Corruption is endemic in Sierra Leone. Transparency International's Corruption Perception Index has ranked Sierra Leone 119th out of 179 total countries (with the 179th country, Somalia, being the most corrupt and New Zealand being the least corrupt.) The 2018 Global Competitiveness Report ranked Sierra Leone 109th out of 140 countries for Incidence of Corruption, with country 140 having the highest incidence of corruption. Corruption is prevalent in many aspects of society in Sierra Leone, especially in the aftermath of the Sierra Leone Civil War. The illicit trade in conflict diamonds funded the rebel Revolutionary United Front (RUF) forces during the civil war, leading to fighting between the Sierra Leone Army and the RUF for control of the diamond mines. Widespread corruption in the health care sector has limited access to medical care, with health care workers often dependent on receiving bribes to supplement their low pay.