Madingo and Fula population represent the other main ethnic groups and they are mostly located in Konotown, which is arguably the largest section of Segbwema.

Segbwema also had the best health care center in the Eastern province, the Nixon Memorial Methodist Hospital.

Segbwema, though it is a rural town, has a truly metropolitan feel as all the various groups have a strong sense of community and citizenship.

Segbwema is also unique[citation needed] in that every ethnic group is allowed to serve in the administration of the town, either as chiefs or as tribal authorities.

As most of the major towns in rural Sierra Leone, Segbwema was heavily destroyed during the civil war.

were proud of: our secondary schools, Wesley and Holy Ghost, our police station and police barracks, the Nixon Memorial Hospital, the Nixon nursing Schools, the Standard bank and many other landmarks were burnt down by rebels of the RUF.