In 2019, the First Responder Coalition of Sierra Leone (FRCSL) was created in Makeni, the largest city of Bombali District. The five founding members included the Sierra Leone Red Cross Society, LFR International, the University of Makeni, Agency for Rural Community Transformation, and Holy Spirit Hospital. 1,000 community members from Bombali were trained to be first responders by the Coalition and equipped with first aid kits between June and July 2019.
