SIERRA LEONE maq 4ª.indd - agrilife - Europa
SIERRA LEONE maq 4ª.indd - agrilife - Europa
SIERRA LEONE maq 4ª.indd - agrilife - Europa
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2 Description of the Context in Sierra Leone<br />
24<br />
Although fertility rates are high in the country<br />
(estimated at 6.5 births per woman), life expectancy<br />
was recorded at 47.3 years in 2007 (UNDP, 2009).<br />
This results in a population growth rate of 2.5%,<br />
as estimated in 2008. If this is compared to GDP<br />
growth rate of 5.5% in the same year (World<br />
Bank, 2009), it means that the economic growth is<br />
potentially sufficient to stabilise the overall level of<br />
impoverishment of the population.<br />
Data from the Ministry of Agriculture, Forestry<br />
and Food Security (MAFFS) survey showed that<br />
in 2004, agricultural population was estimated<br />
at 4,976,871 (i.e. roughly two thirds of total<br />
population) of which 45% were women. Likewise,<br />
it was reported the great majority (70 – 80%) of<br />
households were engaged in full-time farming<br />
(Jalloh, 2006). According to FAO (2003), highest<br />
vulnerability levels due to market exposure (i.e.<br />
agricultural price volatility) experienced by the<br />
farming population of Sierra Leone are found in<br />
the Northern and in the Eastern regions where the<br />
majority of (semi)subsistence farmers are located.<br />
In fact, 75% of the total farming population lives<br />
in these two regions where the highest percentages<br />
of vulnerability are found (Table 1); 52% of the<br />
farming population categorised as having “very<br />
high” vulnerability live in the Eastern region,<br />
followed by 39% in the Northern region.<br />
Table 2. Sierra Leone Health Indicators<br />
2.3 Health<br />
The state of health of Sierra Leone’s<br />
population is poor (Table 2). Maternal, infant<br />
and child mortality rates are the worst globally<br />
(in 2006 child mortality was estimated between<br />
286 (male) and 252 (female) per 1,000 live births<br />
(WHO, 2009) and the incidence of diseases such<br />
as HIV/AIDS, typhoid, malaria, and tuberculosis<br />
is growing). Life expectancy at birth is estimated<br />
between 42 (female) and 39 (male) years (WHO,<br />
2009) 4 , the 8th worst position worldwide, with<br />
poverty aggravating the health situation in the first<br />
place (Ministry of Health and Sanitation, 2007).<br />
Healthcare is essentially provided by the<br />
government, accompanied by international health<br />
programs. However, medical care is generally not<br />
free of charge in Sierra Leone, and poorer families<br />
are often unable to pay user or prescription fees.<br />
The utilisation rate of health care facilities by the<br />
general population is estimated at 0.5 contacts<br />
per capita per annum, implying that on average<br />
only one-half of the population attends a health<br />
care facility during the year (UNDP, 2007). Only<br />
the Western Area (i.e. Freetown) meets the WHO<br />
recommended staffing ratio of one doctor per 12<br />
000 persons; while in the Kailahun District (Eastern<br />
region) the ratio is of 1/191 340 (UNDP, 2007).<br />
Indicator Prevalence (%)<br />
Underweight among under-5 25<br />
Stunting among under-5 40<br />
HIV among 15-49 years old 1,7 [1,3-2,4]<br />
Access to Health Services (% of population) 40<br />
Access to Safe Water (% of population) 47<br />
Access to Sanitation (% of population) 11<br />
Sources: SLIHS, 2007; CWIQ, 2007; UNDP, 2007; UNICEF, 2008; UNAIDS, 2008.<br />
4 WHO values of Life Expectancy at birth are slightly<br />
different from, but consistent with, those provided by<br />
UNDP (2009)