Public sanitation is a challenge in Sierra Leone. Approximately one out of 10 residents has access to adequate facilities.
While various initiatives have been enacted by the government and other organizations, the overall infrastructure is still developing. There are very few public garbage cans and toilets. Trash pick-ups are available in the major cities, but service is generally considered to be inadequate. Illegal dumping occurs. City streets are sometimes not adequately cleaned, and malaria is a resulting concern.