Sierra Leone is one of the countries with the highest maternal, newborn, and child mortality rates, as well as adolescent fertility rate globally.

 

Liberia is thought to be home to 7,092,113 million people. 4,187,016 (59 percent) and 2,905,097 (40 percent) are thought to live in rural and urban areas, respectively. The results of the 2015 Population and Housing Census (PHC) show a young population with 40.9 percent of the population under the age of 15. The Northern, Southern, Eastern, and Western administrative regions comprise the nation. 14 districts and 149 chiefdoms further divide the four regions. Regions are represented by a gathering comprising a locale director, managers, and councilors; whereas paramount chiefs are elected locally to lead chiefdoms. Sierra Leone, like many other sub-Saharan African nations, has high health care out-of-pocket costs. Out of the all-out well-being consumption of around $95 per capita, 13% is from benefactors, 16% from the public authority, and the rest 71% from private personal family commitments. Sierra Leone's government spending on health is 12.3%, which is lower than the 15% pledged in Abuja.

Primary well-being advancement accomplices incorporate The Worldwide Asset to Battle Helps, TB, and Jungle Fever, the United Kingdom Agency for International Development (UKAid), the European Union (EU), African Development Bank (ADB), the UN offices, The World Bank, Irish Guide, Japan International Cooperation Agency (JICA), USAID, US CDC and the Global Vaccine Initiative (GAVI).

At a maternal mortality proportion of 1165 for every 10000 live births, neonatal and under-five death pace of 39 and 156 for every 1000 live births separately, and a juvenile rate of birth of 125.1 per 1000 ladies matured 15-19 years proved by the DHS 2013, Sierra Leone is one of the nations with the most noteworthy maternal, infant, and youngster death rates, as well as young adult fruitfulness rate internationally. The recent Ebola outbreak, which had a devastating effect on healthcare systems, has made this situation even worse. The public authority of Sierra Leone is focused on finishing preventable maternal, infant, youngster, and juvenile passings as well as further developing their prosperity. The President's Recovery Plan, the health sector recovery plan, and the basic package for essential healthcare services are examples of the new national policy guidance that the government has developed as part of its post-Ebola recovery response. Reproductive, maternal, newborn, Child, and adolescent health (RMNCAH) is really important for the Public authority of Sierra Leone. The RMNCAH response is highly prioritized by both the Free Health Care Initiative (FHCI) and the Basic Package for Essential Services (BPEHS). This RMNCAH methodology from 2017 to 2021 is a further show of the country's obligation to the strength of ladies, infants, kids, and teenagers.

Between 1990 and 2017, life expectancy at birth in Sierra Leone increased from 39 to 54 years, but it still ranks fourth lowest globally. With 717 maternal deaths per 100,000 live births, Sierra Leone has one of the highest maternal mortality ratios in the world, despite having roughly the same level of public health expenditures as comparator nations. These difficulties are compounded by the Coronavirus pandemic, which has eased back financial development bringing about expanding obligations and falling public incomes. Essential health services like hospital deliveries, outpatient consultations, and child vaccinations have also been disrupted by the pandemic.

On December 9, 2021, the World Bank approved a $60 million grant to support maternal and child health services for 2 million Sierra Leoneans. A $40 million grant from the International Development Association (IDA) and a $20 million grant from the Global Financing Facility (GFF) will fund the Sierra Leone Quality Essential Health Services and Systems Support Project, which will assist the Government of Sierra Leone in building resilient, effective, and equitable health systems for expanding coverage and utilization of essential health services and decreasing Serra Leoneans' disease and mortality rates.

As part of the new funding, Sierra Leone's public health emergency response and the rollout of COVID-19 tools will be integrated with the provision of high-quality essential health services for women, children, and adolescents in the most vulnerable districts. Ten million dollars from the GFF will be used to specifically address the urgent challenges posed by the COVID-19 pandemic.

According to Monique Vledder, Head of Secretariat for the Global Financing Facility, "the partnership between the Global Financing Facility and the Government of Sierra Leone focuses on ensuring that the most vulnerable women and children can access the services they need during the COVID-19 crisis, including the rollout of COVID-19 tools and enabling surge capacity for the health workforce." The public authority's obligation to reestablish and speed up progress on the wellbeing of ladies, youngsters, and youths is essential to an impartial and versatile Coronavirus recuperation."

The Quality Fundamental Wellbeing Administrations and Frameworks Backing task will uphold the execution of a creative way to deal with convey well-being administrations at the locale level, especially for ladies and kids Carried out through a Public Confidential Organization. This approach orchestrates administration conveyance resources into an organization comprising of an anchor well-being office (center point), which offers a scope of administrations, supplemented by lower-level offices (spokes) that proposition restricted benefits and alludes to patients who require more escalated administrations to the center for treatment. In addition, the project will make investments in holistic primary healthcare systems with an emphasis on equity. These systems will include upgrading the infrastructure, equipment, and supply of essential medicines and goods, as well as enhancing the management of health facilities to support, among other outcomes, safe deliveries among pregnant women.

According to World Bank Senior Health Economist and Task Team Leader Kofi Amponsah, "the project is aligned with the GoSL's National Development Plan 2019–2023, whose main objective is to accelerate human capital and transform the health sector into a well-resourced and functioning national health care delivery system that is affordable and accessible to all." For greater cross-sectoral links and synergies, the project will collaborate with sectors other than health that have an impact on health and nutrition outcomes, such as energy, education, water, and agriculture.

 The World Bank's Global Advancement Affiliation/International Development Association  (IDA), laid out in 1960, helps the world's most unfortunate nations by giving awards and low to zero-premium credits for ventures and projects that support financial development, decreasing neediness, and work on destitute individuals' lives. One of the largest sources of assistance for the 76 poorest countries in the world—39 of which are in Africa—is provided by IDA. The 1.6 billion people who live in IDA countries benefit from the positive change brought about by IDA resources. Beginning around 1960, IDA has upheld advancement work in 113 nations. Over the past three years, annual commitments have averaged approximately $21 billion, with approximately 61% going to Africa.

The World Bank's Global Financing Facility (GFF) is a multi-stakeholder partnership that helps countries lead efforts to improve women, children, and adolescents' health.

Sources

1. World Bank

 2. Sierra Leone Reproductive, maternal, newborn, Child and adolescent health (RMNCAH) Strategy 2017 - 2021