Consolidated guidelines in line with the World Health Organization (WHO) recommendations, provide guidance on the diagnosis of HIV infection, the care of people living with HIV, and the use of antiretroviral (ARV) drugs for treating and preventing HIV infection in Sierra Leone. The guidelines are structured along the continuum of HIV testing, prevention, treatment, and care. The goal of the guidelines is to expand access to antiretroviral therapy (ART) further, initiate treatment earlier and expand the use of ARV drugs for HIV prevention.
This handbook outlines guidelines for nursing procedures for COVID-19 patient care in Sierra Leone. Topics include personal protective equipment, caring for critically ill patients, management of difficult breathing, management of fever, management of cough, fluid balance, and feeding of patients with respiratory distress.
The National Nursing and Midwifery Strategic Plan 2019–2023 has been developed through a systematic approach to determining the strengths and challenges of the nursing and midwifery systems in Sierra Leone. The strategy aims to assess the context-specific needs in nursing and midwifery within the wider remit of the relevant policies of the Ministry of Health and Sanitation (MoHS), and to translate these into strategies for the improved provision of services. The size of the competent health workforce including nurses and midwives, required to provide universal health coverage for the basic package of care is inadequate in Sierra Leone. For instance, fewer than 500 midwives are presently practising when approximately 3,000 midwives are needed to meet the needs of the population.
This strategy identifies targets and multi-sectoral approaches for reducing anaemia in the population, with a special focus on those most at risk (children under-5, women of reproductive age including adolescent girls, and pregnant women). The objectives of the strategy are to i) improve prevention and control of infections and specific health conditions which cause anaemia; ii) improve reproductive health and delivery care; iii) improve micronutrient intake and diet quality; iv) improve education of girls and women, and v) improve integrated platforms to deliver anaemia interventions.
The Sierra Leone Family Planning Costed Implementation Plan (2018–2022) (SLFPCIP) details the country’s plans to achieve its vision and goal to improve the health and well-being of its population and the nation by supporting each person’s right to choose whether and when to have children, and how many children to have. This document serves as the blueprint for Sierra Leone to follow in order to achieve the following consensus-developed outcome: (1) To increase the mCPR among currently married women from 15.6 percent in 2013 (16.6% for all methods) to 33 percent by 2022 (34.3% all methods contraceptive prevalence rate [CPR] in 2022). (2) To increase the mCPR among all women from 20.9 percent in 2013 (22.1% for all methods) to 33.7 percent by 2022 (34.3% for all methods CPR).
These counselling cards address key complementary feeding and water, sanitation, and hygiene (WASH) behaviors for the Sierra Leonean context. In May-June 2016, SPRING used Trials of Improved Practices (TIPs), a qualitative research methodology, to allow household members in the Tonkolili District of Sierra Leone to select improved WASH and nutrition behaviors to try using in their households. These counselling cards are a direct output of this methodology, incorporating the most acceptable behaviors surrounding key messages on priority topics related to complementary feeding and WASH.
This policy guidance promotes the healthy development and wellbeing, and acceleration of the reduction of preventable deaths of women, newborns, children, and adolescents in Sierra Leone.
Community engagement is a key to optimizing Sierra Leone’s transition from emergency response to recovery, and is an essential component for sustainability. Since 2011, the aim of facility management committees (FMCs) has been to support community engagement in health by improving the quality and community acceptability of services.
The purpose of this training manual and the tools is to guide the community engagement process for improving community ownership of peripheral health unit (PHU) quality and catchment area health outcomes in support of MOHS goals. The training manual and tools are built upon the experiences of existing stakeholders and community structures in the health sector, as well as its implementing partner (IP) experiences investing in FMC strengthening and community engagement in health. The intended users are the DHMT and IPs. However, the FMC training manual and tools, with support from the DHMT or other “champion” FMCs, may be used by catchment communities themselves.
Community engagement is a key to optimizing Sierra Leone’s transition from emergency response to recovery, and is an essential component for sustainability. The aim of facility management committees (FMCs) has been to support community engagement in health by improving the quality and community acceptability of services.
The FMC Operational Guidelines define stakeholder roles and responsibilities in promoting FMC functionality and sustainability, and recommend implementation approaches and tools. The intended users of the guidelines are district health management teams (DHMTs) and implementing partners.
This Community Health Systems (CHS) Catalog Sierra Leone country profile is the update of a landscape assessment that was originally conducted by the Advancing Partners & Communities (APC) project. The purpose of the CHS Catalog is to provide the most up-to-date information available on community health systems based on existing policies and related documentation.
The CHS Catalog provides information on 136 interventions delivered at the community level for reproductive, maternal, newborn, and child health; nutrition; selected infectious diseases; and water, sanitation, and hygiene (WASH).