There has been a downward trend in current smoking prevalence in the general population in Sierra Leone. In 2000 the overall prevalence was estimated to be around 40%; this decreased to 24% by 2015, with a projection to decrease to 19% by 2025. Men’s smoking decreased from 51% to 39% between 2000 and 2015, and is projected to decrease further to 33.5% by 2025 according to WHO trend data. Data on women’s smoking during the same period has shown a significant decrease, from 29% in 2000 to 9% in 2015, and is projected to be around 4% by 2025. Future smoking prevalence will be influenced by young people’s experimentation and initiation because the majority of smokers begin the habit in early life, typically before reaching age. In Sierra Leone, 6.0% of adolescents aged 13 to 15 reported using smokeless tobacco in 2017, while 3.7% of students reported smoking cigarettes. The overall smoking rate (tobacco use) among youth was 7.1%.