This study was carried out in Bo City, Southern Province, Republic of Sierra Leone. Bo City is a Cosmopolitan town found in the southern province of Sierra Leone. The city of Bo has an estimated population of about 175,000; and lies approximately 160 miles (250km) East, South-East of Freetown and about 44 miles to Kenema. Bo is the leading financial, educational center of southern Sierra Leone, (2015 Population Census).