Sierra Leone

Sierra Leonean approach to sickle cell in schools

Sickle Cell in Schools: Work in Freetown, Sierra Leone, West Africa

A guide to school policy for Sierra Leone has just been released.

In the UK researchers at De Montfort University have examined the lack of care for young people with sickle cell disorder (SCD) at school (Dyson et al, 2010a, 2010b, 2011). This has resulted in the publication of a Guide to School Policy on Sickle Cell. The guide is aimed not primarily at classroom teachers (though they would be very welcome to make use of it) but at those with a broader responsibility. It is written with the following kinds of people in mind: the lead teacher for young people with a medical condition; heads of school year or those responsible for pastoral care in school; school nurses; heads of school nursing; local authority school advisors; school governors, or ministry of education officials. In short it is aimed at those who can influence how schools respond to young people with sickle cell disorder (SCD).

Working with a Newton Fund grant, early career research fellow at De Montfort University Dr Maria Berghs has collaborated with the Sierra Leone Sickle Cell Society led by Dr George Tregson-Roberts and Amelia Gabba, together with colleagues in Helen Keller International and schools in the Sierra Leonean capital, Freetown, to adapt the guide to the context in Sierra Leone.

In Sierra Leone, children are legally required to attend six years of primary school and three years of junior secondary school until they are 15 years old. This consists of the basic education that each citizen is entitled to have according to the 2004 Education Act. The 2004 Education Act stipulates that there should be no discrimination which could prevent a child in attaining this basic education. The 2007 Child’s Rights Act also states that children are entitled to basic education. An important part of school inclusiveness is recognising the importance of offering care to young people with long standing illness, particularly since a major part of childhood is spent in attending school. The duty on ensuring inclusiveness in school falls to the school authorities who must make arrangements for supporting pupils at school with medical conditions. Pupils with sickle cell disorder fall under this legislation and guidance. In a resource-poor, post-conflict, and post-Ebola country, like Sierra Leone, there are additional constraints facing children living with serious health conditions accessing not only school but also health services. The country’s educational sector was badly affected by a ten year civil war (1991-2002) and the world’s most serious Ebola epidemic (2014-2016). The educational sector is rebuilding but there is a dire shortage of teachers and school facilities. When we think of inclusiveness, the 2006 United Nations Convention on the Rights for Persons with Disabilities is also applicable and school authorities are responsible for ensuring inclusion of a child with health condition who may further have acquired or been born with an impairment. We therefore hope that this new guide to school policy for sickle cell will help all schools in Sierra Leone to better support young people with sickle cell at school.

Guide to school policy in Sierra Leone
CC-BY-SA Sierra Leone Sickle Cell Society et al

The Guide to School Policy that has been adapted by the Sierra Leone Sickle Cell Society and colleagues in Freetown, Sierra Leone


Sierra Leone
Credit: United Nations Office for the Co-ordination of Humanitarian Affairs



Dyson, SM; Atkin, K; Culley, LA; Dyson, SE; and Evans, H (2011) Sickle cell, habitual dyspositions and fragile dispositions: young people with sickle cell at school Sociology of Health and Illness 33 (3): 465-483 [ISSN: 0141-9889]

Dyson, SM; Atkin, K; Culley, LA; Dyson, SE; Evans, H and Rowley, DT (2010a) Disclosure and sickle cell disorder: a mixed methods study of the young person with sickle cell at school Social Science and Medicine 70 (12) 2036-2044. [ISSN: 0277-9536]

Dyson, SM; Abuateya, H; Atkin, K; Culley, LA; Dyson, SE; and Rowley, DT (2010b) Reported school experiences of young people living with sickle cell disorder in England British Educational Research Journal 36 (1): 125-142 [ISSN 0141-1926]


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