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1. The Guinea Worm, President Carter and Me: A Journey Through Health Diplomacy

Author:
Lisa Rotondo
Publication Date:
05-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
In September 2001, just days before 9/11, I arrived in Pissila, Burkina Faso for my Peace Corps assignment. I was eager to get to work helping my new home community do surveillance for a neglected tropical disease (NTD) called dracunculiasis, or Guinea worm disease. As a Peace Corps Volunteer in rural Burkina Faso, I biked from village to village, asking community members if they were aware of anyone with Guinea worm disease, an infection that has impacted both humans and animals since ancient times. Thanks, in part, to the work of volunteers before me, I never actually saw a person with Guinea worm disease during my two years as a volunteer. Burkina Faso was on the brink of eliminating the disease, and I remember thinking that the children in my community would never know the word for Guinea worm in their language, Moorè; it would not be in their vocabulary because they would never have to worry about it. I’ve reflected on that more than once during my career in public health. Knowing that we are truly making diseases history has been the drive underlying my efforts for the last two decades.
Topic:
Diplomacy, Health, Memoir, and Public Health
Political Geography:
Africa, United States of America, and Burkina Faso

2. Coming to Grips with Poverty in Africa

Author:
Mark Wentling
Publication Date:
05-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
Reducing poverty has been at the heart of U.S. foreign assistance in dozens of low-income countries for more than a half-century. Despite U.S. foreign policy objectives, much work, and hundreds of billions of assistance dollars expended, the poorest of the poor have not advanced. While some low-income countries have made some small progress, after decades of aid most are still in the bottom ranks of absolute poverty. All the countries in the Least Developed Country (LDC) category have more poor people than ever before. Thirty-seven of forty-seven of these LDC countries are in Africa. Although a handful of countries have graduated from LDC status, this disturbing ranking remains basically unchanged since the LDC list was established by the UN General Assembly in 1971. This unchanging list of extremely poor countries tells us that a better understanding of poverty is needed, especially in Africa, to make U.S assistance programs more effective. While Asian countries have made remarkable progress over the past 50 years in reducing the number of poor, the absolute number in sub-Saharan Africa (SSA) continues to grow. People in SSA are more than twice as likely to live in poverty than in South Asia, the next poorest region in the world. The World Bank reported there were 284 million Africans living in extreme poverty in 1990; this number had risen to 433 million in 2018 and continues to rise. The percentage of the population living in poverty in SSA is slowly decreasing, but this decline is overcome by population growth. The COVID-19 pandemic pushed tens of millions of people below the poverty line of $1.90 per day. Climate change, rising crime, inflation, and violent conflict are forcing many more millions below this line. Governments that are unable to provide basic services and struggle to cope with high levels of national debt compound the problem. The 2030 UN targets for eradicating poverty will not be met.
Topic:
Foreign Policy, Diplomacy, Poverty, Foreign Aid, and COVID-19
Political Geography:
Africa

3. Doing More with Less, or a Stunt?

Author:
William Scott Harrop
Publication Date:
08-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
Faced with inadequate funding, US embassies in the developing world regularly hear the refrain “Do More with Less.” In the late 1970’s, as ambassador to Guinea, I worked with the socialist/communist President Sekou Touré. He had banned commerce of any sort. As a result, Guinea must have been the only country in Africa without markets, without women seated behind mounds of nuts, vegetables and grains, without the bustle of trading activity. The countryside and villages of what had been a relativity prosperous French colony were dirt poor and unhappy. Sekou Touré blamed that on the Guinean people. He complained to me on one occasion: “I am fed up with my Guinean people. I tell them to work and produce for the good of everyone, not just their own families, and they won’t do it”! I refrained from replying that national collectivism might not be the best way to encourage productivity. This was at the height of the Cold War, and, partly as a consequence of his policies, Guinea hosted a Soviet mission of 1200 (sic!), which included engineers, mining and agricultural experts, medical advisors, railroad technicians and more. The Chinese mission, in competition with the Soviets, numbered 700, which included construction laborers engaged in erecting a splendid government center and theater. By contrast, my embassy had sixteen American staff members. How could our pint-size embassy possibly compete with the scale of presence of our Cold War adversaries? Well, in the 1970s USAID was providing a sum of $25,000 to every American ambassador to direct as he or she thought best to the development of their country of assignment. In traveling about Guinea, I had seen youth in every village playing the universal sport of soccer—but with a bag of rags, an old shoe, sometimes even a plastic bottle in place of a ball. So, I ordered $25,000 worth of soccer balls, each imprinted with the clasped hands of American aid. We were able to distribute one to each village and community in Guinea. Football field at dusk. Ball on the grass to lower right, players in silhouette against the sky.The distribution opened the door to a particularly African form of corruption. The minister of the interior was responsible for countrywide distribution. The minister could not resist the temptation to deliver a disproportionate number of soccer balls to his own tribal area. A national employee of the embassy, the member of a different tribe, learned of this misdemeanor and we were able (largely) to correct it. Some USAID officials in Washington complained that this was a “stunt”, not economic development. But no other expenditure of $25,000 could possibly have drawn more attention and gratitude to the United States.End.
Topic:
Foreign Policy, Diplomacy, and Memoir
Political Geography:
Africa and Guinea

