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  SIERRA LEONE - Country Profile Updated: March 2005  

AIDS Programmes

National Strategic Framework

A national policy on HIV and AIDS was drafted and adopted by parliament in March 2002.

Government has signed a US $15million agreement with the World Bank to support the four-year Sierra Leone HIV and AIDS Response Project (SHARP).

Ministry of Health
Minister: Agnes Taylor-Lewis
Fourth floor Youyi Building, Brookfields
Tel: +232 22 242 119 / +232 22 240 131
Fax: +232 22 241 283

National AIDS Secretariat
Dr Brima Kargbo, National AIDS Secretariat
Tel: +232 22 235 842/849 / +232 76 619 880
Email:

  • Responsible for the implementation of the activities of SHARP.
  • HIV/AIDS Organisations:

    1. Africa AIDS Education & Prevention - Sierra Leone Project
      Contact person: Dr. Sangoi Eric Lamboi,
      Email:
      Website: www.sierra-leoneaidsproject.org
      HIV/AIDS education, testing, and treatment.

  • American Refugee Committee (ARC)
    Contact person: Martha Saldinger
    Freetown 16 Riverside Drive, Off Kingharman Rd. Brookfields
    Tel: +232 22 221 445
    Fax: +232 22 221 453
    Email:
  • GOAL IRELAND
    Contact person: Paul Mulcahy
    51 Liverpool Street
    Freetown
    Tel: +232 22 222 745
    Fax: +232 22 220 496
    Email:
    Website: www.goal.ie
    HIV/AIDS awareness, prevention and support.
  • Sierra Leone Red Cross
    Contact person: Arthur de-Winton Cummings
    6 Liverpool Street, Freetown
    Email:
    Working on a US $ 6 million project for post conflict rehabilitation of health services to combat, AIDS, Tuberculosis and Malaria.
  • UN Theme Group on HIV/AIDS
    Contact person: Aboubacry Tall
    P.O. Box 221 Freetown
    Tel: +232 22 226 825 / +232 22 223 865
    Fax: +232 22 242 109
    Email:
Country Indicators
Demographic data Year Estimate Source
Total population (thousands) 2004 5,168 UN population division database
Female population aged 15-24 (thousands) 2004 503 UN population division database
Population aged 15-49 (thousands) 2004 2,363 UN population division database
Annual population growth rate (%) 1992-2002 1.5 UN population division database
% of population in urban areas 2003 38.5 UN population division database
Average annual growth rate of urban population 2000-2005 5.7 UN population division database
Crude birth rate (births per 1,000 pop.) 2004 48.5 UN population division database
Crude death rate (deaths per 1,000 pop.) 2004 28.9 UN population division database
Maternal mortality rate (per 100,000 live births) 2000 2000 WHO (WHR2004)/UNICEF
Life expectancy at birth (years) 2002 34 World Health Report 2004, WHO
Total fertility rate 2002 6.5 World Health Report 2004, WHO
Infant mortality rate (per 1,000 live births) 2000 181 World Health Report 2004, WHO
Under 5 mortality rate (per 1,000 live births) 2000 316 World Health Report 2004, WHO
For consistency reasons the data used in the above table are taken from official UN publications
Socio-economic data Year Estimate Source
Gross national income, ppp, per capita (Int.$) 2003 490 World Bank
Gross domestic product, per capita % growth 2001-2002 4.2 World Bank
Per capita total expenditure on health (Int.$) 2001 26 World Health Report 2004, WHO
General government expenditure on health as % of total expenditure on health 2001 61 World Health Report 2004, WHO
Total adult illiteracy rate
Adult male illiteracy rate
Adult female illiteracy rate
Gross primary school enrolment ratio, male 2000/2001 not available UNESCO
Gross primary school enrolment ratio, female 2000/2001 not available UNESCO
Gross secondary school enrolment ratio, male 2000/2001 29 UNESCO
Gross secondary school enrolment ratio, female 2000/2001 24 UNESCO
For consistency reasons the data used in the above table are taken from official UN publications

Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:
Epidemiological Fact Sheet
Estimated number of adults and children living with HIV/AIDS, end of 2003
There are no estimates available from UNAIDS other than a general adult infection rate estimate based on 1999 data:
Adults and children NA  
Adults (15-49) NA Adult rate(%) 2.9% (1999)
Women (15-49) NA  
Children (0-15) NA  
Estimated number of deaths due to AIDS
Estimated number of adults and children who died of AIDS during 2003:
Deaths in 2003 NA  
Estimated number of orphans
Estimated number of children who have lost their mother or father or both parents to AIDS and who were alive and under age 17 at the end of 2003:
Current living orphans NA  

Assessment of the epidemiological situation (2004)

In 2002, a survey of HIV prevalence was carried out among the general population. HIV prevalence among adults aged 15-49 was 1.4 percent. The prevalence rate in Freetown was 2.3 percent.

What data are available regarding antenatal clinic attendees in Sierra Leone indicates a steadily worsening HIV epidemic. Nationally, less than one percent of pregnant women tested positive for the virus in 1989. By 1996, 7 percent were infected with the virus.

A 1995 sero-survey conducted among sex workers in Freetown found 27 percent tested positive for HIV-1. In an unspecified locale outside of major urban areas, 70 percent of sex workers were HIV positive in 1997.

Outside major urban areas, 9 percent of police officers were HIV positive in 1996. In 1997, 12 percent of security forces were infected.



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