The country’s health system continues to face many challenges. In this light, the Sierra Leone Ministry of Health and Sanitation in collaboration with key stakeholders has concluded a three-day National Health Summit and Recognition Award in Freetown. The theme for the country’s first national health summit was “Transforming Health Service Delivery Towards Universal Health Coverage”. The three days event brought together health stakeholders at the local and international levels with the aim of identifying the challenges faced by the health sector in the country. In this session, they highlighted key achievements, challenges, and opportunities in the country’s health service delivery.