services, the curtailment of HIV and AIDS and the provision of safe water and sanitation, with special attention to be given to vulnerable groups, including women, children, the disabled, mentally ill and people living in poverty. Furthermore, in moving forward, prosperity “for Sierra Leone will be measured by access to reasonable health care … for all regardless of age, gender, religion (Government of Sierra Leone: Agenda for Prosperity, 2013). 251. The GoSL has, since the ratification of the ACRWC, taken a number of steps and made significant progress towards the promotion, protection and realization of the right to health care for children. 7.2.2 Health systems strengthening 252. The impact of the war was felt severely in the health sector. Infrastructure and health systems were damaged and personnel were in short supply, with many professionals having left the country and training of new personnel having come to a near-halt with the destruction of training facilities. 253. The GoSL has, with the support of development partners such as UNICEF and the African Development Bank embarked on a process of strengthening the health system, with a specific focus on maternal and child health care, particularly at a primary health care level. In addition, a number of partners have supported the strengthening of the health system in specific districts. For example, Save the Children in Kailhun, IRC in Kenema and JICA in Kambia. Specific measures taken include: 253.1 The rehabilitation and construction of health clinics and hospital infrastructure. The MoHS, with the support of its development partners, undertook an audit of health facilities to identify which required rehabilitation and which required reconstruction. Through this process the availability of appropriate infrastructure has improved through measures such as:  The construction of 22 primary care peripheral health units (PHUs) and 5 maternity wings in district hospitals  Four PHUs have been renovated and extended to become centres for delivery of quality maternal and neonatal services and new paediatric wings are being constructed in three district hospitals  Water and sanitation facilities were installed at 284 PHU clinics in 2012  Between 2005 and 2013 the number of functional facilities providing immunization increased from 450 to 1,200  56 additional cold-chain fridges (including solar-powered fridges designed to overcome electrification challenges in rural areas) were purchased and storage spaces were renovated for central cold room installations to support quality and effective immunization systems (UNICEF Sierra Leone, 2012). 253.2 68  The capacitation of health personnel through strengthened pre- and inservice training as well as the provision of supportive supervision on the job, especially in relation in key areas such as Immunization practice, the Integrated Management of Neonatal and Children’s Illnesses (IMNCI), the decentralised Reach Every District approach and inter-personal communication. For example: Government of the Republic of Sierra Leone Initial Report on the African Charter on the Rights and Welfare of the Child 2002-2014