The national health system is based on three main levels of care — primary, secondary and tertiary — with each level acting as a gate-keeper for the next level. The Tertiary Level is represented by the John Fitzgerald Kennedy Medical Center (JFK- MC), which serves as the only referral hospital for complicated emergencies, surgical and specialized services. It comprises a paramedical and nursing school; a large laboratory for various tests and diagnosis, X-ray, Dental, Optometry, and Emergency and Surgical units. The JFK-MC was severely damaged during the country’s 14 years Civil War and is being rehabilitated to enable it to serve as a tertiary referral facility for the whole country. The health care system is managed by 727 public, private and faith-based health facilities throughout the country at all levels (clinics, health centers and hospitals). There are 7,213 health care workers on government payroll (excluding Presidential Appointees). The health sector faces huge, competing challenges that continue to impede and ruin progress made in recent years. However, these challenges can be perceived as investment opportunities for public private partnership (PPP) with the government of Liberia. 


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