Maintains is looking at the technical and financial aspects ensuring that existing health services are maintained during regular flooding and disease outbreaks, whilst also responding to the new health needs emerging from these shocks.
Sierra Leone is prone to a range of shocks, and despite lessons learned during the Ebola crisis, the health system still lacks capacity to respond. Floods and landslides are a major problem due to a large number of rivers, a tropical monsoon climate, unplanned urbanisation, and poor waste management. Informal settlements and poor communities are particularly vulnerable.
In addition, high poverty levels, poor education and sanitation, a weak health system, and other structural problems result in the population being exposed to frequent disease outbreaks, such as cholera and measles.
Download the Maintains in Sierra Leone PDF to read an overview of our work there.
In conducting these studies, Maintains works directly with the Government of Sierra Leone, DFID, and other development partners. The research builds on and enhances existing evidence and addresses knowledge gaps.