CPHI - Empowering communities and transforming public health across Sierra Leone through sustainable, accessible health solutions.
Our Publications
This study provides the first comprehensive evaluation of Sierra Leone's family planning progress, documenting how modern contraceptive prevalence rose from 4.5% in 2001 to 29% in 2023. Conducted over 18 months, it highlights the role of sustained political commitment alongside post-war gender and health policies and youth-focused demand generation and education initiatives in driving this progress. By linking policy commitments with strengthened service delivery, supply chain improvements, and robust external partnerships, the study offers new insights into why Sierra Leone stands out as a reference case for family planning uptake in sub-Saharan Africa.
BMJ
2026
About the Study
We are grateful to the Ministry of Health leadership and all partners whose commitment made this research possible.
4.5% - 29%
Modern contraceptive prevalence rate, 2001 - 2023
18 Months
Duration of the mixed-method research study
Sub-Saharan Africa
Sierra Leone identified as a reference case for FP uptake
Open Access