Country Information


Sierra Leone

 
HIV prevalence 15-49, 2007/2008 1.5%
Tuberculosis death rate 105/100,000 population
Malaria death rate (children under 5) 1,481/100,000 population
 
   
             
     
  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

 
           
             
  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

 
           
             
 
Total population. mid-2009 5.7 (millions)
HIV prevalence 15-49, 2007/2008 1.5%
Tuberculosis death rate 105/100,000 population
Prevalence of tuberculosis per 100,000 population, 2000 696
Prevalence of tuberculosis per 100,000 population, 2004 847
% Tuberculosis detection rate under DOTS, 2001 34
% Tuberculosis detection rate under DOTS, 2004 36
% Tuberculosis treatment success rate under DOTS, 2000 78
% Tuberculosis treatment success rate under DOTS, 2003 84
Malaria death rate (children under 5) 1,481/100,000 population
GNI PPP Per Capita, 2008 750 (US$)
Life expectancy at birth 48 years
Infant mortality rate 89/1,000 live births
Total fertility rate 5.2 per woman
Crude birth rate 40/1,000 population
Crude death rate 20/1,000 population
Adult male literacy level 47% (pct. 15+ literate)
Adult female literacy level 30% (pct. 15+ literate)
Contraceptive prevalence rate, modern methods 7% of women in union
Estimated number of people living with HIV: Adults and Children, 2005 48,000
Estimated number of people living with HIV: Adults (15+), 2005 43,000
Estimated number of people living with HIV: Women (15+), 2005 26,000
Estimated number of people living with HIV: Children (0-14), 2005 5,200
Estimated number of AIDS deaths: Adults and children, 2005 4,600
Estimated number of orphans due to AIDS: Children (0-17), 2005 31,000

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.

 
           
             
  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

 
           
             
 

University of Sierra Leone, Faculty of Medicine and Pharmacy

 
           
             
 

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

Entity

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Diseases

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International Mano River Union Initiative on HIV/AIDS (UNAIDS) HIV/AIDS Prevention  
  Because of the conflict sytem that now involves Liberia, Sierra Leone and Guinea, a significant concern is that HIV will be spread by refugees and...

International World Bank HIV/AIDS General  
  In early 2002 the World Bank approved a $15 million HIV/AIDS Response Project loan for Sierra Leone.

Source: ...

International Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) Tuberculosis General  
  In Round 2 of funding the GFATM approved a grant for about $2.6 million to fight tuberculosis in Sierra Leone. The Sierra Leone Red Cross Society...

 
           
             
 
  1. The GFATM has approved grants for about $8.6 million and $12 million to fight HIV/AIDS and malaria, respectively, in Sierra Leone. Grant agreements have not yet been signed.

    Source: GFATM

 
           



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