Countries all over the world have always been concerned with developing
their health care financing systems, so as to ensure access to health
care for their citizens. They have sought to develop systems that would
provide adequate financial resources and to be affordable to all those
sharing in the costs, through mechanisms that will not entail financial
barriers to seeking care, particularly at the time of illness. In
theory, social health insurance has the most potential to achieve health
policy objectives, in practice it has been difficult to achieve in
low-income countries because, implementing Social Health Insurance in
economically, socially, and culturally diverse environments, produces
unexpected challenges. Linkages between overcoming the challenges of
implementing social health insurance in low-income countries and the
success of the scheme vary from institutional, legal and technical point
of view. Designing and implementing social health insurance in Sierra
Leone is constraint by lack of human capacity and sufficient financial
resources among others.