In the wake of the global COVID-19 pandemic in 2019, Sierra Leone's government took swift action to keep the deadly SARS-CoV-2 virus at bay. They declared a state of emergency on March 24, 2020, even before any cases were confirmed in the country. Soon after, the first COVID-19 case was reported in Sierra Leone in late March 2020.

Unlike many scoping reviews that focus on Western countries or foreign experts, this one takes a different approach. It aims to look at the pandemic's impact and the health system's responses from the perspective of people living in Sierra Leone. The review documents various preventive measures the health system put in place to handle the pandemic. It also explores how these measures influenced the overall health system and the diverse responses seen across different settings within the country.

This review sheds light on a crucial but often overlooked angle: how local health systems cope during crises. It's a chance to learn from Sierra Leone's experience, which can be valuable for other countries facing similar challenges.

While most reviews focus on the experiences of Western countries or expatriates, this one dives deep into the perspectives of local communities in Sierra Leone. It's a fresh look at how a country's health system can adapt and respond to a global health crisis, offering insights that can be useful for future preparedness efforts.

This review doesn't just look at the changes and responses from a broad view. It also delves into how these measures were implemented and how effective they were in protecting the health system and the people. It's a detailed account that can help identify what worked well and what could be improved.

Sierra Leone's Health System: After COVID-19

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