Assignment Reports
Maternal Newborn and Child Health Week (MNCHW) was launched in Nigeria in 2009 as a bi-annual campaign-style programme designed to deliver key child and maternal health interventions and to revitalise health care systems. Support to strengthen this programme, in the five northern Nigerian States of Katsina, Jigawa, Kebbi, Zamfara and Yobe, is being provided by… Read more
Last week, Save the Children launched a report called ‘A wake up call’, drawing lessons from the Ebola Virus Disease epidemic for health systems strengthening on a global scale. One of the key messages of this report is that Guinea, Liberia and Sierra Leone are not unique in their vulnerability to Ebola. Save the Children… Read more
There is general agreement that the Ebola crisis was not quickly contained in Guinea, Liberia and Sierra Leone because their national health systems were dangerously under-resourced, understaffed and poorly equipped. A Wake-up Call argues that we must learn the lessons of this crisis not just for the three countries but for the many other developing countries… Read more
Containment strategies for Ebola rupture fundamental features of social, political and religious life. Control efforts that involve local people and appreciate their perspectives, social structures and institutions are therefore vital. Unfortunately such approaches have not been widespread in West Africa where response strategies have been predominantly top-down. Authoritarian tactics have had questionable effect, potentially worsening… Read more
The international response to Ebola has been decried for being ‘too slow, too little, too late’. As well as racing to respond, we need to consider what has happened over the past decades to leave exposed fault lines that enabled Ebola to move so rapidly across boundaries of people’s bodies, villages, towns and countries. Gender… Read more
Ebola has had significant, negative effects in the rapidly expanding, unregulated areas of peri-urban and urban West Africa. The residents of these areas maintain vital connections with rural populations while intermingling with and living in close proximity to urban and elite populations. These interconnections fuel the spread of Ebola. The degradation of natural resources, temporary… Read more
The economic effects of the Ebola health crisis are slowly unfolding as the virus continues to affect Sierra Leone, Liberia and Guinea. The most important sector is mining as these three countries share a rich iron ore geological beltway. The macroeconomic impacts of the crisis came into sharp focus when London Mining, Sierra Leone’s second… Read more
The origin of the Ebola outbreak in West Africa has been traced to the likely confluence of a virus, a bat, a two-year-old child and an underequipped rural health centre. Understanding how these factors may have combined in south-eastern Guinea near the end of 2013 requires us to rethink elements of the familiar Ebola ‘outbreak… Read more
The spread of Ebola in West Africa centres on a region with a shared recent history of transnational civil war and internationally led post-conflict reconstruction efforts. This legacy of conflict and shortcomings in the reconstruction efforts are key to understanding how the virus has spread. The dynamics of warfare tied into and accentuated the state’s… Read more
In countries with high levels of poverty or instability and with poor health system management and governance, people are highly vulnerable to shocks associated with ill health, including major epidemics. An effective health system can help build their resilience by reducing exposure to infection and minimising the impact of sickness on livelihoods and economic development…. Read more
The Ebola outbreak in West Africa has exposed the limits of the current approach to the global governance of infectious diseases, which mixes public health and security interests. International efforts to strengthen ‘health security’ quickly faltered when confronted with weak national health systems. Costly attempts by Western governments to strengthen global health security by developing… Read more