Why Toshpa

The legacy of the ten years of rebel war in Sierra Leone has left the country with additional problems and many diseases, including HIV/Aids, water and food borne and serious material deprivation to many large parts of the countryside.

In 2003, the Ministry of Health and Sanitation in Sierra Leone embarked on radical health reforms with the publication of its health policy in order to “maintain and improve the health of all Sierra Leoneans residents within the country”. After more than fourteen (14) years, healthcare services provisions have improved to some extent from a delivery capacity perspective from 5-10% during the war conflict to 40-50%.

Notwithstanding these improvements, delivery on policy’s key priorities (disease specific in nature: malaria, STI, including HIV/AIDS, unsatisfactory reproductive health, including maternal and neonatal mortality, acute respiratory infections, childhood immunisable diseases, nutrition-related disease, water, food and sanitation-borne diseases, disability and mental illness) hasn’t yet made any impact on morbidity and mortality (improvements in reducing mortality rates from communicable, food and water borne and other preventable diseases). This, combined with the legacy of the war, has resulted in too many funerals in Sierra Leone compared to the 80s. Current gaps between healthcare policy and practice and resources’ issues, therefore, need a multifaceted but coordinated approach in order to meet the changing disease patterns and demography in the country.

The Government has recognised, for a while, that current healthcare provision and regulation do not meet the needs of the country and there is a need to re-examine healthcare structures in order to ensure there is ” effective decentralisation, partnership between public and private, including non-governmental organisations and greater transparency of decision making”. The Government is also keen to “take steps to encourage the return of Sierra Leonean healthcare professionals currently working outside of the health sector or outside of the country” and TOSHPA welcomes this concept.

TOSHPA is keen to work with the Sierra Leonean, UK and other Governments and NGOs to establish formal links between the Sierra Leonean Diaspora members in UK with SL healthcare establishment through ‘A Diaspora Network Links’. See TOSHPA’s Articles and Memorandum of Association and Development Strategy for more information and thanks very much for taking the time to access our web site.

Charity registered in England & Wales. Reg No: 1130854. 

Motto: “Working for healthier communities.”

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