Sierra Leone vs. Liberia

Sierra Leone's youthful and growing population is driven by its high total fertility rate (TFR) of almost 5 children per woman, which has declined little over the last two decades. Its elevated TFR is sustained by the continued desire for large families, the low level of contraceptive use, and the early start of childbearing. Despite its high TFR, Sierra Leone's population growth is somewhat tempered by high infant, child, and maternal mortality rates that are among the world's highest and are a result of poverty, a lack of potable water and sanitation, poor nutrition, limited access to quality health care services, and the prevalence of female genital cutting.

Sierra Leone's large youth cohort - about 60% of the population is under the age of 25 - continues to struggle with high levels of unemployment, which was one of the major causes of the country's 1991-2002 civil war and remains a threat to stability today. Its estimated 60% youth unemployment rate is attributed to high levels of illiteracy and unskilled labor, a lack of private sector jobs, and low pay.

Sierra Leone has been a source of and destination for refugees. Sierra Leone's civil war internally displaced as many as 2 million people, or almost half the population, and forced almost another half million to seek refuge in neighboring countries (370,000 Sierra Leoneans fled to Guinea and 120,000 to Liberia). The UNHCR has helped almost 180,000 Sierra Leoneans to return home, while more than 90,000 others have repatriated on their own. Of the more than 65,000 Liberians who took refuge in Sierra Leone during their country's civil war (1989-2003), about 50,000 have been voluntarily repatriated by the UNHCR and others have returned home independently. As of 2015, less than 1,000 Liberians still reside in Sierra Leone.

Liberia's high fertility rate of nearly 5 children per woman and large youth cohort - more than 60% of the population is under the age of 25 - will sustain a high dependency ratio for many years to come. Significant progress has been made in preventing child deaths, despite a lack of health care workers and infrastructure. Infant and child mortality have dropped nearly 70% since 1990; the annual reduction rate of about 5.4% is the highest in Africa.

Nevertheless, Liberia's high maternal mortality rate remains among the world's worst; it reflects a high unmet need for family planning services, frequency of early childbearing, lack of quality obstetric care, high adolescent fertility, and a low proportion of births attended by a medical professional. Female mortality is also increased by the prevalence of female genital cutting (FGC), which is practiced by 10 of Liberia's 16 tribes and affects more than two-thirds of women and girls. FGC is an initiation ritual performed in rural bush schools, which teach traditional beliefs on marriage and motherhood and are an obstacle to formal classroom education for Liberian girls.

Liberia has been both a source and a destination for refugees. During Liberia's 14-year civil war (1989-2003), more than 250,000 people became refugees and another half million were internally displaced. Between 2004 and the cessation of refugee status for Liberians in June 2012, the UNHCR helped more than 155,000 Liberians to voluntarily repatriate, while others returned home on their own. Some Liberian refugees spent more than two decades living in other West African countries. Liberia hosted more than 125,000 Ivoirian refugees escaping post-election violence in 2010-11; as of mid-2017, about 12,000 Ivoirian refugees were still living in Liberia as of October 2017 because of instability.