Conclusion
DTC pilot program was introduced with the primary aim of promoting medicines management and to reduce irrational medicines use in Sierra Leon. Evidence shows that DTC can be useful towards that end. Some hospital DTC made considerable progress through the introduction of policies and practices that promotes effective medicines, use, rational prescribing, and better patients’ medication management. Except for a few, the majority of members expressed interest in DTC in Sierra Leone. Nevertheless, challenges need to be overcome for better optimization of the program nationally. DTC funding and operational resources, stand out as the most important limitation followed by technical competence of members. Therefore, policymakers must note these drawbacks and formulate effective interventions towards addressing them whilst expanding DTC programs to other hospitals in Sierra Leone.