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Between 1991 and January 2002 a civil war between the government and the Revolutionary United Front (RUF) severely damaged the economy and society of Sierra Leone. A UN peacekeeping mission including troops from the UK and many African nations was influential in ending the fighting and restoring order; the peacekeepers withdrew in late 2005. Elections in 2007 resulted in the political party known as the All People's Congress winning both the parliamentary and presidential elections. As in many other sub-Saharan nations, the chaos of civil war in Sierra Leone has allowed the HIV/AIDS epidemic to spread unabated. UNAIDS estimates that at the end of 2001 the HIV prevalence rate for adults in the country was 7 percent. Deaths due to preventable and treatable diseases are common in Sierra Leone. The malaria death rate among children ages 0-4 is very high, at almost 1,500 per 100,000. USAID reports that chloroquine-resistant malaria is a growing problem in Sierra Leone. The tuberculosis death rate for the country is also high even by African standards, at 58 per 100,000. Poor conditions in Sierra Leone have reduced life expectancy to 37 years. Sources: BBC country profile, CIA World Factbook, United Nations Statistics Division
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Sierra Leone's health policy includes providing free health services to children under five, children attending school, and pregnant or breastfeeding women. It is working to improve the health infrastructure throughout the country, and is decentralizing the management of health services through the establishment of Area and Regional Health Boards. In collaboration with UNAIDS and the World Bank Sierra Leone is implementing a multi-sectoral response to the HIV/AIDS crisis. The plan is focused on containing the epidemic, especially among youth, women, and military personnel. Sources: 2001 statement of Sierra Leone's ambassador to the UN, President Alhaji Kabbah's Inaugural Address
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Demographic data contained in this section was obtained from the following sources: The Population Reference Bureau’s 2009 World Population Data Sheet was used for total population, life expectancy at birth, infant mortality, fertility, birth rate, death rate, % of married women 15-49 using modern methods of contraception, % of population 15-49 with HIV/AIDS in 2007/2008, and the GNI PPP per capita (2008). Literacy rates were found in the Population Reference Bureau’s publication 2005 Women of Our World. HIV prevalence data for 2001 and 2003 was obtained from the UNAIDS Barcelona 2002 report; HIV prevalence and orphan data for 2005 was obtained from the UNAIDS Report on the Global AIDS Epidemic 2006. Data on the % women who have discussed AIDS prevention with their husband or partner can be found in ORC Macro and USAID’s Women’s Lives and Experiences: Changes in the Past Ten Years (Research Findings from the Demographic and Health Surveys). Childhood malaria mortality data was accessed in 2003 from the United Nations Statistics Divisions’ Millennium Indicators. Tuberculosis data was obtained from the United Nations Statistics Division’s Millennium Indicators: MDGInfo 2006. In some cases information was unavailable. |
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In 1997 Sierra Leone's health facilities included 62 hospitals and 677 clinics. The Connaught Hospital (240 beds) in Freetown is overcrowded and understaffed, but is perhaps the best hospital in the country. In 1998 the country had 280 medical doctors and 61 public health specialists. Source: Sierra Leone's Central Statistics Office
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University of Sierra Leone, Faculty of Medicine and Pharmacy |
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The US is the leading provider of aid to Sierra Leone. Other bilateral donors supporting humanitarian efforts in Sierra Leone include the UK, Canada, Sweden, Japan and Germany. Much of the bilateral aid to Sierra Leone is directed towards demobilization, democracy-building, and repair of the infrastructure damaged by the civil war. Source: USAID
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