LFR International is an American international nonprofit organization focused on prehospital emergency medical research and emergency medical services development in sub-Saharan Africa. LFR launches sustainable prehospital emergency care programs in resource-limited settings of low-income countries without formal emergency medical services by collaborating with local governments and stakeholders to train lay first responders.

Makeni is the largest city in the Northern Province of Sierra Leone. The city is the capital of Bombali District, and is the economic center of the Northern Province. Makeni is the fifth largest city in Sierra Leone by population. The city of Makeni had a population of 85,116 in the 2021 census. Makeni lies approximately 110 miles east of Freetown. Makeni is home to the University of Makeni, the largest private university in Sierra Leone.