Map of Sierra Leone

Global Health

USAID helps improve health care delivery in critical areas such as neonatal and childhood illness, reproductive health, infant and young child feeding.
In Sierra Leone, USAID helps improve health care delivery in critical areas such as neonatal and childhood illness, reproductive health, infant and young child feeding.


Health services in Sierra Leone, already fragile, were overwhelmed by the Ebola outbreak in 2014 and 2015. People stopped visiting health clinics, immunization rates dropped dramatically, fewer women gave birth at facilities, and stock-outs of medicines and supplies slowed the delivery of effective health care. The outbreak exhausted the ability of the health services to respond to other infectious diseases, leading to measles outbreaks, and to treatment disruptions for malaria and TB.

USAID collaborates with stakeholders to develop a coordinated approach to improved agricultural production, nutrition practices, breast-feeding and food supplementation. USAID also builds the skills and ability of both health staff and community health workers to deliver care in critical areas such as neonatal and childhood illness, reproductive health, infant and young child feeding, acute malnutrition and growth monitoring. Instances of waterborne disease are reduced by providing biosand filters in health centers, rehabilitating wells and toilets, and promoting hygiene education.

Ebola Transmission Prevention

Provides clinical care and programs to prevent Ebola transmission and reduce stigma for Ebola survivors.

Systems for Improved Access to Pharmaceuticals and Services (SIAPS)The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program received funding from the US Agency for International Development (USAID) in September 2015 to provide two years of post-Ebola recovery technical assistance to rebuild and strengthen the pharmaceutical supply chain management system in Sierra Leone.

Infection Prevention Control (IPC)

The establishment of IPC short course departments and mobile training.

Health Governance Project

The Health Governance Project strengthens accountability systems in the Ministry of Health and Sanitation drug distribution and to improve citizen confidence and participation in health system.

End Neglected Diseases (END) in Africa Project

This project supports the Elimination of endemic diseases through disease eradication campaigns focused on onchocerciasis, schistosomiasis, lymphatic filariasis, and soil-transmitted helminthes.

Infectious Diseases – Malaria

Supports an advisor embedded in the National Malaria Control Program (NMCP).

President’s Malaria Initiative (PMI)

PMI is conceived to reduce malaria-related mortality by 50% across 15 high-burden countries in sub-Saharan Africa including Sierra Leone through a rapid scale-up of four proven and highly effective malaria prevention and treatment measures: insecticide-treated mosquito nets (ITNs); indoor residual spraying (IRS); accurate diagnosis and prompt treatment with artemisinin-based combination therapies (ACTs); and intermittent preventive treatment of pregnant women (IPTp).

USAID Sierra Leone Global Health Security Agenda (GHSA) Programs

The GHSA is a growing global partnership to help build countries’ capacity to help create a world safe and secure from infectious disease threats, including zoonotic diseases. GHSA coordinates and integrates efforts and initiatives across multiple sectors, providing a framework that allows countries to accelerate progress towards meeting international standards, including the International Health Regulations (IHR) and Performance of Veterinary Services (PVS) Pathway capacities in an efficient and effective manner.


The PREDICT 2 project as led by the University of California Davis is building platforms for disease surveillance and for identifying and monitoring zoonotic pathogens, such as Ebola that can be   shared between animals and people.  Using a One Health approach, the project is   investigating the behaviors, practices, and ecological and biological factors driving disease emergence, transmission, and spread.  In Sierra Leone, PREDICT is collecting data, across 5 districts heavily impacted during the Ebola outbreak, to identify animals that may act as   reservoirs or transmission hosts for the Ebola virus along with enabling behaviors that may facilitate viral spillover and transmission. PREDICT partnership with the University of   Makeni (UNIMAK) is strengthening their laboratory capacity to detect a range of viral families with pandemic potential, including Ebola, from a variety of species. PREDICT is working in partnership with the Ministry of Health and Sanitation (MoHS); Ministry of Agriculture, Forestry and Food Security (MAFFS), University of Sierra Leone medical school, and the University of Makeni to strengthen capacity for biological and behavioral risk investigation. This work is part of a 3 country collaboration with Liberia and Guinea and is crucial for understanding how to prevent and control another devastating outbreak.

UN Food and Agriculture Organization (FAO) GHSA

FAO is building human and physical capacity to implement surveillance and diagnosis of Priority Zoonotic Diseases (PZDs) including Ebola and other filoviruses in wildlife, livestock, and humans through a multi-disciplinary and multi-sectoral approach applied under country-led “One Health platforms”.  FAO supports the Global Health Security Agenda to address zoonotic diseases and animal health in Africa by focusing on assessments of risk of emergence, spillover, spread and persistence of pathogens. The GHSA program is broadly aimed at (1) defining livestock production systems, (2) understanding value chains (webs) and markets, (3) identifying risks, (4) conducting risk-based surveillance, (5) strengthening laboratory and surveillance capacity, and (6) supporting policy development to mitigate the negative health and environment impacts of growth in livestock sector.  FAO is working in partnership with Ministry of Health and Sanitation (MoHS), Ministry of Agriculture, Forestry and Food Security (MAFFS), Teko Central Veterinary Laboratory, Sierra Leone Agricultural Research Institute (SLARI) and Njala University.  FAO is currently working with MAFFS to restore services and strengthen Teko CVL, train veterinarians and community animal health workers.

Preparedness and Response

DAI’s Preparedness and Response (P&R) project aims to increase multi-sectoral collaboration nationally through technical and policy support to promote the One Health approach for infectious disease prevention, detection and response to achieve GHSA goals. P&R has been providing One Health expertise to the Government of Sierra Leone to establish long term multi-sector coordination including options for the structure of a National One Health Platform. P&R helps integrate One Health into long-term preparedness and response plans in line with the National Ebola recovery plans and in coordination with key stakeholders, such as the World Bank’s Regional Disease Surveillance Systems Enhancement (REDISSE) programs.

Last updated: October 30, 2019

Share This Page