The aftermath of a brutal civil war, and regular flooding, make providing access to clean water and decent toilets especially challenging in Sierra Leone.
2.7 million people in Sierra Leone do not have clean water.
5.5 million people in Sierra Leone do not have a decent toilet.
Over 1,200 children under five die a year due to diarrhoeal diseases caused by poor water and sanitation in Sierra Leone.
Sierra Leone emerged from a decade-long civil war in 2002 but the country still faces many challenges. Millions of people lack access to water and decent toilets.
During the civil war between 1991 and 2002 Sierra Leone's infrastructure was seriously damaged. As a result, many water points and toilet facilities remain out of use.
2.7 million people in Sierra Leone do not have access to clean water and 85% have nowhere to go to the toilet. This has a big impact on health – over 1,200 children die every year from diarrhoea caused by unsafe water and poor sanitation.
This crisis is also holding back the country's development, preventing adults from working and children from getting an education. Women in particular have to walk long distances to collect water from unsafe sources.
Having previously worked in Sierra Leone, WaterAid returned to the country after the civil war. We are helping to build the capacity of the water, sanitation and hygiene sector to improve access to these basic services.
We are working in local communities to raise awareness of the importance of hygiene and basic toilets. We do this using a process known as Community-led Total Sanitation.
Our focus is on reaching the poorest and most marginalised people. With clean water and decent toilets close to home, they will be able to take their first, essential step out of poverty.
In Sierra Leone last year we reached: