Sierra Leone has made progress in promoting human development since the end of its 11-year civil war; however, the country is still striving to improve health care delivery. Confronted with maternal and under-five mortality rates among the highest in the world, the Government has made significant investments in the health sector. One such program is the Free Health Care Initiative (FHCI). Launched in April 2010, the FHCI aims to improve health by offering free health care services to pregnant and lactating women and children less than five years of age.
Programs such as the FHCI require extensive ‘supply-side’ inputs – such as increased health staff, essential drugs, and rehabilitated clinics. Yet experience from other countries suggests that social accountability (or ‘demand-side’) programs can effectively complement supply-side efforts to improve health outcomes.1 The Bank, Government, and civil society groups in Sierra Leone have all embraced a role for social accountability in improving health care delivery.
The Bank is supporting these efforts by testing and evaluating several social accountability approaches to improving health service delivery including community-clinic monitoring and legal empowerment. With financing from the Decentralized Services Delivery Project (I and II), the Government is currently supporting a randomized controlled trial on the impact of joint community-clinic monitoring on health outcomes.1 Through the use of scorecards showing their clinic’s performance, community monitoring enables community members and clinic staff to draft a joint action plan to improve health and then monitor one another’s performance.
With support from the World Bank’s Nordic Trust Fund and in partnership with the legal empowerment organization Namati, the Justice for the Poor Program (J4P) is also exploring how Legal Empowerment tools, such as trained community paralegals, can tackle challenges in health care delivery and complement social accountability efforts in the health sector. Community paralegals (lay persons trained in the law and operating in approximately a third of Sierra Leone’s chiefdoms) may be able to help citizens navigate administrative accountability channels to address larger, systemic breakdowns in service delivery.
This brown bag lunch will present the design and reflections on implementation from the work underway in Sierra Leone and discuss strategies to improve accountability between health service providers and citizens.
This event is open to the general public. Attendees from outside the World Bank Group will need to register their interest in attending by 5 p.m. the day before the event by emailing Lakshmi Mathew at email@example.com. The email should specify the proposed attendee’s full name, organization or street address, email address and a phone number at which the attendee may be contacted. External participants should bring photo ID and enter through the World Bank’s visitor entrance on 18th street.
(1) See, e.g., M. Bjorkman and J. Svensson, “Power to the people: Evidence from a randomized experiment on community-based monitoring in Uganda,” Quarterly Journal of Economics 124/2 (2009).
Date: Thursday, August 2, 2012
Time: 12:30 – 2:00 p.m.
Venue: MC C1-200, with VC connections to Accra and Freetown
Christina Biebesheimer, Chief Counsel of the Justice Reform Practice Group
Margaux Hall, Justice for the Poor Program in Sierra Leone
Qaiser M. Khan, Lead Economist and Sector Leader for Human Development in Ghana, Liberia and
Mirey Ovadiya, Senior Social Protection Specialist, Social Protection Anchor
More information on the World Bank’s Justice for the Poor program:
Or, access this resource as a guest by sharing your email below.
Last updated January 30, 2013.
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Last updated: May 25, 2018
This Policy describes our privacy practices and sets out your obligations and ours with respect to your use of the Site and the Forum. This Policy applies only to the Site and the Forum and does not necessarily apply to our offline collection of information.
Namati may collect and retain two types of information about Site and Forum visitors: (i) personal information that individual visitors voluntarily provide when interacting on the Site or Forum or on certain other occasions (such as via forms or in emails); and (ii) tracking data, which is data that is automatically collected from every Site and Forum visitor as they use and browse the site.
We may, from time to time, store and archive the information you submit to or through the Site and Forum. The information that we gather may include your name, title, and address, telephone number, email address, credit card number or other elements of personal information. In addition, if you contact us, we may keep a record of your correspondence, including any information contained therein.
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We retain the right to transfer or assign all information pursuant to a merger, purchase or other transaction relating to Namati or our assets.
