Healthcare in Sierra Leone

Ellis-Hadwin Health Legacy

The Ellis-Hadwin Legacy is a £2.9 million fund set up to deliver a 3-year health programme in Africa, specifically in Burundi, Sierra Leone and South Sudan. It will run from September 2016 to March 2020. 

It will focus on testing our community health approach in fragile and supply challenged settings where longer term programming can be extremely challenging, understanding what approaches are most suitable.

In addition to improving poor women and men’s access to essential health care, the legacy is intended to support Christian Aid to strengthen our evidence base, communicate our impact and leverage other funding through testing approaches, match funding and relationship building. 

Key information

Burundi, Sierra Leone, South Sudan


September 2016-March 2020

Programme value

£2.9 million

Funded by

Ellis-Hadwin Legacy

healegresize.jpgChildren from Bumpeh community draw the risks and hazards they face, this is part of the Participatory Vulnerability and Capacity Assesments (PVCA) process of involving the community to understand the risks and offer solutions to the challenges they face.

Our approach

The programme is being delivered across three strands of work:

1. Testing and adapting

Testing and adapting our community health framework approach in supply and resource challenged settings (Burundi, South Sudan & Sierra Leone).

This means developing context-specific programmes designed to meet the challenges of working in each environment. To achieve this, we are piloting a number of initiatives, including the use of a flexible adaptive programming approach which has enabled us to apply Participatory, Vulnerability, Capacity Assessments (PVCA) for the first time in our health programming.

 Read the project's Theory of Change (PDF).

2. Integrating health programming

Exploring options for flexible funds to support countries to strengthen the integrated nature of their health programming

3. Evidence and learning

To increase the robustness and credibility of our health evidence, and to prove what works and what does not. This includes developing learning and research relationships as well as carrying out staff and partner capacity development.


Christian Aid’s community health framework sets out how every member of society can enjoy the right to health services, based on our programme experiences.
View more resources
Related work and experience

Want to know more? If you have any enquiries about our work, please contact us