A recent audit of the Sierra Leone–China Friendship Hospital in Jui has uncovered serious financial discrepancies and critical shortages of medical equipment, raising fresh concerns about fiscal management and patient safety at one of the country’s flagship health facilities.
The audit findings point to gaps in financial accountability, with discrepancies that have sparked questions over how public funds allocated to the hospital are being managed. In addition to financial concerns, the report highlights a worrying lack of essential medical equipment, which could significantly affect the quality of healthcare delivery and compromise patient safety.
Health sector observers say the revelations are particularly troubling given the hospital’s status as a major referral center intended to provide specialized medical services to thousands of Sierra Leoneans. The shortages reportedly affect key diagnostic and treatment tools, placing additional strain on healthcare workers and limiting their ability to respond effectively to medical emergencies.
The audit has prompted calls for urgent corrective action, including a comprehensive review of financial controls, improved procurement processes, and immediate investment in critical medical equipment. Stakeholders have also urged the Ministry of Health and Sanitation to strengthen oversight mechanisms to prevent a recurrence of such issues.
Patients and members of the public have expressed concern that persistent management challenges could undermine confidence in the healthcare system, especially at a time when access to quality medical care remains a national priority.
Authorities are yet to issue a detailed public response to the audit findings, but pressure continues to mount for transparency, accountability, and swift reforms to safeguard both public funds and patient welfare.

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