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A young girl carries food as she walks through one of the villages in Gorama Mende.

Siera Leone 2021 © Mohammed Sanabani

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Sierra Leone

In Sierra Leone, MSF focuses on maternal and pediatric care, with the aim of reducing the high rates of sickness and death among mothers and children under five.

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  • Maternal health
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Our work in Sierra Leone

In the years since the end of the 2014-2016 Ebola epidemic, during which many medical staff died, Sierra Leone is now struggling to rebuild its shattered health system.

Expanding in challenging times

What's happening in Sierra Leone?

Before the epidemic, Sierra Leone had some of the worst health indicators in the world, especially for maternal and child mortality.

In Tonkolili district, we support the pediatric ward, maternity, and neonatal services, and the blood transfusion laboratory at Magburaka district hospital, and also assist Magburaka mother and child health post with staff and supplies. We also provide emergency obstetric care in a community health center in Yoni Chiefdom (Hinistas).

In 2020, MSF teams responded to the COVID-19 pandemic in Sierra Leone.

Expanding in challenging times

How we're helping in Sierra Leone

There is a critical shortage of medical staff, resulting in a lack of services for the most vulnerable groups. Our teams work to fill some of these gaps, providing health care for children under the age of five, pregnant women and lactating mothers. We have staff in 13 peripheral health units in three chiefdoms (Gorama Mende, Wandor, and Nongowa), and a hospital in Hangha, Kenema district, supporting intensive therapeutic feeding centers, general pediatric care, and malaria treatment.

In Tonkolili district, we support Magburaka district hospital and nine peripheral health units, with improvements to infection prevention and control measures and water and sanitation systems. We also support the supply of essential drugs, and staff training. Our services include family planning, prevention of mother-to-child transmission of HIV, psychosocial support, and medical treatment for victims of sexual and gender-based violence.

In Makeni town, Bombali district, we are working with the national TB program to implement an ambulatory model of care in the community for drug-resistant tuberculosis (TB) diagnosis and treatment. We also continue to support the country’s main TB facility in Lakka hospital, in the capital, Freetown.

MSF assisted the national response to COVID-19 by transforming a government facility in Freetown into a 120-bed treatment center, and trained staff. The Lassa fever isolation unit in Kenema public hospital was renovated and used as a COVID-19 treatment center with an initial capacity of 25 beds.

A group of nurses and midwives, who went to study in Ghana for two years under an MSF Academy for health care sponsorship, returned to work in Sierra Leone. MSF’s investment in human resources for health care is a commitment to improving the quality of care for patients.

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How we're helping in 2021

122,900

Outpatient consultations

68,400

Malaria cases treated

600

People started on treatment for TB

4,020

Births assisted

More news and stories

View more related news & stories

Learn about MSF’s journalistic roots and our commitment to bear witness and speak out about the plight of the people we treat.

Sierra Leone: Stories behind the masks

Story Jun 06, 2022

Sierra Leone: My life as an MSF epidemiologist

Read More
Expanding in challenging times

Story Jul 15, 2021

In Sierra Leone, MSF is scaling up projects and reinforcing the health...

Read More
MSF Yellow Fever Vaccination in Kinshasa, DRC

News Jan 08, 2021

MSF: Partial doses of yellow fever vaccine can help save more lives du...

Read More

Learn about MSF’s journalistic roots and our commitment to bear witness and speak out about the plight of the people we treat.

View more related news & stories

How you can help

Not everyone can treat patients in the field. But everyone can do something.

Some humanitarian crises make the headlines—others don’t. Unrestricted support from our donors allows us to mobilize quickly and efficiently to provide lifesaving medical care to the people who need it most, whether those needs are in the spotlight or not. And your donation is 100 percent tax-deductible.

We need your support to continue this lifesaving work

We need your support to continue this lifesaving work

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