Assessment of health-seeking behaviour and strategic planning in Sierra Leone’s health care systems

Mani, Abigail and Namujuzi, Juliana Lugemwa and Afreh, Mercy (2025) Assessment of health-seeking behaviour and strategic planning in Sierra Leone’s health care systems. World Journal of Advanced Research and Reviews, 26 (3). pp. 975-982. ISSN 2581-9615

Sierra Leone, a nation recovering from the ravages of a civil war, faces significant challenges in its healthcare system. With 85% of the population relying on out-of-pocket payments for healthcare and limited coverage by public or private insurance, access to essential services remains a pressing concern. This study employs a qualitative approach to comprehensively investigate health-seeking strategies in Sierra Leone. Through thematic analysis of existing qualitative data, insights are gleaned into the complex dynamics influencing healthcare-seeking behavior. Factors such as socio-economic status, cultural beliefs, and healthcare accessibility play crucial roles in shaping healthcare-seeking decisions. Recommendations provided include health care financing reform to reduce reliance on out-of-pocket payments, investment in healthcare infrastructure and human resources, promotion of preventive healthcare measures, and strengthening of health information systems. By implementing these policy recommendations, Sierra Leone can work towards building a resilient and equitable healthcare system that ensures universal access to quality healthcare services for all its citizens. Collaboration between policymakers, stakeholders, and international partners is essential to address the root causes of healthcare disparities and chart a path towards sustainable health development in Sierra Leone.