Sierra Leone
2026 Index Score
46.6 out of 100
+11.2 From 2021
- Region Western Africa
- Population 1-10m
- Income Level Low Income
The AHS Index offers objective, transparent, comparable data over time to support evidence-based decision-making, strengthen accountability, and guide investment priorities for African-led preparedness and resilience.
Averages by category
Prevention
Prevention of the emergence or release of pathogens, particularly those that may constitute a Public Health Emergency of International Concern.
37.8 +14.7 From 2021
Subcategories
37.5
Antimicrobial resistance (AMR)
Composite measure | Weighted average of the following indicators: 1.1.1-1.1.2
42.7
Zoonotic disease
Composite measure | Weighted average of the following indicators: 1.2.1-1.2.5
59.3
Biosecurity
Composite measure | Weighted average of the following indicators: 1.3.1-1.3.5
25.0
Biosafety
Composite measure | Weighted average of the following indicators: 1.4.1-1.4.2
0.0
Dual-use research and culture of responsible science
Composite measure | Weighted average of the following indicators: 1.5.1-1.5.2
50.0
Immunization
Composite measure | Weighted average of the following indicators: 1.6.1
50.0
Climate change adaptation and vector transmission
Composite measure | Weighted average of the following indicators: 1.7.1
Scores are out of 100
Detection and Reporting
Early detection and reporting of epidemics of potential international concern, which may spread beyond national or regional borders.
58.9 +31.0 From 2021
Subcategories
50.0
Laboratory systems strength and quality
Composite measure | Weighted average of the following indicators: 2.1.1-2.1.2
50.0
Laboratory supply chains
Composite measure | Weighted average of the following indicators: 2.2.1-2.2.2
75.0
Real-time surveillance and reporting
Composite measure | Weighted average of the following indicators: 2.3.1-2.3.3
53.3
Surveillance data accessibility and transparency
Composite measure | Weighted average of the following indicators: 2.4.1-2.4.5
25.0
Case-based investigation
Composite measure | Weighted average of the following indicators: 2.5.1-2.5.2
100.0
Epidemiology workforce
Composite measure | Weighted average of the following indicators: 2.6.1-2.6.2
Scores are out of 100
Rapid Response
Rapid response to and mitigation of the spread of an epidemic.
46.2 +9.6 From 2021
Subcategories
55.6
Emergency preparedness and response planning
Composite measure | Weighted average of the following indicators: 3.1.1-3.1.3
37.5
Exercising response plans
Composite measure | Weighted average of the following indicators: 3.2.1-3.2.2
33.3
Emergency response operation
Composite measure | Weighted average of the following indicators: 3.3.1
0.0
Linking public health and security authorities
Composite measure | Weighted average of the following indicators: 3.4.1
83.3
Risk communication
Composite measure | Weighted average of the following indicators: 3.5.1-3.5.2
38.4
Access to communications infrastructure
Composite measure | Weighted average of the following indicators: 3.6.1-3.6.4
75.0
Trade and travel restrictions
Composite measure | Weighted average of the following indicators: 3.7.1-3.7.2
Scores are out of 100
Health System
Sufficient and robust health system to treat the sick and protect healthcare workers.
38.8 +1.9 From 2021
Subcategories
45.9
Health capacity in clinics, hospitals and community care centers
Composite measure | Weighted average of the following indicators: 4.1.1-4.1.2
16.7
Supply chain for health system and healthcare workers
Composite measure | Weighted average of the following indicators: 4.2.1-4.2.3
0.0
Medical countermeasures and personnel deployment
Composite measure | Weighted average of the following indicators: 4.3.1-4.3.2
42.6
Healthcare access
Composite measure | Weighted average of the following indicators: 4.4.1-4.4.3
0.0
Communications with healthcare workers during a public health emergency
Composite measure | Weighted average of the following indicators: 4.5.1
66.7
Infection control practices
Composite measure | Weighted average of the following indicators: 4.6.1
100.0
Capacity to test and approve new medical countermeasures
Composite measure | Weighted average of the following indicators: 4.7.1
Scores are out of 100
Norms
Commitments to improving national capacity, financing plans to address gaps, and adhering to global norms.
61.8 +14.6 From 2021
Subcategories
100.0
IHR reporting compliance and disaster risk reduction
Composite measure | Weighted average of the following indicators: 5.1.1-5.1.2
50.0
Cross-border agreements on public health and animal health emergency response
Composite measure | Weighted average of the following indicators: 5.2.1
37.5
International commitments
Composite measure | Weighted average of the following indicators: 5.3.1-5.3.2
50.0
JEE and PVS
Composite measure | Weighted average of the following indicators: 5.4.1-5.4.2
66.7
Financing
Composite measure | Weighted average of the following indicators: 5.5.1-5.5.4
66.7
Commitment to sharing of genetic & biological data & specimens
Composite measure | Weighted average of the following indicators: 5.6.1
Scores are out of 100
Risk Environment
Overall risk environment and country vulnerability to biological threats.
35.9 -4.6 From 2021
Subcategories
53.7
Political and security risk
Composite measure | Weighted average of the following indicators: 6.1.1-6.1.7
32.7
Socio-economic resilience
Composite measure | Weighted average of the following indicators: 6.2.1-6.2.6
8.3
Infrastructure adequacy
Composite measure | Weighted average of the following indicators: 6.3.1-6.3.3
43.4
Environmental risks
Composite measure | Weighted average of the following indicators: 6.4.1-6.4.3
41.3
Public health vulnerabilities
Composite measure | Weighted average of the following indicators: 6.5.1-6.5.4
Scores are out of 100
Report Builder
1 Select a subcategory
When you select a subcategory, its corresponding category and indicators will be included
1. Prevention of the emergence or release of pathogens 0 Selected
2. Early detection & reporting for epidemics of potential international concern 0 Selected
3. Rapid response to and mitigation of the spread of an epidemic 0 Selected
4. Sufficient & robust health sector to treat the sick & protect health workers 0 Selected
5. Commitments to improving national capacity, financing and adherence to norms 0 Selected
6. Overall risk environment and country vulnerability to biological threats 0 Selected
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