State hospitals and health clinics across Sierra Leone are facing severe shortages of drugs that should be supplied under the free healthcare programme because practitioners are diverting them for private sale, investigations by the Sierra Leone Anti-Corruption Commission (ACC) show. User fees for children under five and pregnant women were scrapped in 2010, allowing them to consult health practitioners and receive medication free of charge. One in 21 women in Sierra Leone dies from pregnancy or other causes, while over 17 per cent of children die before their fifth birthday, according to the UN Children’s Fund (UNICEF).