{"id":987502043,"date":"2023-02-03T08:20:02","date_gmt":"2023-02-03T07:20:02","guid":{"rendered":"https:\/\/p4h.world\/country\/sierra-leone\/"},"modified":"2025-07-21T13:13:09","modified_gmt":"2025-07-21T12:13:09","slug":"sierra-leone","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/sierra-leone\/","title":{"rendered":"Sierra Leone"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Sierra Leone\u2019s health sector still heavily depends on out-of-pocket (OOP) spending<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Total health expenditure <\/span><span style=\"font-weight: 400;\">increased by 22% from <\/span><span style=\"font-weight: 400;\">SLE 3,421 billion<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">about <\/span><span style=\"font-weight: 400;\">$<\/span><span style=\"font-weight: 400;\">346<\/span><span style=\"font-weight: 400;\">.5 million)<\/span><span style=\"font-weight: 400;\"> in 2019 to SLE 4,184.5<\/span><span style=\"font-weight: 400;\"> billion <\/span><span style=\"font-weight: 400;\">in 2020 (approximately US$ <\/span><span style=\"font-weight: 400;\">287.5 million)<\/span><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"> In 2020, the percentage of household <\/span><span style=\"font-weight: 400;\">OOP marginally decreased from 52.9% to 52.3%<\/span><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The country&#8217;s nominal GDP in 2020 was USD 3.9 billion<\/span><span style=\"font-weight: 400;\">\u00a0and GDP per capita was <\/span><span style=\"font-weight: 400;\">US$<\/span><span style=\"font-weight: 400;\"> 533<\/span><span style=\"font-weight: 400;\">. The health budget allocation for 2019-2020 was 11%, <\/span><span style=\"font-weight: 400;\">which is 4 percentage points less than the 15% threshold <\/span><span style=\"font-weight: 400;\">for government health spending set by the <\/span><span style=\"font-weight: 400;\">African Union&#8217;s Abuja Declaration in 2001.<\/span><\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Ministry of Health and Sanitation implemented reforms &#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;15px||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">The Life Stages Approach <\/span><span style=\"font-weight: 400;\">of the Ministry of Health and Sanitation (MOHS) aims to provide high-quality health care throughout life without financial <\/span><span style=\"font-weight: 400;\">hardship to households. Reforms implemented include <\/span><span style=\"font-weight: 400;\">launch of the Free Health Care<\/span><span style=\"font-weight: 400;\">Initiative (FHCI) in <\/span><span style=\"font-weight: 400;\">2010. FHCI eliminated fees for basic maternal, child and primary care services for pregnant women, children under five and seniors.<\/span><span style=\"font-weight: 400;\"> Removal of these financial barriers aims, therefore, to <\/span><span style=\"font-weight: 400;\">improve access to targeted services, especially maternal and child health services. In turn, improved access should r<\/span><span style=\"font-weight: 400;\">esult in higher utilization <\/span><span style=\"font-weight: 400;\">rates and improved health outcomes.<\/span><\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Key documents support journey towards universal health coverage&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;15px||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">In December 2021, the <\/span><span style=\"font-weight: 400;\">MOHS launched <\/span><span style=\"font-weight: 400;\">a <\/span><span style=\"font-weight: 400;\">universal health coverage (UHC)<\/span><span style=\"font-weight: 400;\"> road map <\/span><span style=\"font-weight: 400;\">during Universal Health Coverage Day celebrations<\/span><span style=\"font-weight: 400;\">. The <\/span><span style=\"font-weight: 400;\">road map provides steps and milestones.<\/span><span style=\"font-weight: 400;\"> It also provides a framework for critical reforms in health financing<\/span><span style=\"font-weight: 400;\">, including a social health insurance scheme that <\/span><span style=\"font-weight: 400;\">the country has been exploring since 2007. Other key health financing documents that have been launche<\/span><span style=\"font-weight: 400;\">d and support the country\u2019s journey towards UHC include the National Health and Sanitation P<\/span><span style=\"font-weight: 400;\">olicy, National Health Sector Strategic Plan and the Health Financing Strategy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to Sierra Leone\u2019s UHC road map and <\/span><span style=\"font-weight: 400;\">the processes and reforms that the country has taken to date and continues to take as it moves towards attaining UHC, in September 2022, Sierra Leone benefited from <\/span><span style=\"font-weight: 400;\">collaboration with its <\/span><span style=\"font-weight: 400;\">first P4H country focal person<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sierra Leone\u2019s health sector still heavily depends on out-of-pocket (OOP) spending.\u00a0 Total health expenditure increased by 22% from SLE 3,421 billion (about $346.5 million) in 2019 to SLE 4,184.5 billion in 2020 (approximately US$ 287.5 million). In 2020, the percentage of household OOP marginally decreased from 52.9% to 52.3%. The country&#8217;s nominal GDP in 2020&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987573360,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502043"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":5,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502043\/revisions"}],"predecessor-version":[{"id":987777659,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502043\/revisions\/987777659"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987573360"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987502043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}