Freetown, SIERRA LEONE – Auditors have uncovered a concerning situation at the Kailahun Government Hospital, where long-serving volunteers, not approved by the Ministry of Health and Sanitation, have been providing essential services without receiving allowances or stipends.
A total of 88 qualified and experienced staff members have dedicated more than three years to the hospital without official approval, and they lack compensatory allowances to support their daily commute expenses. The hospital storekeeper, in particular, was identified as a non-pin code staff member and was not receiving payment.
In response to these findings, it has been recommended that the Medical Superintendent takes immediate action by contacting the Minister of Health and Sanitation and the Health Service Commission to regularize the status of these staff members, especially if their roles are deemed essential for the hospital’s proper functioning. As an interim measure, the auditors suggest placing these staff on monthly incentives while the issue of permanent and pensionable employment is under consideration.
Furthermore, numerous units within the hospital were found to lack basic medical equipment, instruments, materials, and facilities. This deficiency has the potential to hinder the effective implementation of the hospital’s vision and mission.
The auditors recommend that the Medical Superintendent, the Chief Medical Officer, and the Permanent Secretary address these challenges promptly to enhance overall service delivery. Additionally, the urgent need for essential equipment and instruments is highlighted in the table below: ZIJ/25/1/2024