CHAPTER ONE
1.0
INTRODUCTION TO THE STUDY
1.1
Background to the study
Since the outbreak of the Ebola virus
disease which were reported in West Africa in March 2014 various countries has
taken precaution to contain the spread of the deadly virus. According to the
World Health Organisation about 15,119 cases of Ebola has been suspected and
confirmed within West Africa alone. (WHO, 2014). The epidemic is disrupting the
development progress achieved since the restoration of peace and democracy in
the three most-affected countries. As of 10 December, almost 18,000 people had
been infected and more than 6,400 had already died. Health services in Guinea,
Liberia and Sierra Leone were not well equipped to fight the disease and the
crisis is now completely outstripping their ability to stem its spread. Some
specific features in the three countries have made Ebola particularly difficult
to control. Lack of medical personnel and beds in Ebola Treatment Units, the
complexity of identifying active cases and contacts, and the slowness of the
response have all contributed to the seriousness of this health crisis. Doctors
were unfamiliar with the disease, and because its symptoms resemble those of
other ailments, early diagnosis and effective prevention were slow to begin. Common
practices, including communal hand washing, the tradition of caring for sick
relatives, and the washing and dressing of dead bodies in preparation for
burials, also contributed to the spread of the virus. Overly centralized health
systems impaired the engagement of local communities, which is so critical to
fighting epidemics such as this one. A lack of trust in government further
impeded cooperation, leading people to question the very existence of the
virus.
The international community is now
mobilized to help the affected countries stop the epidemic, treat the sick and
prevent further outbreaks. There has been a noticeable change in perceptions
and behaviors, and many communities have assumed the responsibility to cope
with it, contributing to a significant decrease in new cases in some areas.
Large sums, equipment and personnel have been rushed to these epicenter
countries by the international community. Yet, the battle is far from over and
more resources will be required to bring it to an end. Communities have to own
the struggle at the local level. Governments must lead effective,
well-coordinated programmes to stop the epidemic all the way down to the
district level, with support from the international community, including
bilateral partners, multilateral agencies led by the United Nations Mission for
Ebola Emergency Response (UNMEER), and other stakeholders. Fear has compounded
this crisis. Women are giving birth without modern medical attendants because
they fear going to clinics; use of birth control has plummeted; HIV testing has
practically stopped, and routine checkups and immunizations have ground to a
halt. An increase in avoidable deaths and a resurgence in numerous different
types of ailments may follow. Fear also is eroding social ties, as family and
communal celebrations are postponed, and even cured Ebola patients are shunned
by their families and communities.
Fear is also exacerbating the impact
of the epidemic, leading to the closure of schools and businesses and slowing
down planting and harvesting. The closure of borders and efforts by shipping
companies to limit exposure to the disease are reducing external trade. Some
workers are dying, others are fleeing infected areas, and quarantines and
travel restrictions are preventing people from going to work. Official estimates,
which are roughly consistent with simulations based on econometric modelling,
indicate that the epidemic may be reducing growth in the three countries by
between 3 to 6 percent this year. Moreover, uncertainty over the epidemic’s
duration and economic impact has brought investment to a halt, reducing the
prospects for growth in future years even if the virus is rapidly contained.
Finally, in the midst of the crisis,
we must not lose sight of these countries’ desperate need to re-set
development, but on a more sustainable path. Evidence from this study shows
that an increase in quality spending in health and development projects is a
critical path to recovery. Governments and donors are understandably eager to
devote as many resources as possible to containing the epidemic. But attention
must still be given to how these economies can best recover and again achieve
improvements in human welfare, once the disease has been contained. UNDP, in
collaboration with UNMEER, is working with national and international partners
to contain the disease and help the affected countries recover.
Strengthening health systems, and
addressing the structural vulnerabilities that allowed Ebola to take hold in
the first place will help to ensure such a crisis may never happen again.
(UNDP, Regional Director, 2014).
1.2 STATEMENT OF THE PROBLEM
West African countries are often
characterised as less developed countries, this is due to the high rate of
poverty, high dependency rate, low per-capita income and high level of corruption
among other factors. Inadequacy of medical facilities and safety gargets has
been a major challenge for African countries in the fight of the Ebola virus,
also availability of skilled doctors to threat Ebola patients has also posed a
great problem for West African countries, due to this, and the death toll is on
high. Most West African countries are left with no choice but to rely heavy on
the aid of the so called external actors for assistance in the fight against
Ebola, but the responses given to west African countries might be said to be a
bit slower and not as effective as expected, reason being that Africa is seen
as another world on its own, and often then to leave Africa at their faith when
crisis such as these happen. WHO, which should have led the international
response, has experienced severe budget deficits and drastically cut its
workforce and programs, including its capacity for rapid response to the Ebola
crisis. More than 5 months after the virus began its spread, greater emphasis
was finally placed on the development of vaccines and drug therapies, On August
11th, WHO approved the compassionate use of experimental drugs, the drug was
initially administered to two US aid workers, and reportedly to a Spanish
priest. It was later given to a British nurse as well, but these drugs didn’t
get into West Africa until around late October 2014 reportedly on a ―first
come, first served‖ basis, but the initial preference given to white foreign
workers fueled a sense of deep injustice. While administering an unproven drug
to African patients conjures up images of unconscionable human experimentation,
the failure to meaningfully consult local communities and leaders is a moral
failure.
1.3 OBJECTIVES OF STUDY
The broad objective of this study is
to examine the response of the international response to the Ebola crisis in
West Africa and also:
i to examine the nature of the Ebola
crisis in West Africa
ii to identify and discuss the role
and challenges of the external actors towards the Ebola crisis in West Africa
iii to identify the effectiveness of
the international response towards the Ebola crisis in West Africa
1.4 RESEARCH QUESTIONS
i What is Ebola crisis?
ii What are the roles and challenges
of the external actors towards the Ebola crisis in West Africa?
iii To what extent have the roles of
external actors towards the Ebola Crisis been effective in West Africa?
TOPIC: AN APPRAISAL OF THE INTERNATIONAL RESPONSE TO THE EBOLA CRISIS IN WEST AFRICA
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Chapters: 1 - 5
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