March 23rd, 2009
UNICEF is responsible for the global monitoring and evaluation of the child-related Millennium Development Goals (MDGs) that the United Nations and the Group of 20 (G20) nations have committed to achieving by 2015. Through statistical summary, one is able to truly decipher the state of health affairs in Sierra Leone. This information is vitally important to A Chance for Every Child, as it strives towards its mission of improving health and quality of life for children in developing nations by facilitating access to healthcare, empowering communities through education, and forming strategic partnerships to foster sustainable healthcare systems.
Below are snapshot figures on Sierra Leone, complied by the World Health Organization’s Statistical Information System (WHOSIS). UNICEF has created an “At-A-Glance” website that organizes statistics by Basic indicators, Nutrition, Health, HIV/AIDS, Education, Demographics, Economics, Women, Child Protection, and Rate of Progress. Sierra Leone’s specific At-A-Glance page can be viewed here.
WHO Statistics*:
Total population: 5,743,000
Life expectancy at birth m/f (years): 39/42
Healthy life expectancy at birth m/f (years, 2003): 27/30
Probability of dying under five (per 1 000 live births): 269
Probability of dying between 15 and 60 years m/f (per 1,000 population): 556/460
Total expenditure on health per capita (Intl $, 2006): 41
Total expenditure on health as % of GDP (2006): 3.5
*Figures are for 2006 unless indicated. Source: World Health Statistics 2008
UNICEF’s State of the World’s Children: 2009 report allows individuals and organizations to create tables comparing regions of the world or specific countries against several dozen indicators, which are then broken down to specific measurements. A customized table contrasting Sierra Leone to the United States and areas of Europe further highlights the need for intervening organizations such as A Chance for Every Child.
Tags: health statistics, millennium development goals
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March 20th, 2009

From left: Hon. Minister Sheku Tejan Koroma, Dr. K .S Daoh, and Dr. Daniel Fussum, WHO Officer and Acting Chief Medical Officer
The
World Health Organization and the
Ministry of Health and Sanitation have collaborated to create a four-day program in health promotion. According to
allAfrica.com today, more than 30 members of the Sierra Leone ministry are being trained in the hopes that the information will increase the level of ability and and qualifications for staff in the field. Health and Sanitation Minister, Mr. Sheku Tejan Koroma, spoke at the opening ceremony held at the Council of Churches of Sierra Leone. Mr. Koroma reiterated the government’s commitment to making healthcare affordable and accessible, while expressing gratitude towards the WHO and UNICEF for their continued partnership with the government of Sierra Leone.
Acting WHO representative, Dr. Daniel Fussum, stressed the importance of health promotion at the ceremony. Dr. Fussum advocated health promotion as an investment that is one of the main programs in public health that focus primarily on many diseases through preventative strategies and education. WHO Health Promotion Regional Adviser, Dr. David Nyamwaya, commended health promotion as a vehicle to increase productivity and enforce behavioral change through social marketing and advocacy. Health promotion is one of the five points in the
WHO’s strategic agenda in Sierra Leone for the years of 2008-2011.
Tags: health promotion, ministry of health
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March 16th, 2009

