Overall, Concern Worldwide’s response made a tangible impact, contributing to keeping case fatality rates down in operational areas.
The evaluation found that the improved capacity of communities in target areas, and of Government of Sierra Leone facilities, to respond to cholera and prevent its further spread were all effective. In Tonkolili District the number of new cases in the target chiefdoms dropped sharply one week to 10 days after Concern Worldwide had started non-food items (NFI) distributions there. The range of interventions was appropriate and the inclusive community targeting that was in general used covered vulnerable groups. The total beneficiary figures show that women and girls were reached in roughly equal numbers to men and boys which was appropriate. There was ample evidence from all respondents including children that they had become well aware of the importance of hygienic practices especially in the home, and were practising them as much as was feasible.