The global coverage of the Ebola crises is slowly quieting down but this by no means entails the disease is quieting down too. According to the Centre for Disease Control and Prevention, 8,371 people have fallen victims to the disease in Guinea, Liberia and Sierra Leone since the start of the Ebola outbreak last year. This is an outrageous number and, the sad thing is, the impact of disease does not stop at the deceased. The virus is not only causing the high number of victims in West-Africa, but it is also posing a great threat to economic and political stability in the affected countries and region. In our upcoming Webinar, we are focusing on the role of Corruption in the on-going Ebola crises. Wednesday 14th of January – 1pm EST Our three high-level speakers will discuss “How Corruption and Lack of Trust in West Africa Have fueled the Ebola Crisis.” Agenda Points: Transparent Use of Funds – addressed by Simon Eyram Tsike-Sossah - head of ACIPP Consulting and the Executive Director of ACIPP West Africa in the Netherlands. Governance Accountability – addressed by Joshua N. Ruxin – Assistant Clinical Professor of Public Health, Columbia University and Executive Director, www.globalhealthbuilders.org

1. The Billion Dollar Ebola Project
14 January 2014
1pm EST

2. Agenda Points
• Latest Ebola Stats and Introduction AYM – Annebeth
Wijtenburg – Content Producer, African Youth Movement &
Askia Koroma – Founder, African Youth Movement
• Governance Accountability – Simon Eyram Tsike-Sossah -
head of ACIPP Consulting and the Executive Director of
ACIPP West Africa in the Netherlands.
• Transparent Use of Funds/ Improving Health
Infrastructure – Joshua N. Ruxin – Assistant Clinical
Professor of Public Health, Columbia University and
Executive Director, www.globalhealthbuilders.org

3. Ebola virus disease (EVD)
So far (data up till 12 January by WHO)
There have been in excess of 20
000 confirmed, probable, and
suspected cases of EVD in Guinea,
Liberia and Sierra Leone and 8220
reported death.
Numbers in Liberia falling, Sierra
Leone signs that numbers are
levelling off, Guinea still no
discernible upward or downward
trend.

4. African Youth Movement
AYM empowers and
mobilizes Africa’s youth
through employment in
technology, agriculture,
education, ecotourism,
entrepreneurship, and the
arts.

5. The Billion Dollar Ebola Project
For: Twenty-First Century Youth Movement
January 14, 2015

6. Governance Accountability in the
face of Ebola and other
Emergencies.
Tsike-Sossah Eyram Simon
Executive Director, ACIPP West Africa
Why West Africa Failed
itself:

7. My background
 Born and raised in Ghana, Accra
 Bachelor’s Degree in Social Science – Geography and Sociology,
University of Cape Coast, Ghana
 M.A Development Studies, University of Cape Coast, Ghana
 MSc Political Science (Conflict Resolution and Governance), University of
Amsterdam
 Recipient North Rhine Westphalia Scholarship 2010 (German Gov’t
Scholarship)
 Main interests: Youth Development and Policy making with emphasis on
participation and good governance; Training/Development and Capacity
Building.
 #Ghana #SierraLeone #Liberia #WestAfrica

8. What ACIPP
Does
 Opportunity to learn and
intern in West Africa at a
low cost
 Facilitation of connections
with local organizations
 Opportunity to be
immersed in local culture
 Direct exposure to
different fields of learning
in a local context
 Training and Consulting

9. West Africa
---------
 15 countries:
 Divided along
Francophone, Anglophone
and Lusophone lines
 8 currencies
 Ghana, Liberia, Sierra
Leone, Gambia, Cape
Verde, Nigeria, and
Gambia, plus the West
African French Franc
 Total estimated population
of 340,000,000 (2013
estimates)
 Nominal GDP is:$675
Billion and a Per Capita of
$1,958

10. The Sierra
Leone
Response
 Politics of discrimination – Kailahun
was designated an SLPP strong-hold
 Late central government response
due to the third term agenda of the
ruling APC and President Koroma –
an election not due until 2016!
 Overwhelming silence from
opposition and NGOs on the third
term agenda (term elongation)
 Poor policy leadership from Central
government meant confusion among
actors
 Fear mongering and fear tactics of
government
 No coherent PR and education plan
 Poor health infrastructure

11. ECOWAS/W
AHO/AU
Response
 The regional organisation and
its parasital institutions were
limited to workshops,
conferences and talk-shops
 Donor dependence
 ECOWAS’ response was nearly
4 months late
 AU was 8months late
 President of AU paid first
official visit to an ebola country
after 8 months of the virus
 Fundraising campaign did not
start until December [see:
http://pages.au.int/ebola/eve
nts/ethiopia-launches-africa-
against-ebola-sms-fundraising-
campaign-using-7979-short-
code]

