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MSF health promoter, Beatrice Turay, standing in front of community members in Rogbereka village, Tonkolili district, holding a vaccination card for children under the age of five and discussing about the importance of vaccination, the various vaccines available for children and how mothers and caregivers can access them.

Sierra Leone

MSF health promoter, Beatrice Turay, discusses the importance of vaccination, the various vaccines available for children and how mothers and caregivers can access them with community members in Rogbereka village, Tonkolili district. Sierra Leone, May 2024.
© Daniel García/MSF

In Sierra Leone, we work in Kenema district to reduce high maternal and child mortality rates, providing pre- and post-natal care in our hospital. We also provide care to remote villages in the district through mobile clinics. We worked in Bombali and Tonkolili districts until September 2025.

Our activities in 2025 in Sierra Leone

Data and information from the International Activity Report 2025.

MSF in Sierra Leone in 2025 As Sierra Leoneans continue to experience high rates of maternal and child death, Médecins Sans Frontières (MSF) teams are working to bring essential obstetric and paediatric care to communities, while also responding to outbreaks as needed.
Country map for the IAR 2025.
Country map for the IAR 2025.
© MSF

In 2025, we responded to an mpox outbreak by establishing a 50-bed treatment centre, and rehabilitating the national referral hospital’s isolation ward in Sierra Leone’s capital, Freetown. In Bombali and Tonkolili districts, Northern province, our team assisted with health promotion activities and contact tracing, and provided supplies and training to the Ministry of Health. 

In Kenema district, Eastern Province, we continued to offer lifesaving care for pregnant women, lactating mothers, and children under five years old, at the 164-bed maternal and child health hospital that we opened in 2019. 

Throughout the year, we also supported four general healthcare facilities in Kenema district by donating medical supplies, rehabilitating infrastructure, and training Ministry of Health medical staff. In addition, we sent mobile teams to remote communities in the district, where there were few health facilities, to deliver vital services, such as rapid malaria testing and treatment, vaccinations for children under five years old, family planning consultations, and antenatal care. 

In July, we concluded our tuberculosis (TB)-related activities in Bombali district. Since 2019, we had been working to improve access to diagnosis and treatment for both drug-sensitive and drug-resistant TB. During this time, we provided treatment for adults and children, as well as prevention therapy and support for the rollout of a shorter treatment regimen for drug-resistant TB, and introduced tools to strengthen the diagnosis of paediatric TB. 

In August and September, respectively, our activities in Magburaka and Mile 91 township, including their surrounding communities in Tonkolili district, also concluded. For nine years, we had focused on reducing maternal and child deaths in the district by supporting general healthcare facilities with medical supplies and infrastructure rehabilitation, drilling boreholes, and facilitating referrals for specialist care. Our support also included care for pregnant women, lactating mothers, and children under five years old at the Magburaka government hospital and the Hinistas community health centre in Mile 91. 
 

in 2025

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