 The study found that the most important factors influencing willingness to pay for health insurance premiums in Sierra Leone are household monthly income, age, district of residence, gender and educational qualifications. These factors suggest that efforts should be made to improve the socioeconomic status of the population in order to increase the likelihood of them being able to afford health insurance premiums. This article was authored by Peter Ajibah 4, Abraham Iziaka Jimmy, Peter Tum and others.