The Liberian Health System: the Epitome of Inequality and a Burden of History

Abstract

The need for responsive and resilient health systems is undeniable. A health system is fundamentally an expression of citizenship. Moreover, currently observed health systems, in most parts of the world, and especially the Global South, are shaped by the broader historical context. It is also undeniable that history informs inequalities, and these inequalities bleed into observed institutions and systems. It is this understanding that should underpin reforms designed to strengthen health systems. By reducing health inequalities, in health access and outcomes, a social justice lens with a preference for poor and disenfranchised citizens is indispensable. This thesis will explore how the legacy of historical grievances and the entrenchment of inequalities in Liberia have resulted in the perpetuation of a weakened health system. A further examination of how the demographic and epidemiological transitions, coupled with changes in the political and ecological landscape have help shape the current health system is explored. Moreover, the link between health and economic well-being is also examined.