4. The Battles of Bangui

Author:
June Carter Perry
Publication Date:
08-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
Sitting at my desk in March 1996, with a large picture window behind me, in my role as deputy chief of mission in Bangui—the capital of the Central African Republic (CAR)—it seemed a normal lunch hour. Several people had left the chancery, including the ambassador and the consular officer. The silence of the moment was suddenly broken when the country’s then president, Ange-Felix Patasse, called. In French, he asked first for the ambassador, but since she was away, he spoke to me and uttered one line: “Madame, the soldiers are on the move,” and hung up. Seconds later I heard the crack of gunshots and fell to the floor, far from the picture window. I knew the shots were close. Grabbing my cellphone, I called the State Department’s operations center to give a quick brief. The officer who answered was a woman who had been in my entering Foreign Service class. “Vonda,” I said, “I’m calling you from the floor of my office. The military here is beginning to attack the government and we have shots in the embassy area.” She responded that she’d write up a brief for the secretary of state immediately and told me to call back as soon as safe to do so. My first reaction was not one of fright, but to go into reporting mode: “start a log if there’s a crisis.” I did so on yellow legal paper, aiming to capture every shot or movement. About five minutes later, the consular office ran into my office, hair askew, his normally placid, serious demeanor mutated into one of fear. He couldn’t get home to his wife and children. Manned barricades of soldiers with AK-47’s barred access to the diplomatic residential section located along the winding Bangui River Road separating the CAR from the Congo. I instructed him to grab the list of all American citizens registered with the embassy so they could be told of the dangerous situation and advised to stay in place until further notified. All this happened like clockwork; I don’t remember feeling anything except the need to get the job done. That is, I must notify Washington (check), start the log (check), and find the ambassador (check). Fortunately, she too came running into the secured area. Her chauffeur caught wind of the fighting as soon as they had begun traveling. All of this transpired within 15-20 minutes of the president’s call. I knew that I next had to draft a reporting cable and call our country desk officer at the State Department. All of this was automatic. Just like our colleagues in the military, we diplomats undergo stringent training for the unexpected, the sudden coups, natural disasters or civil wars that might occur anywhere in the world. Knowing this methodology intellectually is one thing; having it occur on your watch, another. But my mind, body, fingers, and voice flew into action without a second thought. On automatic, brain and body doing the necessary. Since my secretary’s residence was located before the barricaded road, she had been able to rush back as well. I began dictating the log to her, referencing my legal pad, and then adding the analysis for Washington, in this case for the National Security Council, the Defense Department, intelligence agencies, our United Nations mission, as well as for our allies in Europe, Africa and Asia. All would want to know, as they had vested interests on the continent, and the potential of any conflict bleeding over into a threatening environment for their citizens was always a fear.
Topic:
Foreign Policy, Diplomacy, and Memoir
Political Geography:
Africa and Central African Republic

5. I Didn’t Join the French Foreign Legion, but It Helped Rescue Me in Chad

Author:
James R. Bullington
Publication Date:
11-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
In talks on the Foreign Service, I’ve often told this story about the reaction back home to my new career: After several months of training in Washington, I visited Chattanooga over the July 4, 1963, holiday. At a barbeque hosted by my parents, people were curious about what I was doing since I had graduated from college. “Why, I’ve joined the Foreign Service,” I proudly announced to the first couple that asked. Their eyes widened and their jaws dropped in consternation. “Now why in HAIL would yew go and do a thaing like that?” asked the husband. Further conversation revealed that they mistook the Foreign Service for the Foreign Legion (about which they had recently seen some old Hollywood movies on TV), and they couldn’t imagine why I would want to go and fight for the French army in the Sahara Desert. Among my parents’ friends and neighbors, the American Foreign Service was totally unknown, but most Americans were familiar with the French Foreign Legion because of numerous movies about it from the 1920s through the 1960s. The most notable was Beau Geste, released in 1939.
Topic:
Foreign Policy, Civil War, Diplomacy, and Memoir
Political Geography:
Africa and Chad

6. HIV, the Legacy of America’s Response, and Lessons for Future Outbreaks

Author:
Alisha Smith-Arthur
Publication Date:
11-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
As I stood in line (safety distanced) to receive a COVID test before returning home to the US after a trip to Cote d’Ivoire in 2022, I was able to see and reflect upon the enduring legacy of the American public health diplomacy effort to fight the global pandemic of HIV. The testing site had the unmistakable dual-flag PEPFAR (The President’s Emergency Plan for AIDS Relief, announced by George W. Bush in 2003) logo outside, indicating that the testing equipment (and likely the training for the personnel inside) came via a PEPFAR project. I’ve seen similar stamps on rural labs and remote health posts across the countries I’ve worked in (as well as on the airport welcome signs of many a friendly health worker who has readily included me in their work), and it always serves to remind me of the common goals we are working towards in these health diplomacy projects.
Topic:
HIV/AIDS, Diplomacy, Public Health, and COVID-19
Political Geography:
Africa, North America, and United States of America