By Ibrahim S. Bangura
The increasing prevalence of blindness and visual impairments in Sierra Leone has emerged as a major public health crisis, demanding immediate action from government agencies, non-governmental organizations (NGOs), and the general public.
According to eye specialists and healthcare providers, 2024 saw an unprecedented surge in blindness cases, with over 40,000 individuals now estimated to be blind in Sierra Leone, representing about 1% of the population. Dr. John Mattia, Medical Director of the UMC Hospital Eye Clinic in Kissy, Freetown, revealed that the hospital sees over 20,000 eye patients annually, with the highest number of cases recorded in 2024.
Sierra Leone currently has only six active eye specialists, far below the World Health Organization (WHO) recommended minimum of 32 for a population of over eight million. This significant shortfall underscores the urgent need for collaborative efforts to address the crisis.
Despite challenges, Dr. Mattia acknowledged the support from NGOs like Sightsavers and Christian Blind Mission, which have provided funding, equipment, and other resources to improve eye care services. However, financial constraints and a limited workforce continue to hinder access to care. “Even when patients do come, the workforce is too limited to meet the demand. Tackling existing cases of blindness is a struggle, and new cases only add to the burden,” he explained.
The economic and social consequences of blindness are profound, affecting individuals, families, and the nation as a whole. Raising awareness about preventable causes, promoting early detection, and ensuring access to treatment are crucial steps.
Dr. Mattia advised, “If you experience cloudy vision, eye pain, or gradual vision loss, seek medical attention immediately.”
Willie L. Dinking Koroma, a senior optometrist with the National Eye Health Program, noted that Connaught Eye Clinic in Freetown had recorded over 500 cases of blindness. He explained emphasized the need for awareness campaigns, early detection, and expanded access to eye care services. “Parents must take children with cataracts to eye clinics immediately,” he urged.
Koroma also commended the government for increasing access to eye care at hospitals nationwide and encouraged people to take advantage of free eye checkups at Connaught Hospital. He warned against buying and using eye medication without a proper diagnosis, as this practice has caused harm to many over the years.
Salieu Turay, Headmaster of the Milton Margai School for the Blind, highlighted the increasing number of blind children enrolling at the school, reaching 93 students, the highest in the school’s history. This surge has strained the school’s limited resources and outdated boarding facilities. Turay called on the government and other stakeholders to provide additional funding, infrastructure, and resources to ensure blind children receive equal access to education and a safe environment to thrive.
Almamy Lahai Mansaray, head teacher of the School for the Blind in Kabala, Koinadugu District, echoed similar concerns. With 91 students currently enrolled, Mansaray noted that many have returned to their villages due to challenges faced in the home. He called for more targeted outreach and support to ensure blind children receive the care and education they need.
The rising trend of blindness in Sierra Leone highlights the urgent need for increased resources, awareness campaigns, and collaborative efforts to improve eye care services and support for visually impaired individuals. Regular eye checkups and early detection can make a significant difference in combating this public health crisis.