Sierra
Leone

Kushe!

Integrated health system strengthening through innovative approaches informed by country level data and identified gaps.

Selected Achievements

  • We introduced blended learning approaches, including the ECHO platform, in 14 of 16 district hospitals and a national Continuous Professional Development Platform for maternal, newborn, and HIV care providers.

  • We rolled out low-dose, high-frequency training and clinical mentorship at the facility level, which the Ministry of Health and partners scaled beyond Jhpiego-supported sites.

  • We developed an interactive e-wall board with the Ministry of Health to visualize data from national databases, strengthening a culture of data-driven decision-making at all levels.

  • Through the Global Reach II project, Jhpiego has reached 92,963 pregnant women with HIV testing.

Our Projects

Expanding HIV Prevention, Treatment, and Care

Global Reach II (GRII) strengthens HIV prevention and treatment in Sierra Leone.

  • Funded by PEPFAR and implemented in partnership with the Centers for Disease Control and Prevention, GRII has contributed to a 200% increase in people receiving antiretroviral therapy, expanded viral load monitoring across supported sites, and scaled prevention programs—including PrEP—from 4 to 7 districts, with client initiation rising from 1,300 in 2021 to over 16,000 in 2025.

  • The project has advanced prevention of mother-to-child transmission of HIV/AIDS and pediatric HIV services, providing antiretroviral therapy to 3,582 HIV-positive women, managing 3,392 HIV-exposed infants, conducting 2,581 early infant diagnosis tests, and achieving a 3% mother-to-child transmission rate compared to the national average of 11%.

Improving Health Through Integrated Approaches

Reaching Impact Saturation and Epidemic Control (RISE)

  • Reaching Impact Saturation and Epidemic Control (RISE) is a multi-country project funded by the U.S. Government to save lives and improve health through integrated, evidence-based approaches to address urgent gaps in lifesaving services. RISE works across all levels of the health system to strengthen the HIV/TB epidemic response, to limit the spread of deadly disease outbreaks through Global Health Security programming, and to reduce preventable morbidity and mortality through integrated maternal, newborn, and child health, nutrition, tuberculosis, and malaria services. RISE supports country governments to strengthen essential data systems, supply chain and commodity management, human resources for health, domestic resource mobilization, and other cross-cutting health system functions to accelerate transition to country ownership. Since 2019, RISE has supported programs in more than 25 countries across Africa, Asia, and Latin America. The program runs through December 2027. Learn more here.

Building Resilient Public Health Emergency Systems

The Enhancing Global Health Security (EGHS) project strengthens Sierra Leone’s public health emergency preparedness and response.

  • EGHS has training more than 180 multisectoral rapid response team members across all districts, conducting after-action reviews for Lassa fever, Mpox, and acute diarrhea outbreaks, and organizing a regional tabletop exercise with Liberia and Guinea.

  • The project improved emergency infrastructure by installing solar panels for uninterrupted operation of the 117 hotlines in 10 districts, reactivating district desks, and upgrading call centers with VPN servers. Using the THIRA tool, EGHS supported four districts to conduct risk assessments and develop contingency plans to address priority health threats.

Improving Access to Lifesaving Health Services

MOMENTUM Country and Global Leadership

  • MOMENTUM Country and Global Leadership, funded by the United States Government, is a global mechanism that saves lives and improves access to quality, integrated health services by distributing life-saving commodities, medicines, and vaccines, and providing critical health care services for pregnant mothers and children under five. The project provides safe childbirth for mothers and babies, vaccinates children, treats deadly illnesses and malnutrition, and controls disease outbreaks.

    Learn more here: Momentum Country and Global Leadership

Country Director

Baindu Agatha Kosia

Country Director
“The support from Jhpiego has been transformative. They were instrumental in strengthening our governance and operational structures...The staff capacity building and mentorship from their technical staff significantly improved our ability to effectively deliver quality HIV prevention, effective linkage to treatment, and support adherence and other sexual and reproductive health services to populations at risk, including children and adolescents."
— Mariama Marco Conteh, Executive Director of HAPPY Kids & Adolescents