone
HEART talks
February 15, 2016

Dr Haja Wurie is based at the College of Medicine and Allied Health Sciences in Freetown, Sierra Leone. In this HEART talks video she describes the rebuilding of health systems in the post-conflict period in Sierra Leone as ‘fire-fighting’. This meant that the response did not adequately capture gender. Ensuring service provision for women and… Read more

Ebola, gender and health, Sierra Leone
Gender
Health
Social Protection
Rebuilding health systems in conflict-affected states – Sierra Leone
Document Library
November 3, 2015

Sierra Leone is almost at the bottom in the Human Development Index, ranking 180th out of 187 countries. There is significant gender inequality where a mere 23% of women are literate, half the rate among men, while domestic violence is widespread. In addition, infectious diseases such as malaria, TB and HIV/ AIDS are the leading… Read more

conflict-affected states, Gender Equality, health systems, Sierra Leone
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HEART is a consortium of leading organisations in international development, health, nutrition, water and sanitation, education, and social protection. We work together to support the use of evidence and expert advice in policy-making.

HEART helps time-pressured decision-makers better understand, interpret and apply evidence. Our knowledge and consultancy services are tailored to support policy decisions and we respond rapidly to requests for assistance as they arise.

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