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Sierra Leone

Law and Development from the Ground Up: Bridging Health Care by the Sewa River

Margaux Hall's picture

In Sierra Leone's rainy season, the Sewa River, feared by many locals for its powerful currents, floods over its banks separating entire villages from basic services.  Konta health clinic in Kenema district operates near the shores of the Sewa, and during the six-month rainy season, five of Konta’s 17 dependent villages cannot access the clinic.  If women in those villages give birth during the rains, they entrust care to traditional birth attendants; if children fall ill, they turn to traditional medicine, stockpiled drugs, and, often, prayer.  As one woman explained during a recent community meeting in Konta, these are the only options, even if the all-too-frequent consequence is death.  Hearing her account, it’s difficult not to feel a strong sense of injustice, even in an incredibly resource-constrained country like Sierra Leone.  But is there a role for the law in remedying this situation?