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Sierra Leone

A 'nation of amputees'

A group of young people in wheelchairs, Sierra Leone
© Ursula Meissner/Handicap International
Handicap International began working in Sierra Leone in 1996, in response to the urgent needs in the country due to the civil war.

The conflict, which lasted from 1991 until 2002, resulted in widespread destruction of health services and infrastructure and the disruption of mass vaccination campaigns. The human cost was terrible: 75,000 people were killed, and 2 million displaced. 20,000 people were mutilated by warring factions, including 5,000 with damage to their u pper limbs, and 5,000 child soldiers were enrolled in the army.

Child victims of the civil war atrocities, Sierra Leone
© Handicap International

Today, a certain calm has returned to the country: all child soldiers have been demobilised, the disarmament of the various factions is considered complete and the displaced people and refugees have mostly returned to their home towns and villages.

Since 2000 Handicap International has been able to stabilise activities and gradually shift from emergency programmes to long-term development projects. Our activities are mainly focused on promoting the rights of people with disabilities, improving their inclusion in their communities and providing rehabilitation services.

Key Facts - Sierra Leone

• Population: 5.8 million
• Household Consumption: $405 per year
• Life Expectancy: 48 years
• Human Development: ranked 158th out of 169 countries
Source: UNDP HDR 2011

Fatout Sesey at the National Rehabilitation Centre in Freetown, Sierra Leone
Fatou gets her confidence back
Fatou Sesey was earning a living as a farmer until doctors diagnosed her with leprosy. This debilitating condition went untreated, resulting in the partial loss of her right leg. This impaired her ability to walk, causing her to fall numerous times, injuring herself.
 
Making of a prosthesis
"I feel equal to any man!"
Several years ago when the rebels attacked his village, Mohamad Kamara was hit in the leg by a bullet. "To escape I hid in a bush for several hours. When I arrived at the Freetown hospital it was too late to save my leg and the surgeons had to amputate."
 
Madame Bandu John
Now I feel confident
Madam Bandu John, 69 years old, lives in the city of Tumbodu in Sierra Leone. She is a widow and raised her four children alone.
 
 

Our projects

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Building local capacity
A project developing the capacity of partners including Disabled People's Organisations. Depending on needs, groups receive training in project proposal and report writing, management skills, disability issues, or basic literacy. Radio and community awareness campaigns have also been conducted.

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Rehabilitation
Following the end of the civil war, Handicap International started a process of integrating physical disability rehabilitation services into the Ministry of Health and Sanitation. The project aims to provide a range of rehabilitation services: physical care assessment and management, prosthetic & orthotic assessment and management, outreach services, Community Based Rehabilitation, wheelchair repairs and adaptations, and awareness-raising in the community.

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Social inclusion and rights
A project working towards the inclusion of people with disabilities into Sierra Leone society. The project works on strengthening partners, promoting unity within the disability movement and raising awareness at all levels of society. This is alongside efforts on improving coordination between stakeholders, mainstreaming disability at national level and lobbying for the inclusion of disability in poverty reduction strategies.

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