Jean-Marie Gaborit has been operating his beautiful wetland lodge in the Delta de Saloum in Senegal for 12 years, but he says things have never been so quiet. The European winter months are usually the high season for popular West African destinations, with the beaches, hotels and restaurants packed full of sunshine-seeking tourists. "It’s this Ebola" he sighs, and then adds "even though there is none here."
It’s the same story in the Gambia, and effects are even felt further afield in Kenya, Tanzania and Botswana. The Hotels Association in Tanzania (with over 200 members) says that business is down 30 to 40 percent on the year and advanced bookings, mostly for 2015, are 50 percent lower. In South Africa, some 6000 kilometers from the nearest Ebola outbreak, arrivals are down this period by as much as 30 percent. In some cases, airlines (such as Korean Air) have stopped running – even to non-affected countries like Kenya. Across the board, Share values of international tour operators have fallen, hotels have closed, and thousands of tourism-industry workers have been made redundant.
The Accommodation Manager at the Baobab Hotel in Saly, Senegal admits he has laid off 160 staff in the last few months: "When we are full, we have a ratio of one employee for one room. We have 280 rooms and right now 100 of them are occupied. I have 20 extra staff that I can’t afford, but their contracts mean that I can’t let them go." About 80 percent of those staff members are from the local area, and they directly support seven to 10 dependents. For countries that rely on tourism for a large part of their GDP and foreign-exchange contributions, the loss of revenue is significant. In the Gambia, for example, where tourism accounts for 13 percent to 15 percent of GDP, the target of 7.5 percent economic growth for 2015 will be missed.
Misinformation lies at the heart of the problem. Although many foreign governments have declared Senegal and the Gambia to be Ebola-free, spreading this message to tourists has proved incredibly difficult. Noisier news reports of death tolls, medical-staff shortages and NGO-promoted appeals in affected countries have drowned out other voices. Moreover, those reports play to international prejudices. With the overwhelming foreign perception of Africa as one country, the problem has no boundaries.
The World Bank Group will be supporting the Government of Senegal in implementing a communications strategy with an emphasis on briefings for key tour operators and the provision of hard data. Best practice shows that such management is more effective if it is planned ahead, and if it includes the preparation of a task force involving decision-makers from both the private and public sector – including a public-relations team, a recovery marketing team, an information-coordination team and a fundraising team. Moving into crisis recovery, a series of medium-term resilience measures – such as incentives, matching grants, training and sustained promotion – may be appropriate.
Social media has played its part in trying to combat misunderstandings, with Twitter and grassroots campaigns pushing material such as this infographic, but there needs to be a much-better-coordinated response.
Crisis communications consultant Jeff Chatterton has been working with a number of African Tour Operators since the outbreak of the virus. He cites hard information and empathy as two of the most important tools to deploy at this stage of the crisis. According to Chatterton, prospective tourists who are hesitating over an African booking need to feel that their concerns are listened to, acknowledged and understood. Once this has been established, they will be more inclined to engage with fact-based information, which needs to be clear, transparent and accurate. He sees two big problems with tourism businesses: a reactive approach that is not reaching out and communicating to key audiences, and a downplaying of the problem that undermines and belittles consumer. "About the worst thing you can do is dismiss their reality as inconsequential," he says.
There is a critical role for government to play in crisis management and disaster recovery. Lessons can be learned from the outbreak of Foot and Mouth Disease in the UK in 2001. The UK’s Department for Environment, Food and Rural Affairs (DEFRA) identified the direct costs to tourism as a loss of expenditure of between £2.7 and £3.2 billion. At the national level, the tourism industry's representatives blamed the British Tourist Authority for failing to react sufficiently and effectively, without an appropriate crisis-management strategy in place before the outbreak.
For the World Bank Group and other development partners, a greater emphasis on crisis-management support at the sector level could be an important pro-active means of stepping up our engagement with client countries – before disaster strikes. With the rising threat of terrorism attacks across the world, along with their devastating impact on tourist demand, the most prepared destinations will have a competitive advantage and will be better equipped to limit the damage to the economy and to people’s livelihoods.
For now, hotels in Senegal have slashed their prices and are concentrating on supplying the small domestic market, but operating at a loss is not sustainable for long. The booking season for 2015 is almost over, with no sign of recovery – meaning that businesses such as Jean-Marie’s face at least another 12 months of empty beds.
Growing up, I always dreaded to enter my grandmother’s kitchen in the village. She used firewood to cook: There was such a dark, thick smoke in the room that I couldn’t breathe or keep my eyes open. I really don’t know how my grandmother could spend hours and hours in there, every day, for so many years. And unfortunately, my grandmother is not an isolated case. More than 90 percent of Kenya’s population uses firewood, charcoal or kerosene for their daily cooking needs.
