Sierra Leone is pursuing financial sustainability for its immunization services through legislation and expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Sierra Leone in October 2008.

Immunization Program Structure

Sierra Leone’s Expanded Program on Immunization (EPI) is located in the Medical Services Directorate, Primary Health Care Division, Ministry of Health and Sanitation (MOHS).

Sierra Leone’s Progress to Date

Government Spending on Immunization

Expenditure Tracking

Legislation for Sustainability

Budget Advocacy

SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, Sierra Leone’s Gross National Income rose from US$330 to $720 per capita, more than doubling. According to the WHO/UNICEF Joint Reporting Form (JRF), the Sierra Leonean government spent less than $1 on routine immunization per surviving infant in 2007. By 2014, this figure had risen to $7. In addition, the government share of total routine immunization expenditures rose from 0 percent to 22 percent over the period. Since 2010, Sierra Leone has reported inconsistently on JRF financial indicators. The data suggest that Sierra Leone has progressed towards country ownership of its immunization program. Among SIF countries, Sierra Leone ranked 14th in terms of routine immunization spending per surviving infant in 2016.

Sierra Leone's JRF Financial Feedback Report, 2006-2014.

Expenditure Tracking

In 2012, the EPI team finalized a subnational expenditure tracking tool for routine immunization.

The EPI team performed partial budget flow analyses for 2010-13 using the SIF budget flow analysis tool. District-level disbursements were included in the analyses.

Legislation for Sustainability

Chapter II, Section 8 (Social objectives), Provision 3 of the 1991 Sierra Leonean Constitution states that the government will ensure that all citizens have easy access to adequate medical and health facilities.

An MOHS team began drafting a cabinet paper in October 2015. The paper is to facilitate preparation and submission of a private member’s immunization bill to Parliament.

Budget Advocacy

In January 2014, a Multi-Institutional Network on Immunization was established. Members include representatives from MOHS, Ministry of Finance and Economic Development (MOFED), and parliament.

In July 2015, the Parliamentary Health Committee Chairman visited Bombali district to assess immunization resource mobilization and execution.

SIF Program Inputs

  • October 2015, April 2016: Sierra Leonean counterparts join Kenyan, Ugandan, Nigerian, and Liberian peers in Sabin-sponsored peer review workshops
  • August 2015: Sierra Leonean counterparts join Nigerian and Liberian peers in Sabin-sponsored peer exchange workshop
  • March 2010, November 2013, May 2015: Sierra Leonean counterparts join Liberian peers in Sabin-sponsored peer exchange workshops
  • August, October, November 2009, June 2012: Resident Sabin Senior Program Officer organizes parliamentary briefing
  • November 2011: Sierra Leonean officials visit Makeni and Bo municipalities under Sabin sponsorship
  • August 2010: MOFED official surveys Ugandan budgetary strategies in Sabin-sponsored study tour 
  • December 2009: Liberian EPI Manager visits Sierra Leonean counterparts in Sabin-sponsored peer exchange
  • October 2008: Resident Sabin Senior Program Officer and SIF Program Director introduce SIF program to Sierra Leonean government

Last Updated July 12, 2016