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Begin New Search Topic Public Health Political Geography Africa Publication Year within 5 Years

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. 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

3. Policy Responses to COVID-19: Why Social Cohesion and Social Protection Matter in Africa

Author:
Julia Leininger, Armin von Schiller, Christoph Strupat, and Daniele Malerba
Publication Date:
01-2022
Content Type:
Working Paper
Institution:
German Institute of Development and Sustainability (IDOS)
Abstract:
This empirical analysis investigates whether and to what extent social cohesion and the coverage of social protection schemes influence governments’ decisions about the stringency of COVID-19 containment policies during the first and second waves in 2020 in Africa. Our results indicate that societal and social factors influenced the stringency of containment policies. Social cohesion has a negative effect on the stringency of containment policies in response to COVID-19 over time. Social protection coverage has a positive effect on the stringency of containment policies in response to COVID-19 over time. States implemented more stringent containment policies in less cohesive societies if they already had social protection schemes in place before the pandemic. Contextual factors mediated these effects. While stringency of containment policies softened over time where levels of democracy, poverty, and inequality were higher, social protection made a mediating difference only in autocratic states and societies with higher poverty. Three contributions of the empirical analysis stand out. First, the conceptual integration of societal and social factors (“societal triangle”) provides a novel basis from which to analyse policy responses during external shocks like a global pandemic. Second, to overcome the limitations of current measurements of social cohesion, we use a novel measurement to determine pre-pandemic levels of social cohesion. Third, this is the first cross-national study that addresses a world region, Africa, which has gained little attention in the study of policy responses to the COVID-19 pandemic.
Topic:
Public Health, Social Cohesion, COVID-19, and Protection
Political Geography:
Africa

4. Consumption of New and Emerging Tobacco and Nicotine Products in Zambia: Implications for Policy

Author:
Shimukunki Manchishi, Edna Kabala, and Mulenga Chonzi Mulenga
Publication Date:
04-2022
Content Type:
Working Paper
Institution:
Zambia Institute for Policy Analysis and Research (ZIPAR)
Abstract:
The global economy has in recent years observed a rapid increase in the consumption of New and Emerging Tobacco and Nicotine Products (NETNPs). Consumers of the NETNPs in Zambia and elsewhere justify consumption of these products on grounds that they are less harmful and expose them to fewer health risks compared to traditional tobacco smoke. However, studies have shown that these NETNPs do not entirely filter out harmful chemicals from tobacco as presumed by many people, and in some cases may even expose smokers to more smoke over longer periods of time as is the case of water pipe (shisha). This study investigated the consumption and taxation of NETNPs in Zambia to generate knowledge and come up with evidence-based policy recommendations aimed at informing appropriate stakeholders on the consumption and taxation of NETNPs. The study employed a mixed methodology encompassing a desk review, a survey of 400 respondents and key informant interviews. In terms of the consumption of NETNPs, the study revealed that a majority of those surveyed consume water pipe, which ranked highest among the NETNPs consumed in Zambia. Other NETNPs commonly consumed include bidis, e-cigarettes and dry snuff (nsunko). The consumption of these products varied according to the economic status of the consumers, with products such as snus and e-cigarettes being much more preferred and consumed by those in employment because they can afford more costly products. Meanwhile, products such as water pipe and bidis were the products of choice among those not employed and this could also be attributed to the relatively lower cost of the products. Regarding the socio-demographic characteristics of the surveyed sample, the study established that most of the consumers of NETNPs were young, unmarried males. A notable finding in the study was that those who had attained tertiary level of education were the biggest consumers of NETNPs. With regards to taxation of NETNPs, the study has found that there is potential to increase taxes substantially based on consumers’ willingness to pay which would require very high tax levels to deter consumption. This would require the government to considerably increase excise taxes on these products which would ultimately increase their price and hence curtail their consumption. The study has established that the taxation of all tobacco products in Zambia is the sole responsibility of the ZRA which draws its mandate from various provisions of the Zambian law. Broadly there are eight categories used to classify tobacco and nicotine products based on the HS codes. This broad classification forms the basis for taxation of tobacco and nicotine products in Zambia. The study has established that there are four main taxes applied on tobacco products in Zambia, these include: a 25% customs duty levied on the value of the product imported; a VAT of 16% on the value of the product; a 5% surtax; and excise duty of 145% of the value for duty purposes (VDP) or K355 per kg for all tobacco products.
Topic:
Health, Digital Economy, Business, Tax Systems, Public Policy, Tobacco, Public Health, and Gender
Political Geography:
Africa and Zambia

5. Residual capacity and the political economy of pandemic response in Ghana

Author:
Kofi Takyi Asante
Publication Date:
04-2022
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
On the whole, poor countries in Africa and elsewhere seem to have weathered the coronavirus (SARS-CoV-2, or COVID-19) pandemic better than wealthier countries with superior healthcare systems. Using the Ghanaian case, this paper draws on newspaper articles, policy statements, and other secondary sources to explain how the country’s competitive clientelist political settlement mediated the public health outcomes of the pandemic. It argues that while it lacks overall state capacity, Ghana was able to surmount the limitations of its weak and underresourced public health system by leveraging ‘residual capacity’ from previous public health programmes and a strong proactive response from the continental and subregional organizations. The government’s strong early response enabled it to gain control of the situation in the crucial first few months of the outbreak. However, with an upcoming election later in the year and unwilling to bear the political costs of sustaining its initial efforts, the government subsequently wavered in its response. The country’s infection and death rates spiked and dipped in response to these waves of enforcement. The paper concludes with a brief discussion of the limits of ‘residual capacity’ in public service delivery.
Topic:
State, Public Health, Settlements, COVID-19, and Clientelism
Political Geography:
Africa and Ghana

6. A Visualization of Egypt’s Economic Performance During COVID-19

Author:
Omar Auf
Publication Date:
02-2021
Content Type:
Journal Article
Journal:
Cairo Review of Global Affairs
Institution:
School of Global Affairs and Public Policy, American University in Cairo
Abstract:
In this infographic article, we illustrate Egypt’s economic performance, pandemic response, and future based on commentary from IMF economist Said Bakhache.
Topic:
Economics, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Egypt

7. The Long Road to African Tourism Recovery

Author:
Helmo Preuss
Publication Date:
08-2021
Content Type:
Journal Article
Journal:
Cairo Review of Global Affairs
Institution:
School of Global Affairs and Public Policy, American University in Cairo
Abstract:
The Covid-19 pandemic wreaked havoc on the tourism industry in 2020, but this year a slow vaccine rollout and new variants means it will take a while to recover to pre-pandemic levels.
Topic:
Science and Technology, Tourism, Public Health, Vaccine, Pandemic, COVID-19, and Economic Recovery
Political Geography:
Africa

