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).