Can Communities Manage and Finance Basic Health Facility Maintenance?

Following the Post-Ebola Recovery of Health Services (PERHS) program in Sierra Leone, USAID asked JSI to develop a pilot program for community-led health facility maintenance and preventive maintenance (M/PM). The resulting Sustaining Health Facility Improvements (SHFI) program was active in 70 communities in three rural districts. This document outlines the objectives, approaches, key results, and recommendations from the SFHI program.