The current list of third-party service providers we use include:
Reduces spam posts on the Forum.
Privacy notice: https://automattic.com/privacy/
Amazon Web Services
Stores backups for the Site and the Forum.
Privacy notice: https://aws.amazon.com/privacy/
Hosts and stores backups for the Forum.
Privacy notice: https://www.digitalocean.com/legal/privacy/
Compiles visitor statistics on the Site and Forum. You can opt out of Google Analytics using a browser extension.
Privacy notice: https://www.google.com/analytics/terms/
Online service for organizing and hosting webinars.
Privacy notice: https://www.logmeininc.com/legal/privacy
Provides mailing list and mail server services for sending newsletters, Forum notifications, and weekly email summaries.
Privacy notice: https://mailchimp.com/legal/privacy/
Online service providing contact management system.
Privacy notice: https://www.salesforce.com/company/privacy/
Provides cloud servers for hosting the Site.
Privacy notice: https://wpengine.com/legal/privacy/
Online service to automate adding member data to Salesforce.
Privacy notice: https://zapier.com/privacy/
Personal information you submit via your member account, other than information provided or content posted by you to public areas of the Site as described below, is deleted from Namati’s records following the deletion of your account. However, such information may continue to be retained by third-party service providers to which it has been disclosed for one of the reasons listed above.
Your Information is stored on Digital Ocean servers in New York, USA.
We take reasonable precautions to protect your information from loss, misuse or alteration. You should recognize, however, that there is no such thing as “perfect security” on the Internet, and we cannot guarantee the security of your information. In addition, because Internet communications are unsecure, it is also possible that the information you supply to us or your access of any information via the Site will be intercepted during transmission. We are not liable for any breach of our systems or interception of our transmission, and we hereby fully disclaim, to the fullest extent possible under law, any liability associated with any claim relating to a breach of security, data or information.
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The Forum uses data about your posts and other activity to make automated decisions about whether your posts are spam.
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From time to time, we may email users of the Site or the Forum information regarding important developments affecting Namati and/or the Global Grassroots Justice Network. We may also email users on occasion regarding the Site or the Forum. Such emails may be sent to users of the Site or Forum even if they have not requested to receive any communication from us.
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Because Namati is concerned about the privacy protection of children who access the Internet, we comply with the Children’s Online Privacy Protection Act (COPPA). Accordingly, the Site and Forum are not intended for use by anyone under the age of 13, and we do not knowingly collect information from anyone under 13 years of age without the consent of a parent or guardian.
We reserve the right to disclose any information to comply with any law, regulation, decree, judgment, order, subpoena or any other governmental order (“Order”) without any obligation to contest or verify the accuracy of such Order.
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The section titles in this Policy are for convenience only and have no legal or contractual effect.
The Site, the Forum, and any third party services they use, may be subject to additional terms and conditions regarding privacy and use of information. Your use of the Site and the Forum is subject to those terms and conditions, which are incorporated into this Policy by reference. In the event of an inconsistency between this Policy and any additional posted conditions, the provisions of the additional conditions shall control.
We may need to change the Policy from time to time in order to address new issues and to reflect changes on the Site or in the law. We reserve the right to revise or make any changes to the Policy, and your continued use of the Site subsequent to any changes to this Policy will mean that you agree to and accept such changes. You can tell if the Policy has been updated by checking the last revised date posted on the top of this page.
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You can also access, remove, update or correct your information, and raise any questions or concerns regarding the Site or the Policy, by emailing firstname.lastname@example.org, or mailing:
Namati Data Protection Officer
1616 P Street NW, Suite 101
Washington, DC 20036, USA
If you live in a country which has adopted the General Data Protection Regulation (EU; 2016/679), you have a right to lodge a complaint with your relevant supervisory authority about this policy and its application.
The Policy was updated in May 2018 to comply with the General Data Protection Regulations.