A decade of civil war in the 1990s meant that Sierra Leone has struggled to rebuild and provide vital resources including health care. Life expectancy is just 48* years and it's one of the most dangerous places in the world for a woman to give birth.
Oxfam, along with Save the Children, World Vision and Budget Advocacy Network have campaigned nationally to increase the national budget for health and sanitation, and improve the quality of health and sanitation expenditure. During 2012, a comprehensive budget tracking study was undertaken to analyse the quality and quantity of health and sanitation expenditure from national to local level. Oxfam led on the data collection for Freetown (the capital city, which has a third of the country's population), talking to the Freetown City Council and District Health Management Team, as well as visiting health clinics and hospitals in the city. The study and lobbying work with the Ministry of Finance ensured that health was an issue high on the agenda in the run up to the budget allocation for 2013.