Somalia's public healthcare system was largely destroyed during the ensuing civil war. As with other previously nationalized sectors, informal providers have filled the vacuum and replaced the former government monopoly over healthcare, with access to facilities witnessing a significant increase. Many new healthcare centres, clinics, hospitals and pharmacies have in the process been established through home-grown Somali initiatives. The cost of medical consultations and treatment in these facilities is low, at $5.72 per visit in health centres (with a population coverage of 95%), and $1.89–3.97 per outpatient visit and $7.83–13.95 per bed day in primary through tertiary hospitals.