8. An African Response to COVID-19: From principled first response to just recovery

Author:
Ray Deepayan Basu
Publication Date:
04-2021
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
In November 2020 Oxfam and SOAS facilitated an online high-level event to bring together African and international policy and public-health professionals to discuss their experiences during the COVID-19 pandemic, and offer insights into strategies and policies they have enacted in their respective contexts. Speakers tackled a wide range of issues, including government strategies and policies implemented, public health messaging and community engagement, varying threads of intersectionality and an honest discussion about gaps and additional support. This ‘outcomes’ paper draws out the key themes, trends and recommendations emerging from the discussions to inform a people-not-profit-centric Covid response.
Topic:
Public Health, Pandemic, Community, and COVID-19
Political Geography:
Africa

9. Building And Strengthening Public Trust In Government Policy Decisions And Institutions To Effectively Tackle Covid-19 In Cameroon

Author:
Dr. Asahngwa Constantine, Denis Foretia, Gobina Ronald, Wilfred Ngwa, Charlotte Bongfen, Odette Kibu, and Nkengafac Fobellah
Publication Date:
01-2021
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
In Cameroon the battle against COVID-19 is far from over as the disease still continue to claim many lives and aggravates the deepening poverty situation of Cameroonians. According to reports from the Ministry of Health (as from 8th of December, 2020), Cameroon has recorded 24,752 infected cases, 23,344 recoveries and 433 deaths. [1] The economic consequences of the disease remain preoccupying as many people have experienced a decline in their businesses. The government of Cameroon through the Prime Minister published a national response plan which aimed at combating the disease, highlighting preventive measures and effective management of confirmed positive cases. Some of these measures include the prohibition of mass gatherings above 50 persons, maintaining physical distancing, wearing of face mask in public places, frequent handwashing with soap or using hand sanitizers and isolation of infected persons. [2] These measures and others are currently being implemented since March, 2020. Although the government has been doing its best to bring this pandemic to an end, this has not been without challenges. One of the challenges is the decline of public trust in government’s policy decisions and institutions, which if not given sufficient attention may compromise all the efforts and resources already galvanize for this battle against COVID-19.[3] Drawing from published literature, we discuss the factors responsible for the decline of public trust, how the lack of trust can hamper interventions and control efforts and some suggestions how this challenge can be tackled to enhance effective interventions to combat COVID-19 in Cameroon.
Topic:
Government, Health, Institutions, Public Sector, Public Health, Pandemic, COVID-19, and Global Health
Political Geography:
Africa and Cameroon

10. Impact Of Covid-19 On The Continuum Of Care

Author:
Wilfred Ngwa, Nkengafac Fobellah, Dr. Asahngwa Constantine, Mbuwir Charlotte, Kibu Odette, Gobina Ronald, and Denis Foretia
Publication Date:
03-2021
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The outbreak of the novel coronavirus disease (widely referred to as COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), was first reported in Wuhan (Hubei province) China in December 2019. By January 30, 2020, WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern (PHEIC) [1]. The virus has since December 2019, spread to all the 7 continents of the world. The highest concentration of infected persons has shifted several times since mid-February 2020 from China to Iran, and then to Italy and Spain and is presently in the United States of America, India and Latin America and [3]. According to The Lancet, it is inevitable that Africa will be experiencing the next wave of infections [4]. Africa as of November 2nd, 2020, had registered more than 1.8 million cases and over 43 thousand deaths, thus contributing to about 3.9% of the global caseload and to about 3.6% of the global death roll [5].
Topic:
Public Health, Pandemic, COVID-19, Health Crisis, and Global Health
Political Geography:
Africa and Cameroon

11. One Year After: Has the COVID-19 Pandemic Increased Violence in Sub-Saharan Africa?

Author:
Matthias Basedau and Mora Deitch
Publication Date:
09-2021
Content Type:
Working Paper
Institution:
German Institute of Global and Area Studies
Abstract:
In spring 2020, observers and practitioners warned that COVID-19 would increase violence in sub-Saharan Africa by creating an economic shock that would lead to distributional conflicts and government repression. Compared to before the pandemic, violence did increase in 2020, rising by 40 and 60 per cent in terms of fatalities and events, respectively. Controlling for important confounders, COVID-19 proves significant to the increase in violence in many models; however, a robust effect can be found only for “COVID-19 unrest,” which forms a fraction of the violence and stems from the stringency of government reactions rather than the pandemic itself. Pre-pandemic fragility accounts best for the region’s rise in violence. Expert assessments confirm these findings but also yield evidence warning against prematurely announcing an all-clear. The fallout of the pandemic on conflict is likely to have a longer period of incubation, and there are initial indications that conditions will worsen.
Topic:
Violence, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Sub-Saharan Africa

12. Bolstering Vaccine Manufacturing Capacity in Africa: A move towards self-sufficiency

Author:
Agnes Binagwaho, Praise Mutesi, and Kedest Mathewos
Publication Date:
09-2021
Content Type:
Journal Article
Journal:
Brown Journal of World Affairs
Institution:
Brown Journal of World Affairs
Abstract:
Patterns of marginalization and exclusion of the vulnerable in medicine and public health have become the norm. The vulnerable, especially on the African continent, have been left out of the distribution of life-saving medical and public health interventions. When included, they have always been last in line to receive such interventions. This inequity prevents Africa from stopping the spread of diseases, resulting in preventable deaths. The repercussions of this inequitable distribution are magnified in countries whose health systems have been weakened by centuries of colonization and unfair international policies such as the structural adjustment programs that hollowed out public investment in health systems.1
Topic:
Manufacturing, Public Health, Vaccine, Marginalization, and Self-Sufficiency
Political Geography:
Africa

