The MSF hospital in Kenema is modern proof of this principle. Sending international health care workers is good, but teaching local doctors and nurses is better. The ratio of international to local health care workers in most MSF projects is about eight to one. This is because MSF is committed to leaving a legacy of better trained national health care workers. There has never been many doctors in Sierra Leone. Not during the British colonial period. Not since. Never. No wonder health care has languished. No wonder this poor country has the highest maternal mortality in the world! About ten percent of the few doctors in the country died in the 2014 Ebola epidemic. Imagine losing a tenth of the doctors in Canada! MSF saw this happen and decided they would be part of the solution. MSF decided to build a hospital for mothers and children and to focus on educating the next ge...
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