1. 7TH NCD SEMINAR SIERRA LEONE 6 million population
37% resides in urban areas
Life expectancy:47 yrs(M),49 yrs (F)
Population below $1 a day (70%)
GoSL allocation to health: 8% of GDP ($18.4 M)
4 regions, 14 districts, 149 chiefdoms
Capital city is Freetown

2. NCD Situation in Sierra Leone
17% current drinkers
14% males and 5% females of the population engaged in heavy episodic drinking respectively.
34% currently use tobacco( 26% smoking tobacco and 8% using smokeless tobacco)
74% and 69% of non-smokers are exposed to tobacco smoke at home and workplace respectively
35% of the population have raised blood pressure with only 7% on medications
Average BMI is 23 kg/m2, 22% classified as overweight and 8% obese.
91% of the population consumes less than 5 servings of fruits and/or vegetables on average per day
87% had sedentary lifestyles
Evidence from hospital-based morbidity data also shows an increasing trend of cardiovascular diseases including hypertension and strokes; diabetes; cancers; sickle cell disease and epilepsy.

7. specific initiative to better improve the management of NCD conditions at the primary health care level
Training on WHOPEN conducted
Piloted the WHOPEN tool in 20 selected PHUs in the Bo district and Western Area to test its appropriateness and where possible and indicated adapt the tool to meet local needs

10. CHALLENGES Unplanned urbanization,
Unregulated tobacco , food and beverage industries,
Poor road conditions and network,
Unregulated drink driving,
Integration of NCDs into PHC,
Mainstreaming NCDs in the presence of competing priorities,
Funding for the prevention and control of NCDs,
Institutional, community and public policy changes for incorporation of NCD prevention and control,
Integrating surveillance of NCDs and their common  risk factors.

11. THANK YOU