Sierra Leone Strengthens Vaccine Policy to Boost Public Health

Sierra Leone has completed a comprehensive review and validation of its national immunization policy, reaffirming the country’s commitment to improving vaccine coverage and safeguarding public health in line with Sustainable Development Goal 3 on good health and well-being.

A three-day workshop held at Dohas Hotel in Bo convened government representatives, health professionals, and key development partners including Africa CDC, Mastercard Foundation, AMREF, Focus 1000, and WHO to review and validate Sierra Leone’s national immunization policy. The exercise was conducted under Phase 2 of the “Saving Lives and Livelihoods” initiative, a continent-wide effort funded by Africa CDC and implemented locally by Focus 1000 to strengthen vaccine delivery and public health systems.

The updated immunization policy aims to incorporate COVID-19 vaccines into Sierra Leone’s routine immunization schedule, expanding protection for all citizens particularly children and vulnerable populations. It also introduces gender-responsive approaches, a robust monitoring and evaluation (M&E) framework, and targeted strategies to overcome financial barriers to implementation.

Sister Margaret Mahawa Kangbai, representing the Ministry of Health’s Expanded Programme on Immunization (EPI), explained that the policy review was prompted by a GAVI audit, which highlighted the need for updates particularly in gender integration and monitoring and evaluation (M&E) mechanisms. While the emergency response provisions remain intact, she emphasized that the newly introduced components are vital for enhancing implementation effectiveness and ensuring greater accountability.

Michael Alusine N’dolie of the World Health Organization (WHO) underscored the importance of a well-defined immunization policy, noting that it offers essential guidance and safeguards for both health workers and the general public. He emphasized that clear expectations and responsibilities are key to effective vaccine delivery and reaffirmed WHO’s continued technical support to strengthen Sierra Leone’s health system

Dr. Mutebi Ronald Reagan, consultant for the Expanded Programme on Immunization (EPI), emphasized that the 2015 immunization policy was long overdue for revision particularly in light of new vaccine introductions and evolving public health challenges. He underscored the need for measurable indicators and sustainable financing, noting, “A policy that cannot be monitored is not a good policy.” He added that economic feasibility was a central factor in shaping the updated framework.

Sierra Leone’s updated immunization policy promotes the seamless incorporation of routine vaccinations into daily healthcare delivery, aiming to make immunization a standard feature of medical services nationwide. It also prioritizes outreach initiatives to extend vaccine access to underserved communities, ensuring inclusive and equitable health coverage.

Focus 1000’s Yusuf Kargbo, emphasized the urgency of expanding immunization, citing the country’s history of disease outbreaks. Gavi and Africa CDC, represented by Dr. Saffa Smart and Dr. Evans Osembo, pledged continued support for data systems and universal vaccine access. Traditional Leaders including Ann-Marie from the Council of Paramount Chiefs, reaffirmed grassroots commitment to immunization campaigns.

 Ade Theophilus Renner (NITAG Vice Chair) praised the policy’s practical improvements and called for government backing to ensure full implementation. Health experts contributed field-based insights, helping shape a policy that addresses logistical and cultural challenges.

With the revised policy now validated, Sierra Leone is set to enhance vaccine coverage, prevent future health crises, and improve public health outcomes nationwide.