IMPROVING HEALTHCARE IN SIERRA LEONE: EQUIPPING PUBLIC HOSPITALS AND HEALTH CENTRES

IM Kapuwa, MD.

In our ongoing series of “Improving healthcare in Sierra Leone”, we begin by addressing one of the most critical issues: the need to equip public hospitals and health centers across the country.

One of the critical pillars in enhancing healthcare in Sierra Leone is equipping our public hospitals and health centres with modern medical equipment, instruments, and adequate supplies. This need is paramount because while our doctors, nurses, and other healthcare professionals are among the best trained globally—often returning home with specialised skills and high qualifications—their ability to deliver optimal care is hampered by a lack of essential equipment and supplies. The government and the Ministry of Health (MoH) must pay keen attention to the equipment gaps in our hospitals, as this is crucial not only for delivering high-quality care but also for maintaining the morale of healthcare workers.

THE NEED FOR HIGH-END EQUIPMENT AND SUPPLIES

To ensure that public health facilities operate at their best, several critical pieces of equipment and supplies are necessary; they must be equipped with modern diagnostic tools, surgical instruments, and everyday medical supplies. Examples of these include:

• Laboratory Equipment: Hematology analysers, blood gas machines, and biochemical analysers for diagnosing a wide range of conditions. Pathology tools.

• Radiology Machines: MRI scanners, CT scanners, PET-scan, ultrasound machines, and X-ray equipment to support accurate diagnosis.

• Surgical Instruments: Laparoscopic tools, endoscopy, advanced anaesthesia machines, and operating microscopes for specialized surgeries.

• Patient Monitoring Systems: Vital sign monitors, infusion pumps etc.

• Emergency Care Supplies: Defibrillators and crash carts etc.

These tools are essential not only for providing care but also for motivating our healthcare workers. Many of our professionals are highly skilled and were top performers in their training programs both home and abroad. However, upon returning home, the absence of adequate tools and equipment can stifle their ability to perform at the same high level. Equipping our hospitals not only prevents the so-called “brain drain,” but it also provides healthcare workers with the confidence that they are working in an environment where they can fully apply their expertise.

PREVENTING BRAIN DRAIN AND HOLDING PROFESSIONALS ACCOUNTABLE

Sierra Leone has already made strides in improving health outcomes, but there is still much work to be done. One area of focus should be preventing the migration of talented healthcare workers to countries with better-resourced facilities. By ensuring that healthcare institutions are fully equipped, we can reduce the frustration that leads many of our best and brightest to seek opportunities elsewhere.

Furthermore, with a well-equipped system, healthcare workers can be held accountable for their performance. It is unfair to expect world-class outcomes from doctors and nurses when they lack the necessary tools to diagnose, treat, or manage diseases. Once the facilities are properly equipped, we can set higher expectations for healthcare delivery across the country.

THE IMPORTANCE OF STANDARD MEDICAL DIAGNOSTICS

Standardised diagnostic tools are the backbone of effective healthcare. Without proper diagnostic equipment, many Sierra Leoneans are forced to seek care abroad for procedures and treatments that could otherwise be performed locally. High-functioning diagnostic departments—including laboratory, radiology, and pathology services—are essential for accurate diagnoses and effective treatment plans. If we equip our facilities with the necessary tools, it will not only improve patient outcomes but also reduce the financial burden on families and the country.

Moreover, the absence of adequate resources leads to frustration among healthcare workers. When professionals are unable to perform at their full potential due to insufficient tools, it not only affects their morale but can also contribute to brain drain. Many talented individuals seek opportunities abroad where they can practice effectively, leading to a loss of skilled professionals in our healthcare system.

Building more health facilities is commendable and beneficial, but ensuring that the existing ones are fully equipped should take precedence. Without the tools to perform the necessary tests and procedures, the additional facilities will remain underutilized, and the nation will continue to face challenges in its healthcare system.

A HIGHLY MOTIVATED WORKFORCE

A well-equipped health system fosters a highly motivated workforce. When healthcare professionals feel empowered to do their jobs effectively, the ripple effect is seen in better patient care, higher staff retention, and reduced burnout. Healthcare workers want to serve their communities, and providing them with the necessary resources enables them to deliver the quality of care they are trained to give.

For the average Sierra Leonean, the Ministry of Health is only as visible as the functionality of public hospitals. Ordinary citizens deserve functional healthcare services, if these institutions are operating efficiently, they will see tangible results and have faith in the healthcare system. Therefore, equipping our hospitals is not just an investment in the facilities but in the nation’s overall health and well-being.

CONCLUSION

Sierra Leone has made tremendous progress in improving health outcomes in recent years, but we must continue the momentum. Equipping public hospitals with the right tools and resources is a key factor in sustaining these improvements, it is not just a logistical necessity; it’s a moral imperative. It is also a powerful motivator for healthcare professionals, preventing brain drain, and ensuring accountability. With well-equipped facilities and a motivated workforce, we can provide better healthcare for all Sierra Leoneans and reduce the need for expensive medical trips abroad. By addressing these needs, we can not only enhance the capabilities of our healthcare system but also honor the dedication of our healthcare professionals. As the proverbial Oliver Twist, we must continue to ask for more. Our healthcare system depends on it. Together, let’s advocate for a healthcare system that reflects the potential of its people.

DISCLAIMER:

The views and opinions expressed in this article are those of the author and do not necessarily reflect any official policy or position. The information provided is for general informational purposes and is based on current observations and knowledge. While efforts have been made to ensure accuracy, readers are encouraged to verify details and seek professional advice where applicable.