6 Combat HIV/AIDS, malaria and other diseases

Where we are?


Goal 6 is likely to be partially met as the targets for combating HIV/AIDS will be met, but reducing the incidence of malaria and tuberculosis (TB) lags behind. While there has not been much progress in reducing the incidence of malaria, there are no indications that the disease is growing in frequency. Planned campaigns such as the Roll Back Malaria initiative have helped to stabilize and possibly start to reverse incidence. The TB prevalence rate is difficult to assess because of stigma, but the treatment success rate of 85% on average is encouraging. HIV prevalence appears to have been stabilized at a rate of just over 1.5% of the general population, with pockets of higher prevalence among certain groups. Treatment options are widely available free of charge, but fear of stigma appears to be a larger obstacle to effective treatment than access.

The Government of Sierra Leone has made a strong political commitment to combat the HIV/AIDS, Malaria and TB epidemics. These efforts led to the establishment of the National HIV/AIDS Council in 2002 and the development of special programmes on malaria and TB as part of the national health delivery system.

To continue to support facilitate the reversal of the epidemics, three main areas of intervention have been identified: prevention, care and support.

HIV/AIDS Control

  • Increase HIV/AIDS awareness to influence positive behavioural change.
  • Increase access to voluntary confidential counseling and treatment and testing.
  • Stigma reduction through awareness and the implementation of the Prevention and Control of HIV and AIDS Act, 2007.
  • Provision of test kits, ARVs, and other medical supplies at health facilities across the 
  • Improving human resource development and training for effective HIV/AIDS prevention, care and support.
  • Provision of test kits, Anti-Retroviral Treatment, and other medical supplies at health facilities across the

Malaria Control

  • Operational research on drug resistance, discordance, new drivers of the epidemic and survival rates.
  • Scale-up malaria case management including home management of malaria using
 Community Health Volunteers.
  • Multiple Disease Prevention:
    • Distribution of Insecticide Treated Bednets
    • Indoor Residual Spraying
    • Intermittent treatment of pregnant women
  • Improved advocacy, information, education and communication and social mobilization efforts.
  • Programme strengthening and partnership and improved Monitoring and Evaluation frameworks and practices.

TB Control

  • Establish more centres for Directly Observed Treatment Short-course (DOTS) course across 
the country.
  • Establish more diagnostic centres.
  • Increase the general awareness on TB.
  • Effective integration of TB into the national health delivery systems.

UNDP's work in Sierra Leone

  • A Civil Society-UNDP Forum member casting her vote (UNDP/C. THOMAS)

    Civil society-UNDP forum elects new executive

    The Civil Society Consultative Forum, a partner of the United Nations Development Programme (UNDP) has elected a new executive in Bo City. Formerly known as themore

Targets for MDG6
  1. Halt and begin to reverse the spread of HIV/AIDS
    • HIV prevalence among population aged 15-24 years
    • Condom use at last high-risk sex
    • Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS
    • Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
  2. Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it
    • Proportion of population with advanced HIV infection with access to antiretroviral drugs