Sierra Leone is one of the world’s poorest countries; ranked 177 out of 186 countries in the UN’s Human Development Index, it has a life expectancy of just 48 years. The West Africa nation was ravaged by a civil war between 1991 and 2002, which left 70,000 people dead. The country's entire infrastructure was damaged, including its health systems. Since the conflict’s conclusion, progress is being made to improve health care in rural communities. However, the country’s population still has to contend with a number of issues: high youth unemployment; high maternal and infant mortality; widespread rural poverty; poor infrastructure; disease and a high proportion of people who are unable to read or write. However, the community is rebuilding. There is a stable government that has held two successful presidential elections. The economy is one of the fastest growing in Africa and the government is making every effort to rebuild infrastructure.