13. The Mediterranean Region: A Hotspot of Inequalities in the Aftermath of COVID-19

Author:
Farah Al Shami
Publication Date:
11-2021
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
The COVID-19 pandemic, which broke out in China in late 2019, reached the Mediterranean region by late winter 2020. While the impact of this crisis has been notorious on a global scale, it was remarkably more pronounced in the Mediterranean region as a result of economic fragility, exposure and transmissibility, and more importantly the quality of state and non-state responses which had a multidimensional multiplier effect on wealth distribution, access to health and education as well as other essential services, regional disparities and gender inequality, among others. Ever since its outbreak, COVID-19 has significantly exacerbated existing inequalities and has created new ones. It has also exacerbated vulnerabilities and created new forms of vulnerability, thus increasing the gaps on various levels between different social groups. These consequences were also more concentrated in the Mediterranean region as compared to the rest of the world, as the region had already been witnessing rising trends of inequality in the last decade, and especially before the pandemic hit, due to political instability, economic decay and inefficient public policies. While this reality has been experienced by both the northern and southern sides of the Mediterranean, it has been more intense in the latter. However, this is not to deny that constantly increasing inequalities in recent history has made both poles of the Basin much more susceptible to an enigmatic and acute shock such as COVID-19. The impact of COVID-19 on multifaceted inequality in the Mediterranean is neither consistent nor linear. The region has witnessed declines in several forms of inequality and surges in several others. Yet, the overall impact in terms of the number and magnitude of increased inequalities versus reduced ones is negative, making the Mediterranean a hotspot of inequality in the aftermath of the sanitary crisis. Moreover, amplified inequalities have manifested in the Mediterranean Basin in the form of inter-country inequalities and intra-country inequalities – the former being mostly part driven by inter-sectoral imbalances. Inter-country inequalities have likely further cemented the north-south divide in the Basin. This paper examines the different forms and faces of inequality in the region by trying to conceptualize the situations of different countries, despite their dissimilar and divergent contexts. It proves that COVID-19 has massively increased multidimensional inequality through various channels and at a relatively higher rate with respect to other regions. The paper also demonstrates that the Mediterranean is the microcosm of the north-south cleavage, as it is the closest place where the South meets the North, which makes it a natural starting point for dialogue concerning the north-south dichotomy and inequalities. As such, this paper highlights the need for tangible cooperation across borders, between sectors, and among citizens and their representatives, both within the region – between the North and the South – and with other regions, to advance reforms that address the factors of inequity and inequality in an already fragile and shaky regional context.
Topic:
Inequality, Public Health, Pandemic, COVID-19, and Health Crisis
Political Geography:
Africa, Europe, Middle East, and Mediterranean

14. Bottom-up Accountability in Uganda: Learning from People-centered, Multi-level Health Advocacy Campaigns

Author:
Angela Bailey, Vincent Mujune, and Prima Kazoora
Publication Date:
02-2021
Content Type:
Working Paper
Institution:
Accountability Research Center (ARC), American University
Abstract:
Uganda’s laws, policies and health sector strategies codify openings for citizen participation in planning and monitoring government services, yet these spaces are often inaccessible in practice. In response to this, a consortium of civil society organizations led by GOAL designed and implemented the Accountability Can Transform Health (ACT Health) program in Uganda from 2012 to 2018. This paper draws on program monitoring data, empirical evidence, and supplementary interviews to analyze how and the extent to which the ACT Health multi-level, people-centered advocacy campaigns strengthened accountability for health from the bottom up.
Topic:
Government, Accountability, Advocacy, and Public Health
Political Geography:
Uganda and Africa

15. COVID-19, Transitional Justice and Victims' Experiences in Africa

Author:
Olivier Kambala
Publication Date:
06-2021
Content Type:
Policy Brief
Institution:
Centre for the Study of Violence and Reconciliation (CSVR)
Abstract:
This policy paper explores the situation of victims vis-à-vis transitional justice processes in selected African countries when COVID-19 appeared. It looks at the performance of these transitional justice processes and attempts to ascertain the prospects for the African Union Transitional Justice Policy (AUTJP) to improve remedies for victims. It also suggests ways to orient the AUTJP's scope to alleviate victims' plight, including through synchronisation with other regional processes, during and beyond COVID-19.
Topic:
International Cooperation, Transitional Justice, Public Health, Pandemic, African Union, and COVID-19
Political Geography:
Africa

16. Disaster-Appropriate Policing in South Africa: Protests and State Violence in the COVID-19 Era

Author:
Steven Rebello, Jesse Copelyn, Sinqobile Makhathini, and Boikanyo Moloto
Publication Date:
08-2021
Content Type:
Research Paper
Institution:
Centre for the Study of Violence and Reconciliation (CSVR)
Abstract:
Militarisation refers to a process where societies (states, institutions, and citizens) prioritise, organise, prepare for and respond to threats or crises with military action or violence. This policy brief highlights how many countries across the world, including South Africa, adopted a militarised response to the COVID-19 pandemic. In South Africa, this militarised response has been noted by the deployment of the SANDF to assist with the enforcement of COVID-19 regulations as well as through the noticeable increase in the use of excessive force in response to protests.
Topic:
Disaster Relief, Protests, Violence, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and South Africa

17. From Unilateral Response to Coordinated Action: How Can Mobility Systems in Sub-Saharan Africa Adapt to the Public-Health Challenges of COVID-19?

Author:
Ling San Lau, Kate Hooper, and Monette Zard
Publication Date:
06-2021
Content Type:
Policy Brief
Institution:
Migration Policy Institute (MPI)
Abstract:
The COVID-19 pandemic challenged public health and migration management infrastructures in sub-Saharan Africa, like elsewhere, as never before. While many countries in the region had experience dealing with infectious disease outbreaks, including Ebola and yellow fever, the nature of transmission under COVID-19, among other factors, forced governments to reassess many of their public-health strategies and adopt strict guidelines to prevent pushing fragile and over-burdened health-care systems over the edge. However, border closures and other mobility restrictions brought unintended consequences, including stranding large numbers of people, imperiling the supply of essential goods and services, and cutting off income for border communities and prospective migrants. In addition, unilateral containment and mitigation policies prevented a coordinated approach to both public health and migration management. The policy brief examines the different strategies employed by governments in sub-Saharan Africa during the first year of the pandemic, and the limitations of unilateral action. It offers recommendations on how states and the international community can work together to restart migration and mobility and, looking forward, build capacity to respond to COVID-19 and future public health emergencies.
Topic:
International Cooperation, Migration, Governance, Employment, Refugees, Borders, Mobility, Public Health, COVID-19, Remittances, and Immigration Policy
Political Geography:
Africa and Sub-Saharan Africa

18. Post-workshop Briefing Paper: Preventing a COVID-19 Crisis in Africa

Author:
Atif Choudhury, Yawei Liu, and Ian Pilcher
Publication Date:
06-2020
Content Type:
Working Paper
Institution:
The Carter Center
Abstract:
In May 2020, the Carter Center’s China Program partnered with the China Institutes of Contemporary International Relations (CICIR) and the South African Institute of International Affairs (SAIIA) to organize a virtual workshop on Africa-U.S.-China cooperation on COVID-19 response. The workshop brought together a range of experts from the U.S, China, Ethiopia, Burundi, Kenya, and South Africa to discuss the public health impact and wider policy implications of the COVID-19 pandemic on the African continent. Emory University’s Global Health Institute and The Hunger Project also helped identify speakers and moderate panels.
Topic:
International Cooperation, Public Health, Pandemic, and COVID-19
Political Geography:
Kenya, Africa, United States, China, Asia, South Africa, North America, Ethiopia, and Burundi

