PROSSAN 2: Programme for strengthening health systems and services in Côte d’Ivoire, Liberia and Sierra Leone Phase 2
SIERRA LEONESTRENGTHENING SYSTEMS AND HEALTH SERVICES

Context :
Côte d’Ivoire, Liberia and Sierra Leone have low national health indicators.
The maternal mortality rate is very high, reaching 617 deaths per 100,000 births in Côte d’Ivoire, 661/100,000 in Liberia and 1,120/100,000 in Sierra Leone (the highest rate in the world). Young girls are particularly vulnerable to early marriage and pregnancy, while HIV/AIDS prevalence is higher among women than men, reaching 2.9% in Côte d’Ivoire. In addition, a large number of people living with HIV do not know their status, including 23% in Côte d’Ivoire and 35% in Liberia.
Antiretroviral treatment coverage is also low in all three countries, with only 75% of people living with HIV receiving therapy in Côte d’Ivoire, 53% in Liberia and 47% in Sierra Leone. Finally, the recent violent and traumatic episodes experienced by these countries have led to psychological disorders for which care remains insufficient, particularly due to the lack of mental health professionals.
Solthis’ activities on PROSSAN 2 are focused solely on Sierra Leone.
Key project information :
Project duration | 36 months (15 May 2022 – 14 May 2025) |
Parteners |
Action Against Hunger |
Beneficiaries | Women of childbearing age (15-49 years)
Pregnant women, youth (15-29 years) Children under five years old The staff of the 17 health structures supported. |
Source of funding | AFD |
Country of intervention | Cote d'Ivoire, Liberia, Sierra Leone |
General objective :
To contribute to improving the health of vulnerable populations in Côte d’Ivoire, Sierra Leone and Liberia, particularly women, children under five and young people, by providing quality care adapted to the specific needs of the targeted populations.
More specifically, the objective is to strengthen the quality of and access to health services and ensure the active participation of communities, particularly women and young people, in national health issues.
Expected results :
- R1:Health services and community health workers provide quality Minimum Health Package (MHP) activities and services in line with Ministry of Health standards. The health services targeted by the project offer are extended, quality SRH service adapted to the specific needs of adolescents and young people in and out of school.
- R2: Target populations, especially women and youth, improve their health practices and behaviours.
- R3: The active participation of community management bodies of health structures and of women’s and young people’s civil society in national health issues is ensured at national and decentralised levels.