Sierra Leone

Le Sierra Leone est un pays d'Afrique de l'Ouest avec une population de 6 millions de personnes et une espérance de vie de 46 ans (hommes) et 47 ans (femmes). Une guerre civile débilitante de 11 ans pris fin en 2002, laissant le système et l'infrastructure de la santé du pays en brise. Après des années de progrès lents, le gouvernement a annoncé l'Initiative de gratuité des soins en 2010. Une grande partie du dialogue politique et du travail de la planification de la santé accompli. Le Sierra Leone est donc axée sur la réalisation de cette initiative afin d'en faire une réalité dans tout le pays.

Indicateurs de Santé Fiche d’Information

Actualités

Rapports

Country Report - Sierra Leone (2017)

Country Report - Sierra Leone (2016)

Sierra Leone NHSSP Final Report

Country Report - Sierra Leone (2015)

Country Report - Sierra Leone (2014)

Country Report - Sierra Leone (2013)

Country Report - Sierra Leone (2012)

Suivi des Activités de la Feuille de Route

2014
2015
2016
2017

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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%

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%

Source: Global Health Observatory

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Key indicators: Sierra Leone
WHO region	Africa
Child health
Diphtheria tetanus toxoid and pertussis (DTP3) immunization coverage among 1-year-olds (%) (2017)	90
Demographic and socioeconomic statistics
Poverty headcount ratio at $1.25 a day (PPP) (% of population) (2011)	51.7
Gender inequality index rank (2014)	145
Human development index rank (2014)	181
Health financing
Total expenditure on health as a percentage of gross domestic product (2014)	11.09 (Sierra Leone note)
Private expenditure on health as a percentage of total expenditure on health (2014)	83.01 (Sierra Leone note)
General government expenditure on health as a percentage of total government expenditure (2014)	10.84 (Sierra Leone note)
Health systems
Physicians density (per 1000 population) (2010)	0.024
Nursing and midwifery personnel density (per 1000 population) (2010)	0.319
Mortality and global health estimates
Neonatal mortality rate (per 1000 live births) (2017)	33.5
Under-five mortality rate (probability of dying by age 5 per 1000 live births) (2017)	110.5
Maternal mortality ratio (per 100 000 live births) (2015)	1 360 [ 999 - 1 980]
Sustainable development goals
Life expectancy at birth (years) (2016)	52.5 (Male)
	53.1 (Both sexes)
	53.8 (Female)
Births attended by skilled health personnel (%) (2008-2013)	59.7
World Health Statistics
Population (in thousands) total (2016)	7396
Population proportion under 15 (%) (2016)	42.4
Population proportion over 60 (%) (2016)	0.9
Literacy rate among adults aged >= 15 years (%) (2007-2012)	43