what is the state of health and vulnerability in sierra leone. dibba sierra leone_part 1.pdfsierra...
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What is the state of health and vulnerability in Sierra Leone
Dr. Yusupha DibbaMMSc-GHD candidate
July 2019
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Burden of Disease 1990 – 2010
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Sierra Leone in NumbersSierra Leone
51.3 Life Expectancy
Other Low-Income Countries
63.6 Life Expectancy
Source: Sierra Leone Health Sector Performance Report 2016
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Causes of Premature Death1990
1. Malnutrition2. Malaria3. Lower Respiratory Infections4. Diarrheal Diseases5. Pre-term Birth Complications6. Meningitis7. Neonatal Encephalopathy8. Iron-Deficiency Anemia9. Measles10. Neonatal Sepsis
2010
1. Malaria2. Malnutrition3. Lower Respiratory Infections4. Pre-term Birth Complications5. Diarrheal Diseases6. Meningitis7. HIV/AIDS8. Neonatal Encephalopathy9. Neonatal Sepsis10. Tuberculosis
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Maternal & Child Health
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Lifetime Risk for Women
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Facility-Based Delivery
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Quality of Maternal Care
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Tuberculosis/MDR-TB
2 February 2018
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Case Notification
1/3 of cases of TB in the community are undetected
Source: SARA Report, Sierra Leone, Draft 2017
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TB Diagnosis
Only 13% of health facilities can offer TB diagnosis and treatment
Source: SARA Report, Sierra Leone, Draft 2017
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TB Diagnosis
Of those 13% of facilities, only 1 in 3 have functional TB microscopy
Source: SARA Report, Sierra Leone, Draft 2017
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MDR-TB
8x increase in confirmed MDR-TB cases in 2017 alone
8x
Source: National TB Program Statistics, 2017
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HIV/AIDS
2 February 2018
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HIV Prevalence
1.7% HIV prevalence
54,427 people living with HIV
54% are women
3x increase in co-infection with syphilis (‘06-’10)
Source: DHS 2013
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Transmission
39.7% commercial sex work
15.6% discordant couples
15.1% persons with multiple sexual partners
10.8% fishermen
Other% other (miners, transporters, traders, inj. drug users, etc.)
Source: Sierra Leone Modes of Transmission Study 2010
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Malaria
2 February 2018
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Malaria
cause of premature death in Sierra Leone
#1
Source: Global Burden of Disease, Sierra Leone
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Malaria
of children under five have malaria parasites
43%
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Malaria Mortality
1/3 deaths of children under 5 are attributed to malaria
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Malnutrition
2 February 2018
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Prevalence of U5 Stunting
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Human Resources for Health
2 February 2018
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Per 500,000, there are…
nine doctors
National Average
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Per 500,000, there are…
thirty nurses
National Average