This study assessed the progress that Sierra Leone has made regarding strategic purchasing of health services, in its efforts to attain universal health coverage. Specifically, it aimed to;
- Map the major purchasers and purchasing arrangements in Sierra Leone,
- Analyze the incentives at play (and the providers’ responses),
- And identify progress, challenges, and opportunities in improving governance to better coordinate strategic purchasing.
The key finding is that strategic purchasing of health services in Sierra Leone is at an early stage, and remains weak. The recommendations from the study emphasize the need for an integrated pooling and purchasing mechanism such as social health insurance, and the introduction of innovative ways to raise revenues and expand fiscal space for health among others.
For full details of the analysis, refer to the source link below.