Baseline
A starting assessment against which later progress can be understood. The framework schedules baseline work and programme launch in 2027.
A five-year framework for Sierra Leone, connecting community participation, evidence and stronger health systems through five programme areas.

To advance equitable and sustainable health outcomes for adolescents, young people, women, newborns and children through integrated, evidence-based solutions that strengthen reproductive and maternal health, child health, immunization, disease control and prevention, community action, research and innovation.
Five programme areas.
One integrated framework.
MCHF will contribute to improved and equitable health outcomes among adolescents, young people, women, newborns and children, particularly in underserved communities, through evidence-based interventions, stronger community capacity, actionable evidence and strategic partnerships.
01Care across the continuum from adolescence through pregnancy, birth and early childhood
02Building demand, trust and protection against preventable disease
03Communities as owners and drivers of their own health outcomes
04Generating the evidence that makes programmes work and proving what works
05Stronger services, stronger institutions, stronger collaboration
Numerical targets are set annually as resources, geographical scope, baselines, partnerships and capacity are established.
A fair opportunity for better health, with particular attention to underserved and vulnerable communities.
Scientific evidence, reliable data and professional standards guide our work and continuous improvement.
Honesty, transparency and responsible stewardship of resources, accountable to communities and partners.
Practical solutions that equip people with knowledge, skills and confidence to improve their health.
People’s dignity, needs and well-being are at the centre of meaningful and sustainable change.
The strategy combines a long-term direction with regular reviews. This creates opportunities to test assumptions, adjust delivery and make the next annual plan more informed.

A starting assessment against which later progress can be understood. The framework schedules baseline work and programme launch in 2027.
The planned 2029 review provides an opportunity to examine progress, context and priorities while there is still time to adapt.
The planned 2031 evaluation examines the strategic period as a whole. Findings should inform future decisions and be presented with their supporting evidence.
Framework: MCHF Strategic Plan 2027–2031 and institutional memorandum. This introduction explains the approach; it does not report completed programme results.
Read the strategic framework