S/Leone Achieves Breakthrough in Neonatal Care: Celebrates 90% Survival Rate

By Ibrahim S. Bangura

Freetown — In a landmark press conference held at the Ministry of Health’s Conference Hall in the Youyi Building, Minister of Health Dr. Austin Demby announced transformative progress in neonatal care across Sierra Leone, marking a new era for the country’s healthcare system.

Speaking with pride and emotion, Dr. Demby highlighted the dramatic improvements in Special Care Baby Units (SCBUs), crediting frontline health workers, resilient mothers, and international partners for turning a once-dire situation into a beacon of hope.

Recalling a visit to the Neonatal Intensive Care Unit (NICU) at Koidu Government Hospital, Dr. Demby shared a sobering memory: “Just a few years ago, every baby born under one kilogram at Koidu died.” Today, thanks to enhanced oxygen supply, kangaroo care, and dedicated nursing, 93–94% of these vulnerable infants now survive.

“This is a testament to the incredible work of our healthcare workers,” he said, his voice filled with gratitude.

In the first half of 2025, Sierra Leone recorded an average SCBU survival rate of 90% nationwide. Leading districts include: Kambia: 98%, Koidu: 95%, Kabala & Kailahun: 94%, and Bo & Moyamba: 93%.

Even districts below the 90% threshold, such as Mattru Jong (89%) and Port Loko (88%), remain in the high 80s. The JMB Pediatric Center of Excellence, which treats the most critical cases, achieved a 74% survival rate—an impressive feat given the complexity of conditions managed there.

Dr. Demby emphasized that this success is “a process, not an event,” driven by early prenatal care, timely referrals, and strong community support. He noted that mothers from neighboring countries like Guinea and Mali now seek care in Sierra Leone, a testament to growing regional trust.

Kangaroo care—where premature babies are held skin-to-skin to simulate the warmth of the womb—has proven transformative. Combined with improved oxygen access and skilled staffing, these interventions have revolutionized neonatal outcomes.

Despite the gains, Dr. Demby stressed that the Ministry is not complacent. “While 94% survival is a remarkable leap from zero, our goal is zero preventable deaths in every facility,” he declared.

To reach that goal, the Ministry is investing in infrastructure, equipment, and training. A comprehensive report covering January to June 2025 will be shared with media outlets to ensure transparency and public engagement.

Dr. Demby extended heartfelt thanks to development partners including UNFPA, UKAID, UNICEF, WHO, UNAIDS, Iceland, and the African Development Bank. “Other countries seek our advice,” he noted, underscoring Sierra Leone’s growing reputation in global health.

Addressing the lower survival rate at the JMB Center, Dr. Demby clarified that it reflects the severity of cases, not a lack of effort. He emphasized the importance of early referrals to this specialized facility, which is equipped with surgeons and advanced medications.

“We’re working to ensure no baby is left behind,” he affirmed.

Dr. Demby called for continued ambition and unity. “Sierra Leone’s health sector is a model for the continent,” he said, urging collective effort to sustain progress.

The press conference, attended by health professionals, stakeholders, and international partners, showcased a nation rising to meet its healthcare challenges, with every baby’s survival a shared victory.