Sierra Leone, officially the Republic of Sierra Leone, is a country in West Africa. It is bordered by Guinea on the north, Liberia in the south-east, and the Atlantic Ocean in the south-west. Its population is 6 million people and GDP per capita of USD 678.
Sierra Leone, a low-income country, was hugely affected by the Ebola outbreak of 2014, which had killed more than 3,900 people by August 2015. Weak health systems were cited as the biggest driver of the spread of the outbreak. The disease meant that the country fell behind in responding to AIDS, tuberculosis and malaria as Ebola disrupted many prevention and treatment programs. The disease also killed a significant number of health workers, who were already too few to support the county’s health system. Sierra Leone will need the support from the international community to train and deploy health workers and rebuild and strengthen other health systems that the country has lost so as to be able to manage other major diseases such as HIV, tuberculosis and malaria and future outbreaks.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN SIERRA LEONE
- Health promotion and the prevention of risks and threats to individuals, families, and the community.
- Guaranteeing access to comprehensive care, with high-quality health services and an equity approach.
- Strengthening the steering role of AHO in sectoral management.
- Decentralisation and modernisation of the sector through new management and financing modalities.
- Development and execution of human resources development policies.
PROGRAMMES & PROJECTS
1. SUPPORT FOR DEVELOPMENT, MANAGEMENT, AND COORDINATION OF THE NATIONAL PROGRAMS
To create and maintain optimal conditions for technical cooperation through a respectful dialogue with the authorities, effective communication with public health actors, a continuing search for synergy in cooperation activities, human resources development, and rational use of human, financial, and technology resources.
- Strengthening of a measurable, continuous process of internal dialogue/ coordination/ articulation among team members and with third parties, such as national authorities and other public health partners inside and outside the sector to facilitate execution of the technical cooperation program.
- Modernisation of human and financial resource management for greater profitability, combining the streamlining of administrative processes, transparency, and co-management.
2. EPIDEMIOLOGY, DISEASE PREVENTION AND CONTROL
To improve national capacity at all levels for health situation analysis and the prevention and control of risks and threats to individuals, families, and the community.
- Focused decision-making in the health sector, essentially through the use of complete, timely, and high-quality health information.
- Methods and technologies transferred to the decentralized levels of the national public health laboratory network.
- National capacity strengthened for the surveillance, prevention, and control of priority diseases.
- Strategies strengthened for the control and prevention of priority diseases, epidemiological and operations research on the impact of these strategies, and evaluation of their effectiveness and efficiency.
- Access to pertinent health information facilitated; educational and mass communication material, as well as selected bibliographies, prepared and distributed.
3. POLICIES, HEALTH AND HUMAN RESOURCES SYSTEMS
To strengthen the capacity of AHO to implement health policies, organize and manage the health system, and develop human resources.
- Public health planning methods and instruments validated and promoted at the national, regional and local levels within the framework of the Coordinated and Decentralised Public Health System, using a participatory approach.
- Policies, standards, strategies, methods, and instruments for improving the organization, management, and quality of health services designed and disseminated.
- Human Resources Development Institute strengthened in terms of its management, regulatory, and design role, within the framework of the Coordinated and Decentralized Public Health System; and strategies, methods, and instruments disseminated for training, managing, and improving the performance of human resources in the health sector.
- Contribution toward better institutional and sectoral financial management in public health.
- Strategies established for expanding social protection in health, with view to eliminating exclusion in health insurance and providing access to quality health services.
- Official regulatory agency for pharmaceutical products strengthened, with emphasis on selection and quality monitoring, and plans of action implemented to promote equitable access to drugs and their rational use.
4. HEALTH PROMOTION
To strengthen health-promotion campaigns with an equity approach.
- Healthy environmental policies, projects, programs, and networks established in municipalities, schools, and families.
- Policies, programs, and standards clearly established to produce positive changes in the physical, nutritional, and mental health of the population in terms of habits and lifestyles.
- Policies, programs, and regulations established, aimed at comprehensively promoting human development, with a life cycle approach.
- Production and inter-sectoral dissemination of information and knowledge on differences and inequities between men and women in health sector reform; providing an institutional framework for the approach to promote equity between men and women in health policies and surveillance systems.
- Public health communication and information strategies developed to encourage healthy behaviour in the population.
5. HEALTH AND THE ENVIRONMENT, DISASTER PREVENTION AND MITIGATION
To strengthen national and regional capacity for the management of environmental health and water and sanitation services, and for the organisation, prevention, and mitigation of emergencies and disasters
- National strategy for environmental health, occupational health, and disaster prevention and mitigation formulated and integrated into public health policies, coordinating with other competent agencies to ensure their coherent application.
- Steering role of AHO consolidated in environmental and occupational health and disaster prevention and mitigation.
- National surveillance system for environmental and occupational health and natural phenomena consolidated for the identification and control of health risks to facilitate policy-making at the national and regional levels; national and international communication system established for the dissemination of scientific, technical and legislative information on environmental and occupational health.
- Human resources capacity to produce high-quality environmental and occupational management strengthened.
- National strategy established in the sanitation subsector that will help to modernise its management, achieve the financial viability of service providers, and improves access to services as well as their quality and sustainability.
6. TECHNICAL COOPERATION AMONG COUNTRIES
To promote collective self-sufficiency through the building of national capacity and the willingness to share it for the common good
- Cooperation carried out for health monitoring, disease prevention and control, health promotion, environmental health, and the organization of health services.
AHO SIERRA LEONE 2020 (USD million)* based on 2017 pop 7.557 million World Bank
|1||Combating communicable diseases||
|2||Tackling non communicable diseases||
|3||Addressing determinants of health & risk factors||
|4||Modernising health system and health service||
|5||Improving preparedness, surveillance and response||
|6||Developing good governance & corporate services||
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)