Sierra Leone

The catastrophic Ebola epidemic that began in 2014 placed a significant burden on Sierra Leone’s already weak pharmaceutical supply system. The country’s public-sector storage, handling, distribution, and waste disposal practices were in dire need of improvement. The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program received two years of funding from USAID to provide technical assistance to rebuild and strengthen pharmaceutical supply chain management and improve rational medicine use in Sierra Leone.

SIAPS has supported systems strengthening activities in the following areas:

Governance and leadership of central and district health management teams 

The project assisted in developing the capacity of the Directorate of Drugs and Medical Supplies in leadership, management, and governance by revising its organization structure and terms of reference. SIAPS also participated in the development of the Antimicrobial Resistance National Strategic Plan and held leadership and management training for pharmacists from around the country, teaching them strategies to uncover and address service gaps and infrastructure challenges.

Supply chain management to ensure product availability and rational medicine use

SIAPS helped the country institute a continuous results monitoring and support system (CRMS) to assess baseline challenges in pharmaceutical management and regularly track and support improvements in key areas. The CRMS uses a series of indicators to track and monitor factors that influence medicine availability and disease case management.

Information systems to improve the use of information for decision making

SIAPS supported the implementation of its electronic data management tools—Quantimed, Pipeline, and QuanTB—and supported the National AIDS Secretariat in establishing the Sierra Leone Pharmaceutical Dashboard, a web-based early warning system that provides real-time visual data on patient and product information. The program also introduced a revised treatment/pharmacy register that captures data on tracer and key pharmaceuticals, including 13 essential products and selected Ebola-related commodities. It is a key source of actual consumption data to monitor inventory and promote the rational use of pharmaceutical products.

Our Projects

Project Name Health Systems Health Areas Date
African Strategies for Health
Leadership, Management & Governance, Financing Health Services Malaria, Tuberculosis, Women's, Children's, and Adolescents' Health, HIV & AIDS 2011 - 2016
Leadership, Management and Governance Project
Leadership, Management & Governance Women's, Children's, and Adolescents' Health, HIV & AIDS, Tuberculosis 2012 - 2017
Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program
Pharmaceutical Management, Financing Health Services, Global Health Security Malaria, Tuberculosis, HIV & AIDS, Women's, Children's, and Adolescents' Health 2011 - 2018