I always dreamed that clean sources of energy would make Kenyans more independent and less exposed to the serious health risks posed by fossil fuels. In rural areas, most women like my grandmother rely on firewood; its consumption not only depletes our forests but also emits hazardous smoke that causes indoor pollution and eventually respiratory illness. In areas where firewood is scarce, women have to use cow dung as fuel, an option possibly even worse in terms of pollution. Urban areas are affected too: The poor rely mostly on charcoal, another biomass that has the same negative effects and health risks of firewood.
Cleaner fuel options have already been developed but are often too expensive or too difficult to transport across the country to be adopted by a large part of the population, especially by the 40 percent of people at the base of the pyramid.
So what can be done? How can we make clean fuels more affordable and accessible?
I first heard about bottled biogas when I visited a "green" slaughterhouse in Kiserian, Kenya. I was really impressed: My dream of a cleaner, more affordable and easily accessible fuel was right there before my eyes.
The Keekonyoike Slaughterhouse found an innovative way to produce affordable biogas and package it for distribution all around the country. Using a special bio-digester, this business can turn blood and waste from a community-based Maasai slaughterhouse into biogas for cooking. To facilitate transport, the firm stores the fuel in recycled cylinders and used tires, reducing even further the environmental impact of the operation. Just to give me a better idea of the "green" potential of his business, the manager told me that this first biogas plant is expected to cut methane emissions by more than 360,000 kilograms per year (the equivalent of almost 2,000 passenger vehicles).
Indeed, "bottled" biogas (biogas compressed into a cylinder) has huge potential in Kenya: Farmers can directly produce it, recycling the waste from their farms; can use it for their cooking needs; and, thanks to the bottling process, can sell the excess on the local market, generating income while saving the environment.
Keekonyokie is a company that began operations in 1982. It runs an abattoir that slaughters about 100 cows per day to meet the meat demand in Nairobi and its environs. In 2008, with the support from GTZ, the company constructed two 20-foot-deep biogas digesters that would help manage the abattoir waste, which was becoming a menace and a health hazard. Within a short time, the biogas being produced from the digesters was more than the company could absorb. The company managers started thinking of compressing and bottling the excess biogas, but they needed support to test the technical and commercial viability of their idea.
When infoDev’s Kenya Climate Innovation Center (KCIC) opened its doors in October 2012, Keekonyokie was one of the first companies to be admitted.
If you’re in the private sector, and if you somehow imagine that social issues don’t have anything to do with your business, then you’d better think again. The dollars-and-cents costs of chronic social problems and dysfunctional behavior have a direct impact on private-sector productivity and profitability.
As Harvard Business School professor Michael Porter told a World Bank Group audience not long ago, explaining his theory of “creating shared value”: If business leaders are serious about ensuring future private-sector-led growth – and about the long-range stability of the economy – then the corporate sector had better prioritize pro-active steps to address serious social issues as a significant part of their strategy.
Social issues might not readily rise to the top of corporate leaders’ in-boxes, since many hard-headed businessmen – and I use the suffix “men” advisedly – might presume that “soft” human concerns aren’t central to day-to-day business operations. Yet the painful human toll inflicted by social dysfunction is everybody’s business. Corporate executives who truly aim to fulfill a positive leadership role in society, to which they so often aspire rhetorically, have a duty to raise their voices about the many kinds of social trauma that impede socioeconomic progress.
If a sense of social responsibility isn’t enough to get corporate leaders thinking pro-actively, they should at least consider their business’ long-term enlightened self-interest. A workforce that’s de-motivated or demoralized – or, worse, physically injured or emotionally abused – will suffer lower morale and higher absenteeism, will trigger higher health-care costs, will be distracted from seizing new business opportunities, and will fall short of fulfilling its full productive potential. That economic reality should spur the private sector to take constructive, preventive action.
An event on Wednesday at the World Bank Group will offer a reminder of how one vicious form of extreme antisocial behavior – violence against women and girls – acts as a drag on society, a drain on the economy and an impediment to achieving every development priority. The 2 p.m. event in the J Building auditorium will launch a new World Bank Group report – the “Violence Against Women and Girls Resource Guide” – that surveys a wide range of analyses on the human suffering and social pain caused by gender-based violence.
Jointly sponsored by the Bank Group, the Inter-American Development Bank and the Global Women’s Institute based at George Washington University, the afternoon event will follow a morning panel discussion – at 10 a.m. in GWU’s Jack Morton Auditorium – featuring the authors of a landmark series of analyses of gender-based violence in The Lancet, the UK's pre-eminent medical journal.
Recognizing gender-based violence as a medical and public-health emergency – and reinforcing the World Health Organization’s recent declaration that gender-based violence is a global threat “of epidemic proportions” – The Lancet’s special edition is blunt about the grim toll of violence that deliberately victimizes women and girls: “Every day, millions of women and girls worldwide experience violence. This abuse takes many forms, including intimate physical and sexual partner violence, female genital mutilation, child and forced marriage, sex trafficking, and rape.”
