National health systems must adapt to technological developments. This is something every country around the world realized with the COVID-19 pandemic. Sierra Leone, which has been making efforts in this regard since 2019, now explores international partnerships to quickly bridge the mismatch between its health system and technological developments. 

The United Arab Emirates (UAE) is offering Sierra Leone its digital health expertise. The UAE Ministry of Health and Prevention revealed this on Monday 7 February after the two countries' respective health ministers, Mohammad Salim Al Olama (UAE) and Austin Demby (Sierra Leone) discussed the matter while recently meeting in Dubai. 

During the meeting, Mohammad Salim Al Olama briefed the Sierra Leonean minister and his delegation on the UAE's achievements in digital health services and health innovation, in line with efforts to fight diseases, improve health education, promote healthy nutrition, etc. The official also spoke about the UAE government's progress in health data management and health information systems development. 

Sierra Leone has one of the worst health systems in the world, according to the 2021 Global Health Security (GHS) Index. Produced by the Nuclear Threat Initiative (NTI), the John Hopkins Center for Health Security at the Bloomberg School of Public Health, working with Economist Impact, the GHS Index assesses 195 countries across six categories, 37 indicators, and 171 questions. Using publicly available data, the index compares health security in featured countries, based on their capabilities to prevent diseases, the number of doctors, the number and quality of health facilities, etc. In last year's rankings, Sierra Leone was 116th with a score of 32.7 out of 100. 

Leveraging digital technologies to improve its public health system, Sierra Leone will have to invest heavily in its internet infrastructure. The country's internet penetration rate currently stands at 25% only, according to the Hootsuit and We Are Social Digital Report. 

In 2019, Sierra Leone became the first African member state of the World Health Organization (WHO) African region to fully digitize its disease monitoring system. The project was started with the WHO's support and was successfully deployed in all 14 districts of the country as well as in all its public health facilities. 

Muriel Edjo