Masanga Hospital is a rural hospital with 120 beds situated in Tonkolili district, centrally located in the Northern Province of Sierra Leone. The catchment area of the hospital is widespread with a poor infrastructure. About 440.000 people are dependent on Masanga Hospital for their health care. We provide (emergency) surgical, obstetrical and pediatric care, as well as general health care for about 12.000 patients per year. This number is increasing every year. This government hospital is supported by the Masanga Hospital Rehabilitation Project since 2006. Besides clinical care, we focus on capacity building by providing education and promoting medical research. We believe this contributes to sustainable and high quality health care in a country with only 200 medical doctors.