The Minister of Finance in Sierra Leone has announced an increase in the budget allocation for the health sector, raising it from 7% in 2024, equivalent to NLe 1,123,201, to 9% in 2025, amounting to NLe 1,466,120.

While the increment reflects a growing commitment to improving healthcare services, it remains significantly below the 15% benchmark established by African governments in the Abuja Declaration of 2001.

The Abuja Declaration, adopted by African Union member states, underscores the need for governments to allocate at least 15% of their national budgets to the health sector to enhance healthcare infrastructure, address disease burdens, and ensure equitable access to medical services.

Despite Sierra Leone’s upward adjustment, the shortfall highlights the persistent financial challenges facing the country in meeting its healthcare targets.

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Adding to these financial pressures is the country’s rising debt burden. Projections indicate that Sierra Leone’s debt service payments will peak at $171.3 million by 2027, posing a significant strain on the nation’s fiscal space.

Analysts warn that this escalating debt obligation could limit the government’s ability to increase investments in critical sectors such as health and education.

The Ministry of Health and Sanitation has welcomed the increased allocation but emphasized the need for innovative strategies and partnerships to bridge the funding gap.

Healthcare advocates are urging the government to prioritize efficient utilization of the allocated funds to address pressing issues, including maternal and child health, infectious diseases, and the improvement of healthcare infrastructure nationwide.

The increased allocation is expected to feature prominently in the 2025 budget discussions as stakeholders push for sustainable solutions to align Sierra Leone’s health financing with continental goals and the broader Sustainable Development Agenda.