Saving Lives in Sierra Leone (2016-2023)

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Project Location

Project Duration

6 years

Total Value


Value of Montrose Component



  • Sierra Leone has some of the worst health indicators in the world, particularly in relation to infant and maternal health.
  • In 2015, the country had one of the world’s highest estimated maternal mortality ratios, at 1,360 deaths per 100,000 births.
  • Fertility rates are high: 35% of women give birth before the age of 18.


  • Montrose provides the monitoring, evidence, learning and review (MELR) component of the Saving Lives in Sierra Leone (SLiSL) programme and:
    • Supports design of the overall programme monitoring framework.
    • Compiles, analyses and presents results data in annual reviews.
    • Trains MoHS staff in monitoring and reporting on health data.
    • Provides annual political economy analysis of the health sector.
    • Develops VfM framework and annual analysis of programme VfM.
    • Conducts qualitative fieldwork to enhance understanding of stakeholder perspectives and programme activities.
    • Conducts research studies on cross-cutting issues such as disability, gender and quality of care.
Disability Context Analysis Full Report
Disability Context Analysis Brief


  • Montrose ensures good data is available for accountability and decision-making.
  • SLiSL ensures referral facilities across Sierra Leone are able to provide emergency obstetric and neonatal care.
  • WASH facilities are being installed or upgraded.
  • Quality of primary maternal and child health services is improving.
  • The programme supports changes in family planning behaviour, nutrition and hygiene, with a focus on adolescent girls.

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