The Sierra Leonean government is making a strategic shift in its health sector, moving from a disease-focused model to a more holistic, person-centered approach. This change, announced by Health Minister Dr. Austin Demby during the National Policy Hearing for the 2025 Budget, reflects a commitment to universal health coverage and ensuring that the health of every citizen is equally valued.

Historically, Sierra Leone's health system has been driven by disease-specific programs, heavily influenced by donor funding. This approach has often resulted in gaps in care, where individuals receive treatment for one condition while remaining vulnerable to others. Recognizing this flaw, the government is now adopting a more comprehensive strategy, providing a full range of health services to all citizens, from HIV and malaria treatment to nutrition and beyond.

Dr. Demby emphasized the importance of a transformative approach that caters to the diverse needs of Sierra Leone's population, stating, “In Sierra Leone, we are undergoing a radical transformation in healthcare, shifting from a disease-driven, donor-dependent model to a person-centered, holistic system that addresses the needs of all 8 million citizens.”

To achieve this, the Ministry of Health has implemented a life-stage approach, focusing on individuals from conception through old age. This includes ensuring pregnant women receive adequate care, supporting newborn survival and development, and addressing health challenges throughout childhood, adolescence, adulthood, and into senior years.

Dr. Demby also highlighted that investing in health is not merely an expense but an investment with tangible returns. Over 80% of districts now have special baby care units, demonstrating the government's commitment to saving newborn lives. The establishment of the National Public Health Agency has further bolstered the country's ability to prevent, prepare for, and respond to health emergencies, allowing for proactive measures to contain potential outbreaks.

Additionally, innovative programs leveraging technology have been launched to ensure that every pregnant woman in the country receives the necessary care throughout pregnancy and postpartum.

This shift towards a person-centered, life-stage framework in Sierra Leone’s healthcare system is a strategic investment in the nation's future, aiming to create a healthier and more prosperous society for all.