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The population prevalence of blindness in Sierra Leone is estimated at 0.7% affecting 43,842 people, while the prevalence of blindness in people over 50 years of age is estimated as 5.9%, according to the most recently available national data1. More than 90% of all blindness in Sierra Leone is also avoidable, which is significantly higher than the global average of 80%2. In 2012, Sightsavers was awarded two complementary five-year grants from the European Commission (EC) and Seeing is Believing (SiB), which together have enabled comprehensive support to the Sierra Leone Eye Care Programme across all four of the country’s regions. This evaluation report focuses on the latter of these two grants – Sightsavers Comprehensive Eye Care in Sierra Leone Project.