Sierra LeoneResearch and Evidence Network Join

Why we exist

A great deal of research is done in and about Sierra Leone, yet too little of it reaches the people deciding how to spend a health budget, design a school programme or respond to the next outbreak.

Why good research goes unused

Evidence is hard to find

Studies, evaluations and reports are scattered across journals, donor archives, ministry shelves and personal drives. Much of the most useful material is unpublished, so it is easily missed and often repeated.

Questions are commissioned before they are clarified

New studies are often commissioned without first checking what is already known, or before the question is framed in a way research can answer.

Researchers work in isolation

It is hard to know who is working on what, which makes it hard to collaborate, bid together or build on each other's work.

Findings stop at the report

Results are delivered but rarely revisited with the people who asked, and seldom updated as new evidence emerges.

Too little of the work is led locally

Research about Sierra Leone is often designed and led elsewhere, and early-career Sierra Leonean researchers lack clear routes into leading roles.

No single institution can close these gaps alone. They need a shared, neutral space that belongs to the whole community.

Maternal and newborn health: where the research is

An evidence gap map lays out a field as a grid: interventions down one side, the outcomes that matter across the top. This one counts the research on maternal and newborn health in Sierra Leone indexed in PubMed, the largest public index of health research.

Most of it asks whether women use services and whether mothers survive. Far less asks about the quality of care women receive: under a dozen records for any intervention. Community health workers and the Free Health Care Initiative have little research on newborn outcomes, and malaria in pregnancy almost none on costs.

Each circle opens the exact PubMed search behind it, so anyone can check the numbers or start a review from them. The Network's next step is a coded map built from Sabi Salone and members' own work, including the unpublished reports PubMed misses.

Maternal and newborn health in Sierra Leone: PubMed records by intervention and outcome, as of 2026-10-18
InterventionUse of servicesQuality of careMaternal deaths and illnessNewborn deaths and healthCosts and financingEquity and reach
Antenatal care96 records in allAntenatal care, use of services: 63 PubMed records (opens PubMed)Antenatal care, quality of care: 8 PubMed records (opens PubMed)Antenatal care, maternal deaths and illness: 38 PubMed records (opens PubMed)Antenatal care, newborn deaths and health: 29 PubMed records (opens PubMed)Antenatal care, costs and financing: 9 PubMed records (opens PubMed)Antenatal care, equity and reach: 38 PubMed records (opens PubMed)
Skilled birth attendance and facility delivery113 records in allSkilled birth attendance and facility delivery, use of services: 56 PubMed records (opens PubMed)Skilled birth attendance and facility delivery, quality of care: 11 PubMed records (opens PubMed)Skilled birth attendance and facility delivery, maternal deaths and illness: 44 PubMed records (opens PubMed)Skilled birth attendance and facility delivery, newborn deaths and health: 24 PubMed records (opens PubMed)Skilled birth attendance and facility delivery, costs and financing: 21 PubMed records (opens PubMed)Skilled birth attendance and facility delivery, equity and reach: 39 PubMed records (opens PubMed)
Emergency obstetric care105 records in allEmergency obstetric care, use of services: 51 PubMed records (opens PubMed)Emergency obstetric care, quality of care: 11 PubMed records (opens PubMed)Emergency obstetric care, maternal deaths and illness: 52 PubMed records (opens PubMed)Emergency obstetric care, newborn deaths and health: 23 PubMed records (opens PubMed)Emergency obstetric care, costs and financing: 25 PubMed records (opens PubMed)Emergency obstetric care, equity and reach: 30 PubMed records (opens PubMed)
Community health workers95 records in allCommunity health workers, use of services: 43 PubMed records (opens PubMed)Community health workers, quality of care: 10 PubMed records (opens PubMed)Community health workers, maternal deaths and illness: 9 PubMed records (opens PubMed)Community health workers, newborn deaths and health: 7 PubMed records (opens PubMed)Community health workers, costs and financing: 21 PubMed records (opens PubMed)Community health workers, equity and reach: 32 PubMed records (opens PubMed)
Free Health Care and user fees52 records in allFree Health Care and user fees, use of services: 31 PubMed records (opens PubMed)Free Health Care and user fees, quality of care: 6 PubMed records (opens PubMed)Free Health Care and user fees, maternal deaths and illness: 14 PubMed records (opens PubMed)Free Health Care and user fees, newborn deaths and health: 4 PubMed records (opens PubMed)Free Health Care and user fees, costs and financing: 26 PubMed records (opens PubMed)Free Health Care and user fees, equity and reach: 26 PubMed records (opens PubMed)
Family planning114 records in allFamily planning, use of services: 52 PubMed records (opens PubMed)Family planning, quality of care: 3 PubMed records (opens PubMed)Family planning, maternal deaths and illness: 22 PubMed records (opens PubMed)Family planning, newborn deaths and health: 10 PubMed records (opens PubMed)Family planning, costs and financing: 13 PubMed records (opens PubMed)Family planning, equity and reach: 57 PubMed records (opens PubMed)
Malaria in pregnancy46 records in allMalaria in pregnancy, use of services: 19 PubMed records (opens PubMed)Malaria in pregnancy, quality of care: 2 PubMed records (opens PubMed)Malaria in pregnancy, maternal deaths and illness: 9 PubMed records (opens PubMed)Malaria in pregnancy, newborn deaths and health: 10 PubMed records (opens PubMed)Malaria in pregnancy, costs and financing: 3 PubMed records (opens PubMed)Malaria in pregnancy, equity and reach: 15 PubMed records (opens PubMed)
Postnatal and newborn care80 records in allPostnatal and newborn care, use of services: 37 PubMed records (opens PubMed)Postnatal and newborn care, quality of care: 5 PubMed records (opens PubMed)Postnatal and newborn care, maternal deaths and illness: 27 PubMed records (opens PubMed)Postnatal and newborn care, newborn deaths and health: 25 PubMed records (opens PubMed)Postnatal and newborn care, costs and financing: 12 PubMed records (opens PubMed)Postnatal and newborn care, equity and reach: 24 PubMed records (opens PubMed)
  • 10 records
  • 30 records
  • 60 records
  • Under 10 records: thin evidence

Source: PubMed, searched 18 October 2026. Counts are PubMed records whose title, abstract or subject headings match Sierra Leone, the intervention and the outcome. They are not screened or appraised studies, and one record can appear in several cells.

What the Network does about it

See how the Network turns a policy question into evidence that is used and kept up to date, on what we do.