12. What is it?
 ‘… governance, accountability is
answerability, blameworthiness,
liability, and the expectation of
account-giving. As an aspect
of governance, it has been central
to discussions related to
problems in the public sector,
nonprofit and private (corporate)
worlds.’ - wikipedia
 It ensures that “actions and
decisions taken by public officials
are subject to oversight so as to
guarantee that their stated
objectives and respond to the
needs of the community are
meant to be benefiting, thereby
contributing to better governance
and poverty reduction.” Rick
Stepenhurst and Mitchell
O’Brien, World Bank Institute
Governance
Accountability
:
Accountability
in Governance

13.  Relationship
 Performance
 Direction
 Function
More important,
 There is the concept of
“answerability and
enforcement”
 But is that the case? Sierra
Leone? Liberia? Ghana?
Accountability
Assumes

14.  So why are these two
important?
But
Accountability
and
Governance
are just 2 of
West Africa’s
problems!

15.  Evaluating the
effectiveness of ongoing
public works, of work of
officials, agencies and
departments – ensuring
that they are producing to
their optimum capacities.
 Giving and instilling
confidence in the
government
 Strengthening positive
trust between the
governed and the
governors – obviously this
was lacking in Liberia and
Sierra Leone
Importance of
Accountability
in Governance

16.  Political Vs. Legal
 Parliament and Judiciary
checks – Ghana, Liberia,
Sierra Leone, Nigeria…
 Horizontal Vs. Vertical
 Appointment and role
definition defeats this
arrangement to be effective
 Social Accountability
 Demand driven and
operates from the bottom-up
 E.g.: participatory
budgeting, social audits,
citizen report cards
 Strengthening positive
trust between the
governed and the
governors – obviously this
was lacking in Liberia and
Sierra Leone
Types of
Accountability
in Governance

17. What can we
do better?
 Give international score
cards
 Stop the diplomacy of
blowing air …
 Delineate the arms of
governance/government
even further
 Focus on enforcement of
existing laws
 Let (West) Africa plan and
lead its own development
agenda

18. Thank
You
 Contact:
 Email:
info@acippwestafrica.org
 www.acippwestafrica.org
 www.derswa.org

19. Joshua N. Ruxin
Assistant Clinical Professor of Public Health, Columbia University
Executive Director, www.globalhealthbuilders.org

20. Ebola Help for Sierra Leone Is
Nearby, but Delayed on the
Docks
FREETOWN, Sierra Leone —
It has been sitting idly on the docks for
nearly two months: a shipping container
packed with protective gowns,
gloves, stretchers, mattresses and
other medical supplies needed to help fight
Sierra Leone’s exploding Ebola epidemic.
Amid Concern About Ebola Virus in U.S.,
New York Hospital Says It’s Ready for the
Worst
Officials at Belleveue Hospital Center
said it had adapted its equipment and procedures
to treat patients suspected of carrying the virus,
though it was highly unlikely that New York
would see a case.
October 9, 2014, Thursday
Life, Death and Grim Routine Fill the Day at a Liberian
Ebola Clinic
Europe's 'Moral Obligation' Is To Repair
West Africa's Health Care System

21. Country Ebola Deaths* AIDS Deaths**
Guinea 1,807 5,400
Liberia 3,515 2,700
Sierra Leone 3,049 3,100
Total 8,371 11,200
EBOLA vs. AIDS RELATED DEATHS, 2013-2014
* CDC 2014 Ebola Outbreak in West Africa-Case
Countshttp://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/case-counts.html
** UNAIDS
http://www.unaids.org/en/dataanalysis/datatools/aidsinfo/

22. Ebola Countries Health Expenditure (PPP)* Doctors (/100,000)** Available ETC beds**
Guinea $67 10 36%
Liberia $102 1.4 30%
Sierra Leone $205 2.2 63%
HEALTH SYSTEMS OVERVIEW, 2012-2015
* World Bank
http://data.worldbank.org/indicator/SH.XPD.PCAP
** The Economisthttp://www.economist.com/blogs/graphicdetail/2015/01/ebola-
graphics?page=1#sort-comments

23. CORRUPTION, 2014*
Country Corruption Ranking
Guinea 145/175
Liberia 94/175
Sierra Leone 119/175
*Transparency International
http://www.transparency.org/country

24. HUMAN DEVELOPMENT INDEX RANKINGS, 2013*
Country HDI Rank
Guinea 179/187
Liberia 175/187
Sierra Leone 183/187
* UNDP
http://hdr.undp.org/en/content/human-development-index-hdi-table

25. Murakoze

26. Q&A
Thank you for your time.
info@aym-inc.org
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