$23M In. $275M Back: How Community Health Workers Can Deliver 12.6x ROI in Sierra Leone

$23M In. $275M Back: How Community Health Workers Can Deliver 12.6x ROI in Sierra Leone

How Investing in Community Health Pays Off | HSFA Fellow Spotlight Community health is one of the most powerful and cost‑effective investments any country can make. In this HSFA Fellow Spotlight, meet Elizabeth Musa, National Program Coordinator and Health Systems and Financing Accelerator (HSFA) Fellow – Cohort 2 from Sierra Leone. Elizabeth shares her journey, motivation, and leadership in tackling one of the most critical challenges in health systems today: sustainable financing for community health workers (CHWs). As part of her health reform project under the HSFA Fellowship, Elizabeth led the development of an updated investment case and return‑on‑investment (ROI) analysis for Sierra Leone’s Community Health Program. The analysis shows that: - Scaling the program nationwide over five years would cost $23M (NLe 514M) - The potential economic return is $275M, equivalent to a 12.6x return on investment - More than 13,000 child deaths could be averted during the same period This investment case is already endorsed and actively used by the Minister of Health, and is now being taken forward to senior policy and financing decision‑makers, including the Ministry of Finance and other key government departments. Its goal is to unlock increased domestic financing for community health programs and reduce long‑term reliance on external donor funding in Sierra Leone. 🎓 About the HSFA Fellowship This program is a 9-month-long FAH initiative aimed at equipping Ministry of Health personnel with essential skills in health systems strengthening, leadership, governance, and health financing. 🚀 Cohort 3 launching soon #FinancingAllianceforHealth, #Africa, #HSFAFellowship, #HealthSystemsFinancing, #CommunityHealthWorkers, #SierraLeoneHealthSystem, #PrimaryHealthCare, #HealthFinancingAfrica, #ReturnonInvestmentHealth, #DomesticHealthFinancing, #UniversalHealthCoverage, #PublicHealthLeadership, #HealthPolicyAfrica, #CommunityHealthInvestment, #PreventiveHealthcare,#HealthReformAfrica, #FinancingAllianceforHealth