Educational article

Systemic healthcare failure as a symptom of market failure in Sierra Leone

E A Jackson



This article provides an examination of market failure, focusing on the health service system (HSS) in Sierra Leone. Market failure in the country’s HSS is a real concern, and has gone unchecked for decades by successive governments. In view of the prevailing conditions, it is noted that government failure is to be blamed for poor conditions experienced in the health sector. The issue of squeezed funding for management of the HSS must be revisited in order to address critical health concerns in the country. Most important is the continued rent-seeking that health professionals have thrived on as a free-riding venture, increasing their profit share, while (non-deliberately) depriving the poor and needy of affordable services in state-funded hospitals and healthcare centres. While rent-seeking has been on the rise, conditions of service have fallen behind those needed for health professionals to maintain a decent standard of living, hence the need for government to intervene to mitigate its continuing failure in the country’s HSS. 

Author's affiliations

E A Jackson, Bank of Sierra Leone, Freetown, Sierra Leone

Full Text

PDF (128KB)

Cite this article

Southern African Journal of Public Health (incorporating Strengthening Health Systems) 2019;3(4):79-86. DOI:10.7196/SHS.2019.v3i4.100

Article History

Date submitted: 2019-10-31
Date published: 2019-10-31

Article Views

Abstract views: 1290
Full text views: 1057

Comments on this article

*Read our policy for posting comments here

Southern African Journal of Public Health | © 2014 Health & Medical Publishing Group 

This journal is protected by a Creative Commons Attribution - NonCommercial Works License (CC BY-NC 4.0)