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People with disabilities in Sierra Leone are disadvantaged in regards to their access to social services and the economic opportunities available to them. Oftentimes, they are marginalized and their rights are ignored. The government of Sierra Leone is taking measures to improve the social and economic situation of people with disabilities in the country. The objective of this note on people with disabilities in Sierra Leone is to: (i) provide a diagnosis on the scale and nature of the problem, (ii) analyze current public policies in support of people with disabilities, (iii) review public and private programs, and (iv) propose policy options to policy makers and development partners. It is meant for policy makers and practitioners in Sierra Leone as well as all those interested in the subject.