Nutrition Landscape Information System (NLiS)


Sierra Leone

NLiS Country Profile: Sierra Leone

Child Malnutrition

Child (<5 y) Anthropometry
Indicator Year Value
Low birth weight (<2500 g) (%) 2015 14.4
Overweight (BMI-for-age >+1 SD) in school-age children and adolescents 5-19 years (%) 2016 10.8

Malnutrition in Women

Female malnutrition based on BMI

Vitamin and Mineral Deficiencies

Indicator Year Value
Anaemia children <5 y (Hb <110 g/L) (%) 2016 77.3
Anaemia in non-pregnant women (Hb <120 g/L) (%) 2016 47.3
Anaemia in pregnant women (Hb <110 g/L) (%) 2016 55.9
Anaemia in women of reproductive age (%) 2016 48.0
Clinical vitamin A deficiency in women (history of night blindness during most recent pregnancy) (%)   no data
Median urinary iodine concentration in children 6-12 years (μg/L)   no data
Subclinical vitamin A deficiency in preschool-age children (serum/plasma retinol <0.70 μmol/L) (%)   no data

Health Services

Indicator Year Value
Births attended by skilled health personnel (%) 2013 59.7
Population using improved drinking-water sources (%) 2015 62.6
Population using improved sanitation facility (%) 2015 13.3
Children aged 1 year immunized against measles (%) 2016 83.0
Any antenatal iron supplementation (%) 2013 92.3
Children <5 years with diarrhoea receiving ORT (%) 2013 86.1
Children with diarrhoea receiving zinc (%) 2017 50.0
Children aged 6-59 months receiving vitamin A supplements (dose 1) (%) 2017 98.0
Children aged 6-59 months receiving vitamin A supplements (dose 2) (%) 2017 98.0
Births in baby-friendly facilities (%) 2016 0.0
Mothers of children 0-23 months receiving counselling, support or messages on optimal breastfeeding at least once in the last year (%)   no data

Food Security

Indicator Year Value
Households consuming adequately iodized salt (15 parts per million or more) (%) 2017 85.3
Population below the international poverty line (%) 2011 52.2

Caring Practices

Indicator Year Value
Early initiation of breastfeeding within 1 hour of birth (%) 2017 55.7
Introduction to solid, semi-solid or soft foods in infants 6-8 months (%) 2017 68.3
Minimum acceptable diet (MAD) in children 6-23 months (%) 2017 9.3
Children with diarrhoea <5 y receiving oral rehydration therapy (ORT) and continued feeding (%) 2017 51.1
No breastfeeding data available for this country

Commitment

Indicator Year Value
General government expenditure on health as % of total government expenditure 2014 10.8
Total expenditure on health as % of gross domestic product 2014 11.1
Per capita total expenditure on health (US$) 2014 223.7
Nutrition component of the United Nations Development Assistance Framework (UNDAF)   no data
Nutrition component of Poverty Reduction Strategy Paper (PRSP)   no data
Nutrition Governance score   no data
International Code on Marketing of Breast-milk Substitutes: Legal status of the Code 2018 No legal measures
Maternity leave 2013 12 weeks

Capacity

Indicator Year Value
Degree training in nutrition exists 2016-2017 Yes
Nutrition is part of medical curricula 2016-2017 Yes
Nutrition professionals density (per 100,000 population) 2016-2017 1.2
Nursing and midwifery personnel density per 1,000 population 2010 0.3
GDP per capita (PPP US$) 2018 1,604
GDP per capita annual growth rate (%) 2018 1.5
Official development assistance (ODA) received (net disbursements) (% of GNI) 2017 14.8
Low-Income Food-Deficit Country (LIFDC) 2018 Yes

Meta-indicators

Indicator Year Value
Averaged aggregate governance indicators 2018 -0.6
Gender Inequality Index (GII) 2017 0.645
Gender Parity Index in primary level enrolment (ratio of girls to boys) 2018 1
Human development index (HDI) value 2017 0.4
Seats held by women in national parliament (%) 2019 12.3

Female Education Levels

Female Education Levels 2016

Education

Education

Under 5 Mortality

Policies & Actions in the Global database on the Implementation of Nutrition Action (GINA)

Policy title Start Year
The United Nations Development Assistance Framework (UNDAF) 2015
Cereal and Pulses – Specification for Fortified maize (corn) Flour (SLS 77:2014) 2014
Cereal and Pulses – Specification for Fortified Wheat Flour (SLS 79:2014) 2014
Sierra Leone National Food and Nutrition Security Policy 2012 - 2016 2012
National Malaria Control Strategic Plan 2011
National HIV/AIDS strategic plan 2011
National HIV/AIDS Operational Plan 2011
Reproductive, Newborn and Child Health Policy 2011
Mandatory Food Fortification Standards for Flour, Salt and Oil, 2010
National WASH implementation strategy 2010
National Malaria Control Policy 2010
Spices and Condiments - Specification for salt fortified with iodine (SLS 30:2010) 2010
The National Sustainable Agriculture Development Plan (NSADP) 2010
National Health Sector Strategic Plan 2010
Draft National Guideline and Strategy on Infant and Young Child Feeding 2009
Sierra Leone National Food and Nutrition Policy 2009
National Water and Sanitation Policy 2008
Tuberculosis strategic plan 2008
Agenda for Change 2008
Child Rights Act 2007
Registration of Customary and Divorce Act 2007
Domestic Violence Act 2007
Devolution of Estates Act 2007
National Health Policy 2002
Deworming Policy  
National HIV/AIDS policy  
Progamme title and actions Start Year
GNPR 2016-2017: Nutrition and infectious disease (q41) - Counselling on nutritional support & care for people living with TB 2016
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12a) Sierra Leone Food-Based Dietary Guidelines for Healthy Eating - Food-based dietary guidelines 2011
GNPR 2016-2017: School health and nutrition (q11) National School Health Strategy 2010 - 2015 - Deworming 2010
GNPR 2016-2017: School health and nutrition (q11) National School Health Strategy 2010 - 2015 - Nutrition education included in school curriculum 2010
GNPR 2016-2017: Infant and young child nutrition (q10) - Complementary feeding promotion and/or counselling  
GNPR 2016-2017: Infant and young child nutrition (q6) - Growth monitoring and promotion  
GNPR 2016-2017: Infant and young child nutrition (q7) - Breastfeeding promotion and/or counselling  
GNPR 2016-2017: Infant and young child nutrition (q9a) - Feeding of LBW infants  
GNPR 2016-2017: Infant and young child nutrition (q9b) - Infant feeding in the context of HIV  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q13) - Nutrient declaration  
GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q21) - Nutrition education and counselling  
GNPR 2016-2017: Prevention and management of acute malnutrition (q37) - Food distribution/supplementation for prevention of acute malnutrition  
GNPR 2016-2017: Prevention and management of acute malnutrition (q38) - Management of moderate malnutrition  
GNPR 2016-2017: Prevention and management of acute malnutrition (q39) - Management of severe acute malnutrition