19. Context matters – Why Africa should Tailor its own Measures to fight COVID-19

Author:
Nina Wilen
Publication Date:
04-2020
Content Type:
Policy Brief
Institution:
EGMONT - The Royal Institute for International Relations
Abstract:
African governments have been faster than most of their European counterparts in imposing measures to deal with the COVID-19 outbreak despite dealing with numerous other challenges. However, context matters, and for Africa, the political and socioeconomic consequences of the lockdown measures may cause more havoc than the actual virus. This brief identifies political, economic and social risks related to coronavirus responses in Africa and emphasises the disproportionate burden carried by women. It argues that localised measures, which include dialogue, transparency and flexibility, may be the only realistic way forward, while underlining the need for wealthier states to provide generous aid packages, debt cancellations and continued investments, in spite of current challenges, in order for Africa to pull through yet another challenge.
Topic:
Regional Cooperation, Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Africa

20. Global Health Security and Pandemics: Africa and COVID-19

Publication Date:
04-2020
Content Type:
Video
Institution:
Mile End Institute, Queen Mary University of London
Abstract:
In this episode, Dr Simukai Chigudu (University of Oxford) and Professor Sophie Harman (Queen Mary University of London) discuss COVID-19 and Africa. They highlight that Africa is not a blank canvas in which the pandemic will play out in a uniform fashion and also question why the word ‘catastrophe’ is often used when discussing COVID-19 in relation to the African continent.
Topic:
Security, Public Health, Pandemic, and COVID-19
Political Geography:
Africa

21. Global Health Security and Pandemics: When Will This End? Lessons from the Ebola Response

Publication Date:
04-2020
Content Type:
Video
Institution:
Mile End Institute, Queen Mary University of London
Abstract:
In this episode, Professor Sophie Harman (QMUL) discusses lessons that can be learned from the Ebola response in relation to COVID-19 with Daniel Kettor (Rainbo Initiative). He highlights, from his experiences of Ebola in Sierra Leone, that social behaviours towards the end of the COVID-19 pandemic will be crucial in ending transmission.
Topic:
Security, Ebola, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Sierra Leone

22. The Future of the Algerian Hirak Following the COVID-19 Pandemic

Author:
Dris Nouri
Publication Date:
04-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
The spread of the COVID-19 pandemic to Algeria has forced the Algerian popular Hirak to suspend demonstrations that continued without interruption for over a year despite the authorities’ various manoeuvres to disrupt them. This paper examines the Algerian authorities’ attempt to exploit the suspension of the protests to deal with the Hirak and assesses the ability of the popular movement to overcome this period.
Topic:
Protests, Public Health, Pandemic, COVID-19, and Oppression
Political Geography:
Africa and Algeria

23. After the Pandemic: Reimagining the Role of State and Non-State Actors in (Re)building National Health Systems in the Arab World

Author:
Fadi El-Jardali
Publication Date:
04-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
In the Arab region, countries have become increasingly dependent on non-state actors, notably the private sector, for healthcare provision and any response that includes the State alone may not be sufficient to address the COVID-19 pandemic. This paper explores how state and non-state actors in Arab countries have collaborated so far and suggests ways forward to ensure quality healthcare services for all.
Topic:
Non State Actors, Governance, Health Care Policy, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Middle East

24. Tunisia Facing COVID-19: To Exceptional Circumstances, Exceptional Measures?

Author:
Eya Jrad
Publication Date:
04-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
With COVID-19, Tunisia is dealing with an unprecedented emergency that is testing its newly established democratic institutions. This paper explores how Tunisia’s different institutions have responded so far to the crisis, and sheds light on how each is trying to assert its role under the exceptional circumstances imposed by the pandemic.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Tunisia

25. Can Tunisia Shake Off “Business as Usual” Following Covid-19?

Author:
Salma Houerbi
Publication Date:
05-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
The consequences of Covid-19 on Tunisia’s already fragile economy are bound to exacerbate existing social tensions. The government has rolled out a series of socio-economic measures to support individual entrepreneurs and businesses to maintain jobs and incomes across all sectors. This paper argues that the government’s support to the private sector represents a golden opportunity to rectify longstanding problems in state-business relations and institute a culture of corporate accountability. But to do so, the government should place the Covid-19 response within a broader effort to address the persistent and systemic challenges the country faces from corruption to rent-seeking to vulnerable workers’ conditions.
Topic:
Public Health, Humanitarian Crisis, Pandemic, and COVID-19
Political Geography:
Africa and Tunisia

26. Covid-19 and a Deepening Conflict Worsen Libya's Humanitarian Situation

Author:
Khayreddine Basha
Publication Date:
05-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
The military conflict between Haftar and GNA forces in Libya continues to escalate, unaffected by Covid-19 or international calls for a ceasefire. A lack of coordination between the fighting parties and the ineffective implementation of measures to fight the spread of the pandemic further compound Libya’s worsening humanitarian situation. This paper explores Covid-19 impact on the health and humanitarian situation in Libya and examines the factors that contribute to the continuation of the conflict, including the incitement of international and regional actors involved in it.
Topic:
Military Strategy, Conflict, Public Health, Humanitarian Crisis, Pandemic, and COVID-19
Political Geography:
Africa and Libya

27. Sudan: Managing COVID-19 Pandemic During a Time of Transition

Author:
Ezman Kunna
Publication Date:
05-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
Sudan’s current transitional government has inherited a fragile health system that suffered years of neglect and underinvestment. The spread of COVID-19 poses important challenges to the country’s health and political structures. This Q&A looks at how Sudan’s government and non-government actors are faring against the spread of the pandemic and the impact of the lockdown on the political transition in the country.
Topic:
Political stability, Public Health, Pandemic, Transition, and COVID-19
Political Geography:
Africa and Sudan

28. Local Authorities in Tunisia Face Challenges of Post-COVID Economic Recovery

Author:
Afef Hammami Marrakchi
Publication Date:
08-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
What role can local authorities in Tunisia play as part of the country’s response to Covid-19? This paper examines the opportunities offered to Tunisian municipalities (communes) by the Local Government Act but also the real constraints – human, logistical, and financial – that these new devolved structures face as they seek to play a key role in the recovery.
Topic:
Recovery, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Tunisia

