Since the collapse of the Somali state in the 1990s, the country's private sector has played a particularly prominent role in service delivery, flourishing in the cracks left by the absence of a central government. In this space of the ungoverned economy, those providing essential utilities — such as healthcare — were assumed by businesses and economic cartels, which have reaped immense profits in turn amid the vacuum. However, in the years since, as the state-building process has gradually attempted to deliver or centralise such services, the incestuous relationships between business cartels and rent-seeking politicians have persisted. And in the meantime, the fractured and uneven nature of healthcare providers in Somalia continues to pose severe dangers to the population.