This research was designed to assess the trends in morbidity and mortality of U5 admitted at the PCMH in the East-end of Freetown, Sierra Leone, from 2004 to 2008. To achieve this, the data used were obtained from review of records in PCMH. Of the data collected cases that shows high prevalence morbidity and mortality include: Malaria, Acute Respiratory Infections (ARI), Anaemia, Diarrhoea, Convulsion and undiagnosed cases. Findings show that there is no significant improvement in the reduction of both U5 morbidity and mortality rate compared with previous study. The high prevalence of U5...

Countries all over the world have always been concerned with developing their health care financing systems, so as to ensure access to health care for their citizens. They have sought to develop systems that would provide adequate financial resources and to be affordable to all those sharing in the costs, through mechanisms that will not entail financial barriers to seeking care, particularly at the time of illness. In theory, social health insurance has the most potential to achieve health policy objectives, in practice it has been difficult to achieve in low-income countries...

Water wells are important sources of safe and clean drinking water in many settlements in Sierra Leone. The cost of construction is low and the fresh water it provides if adequately constructed, needs little or no chemical treatment. Calaba Town, the research area, lacks access to pipe borne water and wholly depends on wells for reliable source of water. The access to adequate safe and clean drinking water from these sources remains the prime factor affecting this community. This research therefore, geared towards assessing the physical, chemical and bacteriological status of samples...