{"id":987501970,"date":"2023-02-03T08:19:19","date_gmt":"2023-02-03T07:19:19","guid":{"rendered":"https:\/\/p4h.world\/country\/liberia\/"},"modified":"2025-03-28T13:51:35","modified_gmt":"2025-03-28T12:51:35","slug":"liberia","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/liberia\/","title":{"rendered":"Liberia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Liberia\u2019s health system has been deeply affected by its history, particularly the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8499710\/#:~:text=Over%20a%20decade%20of%20civil,the%20worst%20globally%20%5B7%5D\">14-year civil conflict<\/a> (1989\u20132003), which decimated health infrastructure and disrupted essential services. Post-war reconstruction relied heavily on international aid. The <a href=\"https:\/\/www.google.com\/url?q=https:\/\/p4h.world\/en\/documents\/costing-liberias-basic-package-of-health-services-county-hospital-level\/&amp;sa=D&amp;source=docs&amp;ust=1743168665584755&amp;usg=AOvVaw3pRqE50pKzi7WA6Scui6Fp\">Basic Package of Health Services<\/a> was implemented in 2008, aimed at expanding access to essential services, particularly for maternal and child health.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>The 2014\u20132016 Ebola outbreak further crippled the health system, leading to an exodus of health care workers and a halt in service delivery. Liberia has faced persistent challenges in restoring and expanding its health care services. Government spending on health remains low, with out-of-pocket (OOP) expenditures and donor contributions playing a significant role in health financing.<\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Barriers to sustainable health financing&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">Liberia faces several significant barriers that hinder sustainable health financing.<\/span><\/p>\n<ul>\n<li style=\"padding: 15px 0;\"><b>Limited domestic revenue<\/b>: The government allocated approximately 3.7% of the overall government budget to the health sector in 2021,<sup><a href=\"#1\">[1]<\/a><\/sup> which is well below the 15% target the Abuja Declaration set. As a low-income country, Liberia grapples with <a href=\"https:\/\/www.dcp-3.org\/sites\/default\/files\/resources\/Report%20on%20development%20of%20the%20Liberia%20EPHS%20for%20UHC%20Final.pdf\">broader economic challenges<\/a> that limit fiscal space for health financing.<\/li>\n<li><b>Historically high dependence on donor funding<\/b>: A significant share of health financing in Liberia is provided by international donors \u2013 17.6% \u2013 the government makes additional, smaller contributions. This reliance creates vulnerabilities, particularly as global funding dynamics shift and donor priorities change. As of 2021, OOP expenditure made up 24.7% of current health expenditure.<sup><a href=\"#1\">[1]<\/a><\/sup><\/li>\n<\/ul>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Reforms for universal health coverage&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 4 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>In pursuit of advancing universal health coverage, Liberia has undertaken various reforms. The design of the revised Essential Package of Health Services provides a core set of high-priority interventions, including 78 publicly financed interventions intended to be accessible free at the point of use. Furthermore, the government conducted a <a href=\"https:\/\/www.dcp-3.org\/sites\/default\/files\/resources\/Report%20on%20development%20of%20the%20Liberia%20EPHS%20for%20UHC%20Final.pdf\">fiscal space analysis<\/a> to explore avenues to expand its health budget. Liberia has implemented performance-based financing schemes aimed at improving maternal and child health service delivery efficiency and equity. Finally, the ministry of health started planning for a national health insurance system in 2014, envisaged to become the <a href=\"https:\/\/p4h.world\/en\/documents\/policy-note-on-the-liberia-health-equity-fund-lhef\/\">Liberia Health Equity Fund<\/a>.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 9 &#8211; Footnotes&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;13px&#8221; custom_margin=&#8221;20px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_css_main_element=&#8221;a{color:#4c7e96 }&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>References<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"1\">[1]<\/span> World Health Organization, Global Health Expenditure Database, <a href=https:\/\/apps.who.int\/nha\/database\/country_profile\/Index\/en>Health Expenditure Profile<\/a> (choose country)<br \/>\n<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Liberia\u2019s health system has been deeply affected by its history, particularly the 14-year civil conflict (1989\u20132003), which decimated health infrastructure and disrupted essential services. Post-war reconstruction relied heavily on international aid. The Basic Package of Health Services was implemented in 2008, aimed at expanding access to essential services, particularly for maternal and child health.The 2014\u20132016&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987701011,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501970"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501970\/revisions"}],"predecessor-version":[{"id":987765048,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501970\/revisions\/987765048"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987701011"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987501970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}