Children Report Increased Exploitation, Teenage Pregnancies in Ebola-Affected Sierra Leone

Children in Sierra Leone report violence and exploitation against girls has increased during the Ebola epidemic, according to new report. PHOTO: Save the Children
16-year-old Mark is an Ebola survivor. After caring for his father who later passed away from the deadly disease, Mark discovered that he had also contracted the virus. He has now finished high school and hopes to someday attend university. Mark shared his experiences with our staff as part of this report. PHOTO: Save the Children

FREETOWN, Sierra Leone (June 17, 2015) — Children across Sierra Leone report that exploitation and violence against girls has increased during the year-long Ebola epidemic, resulting in rising cases of teenage pregnancies, according to a new report (PDF) launched today by three leading aid agencies.

Plan International, Save the Children and World Vision, with the support of UNICEF, recently consulted over 1,100 girls and boys aged 7 to 18 from nine districts about the impact of Ebola, which has killed more than 3,500 people in Sierra Leone.

They shared their personal experiences and deep concerns about the devastating long-term effects of the crisis on their lives as part of the Children’s Ebola Recovery Assessment report (PDF). The study was conducted to enable children to contribute their feedback and recommendations to the Government of Sierra Leone’s national Ebola recovery strategy.

The children viewed the country’s nine-month school closure as being directly linked to increases in child labor and exploitation, exposure to violence in the home and community, and teenage pregnancy.

Most of the 617 girls interviewed said they believe that higher incidences of teenage pregnancy in their communities are as a result of girls being outside the protective classroom environment, exposing them to the risk of sexual exploitation or assault. Classrooms only reopened in Sierra Leone on April 14, after a prolonged closure to help prevent the spread of Ebola, delaying the schooling of some 1.7 million children.

Some children (10 percent of the focus group discussion participants) reported that vulnerable girls in their communities, especially those who have lost relatives to Ebola, are being forced into transactional sex to cover their basic daily needs, including food. Children saw this as one of several factors contributing to increases in teenage pregnancy.

The fear of sexual assault was also common among the children interviewed. A large number spoke of at least one case of rape against a girl in their communities, including attacks on girls in Ebola-quarantine households. This was mainly voiced by girls aged 15-18, but younger girls shared their concerns about rape as well. Boys were also acutely aware of the risk faced by their sisters and friends.

“Some of our friends are raped when they go far to get water, some are drowned in the streams,” said a young boy from Kailahun.

Children also said they were concerned about the impact of rape on their peers, including psychological damage, pregnancy, sexually transmitted infections, physical harm or death, discrimination and stigma.

“This report confirms that Ebola has put an incredible strain on children’s lives and it will take time for them to recover. The impact on them has been huge,” said Casely Coleman, country director of Plan International in Sierra Leone.

Children participating in the assessment suggested measures to prevent teenage pregnancies, and also recommended actions to achieve zero new Ebola cases, rebuild health services, and address food, money and livelihood gaps exacerbated by the Ebola crisis. Many families lost their livelihoods during the crisis and may not be able to afford to send their children back to school.

The three aid organizations are urging the government and international donors to ensure that children’s voices are heard and their concerns addressed as Sierra Leone moves towards its Ebola recovery phase.

“Children shared with us stories of missed opportunities, exploitation, and abuse,” said Isaac Ooko, country director for Save the Children in Sierra Leone. “If this recovery strategy is to be successful, it’s clear that their needs must be considered. This means ensuring that every child has access to education and help to recover from a year of lost schooling.”

Nearly half the population of Sierra Leone is under the age of 18.

“Our children have spoken,” said Leslie Scott, national director of World Vision in Sierra Leone. “In this report, children clearly state that education, access to healthcare and a safe environment to grow up in rank high on their list of priorities. We have heard them, and now we must act.”

Participants in the Children’s Ebola Recovery Assessment recommend that the Government of Sierra Leone:

  1. Take effective measures to bring Ebola to an end quickly so the recovery phase can fully begin.
  2. Ensure that education is accessible for all children, including school fee subsidies and scholarships for those who have lost relatives to Ebola, especially orphans.
  3. Strengthen the health system, providing additional qualified staff, especially for rural clinics that have been abandoned by personnel fearing Ebola.
  4. Stop child labor and exploitation—and thereby reduce teen pregnancies—by sensitizing parents and providing livelihoods to poor families in order to protect girls from transactional sex.

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Editor’s Note: Photos from some of the children who participated in the study and drawings of their experiences during the epidemic are available to be downloaded here. Please courtesy Save the Children.

About World Vision:
World Vision is a Christian humanitarian organization conducting relief, development, and advocacy activities in its work with children, families, and their communities in nearly 100 countries to help them reach their full potential by tackling the causes of poverty and injustice. World Vision serves all people regardless of religion, race, ethnicity, or gender. For more information, please visit or on Twitter @WorldVisionUSA.


  • Children in Sierra Leone report violence and exploitation against girls has increased during the Ebola epidemic, according to new report.
  • Most of the girls interviewed said they believe the increase in teen pregnancy was a result of students being outside the protection of the classroom every day.