The 2014-2015 Ebola Virus Disease (EVD) outbreaks in Sierra Leone was unprecedented in scale and devastating in its impact on the country’s fragile health system. In response, the Government of Sierra Leone led an enormous multilateral effort to mitigate and control the outbreak, resulting in successful elimination of EVD by end-2015. As the country transitions from an emergency response to EVD to a post-Ebola recovery plan, expert technical assistance to the health sector is required in order to strengthen health systems and achieve national health goals.
Although Sierra Leone’s health system has made important gains in recent years, many of these have been reversed by the EVD outbreak. Already-scarce health workers died, utilization of health services plummeted, and the impact on maternal mortality, childhood immunization, and other health services has been profound. In addition to support for direct service delivery, support for health systems strengthening, including strategic planning, program monitoring and evaluation (M&E), health workforce capacity building, and quality improvement initiatives are a high priority for the Ministry of Health and Sanitation (MoHS). With the support of the U.S. Centers for Disease Control and Prevention (CDC), ICAP at Columbia University (ICAP) proposes to support the President’s Post-Ebola Recovery Plan by providing technical assistance in health systems strengthening to MoHS.