29. Egypt after the Coronavirus: Back to Square One

Author:
Ishac Diwan, Nadim Houry, and Yezid Sayigh
Publication Date:
08-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
Egypt’s recent security and macro-economic stabilization has been built on weak foundations and Covid-19 has further exposed this fragility. Egypt is now back to a situation broadly similar to that before the 2011 revolution: stable on the surface, but with deep structural problems and simmering social grievances, and little buffers to mitigate them. This paper argues for a major shift in the ways the country is currently governed in favour of greater openness in politics and markets, and for the international community to seriously engage Egypt on the need to reform economically and politically.
Topic:
Security, Arab Spring, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Egypt

30. Tunisia: COVID-19 Increases Vulnerability of Rural Women

Author:
Alessandra Bajec
Publication Date:
11-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
Tunisian women in rural areas have played a vital role in maintaining food security during the coronavirus pandemic but continue to suffer exploitation and exclusion. While their working conditions are already known for being dire, the public health crisis has compounded their economic and social insecurity. This paper discusses the systemic exploitative treatment of female agricultural workers, the state’s inability so far to protect them, and how local NGOs are helping to improve their lives.
Topic:
Gender Issues, Women, Rural, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Tunisia

31. Lockdown Preventive Measure against COVID-19 Pandemic: Livelihoods Implications in Cameroon

Author:
Dr. Tata E. Sunjo, Adeline Kaptue Wuyt, and Dr. Yauba Saidu
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The entire world today is, in one way or another, affected by the spread of the novel coronavirus infection which the World Health Organization (WHO) declared to be a pandemic on the 11th of March 2020. This outbreak which has spread to all continents (Figure 1) has been characterized by exponential increase in infected cases, attributed deaths and socio-economic hardship. There are already more than 3.8 million confirmed cases globally with over 265 862 deaths (WHO Situation Report, 9 May 2020). The quality of the health system in a given country appears to not be an influential factor in preventing the installation or propagation of the pandemic as the nations with relatively robust health systems like in Europe and the USA have also been hit hard.
Topic:
Health, World Health Organization, Health Care Policy, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Cameroon

32. Cultural Communication Patterns and Alternatives Approaches to Fight COVID-19

Author:
Dr. Asahngwa Constantine and Dr. Louis-Marie Kakdeu
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
Since the first case of COVID-19 was confirmed in Cameroon on the 6th of March, 2020, 23 measures have been taken by the Cameroon Government which spoke through Prime Minister and Head of Government in a bid to contain the spread of this unwanted visitor or is it a permanent resident! Agreeably, the government’s response strategy has been in line with the World Health Organization’s (WHO) guidelines for its member states (WHO, 2020). The response strategy aims to interrupt transmission of the virus as well as effective management of confirmed cases. The most common preventive measures include: social distancing, suspension of mass gathering of more than 50 persons, frequent hand washing with soap, disinfecting surfaces with alcohol and sanitizers, self-isolation, quarantining of conformed cases and the obligatory putting on of a face mask in all public places. However, there have been some concerns relating to the effectiveness of this response strategy. The number of confirmed cases has been on the rise since 6th March 2020 when Cameroon registered its first case. It has been observed that most of the problems associated with curbing person to person transmission have to do with behaviors, related issues, especially cultural stereotypes (WHO, 2020). The problem is that Cameroonians have cultural behaviors that may not be compatible with the current national response strategy. Consequently, the objective of this paper is to investigate and identify the gaps that exist between these control measures churned out by the government and the Cameroonian cultural environment; with the view to suggest alternatives to intercultural communication approaches, which can be encouraged to fight the spread of COVID-19.
Topic:
Health, Public Policy, Public Health, Pandemic, Community, and COVID-19
Political Geography:
Africa and Cameroon

33. Three Ways to Explore the BRICS (Possible) Impact on the Future Global Order

Author:
Francesco Petrone
Publication Date:
07-2020
Content Type:
Journal Article
Journal:
The Rest: Journal of Politics and Development
Institution:
Centre for Strategic Research and Analysis (CESRAN)
Abstract:
In a moment of great global uncertainty, the BRICS countries (Brazil, Russia, India, China, and South Africa) are increasing their standing worldwide. Despite several areas that still undermine their credibility on the world stage and which make them appear to seem irrelevant as a group in the view of some scholars, we try to analyze and evaluate if they are really accountable as a group and what impact they could have on global governance and, in general, on the global order. We depart from previous research accomplishments and, following certain classical theories of International Relations such as those of Critical and Dependence, we consider three aspects of the BRICS growth that could influence the current international framework: 1) the emergence of institutions outside the Bretton Woods system; 2) an interest in improving their “soft power” (for example, climate change may play a decisive role here); 3) the growth of their presence in different parts of the world which have so far experienced a subordinated or marginal role. The paper considers both the limitations of and the potential for BRICS countries in the reshaping of the international framework. Moreover, we provide some interpretations to the current situation, especially in light of the prospective impact that COVID-19 may have on these three fields.
Topic:
Climate Change, Emerging Markets, Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Africa, Russia, China, India, Asia, Brazil, South America, and South African

34. Cushioning Local Governments From The Impact of COVID-19

Author:
Jonas Mbabazi, Fred Kasalirwe, Phoebe Atukunda, and Walter Akena
Publication Date:
06-2020
Content Type:
Working Paper
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
This policy brief presents proposals that will cushion local governments from the impact of COVID-19. Undeniably, responding to Covid-19 challenges at any level is associated with heavy demands on human, financial and logistical resources. Globally, Covid-19 emergence response is multi-sectorial to enable a holistic solution to the concomitant challenges. District councils, a creation of the Local Government Act are mandated to oversee health services. Other than frontline health workers, each district has a community-based services department with officers’ in-charge of probation and social welfare, social rehabilitation, children and youth affairs, gender, disability and elderly, culture, labour and many others. Since the mandate of personnel in this department is to operate in communities, these should be enlisted to respond and manage the community-component of Covid-19.
Topic:
Government, Local, Public Health, Pandemic, and COVID-19
Political Geography:
Uganda and Africa

35. Fiscal Responses to COVID-19 Pandemic and Economic Recovery Measures: A Synthesis Report of Proceedings from the 10th Annual High Level Pre-Budget Dialogue

Author:
Advocates Coalition for Development and Environment
Publication Date:
09-2020
Content Type:
Working Paper
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
This report is a synthesis of proceedings of the 10th high level dialogue on the national budget that largely focused on what should be prioritized during the Covid-19 pandemic, what the change may mean for the Uganda's development in the short-term and the interventions for economic recovery.
Topic:
Budget, Public Health, Pandemic, COVID-19, and Economic Recovery
Political Geography:
Uganda and Africa

