Public medical services in Sierra Leone are provided through a combination of public, private, and religious organizations, overseen by the Ministry of Health and Sanitation. Modern hospitals and clinics are concentrated in the major cities and towns. Some areas have very limited medical facilities, and non-existent emergency care.
The government is working to expand the availability of quality health care. Maternal and child healthcare is of particular concern. Free healthcare programs are available for pregnant and breastfeeding women, as well as children under the age of 5. Most government efforts to improve healthcare are constrained by limited finances, supplies, and medical staff. The prevalence of counterfeit medications is also a concern.