Job

Médecins Sans Frontières

RfP - Capitalization of Integration of Kenema Hospital Services

📍 Sierra Leone, Kenya 🏷 Governance & Public Policy 🗓 Posted 26 Jun 2026
  • Sierra Leone has one of the highest maternal and under-five mortality rates in the world, driven by structural and social factors that hinder curative and preventative interventions for Maternal and child health.
  • Embedded in the Kenema district health system is the MSF’s Maternal and Child Hospital that is also a referral hospital and provides Comprehensive Emergency Obstetric and Newborn Care (CEmONC) and paediatric healthcare services. The MSF Kenema project was launched in 2017 to support the Kenema District Health Authorities in reducing maternal and child mortality and rebuilding a health workforce heavily affected by the Ebola outbreak.
  • In line with project design, the decision has been made to conclude the Kenema Hospital project by the end of 2028, following a phased handover to Kenema’s Health Authorities. The transition phase that precedes handover is the integration of the former MSF stand-alone hospital into the existing national health system. This integration and handover are structured in three distinct phases: Phase I: CEmONC integration, Phase II: Paediatrics integration, Phase III: handover of transversal services. Phase I has been completed, Phase II is ongoing, and Phase III will conclude toward the end of 2027.

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