22/05/2026
Through the collective efforts of Iceland, UNFPA, the Government of Sierra Leone and healthcare workers nationwide, progress continues toward ensuring that every woman and girl has access to safe, quality, and dignified maternal healthcare.
Last week, Ms Pálína Matthíasdóttir, Director of Bilateral Development Cooperation at Iceland’s Ministry for Foreign Affairs, officially handed over the refurbished maternity wing and dedicated obstetric fistula ward at Makeni Regional Government Hospital, along with the refurbished Community Health Centre in Fadugu, Koinadugu District.
She was joined by Ms Ásdís Bjarnadóttir, Head of Mission at the Embassy of Iceland in Freetown, Mr Kunle Adeneyi, UNFPA Country Representative, representatives from the Ministry of Health and District Health Management Teams.
These upgraded facilities will help improve access to quality healthcare services for women, girls, and communities, while strengthening maternal health, dignity, and respectful care.
As the world marks the International Day to End Obstetric Fistula, this milestone highlights the importance of investing in safe motherhood and ensuring that no woman or girl suffers from preventable childbirth injuries. Obstetric fistula remains one of the most serious childbirth-related injuries, often caused by prolonged obstructed labour without timely medical care, and can leave women facing severe physical, emotional, and social consequences.
Through the Government of Iceland’s ongoing four-year partnership with UNFPA and the Government of Sierra Leone, significant progress is being made to prevent and manage obstetric fistula in Sierra Leone. This partnership is helping to strengthen health systems, improve maternal and newborn healthcare services, build the capacity of healthcare workers, and restore dignity and hope to women and girls affected by fistula.
Makeni Regional Government Hospital, the largest health facility in Sierra Leone’s Northern Region, serves a population of more than 1.3 million people. Through the Iceland-funded fistula programme, renovations covered the maternity wing, including an obstetric fistula ward and the hospital has received essential maternal and newborn healthcare equipment, while staff members have benefited from training and capacity-building in reproductive and maternal health interventions. These efforts will contribute to improved quality of care for mothers and children, as well as stronger community engagement and outreach programmes.
The Fadugu Community Health Centre, which serves more than 7,600 people in Koinadugu District, recorded 425 deliveries in 2025 alone. Support provided through the programme — including maternal and newborn healthcare equipment such as midwifery kits, examination couches, baby weighing scales, medicine cabinets, and drip stands — alongside facility refurbishments and training for nurses and midwives, has strengthened the centre’s ability to provide client-centred and respectful maternity care. The programme has also enabled the CHC to expand its outreach activities and respond to increasing healthcare needs within the community.
Together, Iceland, UNFPA, the Government of Sierra Leone, and healthcare workers across the country are working to strengthen maternal health services and access to skilled care which is essential to preventing obstetric fistula and protecting the health and dignity of women and girls.