Implementing One Health Concept in Rural Communities: Approaches and Challenges in Sierra Leone

  • Roland Suluku
  • Ahmadu Tejan Jalloh,
  • Benjamin O Emikpe
Keywords: One Health, Rural Communities, Rabies, Dogs


One health issues need to be accepted and well implemented in most rural setting of developing nations where health care delivery is still a mirage. This paper examines the challenges and approaches of implementing one health concept at rural communities in Sierra Lone. Rapid and participatory rural appraisal was adopted to obtain information from invitees, Non-Governmental organizations operating in the communities, direct and indirect beneficiaries in and around the project area which include officials from District council, councilors, ward representatives, Paramount Chiefs, community leaders, health workers, International and National Non- Governmental Organization, Traders, Animal Owners and officials from ministry of Health and Agriculture. This study showed that implementing One Health in rural communities of this nature had been difficult due to myriad of factors ranging from lack of trained available personnel, poor infrastructure, weak health system in the animal and human sector, lack of organized institution and mismanagement of funds. It also identified one health needs and zoonotic diseases of interest as an entry point for implementation of one health concept. One of the zoonoses identified is rabies where dog ownership pattern and management was identified as factors that need improvement to achieve rabies control at rural setting


1. Beran George, Ogunkoya Albert, Emikpe Benjamin, Tasiame William, Jomah Nykoi, Fasunla Ayotunde, Olugasa Babasola Rabies elimination as a one-health model for the tropics: can this be a solution to the protracted problem in West Africa? Pan African Medical Journal – 2nd international conference on rabies in west Africa RIWA Conference Proceedings. Dec 2017; 5(5): 11. doi:10.11604/pamj.cp.2017.5.11.532
2. Joint External Evaluation of IHR Core Capacities of the Republic of Sierra Leone Mission report: 31 October – 4 November 2016
3. National Report On The Implementation Of The United Nations Convention To Combat Desertification (UNCCD) Sierra Leone 2004
4. MOHS, (2009) National Health Sector Strategic Plan 2010–2015 (pdf 1.09Mb). Government of Sierra Leone, Ministry of Health and Sanitation, 2009
5. MEST, 2013 Ministry of Education Science and Technology (MEST) conducted school census for the year 2012-2013
6. Sierra Leone Livestock Survey, 2017 Copyright © 1995-2012 ITA all rights reserved. Access 17/2/2017 @12:23am Koinadugu district
7. National Population Census, 2015 The Annual Statistical Digest 2007-2013 Edition, 2014, Statistics Sierra Leone (
8. Suluku Roland, Abu-Bakarr Ibrahim,. Johnny Jonathan, Jonsyn-Ellis F.2012 “Post-war Demographic and Ecological Survey of Dog Populations and Their Human Relationships in Sierra Leone. (A Case Study of Urban Freetown)” Science Journal of Agricultural Research & Management, Article ID sjarm-282, 7 Pages, 2012. doi: 10.7237/sjarm/282
9. Transparency International Humanitarian assistance 27th February,2015(a) Ebola :Corruption and aaid
10. UNOCHA, (2015) Sierra Leone: Koinadugu District Profile (04 December 2015) Report from UN Office for the Coordination of Humanitarian Affairs Published on 04 Dec 2015 (access 17/2/2017 @ 3:09)
11. Wurie, H., and Witter, S. 2014 Serving through and after conflict: life histories of health workers in Sierra Leone. Report for ReBUILD. 2014.
12. The World Health Organization (2014) WHO, Building Resilient Health Systems, 11 December 2014
13. Zinsstag, J., Meisser,A., Schelling,E., Bonfoh, B. & Tanner, M., 2012, ‘From “two medicines” to “One Health” and beyond’,Onderstepoort Journal of Veterinary Research79 (2), Art. #492, 5 pages.
Research Articles

Most read articles by the same author(s)