Map of Sierra Leone

Global Health

Speeches Shim

USAID has rehabilitated more than 100 peripheral health units across Sierra Leone to increase access to a range of essential water, sanitation and hygiene components.
USAID has rehabilitated more than 100 peripheral health units across Sierra Leone to increase access to a range of essential water, sanitation and hygiene components.


U.S. assistance is instrumental to implementation of the government of Sierra Leone’s national health strategy. USAID activities strengthen Sierra Leone’s fragile health system and contribute to improvements in the delivery of quality health services at facilities across the country. The USAID health program in Sierra Leone also addresses key U.S. government priorities in technical areas such as maternal and child health, malaria, global health security, and neglected tropical diseases. 

Maternal Child Health, Family Planning & Reproductive Health

USAID works to expand access to voluntary reproductive health and family planning services and reduce maternal and child mortality. Efforts focus on improving quality, respectful maternal care, including for inpatient labor and delivery services; supporting prevention and treatment of maternal complications; strengthening infection prevention control and waste management; and supporting demand creation activities to increase the use of maternal and child health services.


In November 2017, Sierra Leone was selected as a focus country for the President’s Malaria Initiative (PMI). In partnership with the National Strategic Plan developed by Sierra Leone’s National Malaria Control Program, USAID supports implementation of key evidence-based malaria interventions including accurate diagnosis and prompt treatment with artemisinin-based combination therapies; vector control activities focused on entomological surveillance capacity strengthening and insecticide resistance monitoring; improved access to insecticide-treated mosquito nets through procurement and distribution through mass campaigns and routine distribution channels; and intermittent preventive treatment of pregnant women. In addition, PMI supports other cross cutting areas such as Social and Behavior Change and surveillance, monitoring and evaluation.

Global Health Security

USAID collaborates with the Ministry of Health and Sanitation and implementing partners to strengthen the country’s capacity to prevent, detect, and respond to human and animal infectious disease threats. USAID’s ‘One Health’ interventions assess and address systemic risks at the interface of human, animal and environmental health.  Key aspects of programming include strategic support for government coordination and response platforms (workforce training, laboratory capacity building, etc.), as well as research into known and unknown pathogen threats.

Neglected Tropical Diseases (NTDs)

Through the Act to End NTDs|West program, USAID is supporting the Government of Sierra Leone to continue achieving progress towards elimination or control of four endemic NTDs: lymphatic filariasis, onchocerciasis, schistosomiasis, and soil transmitted helminths. USAID’s support also seeks to integrate and mainstream the Sierra Leone NTD program into broader governmental systems, and ensure NTDs are included in policy, planning and financing processes. 

USAID has worked with the Sierra Leone Ministry of Health and Sanitation to provide a cumulative 130 million treatments through annual mass drug administration, benefiting over 5.2 million Sierra Leoneans. The program has been successful in reaching treatment coverage targets year after year. As a result, a number of districts have been able to successfully stop treatment for lymphatic filariasis.


Since the end of the Ebola crisis in 2016, USAID has worked closely with the Government of Sierra Leone and other donors to ensure that basic health services are accessible to those most in need, particularly women and children. In 2020, as the country faced the threat of COVID-19, coordination structures formerly established with U.S. Government resources during the Ebola outbreak were revitalized to support COVID-19 response efforts. Further USAID support to Sierra Leone’s national COVID-19 response includes procuring essential commodities for respiratory and case management support, risk communication and infection prevention and control activities, vaccine procurement and distribution support, and overall health system support to maintain essential health services.


Last updated: October 28, 2021

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