Introduction and objectives
This document presents the findings of the document review, which is one of the components of
ReBUILD Project 2 focusing on Human Resources for Health (HRH). The objective of this review is to
describe the HRH context in Sierra Leone and the HRH policies that have been introduced during the
post-conflict period. We aim to understand the reasons for their introduction, how they have been
implemented, and what effects any policy changes have had. The document review serves both to
guide future work of the ReBUILD team in Sierra Leone. In addition, it will provide clues on how and
why certain HRH policies were developed and implemented in the post-conflict environment as well
as evaluating their effects on the country’s HRH and health policy objectives.
Methods
A document search identified 76 documents (Annex 1). After an initial screening, 57 were reviewed
as these were deemed relevant to HRH issues in Sierra Leone (bold in Annex 1). 21 documents (28%)
are official policies and strategies of the Ministry of Health and Sanitation (MoHS) and the
Government of Sierra Leone (GoSL), while 17 (22%) are informal documents of the MoHS. 12
documents (16%) are evaluations and technical assistance reports, while 14 (18%) are independent
studies, briefs and research articles. Only 1 document is authored by a donor. The remainder are
statistical reports (7 – 9%) and civil society or media publications (4 – 5%). Documents were
analysed using thematic analysis. A series of ‘themes’ were identified by the team and the
documents were code according to these themes.