Sierra Leone

La Sierra Leone est un pays d’Afrique de l’Ouest dont la population est de 6 millions d’habitants et l’espérance de vie à la naissance de 45 ans pour les hommes et de 46 ans pour les femmes. Une guerre civile qui a duré 11 ans s’est terminée en 2002, laissant le pays et son système de santé fort affaiblis. Le gouvernement a annoncé l’initiative de Soins de Santé Gratuits en 2010. Mais  en 2014, la Sierra Leone était l’un des trois pays les plus touchés par l’épidémie du virus Ebola, avec un total de 3 799 décès signalés (OMS, mars 2015), incitant le pays à reconnaître et à souligner le rôle des structures communautaires dans la promotion de la santé. Le P-CSU a d’abord promu l’intégration des plans de sauvetage anti-Ébola dans le cadre national de la politique de santé, alors que le pays mettait en place un Groupement de services de santé essentiels 2015-2020 et d’un Plan de relance du secteur de la santé 2015-2020. Le partenariat a ensuite choisi de promouvoir la conception, la réalisation et le suivi du Plan stratégique national du secteur de la santé, 2017-2021, ainsi que le programme d'assurance maladie du pays. Vous trouverez des documents importants sur le pays en suivant ce lien.

Indicateurs de Santé Fiche d’Information

Suivi des Activités de la Feuille de Route

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  • Terminé / En bonne voie
  • En cours
  • Reporté
  • Annulé
  • 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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  • Terminé / En bonne voie
  • En cours
  • Reporté
  • Annulé
  • 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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  • Terminé / En bonne voie
  • En cours
  • Reporté
  • Annulé
  • 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%

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  • Terminé / En bonne voie
  • En cours
  • Reporté
  • Annulé
  • 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%