Solthis has been present in Sierra Leone since 2011. Solthis provides support to hospitals and health centers in the capital, Freetown, in order to improve access to care for all sick people. Solthis operations in Sierra Leone focus mainly on care for chronic diseases, such as HIV/AIDS, and their transmission from mother to child.
|Life expectancy at birth||45,6|
|Infant mortality per 1,000 births||182|
|Number of physicians per 10,000 population||0,2|
|Total health expenditures (% of GDP)||18,8 %|
Source: UNDP, 2014 Human Development Report
The health situation in Sierra Leone is particularly worrisome. Malaria, tuberculosis, and HIV/AIDS are the leading causes of death, particularly among the most fragile groups: women and children under five. The maternal mortality rate (1,100 deaths per 100,000 births) and the mortality rate in children under five (161 deaths per 1,000 births) are among the world's highest.
Like Guinea, Sierra Leone has also had to deal with the Ebola epidemic, which triggered a major health crisis and revealed weaknesses in the country's health system. The disorganization of all health services had a serious impact on access to care for everyone. In particular, continuity of care for people with chronic diseases, such as HIV/AIDS, was severely disrupted.
- Start of the program in Sierra Leone: 2011
- Partners: National Aids Secretariat (NAS), National Aids Control Program (NACP-Ministry of Health), NETHIPS (Network of HIV Positives in Sierra Leone)
- Areas of operation: Freetown
- Team: 11 permanent health professionals, including 7 nationals
- 10 sites supported
- Focus of operations: HIV/AIDS, Ebola, TB, Hepatitis, Mother-Child Health, Neurological Opportunistic Infections
Under the partnership agreement signed with the Ministry of Health and the National HIV/AIDS Control Program (NACP), Solthis provides support to Freetown hospitals and health centers in the following ways:
- Improved access to care for all sick people
- Care for HIV-positive children
- Coordination of the national HIV prevention program with regard to international funding and procurement
2014: Third year of operations. Solthis continued its fieldwork centered in the capital city of Freetown, with three main objectives:
- To improve access to treatment with a focus on pediatrics and the Prevention of Mother-To-Child Transmission (PTMTC)
- To improve the quality of HIV care in the city's healthcare structures by increasing the coordination between pediatric services, the Prevention of Mother-To-Child Transmission, and HIV
- To improve data collection tools to avoid an increase the number of lost to follow-up
2015: Continuity of care when dealing with Ebola.
Key numbers: Solthis in Sierra Leone
In 2014, Solthis it is:
- 10 sites supported
- 124 health professionals trained
- 5 000 patients on ARV treatment in supported centers
- 100 % of infants under 18 months diagnosed HIV-positive under treatment in the reference pediatric hospital Ola During
Solthis’ address in Sierra Leone
Sierra Leone – Freetown
N°1 The Maze – Off King