Sierra Leone does not have enough money or technology to effectively treat malaria or decently maintain any health system like America's. Hope this helps!
option c: Years of civil war have left the government unable to respond to malaria outbreaks. ;
The main difficulty in controlling malaria in Sierra Leone is due to years of civil war that have weakened the government's ability to respond effectively to malaria outbreaks. The civil war damaged healthcare infrastructure, leading to a lack of resources and distrust among the public towards health initiatives. Without a stable healthcare system, managing malaria effectively remains a significant challenge.
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