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Sierra Leone

Country in Africa

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In brief

Primary school enrolment: 162% (2024). World rank 1 of 191; in Africa, 1 of 45. Deaths under age 5 per 1,000 births: 90.5 (2024). World rank 190 of 196 (1 = best); in Africa, 48 of 54. Access to clean cooking fuels: 2% (2024). World rank 182 of 192 (1 = best); in Africa, 44 of 54. From 2014 to 2024: children vaccinated against measles 80% → 90%, infant deaths per 1,000 births 77.8 → 54.6, and deaths under age 5 per 1,000 births 136 → 90.5. Better than all its neighbours (Guinea and Liberia): nurses and midwives per 1,000 people, children vaccinated against measles, infant deaths per 1,000 births, maternal deaths per 100,000 births, and overweight adults. Worse than all its neighbours (Guinea and Liberia): doctors per 1,000 people, access to safe drinking water, and HIV prevalence.

Education

Adult literacy
43.6% 2019
Primary school enrolment
162% 2024
Secondary school enrolment
86.9% 2023
Higher education enrolment
2% 2002
Public spending on education, share of GDP
2.6% 2023

Healthcare

Health spending, share of GDP
4.7% 2023
Health spending per person
$36 2023
Out-of-pocket health spending, share of total
54.5% 2023
Doctors per 1,000 people
0.1 2022
Nurses and midwives per 1,000 people
1.2 2022
Hospital beds per 1,000 people
0.4 2006
Children vaccinated against measles
90% 2024

Public health

Infant deaths per 1,000 births
54.6 2024
Deaths under age 5 per 1,000 births
90.5 2024
Maternal deaths per 100,000 births
354 2023
HIV prevalence, ages 15–49
1.4% 2024
Diabetes prevalence, ages 20–79
4.8% 2024
Overweight adults
22.8% 2022
Adults who use tobacco
11.3% 2024

Living conditions

Access to safe drinking water
68.1% 2024
Access to basic sanitation
24.9% 2024
Access to clean cooking fuels
2% 2024