Use of the SABI Governance and Accountability Pathway led to supply of drugs in Massorie Community

Since 2010, the Massorie Community Health Post (CHP) in Ward 108, Bombali District, has been providing free health care services to 12 catchment communities, covering a population of 4,000 people, including under-five children, pregnant women and lactating mothers.

As population increased over the years, the CHP struggled to maintain its quarterly drug supplies and provision of adequate clinic services.

In June 2017, drugs became scarce. Prescriptions were made by the CHP staff, and patients asked to buy them before coming to the clinic. Most clients come and go without any drugs. This resulted in lack of trust and client’s visits started declining gradually.

Pregnant women and lactating mothers rather travel 9 miles to the district head quarter town (Makeni) to access medical services, than travel through 6 miles of deplorable roads to access healthcare in a nearby community known Robat Community.

This was clearly recorded during the 2018 citizen perception survey, and subsequently captured during the presentation of evidence in Massorie Community. Drug supplies was ranked as the most urgent healthcare concern that needed immediate action.

The Youth Accountability Volunteers supporting the stakeholders in Massorie Community to develop action plan and introduced the accountable governance pathways which shows how their problem directly connects to stakeholders at various levels, and most importantly highlighted the appropriate structures that are in place to oversee health services in the district. This helped stakeholders to raise concerns on the inadequate drug supply problem in their community.

Using the accountable governance pathways as a guide, Councillor Andrew U Mansaray and the Ward Development Committee secretary – Alhaji I. Massaquoi were motivated to visit the District Medical Officer (DMO) and explained their problem. This gave the DHMT an insight of the problem and agreed to work together with the council to assist the CHP in Massorie Community.

The DHMT subsequently arranged for new drug supplies and prioritized Massorie Community based on agreement with the Councilor.

The WDC secretary Alhaji I. Massaquio said ‘’SABI has increased the awareness of so many people in the ward about their rights and entitlements especially in the area of health’’.

 

Councillor Andrew said ‘’SABI gave them the knowledge and skills on how to take ownership in solving their own problems without waiting for government to intervene’’.

There is supply of drugs at the centre now and a committee set to follow up on the distribution of the available drugs at the centre, and as well with the DHMT when supplies are limited. This committee is also charged with the responsibilities of raising awareness within the communities on drug availability and distribution at the centre.

This action has helped to strengthen relationship between the nurses at the centre and the community people.