Freetown, SIERRA LEONE – The Audit Service Sierra Leone (ASSL) has brought to light alarming deficiencies in the health facilities of Bombali District following its 2022 audit. One of the gravest concerns identified is the absence of medical licenses for Community Health Officers (CHOs) working in various facilities within the district.
The audit team, in its comprehensive examination, raised queries about multiple challenges affecting service delivery in Bombali District. Notable issues include the lack of proper refuse disposal at the District Health Management Team (DHMTs), inadequately clean Milla water tanks, expired drugs procured by the Makeni City Council, and the non-recharging of fire extinguishers at the Bombali District Medical Store.
The audit focused on seven out of the 82 healthcare facilities within the Bombali DHMT, revealing severe inadequacies. At Stocco Community Health Post (CHP), the absence of Infection Prevention and Control (IPC) facilities rendered the facility unable to provide childbirth delivery services. Additionally, the facility lacked a proper triage system and sufficient storage facilities.
Masuba Community Health Center (CHC) was found without a glucometer, and the drugstore’s ceiling was damaged. Meanwhile, Sierra Leone Red Cross CHC faced challenges with water supply, maintenance, and IPC facilities.
Manjoro Maternal and Child Health Post (MCHP) had a leaky roof and no pin-coded nurse, relying on volunteer staff. Kamasikie MCHP lacked adequate housing for nurses, a faulty toilet, and a submersible pump supplying water to the facility. Kamabai CHC grappled with plumbing issues, faulty solar systems, a malfunctioning motorbike, and prolonged absence of National Emergency Medical Services (NEMS).
The Binkolo CHC displayed a range of problems, including a faulty delivery bed, insufficient delivery kits, absence of a waste management zone, and leaking staff quarters’ roofs.
The Auditor General has recommended urgent actions to be taken by the District Medical Officer (DMO) and Health Authorities in Freetown to address these infrastructural challenges and ensure effective health delivery services in Bombali District. ZIJ/2/2/2024