Yet the special edition of The Lancet asserts that this social scourge is preventable. The analyses “cover the evidence base for interventions, discuss the vital role of the health sector in care and prevention, show the need for men and women to be involved in effective programmes, provide practical lessons from experience in countries, and present a call for action with five key recommendations and indicators to track progress.”
In a parallel, practical initiative, the government of the United Kingdom – through its Public Health England arm – has published a “toolkit” to help businesses identify, analyze and take protective action for those who may have been victimized by domestic abuse, psychological trauma or gender-based violence. PHE’s toolkit and awareness-building initiatives redouble the efforts of the UK’s Corporate Alliance Against Domestic Violence.
In the spirit of the United Nations’ recent observance of the International Day for the Elimination of Violence Against Women – and occurring amid the current “16 Days of Action Against Gender Violence” campaign – the Wednesday discussions with experts from The Lancet, the Global Women’s Institute, the IDB and the World Bank Group will help highlight the pervasive gender bias that hardens social inequality, and that can take the extreme form of violence targeting women and girls.
Corporate leaders who aim to take a leadership role in society have an opportunity to demonstrate their commitment: by rededicating their organizations to activist steps to mend a society too often torn by violence and the causes of violence: economic insecurity, social-class stratification, winner-take-all rapacity, misogyny, discrimination and exclusion – all of which threaten the ideals of eradicating extreme poverty and building shared prosperity.
Wednesday’s forums on gender-based violence will remind us that building a stronger, safer, more inclusive society is everybody’s business. That challenge should inspire private-sector leaders to include the long-term welfare of society as one essential factor as they calculate their bottom-line summation of success.
New approaches to medical care can improve health outcomes (Credit: World Bank, Flickr)
In many poor countries, a large proportion of health services is provided by the private sector, including services to the poor. However, the private sector is highly fragmented and the quality of services varies widely. Private health markets consist of providers with very diverse levels of qualification, ranging from formally trained doctors with medical degrees to informal practitioners without any formal medical training. According to Jishnu Das, in rural Madhya Pradesh— one of the poorest states in India, households can access on average 7.5 private providers, 0.6 public providers and 3.04 public paramedical staff. Of those identified as doctors, 65% had no formal medical training and of every 100 visits to healthcare providers, eight were to the public sector and 70 to untrained private sector providers.
Disasters, whether natural or man-made, destroy and disable healthcare systems just when they’re needed most. But disaster can also create an opportunity to make healthcare better, even in the world’s most troubled places.
I pay through the nose for health insurance for my family, and I’m not happy about it. As a U.S. citizen, I don’t have the luxury of government-backed healthcare. Since I’m technically self-employed, I have to pay the full premium myself. Want some figures? It costs me $830 a month for a family of four, with a high deductible. Besides being expensive, it takes a huge effort to deal with insurance issues, and I find that my provider is expert at finding reasons not to reimburse me for medical expenses. This is chewing a gaping hole in my budget. The only way I’ll ever get value for my money is if I’m hit by a bus.
I could tell something wasn’t quite right with the electrician. He was standing stiffly, poking at the wires in the circuit breaker panel, his face pale, his breathing labored. My wife offered him a cup of tea and asked if he was OK.
“I’m fine,” he said. “I just had a little surgery yesterday.” He kept working until he fixed the wiring; only then did he accept the tea. Then he told us his story.
As we get ready for the launch of the Healthy Partnerships report here in Nairobi, Kenya, there is a strong sense of accomplishment, mixed with nostalgia and hope. This report measures how governments in Sub-Saharan Africa are currently working (or not) with the private health sector in 45 countries we visited a little over a year ago. It has been long in development, but well worth it. We have made a first cut at doing something which some colleagues thought was too difficult. We developed indicators to measure the level of a government’s inclusion of the private health sector in a national health system, allowing cross-country comparison.
Not long ago, I carried a 20-liter bottle of water three blocks to my apartment (there is an artesian well in a nearby park). At first it was easy. I lifted it up onto my shoulders and walked boldly along the street, drawing admiring looks from everyone I passed.
But it didn’t take long for my muscles to feel the burn. Then my back started to ache. By the time I got home, I was wiped out. Never again, I thought.
If mobile phones hold potential for addressing a number of development challenges in existence today then the newest innovations are exciting with cross cutting implications for health. The World Bank recently hosted three top innovators selected from NASA’s LAUNCH Initiative in Health, to provide an overview of new innovations in mHealth and to debate potential bottlenecks in financing and scalability. LAUNCH was formed jointly by NASA, the US Department of State, USAID and NIKE as a global initiative to identify and support innovative work contributing to a sustainable future. All three presenters, Aydogan Ozcan of UCLA, Ramesh Raskar of MIT Media Lab and Josh Nesbit of Medic Mobile, have been widely recognized in the development field as dynamic young innovators.