This is the second annual report of the ‘Survey of Modern Contra ceptives and Essential Life saving Maternal and Reproductive Health Medicines in Service Delivery Points’ in Sierra Leone.Sierra Leone, with a projected current population of about 6.1 million, has about the highest maternal (857/100,000 live births), infant (89/1,000), under-f ive (140/1,000) and child mortality (56/1,000) in the world