Sierra Leone

Sierra Leone is a West African country with a population of 6 million people and a life expectancy at birth of 45 years (male) and 46 years (female). A debilitating 11-year-long civil war ended in 2002, leaving the country’s health system much weakened. The government announced the Free Health Care Initiative in 2010. In 2014 however, Sierra Leone was one of the three countries most affected by the Ebola virus outbreak, with a total number of 3,799 reported deaths (WHO, March 2015), prompting the country to recognize and emphasize the role of communities in promoting health. The UHC Partnership initially supported integrating Ebola recovery plans into the national health policy framework, as the country developed a Basic Package of Essential Health Services 2015-2020 and a Health Sector Recovery Plan 2015-2020. The partnership has then shifted its support towards the development, implementation and monitoring of the National Health Sector Strategic Plan 2017-2021 as well as the establishment of Sierra Leone’s Social Health Insurance scheme. You can access important country documents by clicking here.

Key Health Indicators Country Fact Sheet

Reports on Road Map Activities

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  • Finalized / In completion
  • On Track
  • Postponed
  • Cancelled
  • National Planning

  • FMS improvement plan
  • 100%
  • FMS improvement plan coordination support report
  • 50%
  • M&E

  • Community opinion survey combined with SARA & Community opinion feedback system for service improvement (guidelines, tools)
  • 90%
  • 2013 SARA+EmoNC report
  • 90%
  • Health Financing

  • Joint Funding Arrangement (JFA)
  • 100%
  • Human Resources

  • Develop HRH review
  • 0%
  • HR Training Plan
  • 85%

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  • Finalized / In completion
  • On Track
  • Postponed
  • Cancelled
  • ER1 : Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity
  • Development and costing of Sierra Leone Health Sector Recovery Plan 2015-2020 Q1/Q2
  • 100%
  • Strengthening districts Q1/Q2/Q3/Q4
  • 50%
  • Review of the National Health Sector Strategic Plan 2010-2015 Q4
  • 100%
  • Head count of health workforce and update of human resources information system (HRIS)
  • 100%
  • ER2 : Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews
  • Improved coordination mechanism for health management information system (HMIS) Q3
  • 100%
  • Updated National health accounts (NHA)
  • 30%
  • ER6 : At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated
  • Fully functionally donor coordination unit within the MOHS Q3
  • 60%

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  • Finalized / In completion
  • On Track
  • Postponed
  • Cancelled
  • ER1 : Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity
  • Development and implementation of new national health sector strategic plan 2017-2021 (NHSSP)
  • 70%
  • Standardized and harmonized district level annual operational plans/planning cycles 2016-17
  • 100%
  • District health strengthening
  • 20%
  • Human resources for health strengthening
  • 80%
  • ER2 : Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews
  • Monitoring and evaluation of NHSSP and strengthening of Health Information Strategy 2017-2021
  • 90%
  • ER3 : Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable
  • Health financing strengthening (Health Accounts 2014)
  • 90%
  • ER6 : At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated
  • Monitoring of commitments on effective development cooperation in health: 2016 IHP+ monitoring round
  • 100%
  • Mapping of central level MOHS coordination structures and technical working groups
  • 100%

Mouseover on to see more information about the percentages

  • Finalized / In completion
  • On Track
  • Postponed
  • Cancelled
  • ER1 : Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity
  • Development and costing of the National Health Sector Strategic Plan (NHSSP), including improving coordination and governance structures for its implementation
  • 95%
  • Support the implementation of Human Resource for Health (HRH) policy and strategic plan (HRHPSP) based on sound HRH situation analysis with institutionalized Human Resources Information System
  • 100%
  • ER2 : Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews
  • Support development of Service Availability and Readiness Assessment (SARA) plus and sector reviews in terms of data management, demand and use
  • 95%
  • Strengthening of health information systems and use of data for decision-making by the used of District Health Information System (DHIS) 2
  • 100%
  • Capacity-building activities for effective district health system management
  • 85%
  • ER3 : Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable
  • Proactively support development of the Sierra Leone Social Health Insurance Scheme (SLeSHI) by National Social Security and Insurance Trust (NASSIT) in conjunction with the Ministry of Labour and Social Security and Ministry of Health and Sanitation (MoHS)
  • 75%
  • ER4 : Countries receiving HF support will have implemented financing reforms to facilitate UC
  • Health financing situation analysis, including support to validation and data collection of National Health Accounts
  • 100%
  • ER6 : At country level, alignment and harmonization of health aid according to national health plans is consolidated and accelerated
  • Promote media coverage of key health system activities and sharing information at the monthly martners' briefs of NHSSP activities
  • 100%