Type of intervention
- Nutrition, health, mental health and Care practices
- Food security and livelihoods
- Water, Sanitation & Hygiene
Places of interventions
Following the violent civil war that shook the country between 1991 and 2002, the situation in Sierra Leone has gradually improved and the country has restructured. The current state of affairs in the country is more favourable to tackling the challenges of development facing it, but it is still structurally weak in view of its human development index, which is among the lowest in the world. Although the country is rich in natural resources (fertile land, fishery resources, availability of water, minerals, deep sea oil reserves), its government is not moving towards using these resources for the general good, and the decentralisation process launched in 2012 which will boost local access to property is still only in its early stages.
At present, Sierra Leone still largely depends on importing food products (mainly rice and corn), and is therefore vulnerable to price increases at the global level. The majority of the population live in rural areas (63%), but urbanisation has been fast and, over the past decade, slums have developed in the capital Freetown; rates of malnutrition here are the worst in the country (2.2% SAM), resulting in a high-risk environment for diarrhoeal diseases (52% of cases of cholera during the 2012 epidemic). According to an analysis of the causes of malnutrition carried out by ACF in 2009, the lack of awareness regarding nutrition and poor care practices are further compounding factors that must be tackled in order to improve the nutritional status of the populations.
The majority of national policies are well established (free care; Integrated Management of Acute Malnutrition (IMAM) protocol; Water, Sanitation, Hygiene (WASH) policy; social welfare policy; national agro-industrial programme), but their implementation is disordered, and the populations do not have straightforward access to services.
State of emergency in Sierra Leone
ACF, FAO, SDC, Unicef, ECHO, ASI, AFD, P.A.M, DFID (Gouvernement britannique)
Key figures of the country
- Number of beneficiaries: 206 105
- Population : 5 800 000
- Life Expectancy: 48,2
- Human Development Index: 158/169
- PIB/inhabitant : 341 $US
Sources : OMS, PNUD
Sierra Leone has been under siege from the EVD epidemic for more than a year. According to World Health Organisation, this outbreak has been classified as the largest and most complex Ebola outbreak since the Ebola virus was first discovered in 1976, with Guinea, Liberia and Sierra Leone as the most severely affected countries in the West Africa region.
This briefing paper was prepared by International NGOs working in Sierra Leone responding and supporting the fight against Ebola, ahead of the High Level Conference on Ebola to be held on March 3rd 2015 in Brussels.
Could the Ebola outbreak become an opportunity for reflection and action on strengthening the health System in Sierra Leone?
As the number of the Ebola cases decrease in Sierra Leone, the need to work towards the establishment of a resilient health system becomes central in the national and international agenda.
Sierra Leone was hit by the Ebola outbreak in May 2014 and in July the President has declared the State of Public Emergency acknowledging the fast deterioration of the situation and the need to enhance the response. Despite the national and international current focus on Ebola, Sierra Leone still faces some of the worst development challenges, malnutrition and under 5 child mortality are among these.
Il n'y a pas de résultat
- Cholera prevention in Kambia, Moyamba and the Western area:
Following the response to the 2012 cholera epidemic, which was the most significant suffered by the country since 1995, ACF continued its reinforcement work and work on preventing cholera, both in urban areas of Freetown and rural areas in the districts of Moyamba and Kambia. Preparations for cholera epidemics at rural level include improving access to hygienic sanitation infrastructure to reduce risk, and strengthening resilience mechanisms of institutions and communities.
- Support for the Ministry of Health in the deployment of the Integrated Management of Acute Malnutrition (IMAM) in Moyamba and the Western area:
2013 marked the third year of implementation of the four-year strategy to strengthen the capacities of the Ministry of Health regarding the integrated management of severe acute [A1] malnutrition at the Moyamba district level. Furthermore, ACF expanded its support on the Freetown peninsula by strengthening institutional capacities for the integrated management of acute malnutrition.
- Improvement of access to water, sanitation, hygiene and care practices:
For the third year in a row, ACF continued its involvement within the Water, Sanitation and Hygiene consortium, which aims to improve access to water and sanitation infrastructure in the urban Freetown area (drinking water networks, household equipment for water treatment solutions and community-based waste management).
ACF also continued Community-led Total Sanitation (CLTS) activities and repairing wells in Moyamba to improve access to water and sanitation in the district.
In addition, to limit school drop-out rates among girls due to the lack of suitably adapted latrines, particularly during menstruation, ACF implemented a pilot project aimed at developing hygiene practices and improving sanitation conditions in the six schools in Freetown. This project will be evaluated in early 2014 and will possibly be repeated.
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