Massive government-led demolitions in Freetown, Sierra Leone, have left thousands, including Ebola survivors like Juliana Sesay, homeless and in dire conditions. The government claims the demolitions were necessary for urban cleanup and tourism, but human rights groups, including Amnesty International, criticize the lack of alternative housing and the increased vulnerability of affected residents. The demolitions have sparked controversy, highlighting the tension between government intentions and the execution of policies impacting the most vulnerable.

On the anniversary of the Sierra Leone civil war, which began in Freetown on January 6, 1999, Sierra Leoneans like Zainab Kamara and Frank Coker share their harrowing experiences. The conflict, which ended in 2002, resulted in at least 50,000 deaths and widespread displacement. The Ministry of Social Welfare and Gender and Children's Affairs, led by Minister Isata Kabia, is initiating psycho-social counseling for those still traumatized by the war. Kamara, paralyzed from a sniper's bullet, has founded an organization advocating for the disabled.

In Bentiu, South Sudan, a newly restored water treatment plant, rehabilitated by UNICEF and funded by USAID, is significantly improving the lives of residents. The plant now produces 500,000 liters of safe water daily, benefiting schools, health facilities, and communities. This development has reduced the time and effort required for residents like Nyahok Yar to collect water, improved school attendance, and enhanced hospital operations. The initiative addresses the severe impact of the ongoing conflict on water supply and hygiene services, which has left nearly half the population without access to safe water.

A government program in Sierra Leone that provides separate schools for pregnant students is under scrutiny. The policy, introduced to prevent pregnant girls from influencing their peers, is criticized by Amnesty International as a human rights violation. Critics argue it fails to address the root causes of teenage pregnancy, such as sexual violence and lack of sex education. The education ministry defends the program, noting that many girls have returned to mainstream schools after giving birth, which they see as progress.

Sierra Leone is facing a significant rise in mental health issues following the Ebola epidemic, with survivors like Mustapha Kallon experiencing severe depression and stigma. The Sierra Leone Association of Ebola Survivors and the World Health Organization are providing crucial support, including training community health officers in psychological first aid. The epidemic has also affected health care and burial workers, highlighting the widespread mental health impact. On World Health Day, the importance of talking about mental health and seeking support is emphasized.

Charlie Haffner, a renowned theater director in Sierra Leone, is dedicated to preserving traditional theater and inspiring cultural pride. Despite declining interest, Haffner coaches groups like a local church ensemble in Freetown, using traditional songs, costumes, and dances. His theater group, Freetong Players International, addresses social issues through performances, aiming to educate and unite communities. Haffner's son, Tutie, shares his father's mission, ensuring the continuation of traditional theater and its cultural messages.

Anne-Marie Caulkner, a survivor of female genital mutilation (FGM), founded the National Movement for Emancipation and Progress (NAMEP) to educate communities in Sierra Leone about the dangers of FGM. Despite cultural resistance, local leaders like Chief Pa Foday Conteh are beginning to understand the harmful effects of the practice. NAMEP also works with practitioners, known as sowies, to provide alternative livelihoods. International organizations like UNICEF and the United Nations support these efforts, with FGM reduction included in the Sustainable Development Goals. The Ebola crisis demonstrated that behavior change is possible, as a government ban on FGM during the outbreak led to a significant decrease in the practice.

Firefighters in Sierra Leone face significant challenges due to a lack of equipment and water shortages. The capital, Freetown, has only two operational fire hydrants, complicating firefighting efforts. Alhaji Saccoh, an American firefighter, donated gear to help, but more is needed. The government is attempting to address these issues by acquiring new firetrucks and coordinating with water companies to ensure water availability during fires. However, insurance coverage for firefighters remains inadequate, with some having to pay for their own medical expenses.