36. The Performance of the COVID-19 District Task Forces in Uganda: Understanding the Dynamics and Functionality

Author:
Jonas Mbabazi and Fred Kasalirwe
Publication Date:
12-2020
Content Type:
Working Paper
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
This policy brief is a product of the assessment of the performance of the COVID-19 District Task Forces (DTFs) in Uganda. This study on the performance of the COVID-19 District Task Forces was conducted under the Local Government Council's Scorecard Initiative (LGCSCI), a social accountability project implemented in 35 Districts in Uganda. The main objective of the study was to establish the determinants and level of performance of District COVID-19 Task Forces to enhance their effectiveness.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Uganda and Africa

37. The Performance of the COVID-19 District Task Forces in Uganda: Understanding the Dynamics and Functionality

Author:
Wilson Winstons Muhwezi, Jonas Mbabazi, Fred Kasalirwe, Phoebe Atukunda, Eugene Gerald Ssemakula, Oscord Mark Otile, Rebecca N. Mukwaya, and Walter Akena
Publication Date:
12-2020
Content Type:
Working Paper
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
This report is an important assessment of the performance of the DTFs in implementing the COVID-19 pandemic containment plan. As the world is faced with the unprecedented challenges from COVID-19, the strain on many governments is extreme, and the impact on people all over the world continues to grow. Indeed, the COVID-19 pandemic has disrupted the social and economic structures of service delivery with significant consequences on lives, livelihoods and general economic development. As part of the response mechanism to contain and manage the COVID-19 pandemic, the Government of Uganda instituted national and sub-national COVID-19 task forces to implement and manage the COVID-19 pandemic containment and recovery measures. The Presidential Decree on COVID-19 recognizes the Central Government's role in the provision of healthcare and security. District Taskforces (DTFs) were put in place to support Central Government's containment of COVID-19 and implementation of the GoU COVID-19 containment styrategies of case management, surveillance, health promotion, resource mobilization, enforcement of standard operating procedures (SOPs) and continued delivery of basic services.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Uganda and Africa

38. International Cooperation, Homosexuality and AIDS in Mozambique

Author:
Francisco Paolo Vieira Miguel
Publication Date:
09-2020
Content Type:
Journal Article
Journal:
Contexto Internacional
Institution:
Institute of International Relations, Pontifical Catholic University of Rio de Janeiro
Abstract:
The current paper is an ethnographic study of an international cooperation project be- tween an international organisation for the fight against the HIV/AIDS epidemic and the organi- sation LAMBDA, the largest LGBT NGO in Mozambique. The objectives of this paper are, firstly, to demonstrate how due to the international flow of financial resources attached to certain con- cepts and agendas, these projects end up somehow institutionalising a homosexuality project in Mozambique, in addition to reviving potentially neo-colonial practices. It also seeks to demonstrate how external bureaucratic practices can clash with local cultural practices, in what has been called ‘NGOisation.’
Topic:
International Cooperation, Sexuality, Public Health, Sexual Health, and Gay Rights
Political Geography:
Africa and Mozambique

39. Cuba's medical experience in sub-Saharan Africa: its contribution against Covid-​19

Author:
Yoslan Silverio González
Publication Date:
12-2020
Content Type:
Journal Article
Journal:
Brazilian Journal of African Studies
Institution:
Brazilian Journal of African Studies
Abstract:
South-South cooperation has been a fundamental pillar of the Cuban government’s foreign policy, based on the principles of solidarity and internationalism. Since the 1960s, Cuba began to support not only the progressive forces of Latin America but also the national liberation movements of the African continent that were consolidating their path towards decolonization, as well as other progressive governments and political forces of Sub-Saharan Africa in: Ghana, Guinea-Bissau, Guinea, Mali, Ethiopia, Tanzania, Angola, Zimbabwe, Mozambique, Namibia and South Africa. This support covered a wide range of spheres that ranged from political-diplomatic support in international forums to concrete support in vocational training, the transfer of resources and even military support to anti-colonial and anti-imperialist movements that were struggling to achieve or maintain the independence of their countries.
Topic:
Imperialism, Regional Cooperation, Colonialism, Public Health, Pandemic, COVID-19, and Medicine
Political Geography:
Africa, Cuba, and Sub-Saharan Africa

40. We Stand at a Very Uncertain Future for Humanity

Author:
Kumi Naidoo
Publication Date:
12-2020
Content Type:
Journal Article
Journal:
Conflict Trends
Institution:
The African Centre for the Constructive Resolution of Disputes (ACCORD)
Abstract:
If the global coronavirus outbreak and the subsequent COVID-19 pandemic has shown us anything, it is that there is no them and us. The virus does not discriminate, and nature does not negotiate. That lethal combination does not bode well for our species. Currently, all indications point to the fact that millions of people across the world will be infected and that hundreds of thousands, if not millions, more will die.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Africa

41. Global Health: A Pressing Foreign Policy Issue of our Time

Author:
Ayanda Ntsaluba
Publication Date:
12-2020
Content Type:
Journal Article
Journal:
Conflict Trends
Institution:
The African Centre for the Constructive Resolution of Disputes (ACCORD)
Abstract:
Recognition of the nexus between foreign policy and public health is not new; it has found episodic expression that tended to dissipate, only to re-emerge with time. This has been the case because traditional notions of advancing national interests through foreign policy have tended to be anchored around the fields of trade and defence, with health seen as part of so-called “low politics”. This has tended to underplay the foreign policy dimensions of health.
Topic:
Foreign Policy, Civil Society, International Cooperation, Ebola, and Public Health
Political Geography:
Africa and Europe

42. The impact of COVID-19 on Peace Operations in Africa

Author:
Cedric De Coning
Publication Date:
12-2020
Content Type:
Journal Article
Journal:
Conflict Trends
Institution:
The African Centre for the Constructive Resolution of Disputes (ACCORD)
Abstract:
The COVID-19 pandemic has significantly disrupted peace operations. In the short term, activities have been reduced to the most critical, rotations have been frozen and most staff are working remotely. Most of the missions have adapted remarkably well. However, even more changes are likely in the medium term, when the global economic recession that is expected to follow in the wake of the virus may force peace operations to contract drastically in size and scope.
Topic:
Peace, Public Health, Pandemic, and COVID-19
Political Geography:
Africa

43. Reappraising Conflict Trends in Nigeria amidst the COVID-19 Pandemic

Author:
Harrison Adewale Idowu
Publication Date:
11-2020
Content Type:
Journal Article
Journal:
Conflict Trends
Institution:
The African Centre for the Constructive Resolution of Disputes (ACCORD)
Abstract:
The COVID-19 pandemic has seen the restriction of terrorist activities, with casualties now mostly from the Nigerian Armed Forces rather than the civilian population.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Nigeria

