With the Ebola outbreak waning but not yet over, the three most affected countries must now find ways to rebuild their economies and strengthen their health systems to try to prevent another health crisis in the future.
To that end, the presidents of Guinea, Liberia, and Sierra Leone came to the World Bank on April 17 to ask for help funding an $8 billion, 10-year recovery plan for the three countries, with $4 billion needed over the next four years to accelerate recovery. More than $1 billion was pledged by the end of a high-level meeting at the start of the World Bank Group -IMF Spring Meetings – including $650 million from the World Bank Group.
On March 5, Liberian physicians discharged Beatrice Yardolo, an English teacher, from the hospital, hoping that she would be their last Ebola patient. Unfortunately, last Friday another person in Liberia tested positive for the disease that has killed more than 10,000 people in West Africa.
The bad news was a reminder that the world must remain vigilant and insist that we get to zero Ebola cases everywhere. We also must support Guinea, Liberia, and Sierra Leone in their efforts to build back better health care systems to prevent the next epidemic.
Beatrice survived Ebola, but she and the other survivors have paid dearly because of the outbreak. She lost three of her 10 children to Ebola, her home was encircled in quarantine, and she’s been unable to work. She and her country face a daunting road back to recovery and they remain at risk of Ebola as long as there is a single case in the region.
Under the agreement, Liberia and Norway will work together to improve the framework for forest governance, strengthen law enforcement and support efforts to reduce greenhouse gas emissions from deforestation and forest degradation in Liberia. Improved governance and adequate law enforcement in the forest sector and agriculture impede further destruction of Liberia’s rainforests and aim to avoid illegal logging and unsustainable agricultural practices. In a country where timber was once used to purchase weapons and helped fuel a devastating civil war, the partnership holds promise to reduce carbon emissions related to deforestation and forest degradation, facilitate green growth and enhance livelihoods.
Liberia has a population of approximately 3.5 million people and 4.5 million hectares of lowland tropical forests—one of the largest contiguous forest blocks that remains in West Africa. Liberia’s forests are also widely recognized as a global hotspot of diversity, boasting flora and fauna (like pygmy hippos) that is both rare and at risk.
Liberia plans to conserve 30 percent or more of its forests as protected areas with the remainder to be used for sustainable forest management and community forestry.
Imagine a football team at the World Cup, just standing around the field watching as the other team breezes right past them and scores a goal. Without taking action to not only help the sick, but protect the healthy, then we, as global citizens, are letting Ebola win this game of life and death.
According to the World Health Organization, as of Nov. 9, a total of 14,098 confirmed, probable, and suspected cases of Ebola virus disease have been reported in six countries. There have been 5,160 deaths. Guinea, Liberia, and Sierra Leone have seen the highest number of cases.
A woman walks by an Ebola awareness sign in Freetown, Liberia. © Tanya Bindra/UNICEF
As the spread of the Ebola virus in West Africa shows, the importance of reducing inequality could not be more clear. The battle against the virus is a fight on many fronts — human lives and health foremost among them.
But the fight against Ebola is also a fight against inequality. The knowledge and infrastructure to treat the sick and contain the virus exists in high- and middle-income counties. However, over many years, we have failed to make these things accessible to low-income people in Guinea, Liberia, and Sierra Leone. So now thousands of people in these countries are dying because, in the lottery of birth, they were born in the wrong place.
If we do not stop Ebola now, the infection will continue to spread to other countries and even continents, as we have seen with the first Ebola case in the United States this past week. This pandemic shows the deadly cost of unequal access to basic services and the consequences of our failure to fix this problem.
The virus is spreading out of control in Guinea, Liberia, and Sierra Leone. As a consequence, our ability to boost shared prosperity in West Africa — and potentially the entire continent — may be quickly disappearing.
The Ebola outbreak in West Africa started with just one case. More than nine months later, it’s now outrunning the ability of fragile countries and relief organizations in the three most-affected countries to contain it. Clinics and hospitals are overloaded. Sick people are being turned away. Things could get much worse unless something changes.
It seems that everyone is talking about inequality these days, and I, for one, am happy to see this issue at the forefront in the development discussion.
We can look at inequality in a number of ways, which are not unrelated. One of the most visible types of inequality on the radar is inequality of outcomes — things like differences in academic achievements, career progression, earnings, etc. — which, in and of themselves, are not necessarily bad. Rewarding an individual’s effort, innate talents and superior life choices can provide incentives for innovation and entrepreneurship, and can help drive growth.
However, not all inequalities are “good.” When inequality perpetuates itself because those born poor consistently do not have access to the same opportunities as those born rich, what emerges is a deep structural inequality that is bad for poverty reduction, bad for economic growth, and bad for social cohesion. How pervasive are these deep inequalities? Much more than we would like. Indeed, when we examine what is happening in many countries around the world today, we find large and persistent, even growing, gaps in earnings between rich and poor. And we find that those who start out in poverty or are part of a disadvantaged group tend to remain there, with little opportunity to work their way out.
How do we explain this, and what can we do to tackle it? We need to take a step back and look at where this inequality originates, and that is where the concept of equality of opportunity comes in to play. This concept broadly refers to access to a basic set of services that are necessary, at the minimum, for a child to attain his or her human potential, regardless of the circumstances — such as gender, geographic region, ethnicity, and family background — into which he or she is born. Too often, access to such basic services like electricity, clean water, sanitation, health care and education is much lower among children born into circumstances that place them at a disadvantage. Children from disadvantaged groups thus set off on an unequal path from day one, which curbs their opportunities and potential into adulthood.
The challenge of moving from conflict and fragility to resilience and growth is immense. More than half of the countries counted as low income have experienced conflict in the last decade. Twenty per cent of countries emerging from civil conflict return to violence in one year and 40% in five years.
While the use and production of reliable evidence has become more common in much of the international development debate and in many developing countries, these inroads are less prevalent in fragile and conflict-affected situations (FCS). Programming and policy making in countries affected by conflict and prone to conflict is often void of rigorous evidence or reliable data. It is easy to argue, and many do, that it is impossible to conduct rigorous evaluations of programs in conflict-affected states. However, in spite of the very real challenges in these environments, such evaluations have been conducted and have contributed valuable evidence for future programming, for example in Afghanistan, the DRC, Colombia, northern Nigeria and Liberia.
My unit Center for Conflict Security and Development, (CCSD) is teaming up with the Department of Impact Evaluation (DIME), as well as the International Initiative for Impact Evaluation (3ie), and Innovations for Poverty Action (IPA), in a series of activities to enhance the evidence base on development approaches to peace- and state-building challenges. A first goal is to scope out where our evidence base is thinnest: what are the programs and interventions that remain least tested, but have theories of change suggesting great potential? We are hoping to take stock of what we and other donor institutions have been doing in this area of development, and map this into what we have learnt and what we most need to learn more about. USIP, USAID, IRC as well as leading academics in this field and IEG, are kindly helping in this endeavor, and we hope to be able to share some initial findings at our fragility forum later this year.
Each month, about one million people enter the labor force in Africa. Another one million start looking for work in India. Add to this millions of others around the globe, and worldwide, some one billion people will enter the labor force between now and 2030.
Why is that date important? That’s the deadline World Bank Group President Jim Kim has set for ending extreme poverty and boosting shared prosperity. Making this happen will require not only a healthy and skilled labor force, but also requires creating ample job opportunities, and ensuring that young adults can find productive work.