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Together against Tuberculosis in Sierra Leone


15 April 2021

SIERRA LEONEFighting tuberculosis

L On 6 April, Sierra Leone joined other member states of the Global TB Caucus to officially launch the “Sierra Leone Parliamentary TB Caucus” to strengthen TB control in the country. 


Indeed, the year 2020 has seen Sierra Leone lose ground on its achievements in TB control, which is due to the COVID-19 pandemic. However, the country and its partners must continue to fight TB valiantly as Sierra Leone is one of the most TB-affected countries in the world: TB is the fifth leading cause of death in Sierra Leone among communicable, maternal, neonatal and nutritional diseases.


The National Leprosy and Tuberculosis Control Programme (NLCP) has done a lot to control TB and statistics show that from 2015 to 2019, case notification rates have progressively improved, follow-up losses have progressively decreased, treatment success rates have remained at an average of 88.9% and Sierra Leone has consistently identified and notified at least 10% of paediatric TB cases (WHO estimates that 10-15% of notified TB cases are children).


The parliament will play a legislative and government oversight role to initiate the creation of bold policies and an enabling environment for the control of the TB epidemic in Sierra Leone. The parliament will serve as a crucial network for the Ministry of Health and Sanitation (MoHS), the National Leprosy and Tuberculosis Control Centre (NLTCP) and other stakeholders to work together to end the TB epidemic in Sierra Leone.


” Solthis was chosen as a strategic partner for the new parliamentary caucus because since 2013, Solthis has been a valued stakeholder in the efforts to end TB in Sierra Leone. “ Dr Jacob Mugisha, project manager of TB-speed.


Solthis’ action against tuberculosis in Sierra Leone 

Since 2013, Solthis has been a trusted partner of the NLTCP in its efforts to fight TB in Sierra Leone. Solthis has contributed to the fight by providing technical expertise in the development of national documents and tools, including the 2017 National TB Treatment Guidelines, the 2021-2025 National Strategic Plan, and the 2016-2020 National Strategic Plan. Solthis also strengthened the capacity of health workers in TB diagnosis and treatment by training trainers on TB guidelines and facilitating the dissemination of these trainings throughout the country.


Solthis is currently implementing the TB-SPEED project in the Bo and Port Loko districts of Sierra Leone to improve the diagnosis of paediatric TB:

  • building the capacity of health workers through training and field coaching in the diagnosis and treatment of paediatric TB;
  • building laboratory capacity to diagnose paediatric TB by providing gene xpert Ultra machines that are battery operated and can therefore be used off-grid, and by providing gene xpert ultra cartridges that are more sensitive and recommended by WHO for laboratory confirmation of TB in children;
  • providing back-up power for the gene xpert machines in the public hospitals in Port Loko and Bo, so that results are available in a timely manner, regardless of power supply problems in these districts;
  • developing a specimen transport system in Port Loko, which transports specimens from peripheral health units to the district hospital for specialised testing;
  • and providing a quality-assured chest X-ray diagnostic system to help clinicians confidently diagnose TB on chest X-rays.

Currently, Solthis is implementing the TB-SPEED project in the districts of Bo and Port Loko to improve the diagnosis of TB in children by strengthening the capacity of health workers and laboratory facilities to diagnose paediatric TB.


More about the TB-Speed project




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