This study investigated the role of community participation in achieving universal health coverage (UHC) in Clara
Town, Montserrado County, Liberia, an urban community located in a slum characterized by overcrowding, poor
sanitation, and limited health infrastructure. Despite Liberia's political commitment to universal health coverage, local
participation and service delivery remain fragmented and under-resourced. The objectives of this study are (1) to
assess the impact of community participation on environmental health and sanitation, (2) to evaluate the
contribution of community participation to health and sanitation efforts, and (3) to identify barriers to achieving
universal health coverage in the City of Clara.