Government Secures US$129 Million US Support for Health Sector

Sierra Leone and the United States have signed a five-year Memorandum of Understanding (MoU) on health cooperation aimed at strengthening Sierra Leone’s health system and improving health outcomes nationwide.

The agreement was signed in Freetown on 22 December 2025 by Sierra Leone’s Minister of Health and the Chargé d’Affaires of the United States Embassy. Under the arrangement, the United States will commit more than US$129 million in support between 2026 and 2030, alongside increased domestic investment by the Government of Sierra Leone.

The partnership seeks to reduce deaths from major infectious diseases, including HIV, tuberculosis, malaria, and measles, while also lowering maternal and under-five mortality rates. It further aims to expand access to HIV testing and treatment, strengthen outbreak detection and response, and improve the overall resilience of the national health system.

The agreement complements Sierra Leone’s ongoing investments in the health sector, including the recruitment of frontline health workers, laboratory personnel, and community health workers into the national payroll. It also supports efforts to strengthen the National Medical Supplies Agency and expand digital health and disease surveillance systems.

Speaking at the signing ceremony, the Minister of Health said the agreement reflects Sierra Leone’s commitment to building a resilient and self-reliant health system, with a strong focus on accountability and measurable results for citizens.

The cooperation framework prioritises primary health care, health security, and domestic health financing reforms, while respecting Sierra Leone’s national development priorities, regulatory authority, and data sovereignty. A joint steering committee will oversee implementation and monitor progress throughout the duration of the agreement.

The United States Government reaffirmed its support for Sierra Leone’s Human Capital Development agenda, describing the partnership as part of broader efforts to prevent disease, save lives, and strengthen regional and global health security.

The agreement builds on more than five decades of collaboration between Sierra Leone and the United States and represents a shared commitment to improving health outcomes and protecting future generations.