Since the 1990s, there has been an inadequate supply of piped water and electricity. No progress has yet been made in the renovation of the hydropower plant in Montserrado. The Liberia Electricity Corporation has started to implement an Emergency Power Program in Monrovia, albeit with limited reach. Roads and bridges throughout the County are in poor condition, making 140 villages in the County completely inaccessible by vehicles according to NRC, the majority of these located in Todee District (61) and St. Paul River (52). Most health facilities in the County were looted and damaged during the conflict.

Currently the majority of the rural population has to walk for hours or days to access a clinic. In situations where international partners have assisted in the renovation of some of the health facilities in the rural areas, the Ministry of Health has faced challenges in deploying staff to the clinics. The Ministry of Health and Social Welfare reported that 60 health facilities are functioning in March 2007. Citizens also have limited access to water and latrine facilities, with most hand pumps being unserviceable.

The lack of WATSAN facilities leads to outbreaks of diarrhea and other waterborne diseases as creeks and rivers are used for drinking, washing and toilet simultaneously. In Greater Monrovia, most sewer lines are still clogged while waste from unclogged sewers is left to fester on the ground. UNICEF estimates that 1,229 of Liberia’s total of 3,082 schools are situated in Montserrado County. Most of these are however found in the capital or in Greater Monrovia.

The Ministry of Education School Census of 2006 shows a total number of 1,096 schools, with 757 in Greater Monrovia, 252 in St. Paul River, 52 in Todee and 35 in Careysburg. Whatever the figure, the fact remains that many children are forced to walk for several hours to reach their schools and receive a sub-standard education in often dilapidated buildings. Another problem is getting qualified teachers to the remote areas. Formal education efforts in the County have been supplemented with informal alternative arrangements, particularly around life skills curricula targeting older students and dropouts. Montserrado is faced with the daunting task of rehabilitating ruined infrastructure. The County has no public communication system and communication is provided through private GSM companies, all of which are based in the Greater Monrovia area (Lonestar Cell, Cellcom, COMIUM and LiberCell). The public-owned Liberia telecommunications Corporation (LTC) still lies dormant and dysfunctional. A good number of the public buildings that were under construction and abandoned during the war are left unattended to. converted to private dwellings by internally displaced persons (IDPs), or used as criminal hideouts.