44. COVID in Africa: A Long-Term Relationship

Author:
Alexandra de Sousa
Publication Date:
06-2020
Content Type:
Working Paper
Institution:
Council on International Policy (CIP)
Abstract:
At this juncture, all findings and projections must be interpreted with caution since our understanding of COVID-19 is evolving, and today’s assumptions may not hold. Nearly six months have passed since this virus has garnered attention and there continue to be numerous key questions immunologists, virologists and epidemiologists have trouble answering. Among them is how COVID-19 will evolve in Africa. As of the time of writing, the number of cases that SARS-Cov-2, the virus that causes COVID-19, officially inflicted in Africa is so low[1] that it has been labeled the silent epidemic. The optimists point to the continent’s natural advantages of youth and weather, and its public health experience and resourcefulness[2] as reasons for such low numbers, while the skeptics point to a lack of infrastructure, including testing capacity.
Topic:
Public Health, Pandemic, COVID-19, and Health Crisis
Political Geography:
Africa

45. Lessons from the Ebola Crisis in West Africa: Community engagement, crisis communication and countering rumours

Author:
Frida Bjørneseth, Morten Bøås, Henriette U. Erstad, Alessia Iocchi, and Kari M. Osland
Publication Date:
04-2020
Content Type:
Special Report
Institution:
Norwegian Institute of International Affairs
Abstract:
What lessons can we draw from the 2014-2016 Ebola crisis in Guinea, Liberia, Sierra Leone? While both the outbreak itself and the context is different, there are enough similarities between the Ebola crisis and COVID-19 to extract useful lessons and best practices. In this research note, the focus is on three key lessons from the Ebola experience: community engagement, crisis communication and countering the rumour mill. In the world’s most fragile states, an uncontrolled outbreak of COVID-19 would have devastating consequences for the population. In a scenario where the spread of the coronavirus is under control in large parts of the world, the survival of COVID-19 in fragile states would also most certainly be a source for new waves of infections to the rest of the world. Not only do fragile states lack capacity to react adequately on their own, but their ability to utilise external support and assistance is limited due to low absorption capacity.
Topic:
Ebola, Crisis Management, Public Health, and COVID-19
Political Geography:
Africa and West Africa

46. PP67: COVID-19 in Africa - Vulnerabilities and Assets for an Effective Response

Author:
Robert Mattes, Carolyn Logan, E. Gyimah-Boadi, and George Ellison
Publication Date:
08-2020
Content Type:
Policy Brief
Institution:
Afrobarometer
Abstract:
Not only did the COVID-19 disease arrive on Africa’s shores (and at its airports) later than in Asia, Europe, and North America (Loembé et al., 2020), but for months the numbers of infections and deaths also appeared to remain relatively low. As of early August, the continent had experienced more than 1 million confirmed cases and 23,000 deaths (Africa CDC, 2020), though these figures were increasing rapidly. At this point, the causes behind Africa’s comparatively low initial numbers are not completely clear. One reason may be that early and decisive responses on the part of many African governments prevented the virus from gaining an easy foothold (Beech, Rubin, Kurmanaev, & MacLean, 2020; Hirsch, 2020; Levinson, 2020; Moore, 2020; Loembé et al., 2020). Indeed, according to the International Center for Not-for-Profit Law (2020), 46 African countries took some form of official action – in the form of new legislation or executive orders and decrees – restricting or banning travel and public gatherings, enforcing quarantines, or in some cases imposing full “lockdowns.” But Africa, somewhat paradoxically, may also have benefited from a range of structural factors, such as the continent’s relatively limited international exposure, its relatively low rates of intra- and inter-state air travel (Marbot, 2020), a generally hot and humid climate, relatively lower levels of population density and urbanization (De Waal, 2020; Marbot, 2020), and its substantially younger populations (Binding, 2020). It may have also profited from cultural factors, such as the fact that older people tend to remain with their families, rather than being institutionalized in retirement homes (Marbot, 2020), though this also has consequences for residential density, or that it has a more collectivist, less individualistic culture, which, according to recent research, may make COVID-19 interventions more effective (Frey, Presidente, & Chen, 2020). Yet most public health experts remain wary, and still expect significant further transmission of the virus across the continent, requiring drastic public health responses and interventions, especially where governments eased initial restrictions and lockdowns. Indeed, some officials have expressed concerns that Africa’s low numbers merely reflect very low rates of testing (Sly, 2020) and even, in some countries such as Tanzania, deliberate under-reporting (BBC, 2020). Some press reports have described instances where local reports of death rates bear little relation to official data (MacLean, 2020; York, 2020). These concerns appear well-founded given that community transmission is now present in all African countries and the number of infections increased by 50%, and deaths by 22%, in the last two weeks of July (World Health Organization, 2020). And officials at the Africa Centres for Disease Control and Prevention have warned that Africa could well become the next epicenter of the pandemic (Loembé et al., 2020). If, as these events suggest, early interventions in African countries successfully erected a wall that kept the virus at bay, albeit temporarily, how well prepared are these countries if and when the virus penetrates their initial defenses? A wealth of Afrobarometer survey data suggests that Africans are especially vulnerable, in part due to lack of access to clean water and adequate health care (Gyimah-Boadi & Logan, 2020a; Logan, Howard, & Gyimah-Boadi, 2020). In this paper, we attempt to take the issue of vulnerability a step further by developing a more fine-grained approach, using insights from public health to examine different dimensions and components of vulnerability (Morrell, 2018). Specifically, we develop three inter-connected indices intended to capture the extent to which Africans might 1) run a heightened “risk of exposure to infection,” 2) face a heightened “susceptibility to illness” (once infected), and 3) face a “lack of resilience” (to recover once they become ill). In addition, a fourth index of “lockdown readiness” estimates the proportion of people who are more (or less) likely to be able to withstand the most severe forms of government health interventions, i.e. lockdowns or “shelter in place” orders, We then demonstrate how cross-country variations in the extent of exposure and susceptibility, and in the degree to which people are prepared for a lockdown, might help us better understand policy choices that African governments have made, and the extent to which these interventions were able to achieve desired reductions in mobility and contact. Finally, we briefly explore some of the soft assets that governments can bring to the table, such as legitimacy and trust, that may help increase compliance with restrictions on mobility, especially in countries we have identified as least able to tolerate lockdowns.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Africa

