Abstract: Given the magnitude of utilization of child health care services and the interventions available, much has not been done, most of these problems are silent. There remain, to a large extent, uncounted and unreported cases. Child health program should focus on addressing these problems and identifying cost-effective health-related program interventions that are likely to reduce child morbidity and mortality. This work having perceived this resilient silent crisis will cover socio-cultural factors which are discovered to be influencing the utilization of child healthcare services in the Sierra Leone society using “Ola During Children’s Hospital” as a case study and thus the research sought to assess the utilization of Child Health Care service at this Hospital in