Hannah*, 16, from Makeni, dropped out of school when she became pregnant last year.
Source: Anna Jefferys/IRIN
In order to reduce teen pregnancy, officials in the Bombali district chiefdoms have passed traditional laws which decree that if a female student is impregnated by a male student, both parties must stop attending school. Teen pregnancy is one of the contributing reasons why there are small numbers of female students attending secondary school in Sierra Leone. According to the UNICEF’s 2009
State of the World’s Children Report, 17% of girls and 21% of boys attended secondary school between 2000-2007. Although no research has been conducted to determine the cause of the high percentages of teenage pregnancy, UNICEF speculates that it is a combination of voluntary sexual relations, early marriage, “transactional” sex with adults, and other forms of sexual abuse. UNICEF plans to begin research in upcoming months.
UNICEF has officially spoken out against the ban of pregnant girls and their student partners from school. As most young boys who come out of school begin to work in menial labor, or as taxi drivers, UNICEF suggests that there may be alternate solutions that allow both parties to continue to attend school. According to Bombali district’s Deputy Director of Education, Ramatu Kanu, “Girls top the primary school tests, but then they disappear out of secondary school. It is such a loss for the community.” According to Kanu, the social stigma related to girls who are pregnant and unmarried leads to a greater rate of marriage among teenage girls - lessening the importance of school.
In Makeni, the capital of the Bombali district, several male and female students have joined a club called “Girls Tell Us”. The members of the club come together frequently to talk about such pertinent issues as teen pregnancy. So far, the club has helped three female students return to school. Club members told IRIN that they are starting to see a shift in attitudes, especially among young boys. Amadfona, a male member of the club, says, “We spread the message: if you impregnate a girl, it will affect you, too.”
(full story)* not real name
Tags: education, teen health, teen pregnancy
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March 11th, 2009
In 11 years (1991-2002), approximately 50,000 people died during Sierra Leone’s civil war, with millions more displaced as refugees to neighboring countries. The war began as former army corporal Foday Sankoh led the Revolutionary United Front (RUF) against President Momoh and began capturing towns on the border of Liberia. As the war escalated, the RUF became notorious for the recruitment of child soldiers as well as raping and torturing residents of villages along the war path.
The protracted civil war in Sierra Leone has left an indelible scar on the country in every way and has led to the broken infrastructure that contributes to Sierra Leone’s status at the bottom of WHO and UNICEF rankings of health indicators. The poor health of the population is the impetus for A Chance for Every Child’s work in improving healthcare and health education available to residents of rural areas of Sierra Leone. Villages throughout the country were dismantled and pillaged as the RUF waged war.
Last week, three former leaders of the RUF were found guilty of war crimes and crimes against humanity for their role in the war. For the first time in a war crimes trial, the Special Court (convened with support from 40 countries, with Canada, the Netherlands, Nigeria, the UK, and the US providing the majority of the funds) included “forced marriage” as a separate charge from other forms of sexual violence.
Lead prosecutor Stephen Rapp said, “Our position is that sexual slavery is a horrendous crime. Victims would be held for days or weeks and forced into sex acts. Forced marriage is all that plus essentially being consorts to the rebels.” As a result, women are often stigmatized, being seen as a part of the RUF. Many families do not accept the women back into their families.
Sentencing for those rebel leaders found guilty will begin in the next few weeks. Charles Taylor, the former president of Liberia, is currently on trial for crimes in The Hague (click here for all minutes of this trial). Some Sierra Leoneans feel that the Special Court rulings have given them a sense of closure. “I like the Special Court. … If you don’t [have a] Special Court to bring punishment, other men will just bring war again,” said Alpha Tommy Conteh, whose wife was killed in Freetown in 1999. (full story)
Tags: civil war, forced marriage, Special Court trial
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March 2nd, 2009
Hendrik Chassé is the newest member of A Chance for Every Child’s Board of Directors. An avid traveler and CFA charterholder, Hendrik has also been elected as the organization’s Chief Financial Officer, replacing Colin Stewart, who has been elected President. Hendrik is committed to using his experiences, and the relationships he has cultivated by working in financial management, to further ACEC’s mission and to make a meaningful impact on the health and quality of life of children in Sierra Leone.
The addition of Hendrik to the ACEC family is a move to continue to incorporate individuals who are passionate about philanthropy and inspired to use their professional skills to advance health and education in the developing world. We are excited to be working with him as ACEC continues to affect change in Sierra Leone.
Welcome Hendrik!
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March 2nd, 2009

Toilet built by villagers in Kamayintin village
In the district of Bombali, one village has a brand new toilet. In Kamayintin, Kadiatou Samura has successfully built her family’s first latrine. With the help of her fellow villagers, Samura has drastically reduced the number of illnesses the children of her village are contracting.
The overall goal of the latrine project is to declare villages across Sierra Leone as “open-defecation-free”. UNICEF aims to roll out the initiative through all 10 districts of the country by 2010, with help from
ActionAid,
Plan International,
Oxfam, and
GOAL. Just one-third of rural Sierra Leoneans have access to clean water and sanitation, according to UNICEF’s Victor Kinyanjui. Sierra Leone’s population in rural villages typically rely on the nearby rivers and open spaces for urination and defecation. These rivers are also the source of cooking and bathing water, and often, “open defecation” means that children are relieving themselves directly in front of the hut where they live, near kitchens. The normal roadblock in the process of creating more latrines is usually the money and coordination required for outside organizations and the government to build the latrines in villages.
The new model allows for the villagers to find local materials, labor, and money to build the latrines themselves. Outside officials, such as sanitation experts, only supply the research and knowledge needed for the villagers to learn what type of toilet would suit both the village budget and topography of the land. Kadiatou Samura’s toilet, with an earthen floor, local wood walls, and straw roof, was essentially free to create. According to UNICEF’s Victor Kinyanjui, a standard modern toilet would cost approximately $100 (the equivalent of one third an average Sierra Leonean’s annual salary).
Bombali district women’s leader, Kadiatou Kamu, insists that the women of the village must be vigilant about the maintenance of the toilets. “Before our children were defecating near our kitchens – it got on our food. We women have been careless, but we do the work. When Papa is around he can shout why is this place filthy? But he will not clean up the kaka from his child,” she said. While there have been some concerns about the new toilets from District councilor Eric Ceesa, who finds the toilets to be poorly ventilated, inconveniently located, and an attraction for snakes, UNICEF’s Victor Kinyanjui believes that once the villagers become aware of the rapidity with which the latrines can be built within the villages’ means, the toilets will be built throughout the country. The lack of affordability for subsidized toilets dramatically slows down the process of creating greater accessibility to clean water, as Sierra Leone works to achieve the Millennium Development Goals.
Source, IRIN
Tags: child health, rural sanitation, water supply
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