This summer, I made a project visit to a government clinic in northern Sierra Leone. It is a clinic pretty much in name only, being constructed as 1-bedroom living quarters for a teacher and subsequently converted into a health facility. The nurse took me on a tour, pointing out the problems: a broken scale to weigh infants, no waiting room for early stages of labor, animals grazing and
Recently, at a community meeting I attended at Robina clinic in Tonkolili district, Sierra Leone, facilitators asked a group of young women to rate the quality of health service delivery using what they coined the “mango test.” As part of this “test” community members decide how many hypothetical mangos, on a scale from 0 to 5, they would give a nurse as thanks for the quality of her care.
I spent four years co-directing a grassroots legal empowerment organization in Sierra Leone called Timap for Justice (“Timap” means “stand up” in Sierra Leonean Krio). One of our clients was a cigarette seller and sometime sex worker from the east end of Freetown—I’ll call her Kadiautu. A drunk off-duty police officer brutally beat Kadiatu after an argument one night, not far from the station.