Sierra Leone

Sierra Leone officially the Republic of Sierra Leone, informally Salone, is a country on the southwest coast of West Africa.

The CIA estimated average life expectancy in Sierra Leone was 57.39 years. The prevalence of HIV/AIDS in the population is 1.6%, higher than the world average of 1% but lower than the average of 6.1% across Sub-Saharan Africa.

Medical care is not readily accessible, with doctors and hospitals out of reach for many villagers. While free health care may be provided in some villages, the medical staff is poorly paid and sometimes charge for their services, taking advantage of the fact that the villagers are not aware of their right to free medical care. A dialysis machine, the first of its kind in the country, was donated by Israel.

According to an Overseas Development Institute report, private health expenditure accounts for 85.7% of total spending on health.

Emergency medical response

Having had no formal emergency medical services previously, the First Responder Coalition of Sierra Leone (FRCSL) was formed in June 2019 in Makeni to facilitate the development of emergency first responder programs nationwide. The founding members of the Coalition included the Sierra Leone Red Cross Society (the first chairing organization), LFR International (proposed the formation), the University of Makeni, Agency for Rural Community Transformation, and the Holy Spirit Hospital. The establishment of the Coalition was concurrent with the declaration by the 72nd World Health Assembly that emergency care systems are essential to universal health coverage. Between June and July of 2019, the FRCSL trained 1,000 community members from Makeni to be first responders and equipped each trainee with a first aid kit.

The prevalence of HIV/AIDS in the population is 1.6%, higher than the world average of 1%.