47. Responding to Ebola epidemics

Author:
Gentiane Lamoure and Helene Juillard
Publication Date:
12-2020
Content Type:
Working Paper
Institution:
ALNAP: Active Learning Network for Accountability and Performance
Abstract:
Epidemics of infectious diseases are occurring more often, and spreading faster and further across the world than ever before. The emergence of large-scale epidemics (such as Ebola, HIV/AIDS, SARS and, even more recently, COVID-19), the re-emergence of old diseases (such as tuberculosis and haemorrhagic dengue) and the persistence of epidemics of controllable diseases (such as measles, cholera or malaria) have led national governments and global institutions to consider epidemics as some of the most serious major public health emergency threats for the 21st century. Since 2010, both medical and non medical humanitarian actors have been increasingly involved in the response to major outbreaks. This lessons paper aims to inform future humanitarian responses to Ebola, acting as a guide for humanitarian practitioners. Some of its findings – such as the lessons on coordination, funding and economic recovery – may also be transferable to responses to other epidemics. The paper seeks to answer the research question: ‘What lessons for humanitarian practitioners can be drawn from the responses to the Ebola epidemic outbreaks since 2014?’
Topic:
Humanitarian Aid, Ebola, Crisis Management, Public Health, and Epidemic
Political Geography:
Africa

48. Is there an anti-politics of electricity? Access to the grid and reduced political participation in Africa

Author:
Jennifer N. Brass, Kirk Harris, and Lauren M. MacLean
Publication Date:
05-2019
Content Type:
Working Paper
Institution:
Afrobarometer
Abstract:
Almost all African states face pressure to deliver improved public services to their citizens. In both emerging democracies and persistent authoritarian regimes, politics profoundly shapes how states distribute public goods such as roads, schools, health clinics, and electricity access (Briggs, 2014; Dixit & Londregan, 1996; Harding & Stasavage, 2014; Kramon & Posner, 2013; Min, 2015; Weingast, Shepsle, & Johnsen, 1981). But in addition to questions of how politics shapes distributive outcomes, scholars have recently turned to a new question: How does variation in public service provision subsequently shape political participation (Bodea & LeBas, 2016; Harding, 2015)? Here, the findings are less clear. Where some authors find that the receipt of public service provision stimulates participation (Bleck, 2015; Wantchekon, Klašnja, & Novta, 2015), others caution that service provision may actually undermine engagement or have no effect (Croke, Grossman, Larreguy, & Marshall, 2015; Kam & Palmer, 2008; Mattes & Mughogho, 2009). Most of this literature has focused on the political effects of the delivery of social welfare services, especially education. Meanwhile, the political effects of electricity provision have been largely overlooked. Electricity provision is important for political outcomes for several reasons. Historically, in some African countries, electricity provision was tightly linked to the independence struggle and to rights of citizenship (MacLean, Gore, Brass, & Baldwin, 2016). Yet despite these expectations, African countries continue to have the lowest rates of electrification in the world. Only about one-third of Africans have access to electricity (International Energy Agency, 2014), and only two-thirds live in a community with any grid access (Oyuke, Penar, & Howard, 2016), and these rates are much lower in rural areas in most countries (Leo, Morello, & Ramachandran, 2015).
Topic:
Education, Democracy, Public Policy, Public Sector, Electricity, and Public Health
Political Geography:
Africa

49. Burundi on the Brink Again? Identifying Risks Before the 2020 elections

Author:
Nina Wilen
Publication Date:
10-2019
Content Type:
Working Paper
Institution:
EGMONT - The Royal Institute for International Relations
Abstract:
In less than a year Burundi will hold its first elections since the 2015 political crisis was triggered by the president’s bid for a third term. Almost five years after the start of the crisis, Burundi is still stuck in a political impasse with strong authoritarian undertones and with little hope of conducting free and fair elections. This policy brief identifies four developments which could turn the current situation into a high- intensity violent crisis: forced refugee return; repression of the opposition; implosion of the ruling party CNDD-FDD and the threat of an Ebola outbreak. Given the tense climate and the limited space available to foreign actors, it is suggested that external actors scale down expectations for democratic elections. Instead, focus should be on keeping options open to provide humanitarian assistance in the event of a large-scale outbreak of violence or Ebola, while maintaining political pressure for democratic space.
Topic:
Elections, Ebola, Refugees, Election watch, and Public Health
Political Geography:
Africa and Burundi

50. Setting the Stage for Increased Accountability: The White Ribbon Alliance Nigeria Campaign to Improve Maternal, Newborn, and Child Health in Niger State

Author:
Rachel Sullivan Robinson
Publication Date:
05-2019
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
Most African governments have made extensive commitments to provide primary health care to their citizens; in many cases these commitments date from the post-independence era, but have been reinvigorated in response to the Millennium and Sustainable Development Goals. Yet poor service delivery plagues the health care systems of many African countries, in particular affecting women and children who depend on local health centers for prenatal and basic primary care. One route to improving such care is through holding government accountable for its health care promises. But in many of these contexts, democracy is fragile and civil society is weak, leaving few institutions for holding government to account. In these contexts, can external actors support such pro-accountability change? This accountability note begins to answer this question with reference to White Ribbon Alliance Nigeria’s campaign to improve maternal, newborn, and child health in Niger State. Campaign activities promoted citizen demand for quality maternal health care and government responsiveness to those demands through advocacy to key health system actors, community dialogues to share information and set strategy, town halls to bring together citizens and government representatives, and the training of a cadre of citizen journalists to expose poor quality health care as well as highlight government responsiveness to citizen demands. This note puts forward four lessons drawn from the campaign’s experiences: 1. In contexts where both civil society and the state lack capacity, campaigns that simultaneously engage government and enable citizens to voice their opinions can increase state government participation in activities that increase accountability. 2. Compromise over the meaning of “accountability” can both facilitate and constrain progress towards accountability. 3. Where citizens desire more from government and are willing to demand services, campaigns can facilitate events where citizens learn about their rights, devise strategies for achieving them, and engage with government representatives. 4. Where citizens are willing and able to challenge government, campaigns can train citizen journalists to report on accountability failures. The analysis is based on more than 40 interviews conducted in 2017 and 2018 with relevant actors in Niger State as well as a review of campaign and government documents. Although an impact of the campaign on health care utilization is not yet visible, the campaign has convinced the previously reticent state government to engage with citizens, and anecdotal evidence suggests improvements to health care facilities in response to town halls and citizen journalist reports. The government has also invited White Ribbon Alliance Nigeria to train all of the state’s local health committees responsible for oversight of primary health care facilities, demonstrating how collaboration has created a pathway towards greater accountability. Taken together, these findings support the proposition that external actors can play a vital role in supporting and magnifying citizen demands for better health care while simultaneously enabling government responsiveness to those demands, thus laying the groundwork for greater accountability.
Topic:
Civil Society, Health, Children, Women, Accountability, and Public Health
Political Geography:
Africa and Nigeria