Sierra Leone : Readiness for Quality of Care Implementation

Demographics

Population 7,092,113 (*1)
Fertility rate per woman 4.5 (*2)
Total maternal deaths (2015) 3,100 (*3)
Neonatal mortality rate (per 1,000 live births) 33 (*4)
Stillbirth rate (per 1,000 total births) 24 (*5)

Sierra Leone

Summary of Implementation Readiness

1. National QI approach 7/11
2. Selection of learning sites 0/6
3. QI management and response system 0/6
4. QI coaching system and srtuctures 0/5
5. Measurement 0/8
6. Orientation to districts and facilities 0/3
7. Learning hub 0/5

Response: Yes

< 50%
50% - 80%
> 80

Coverage of essential interventions %

Demand for family planning satisfied 40 (*2)
Antenatal care (4 or more visits) 76 (*2)
Skilled attendance at delivery 60 (*2)
C-section rate 3 (*2)
Early initiation of breastfeeding 54 (*2)
Exclusive breastfeeding 32 (*2)
Postnatal visit for baby (within 2 days) 39 (*2)
Postnatal care for mother (within 2 days) 73 (*2)

Examples of Implementation

References

1. Sierra Leone 2015 Population and Housing Census
2. Countdown to 2015, 2015 report See http://countdown2030.org/
3. Trends in maternal mortality: 1990 to 2015.Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division
4. UNICEF. Levels and Trends in Child Mortality: Report 2017. https://www.unicef.org/publications/files/Child_Mortality_Report_2017.pdf
5. Lancet Glob Health. 2016: National, Regional, and worldwide estimates of stillbirth rates in 2015
6. All other data received from the relevant Ministry of Health and WHO Country Offices.