In 2022, MOMENTUM Country and Global Leadership undertook several country-based qualitative assessments of the successes of, challenges to, and opportunities for effective implementation of Integrated Management of Childhood Illness (IMCI). This Sierra Leone report captures the results and analysis from 18 interviews with Ministry of Health and Sanitation staff at the national, district, and facility levels.  The report breaks down the findings and recommendations across six key program areas: coordination and management, training, supervision, motivation, referrals, and supplies and equipment.