Holistic Approach ‘Most Valuable Innovation’ In Sierra Leone Government’s Response To Ebola
The Lancet Global Health: Presidential responses to Ebola in Sierra Leone
Sebastian Kevany, research data analyst at the University of California San Fransisco, and colleagues
“…Under the Government of Sierra Leone’s National Ebola Recovery Strategy for Sierra Leone 2015-2017, both the President’s Early Recovery initiative and the follow-up President’s Recovery Priorities initiative adapted elements of the structure of other emergency response models (e.g., the Prime Minister’s Delivery Unit in the U.K. and the United States President’s Emergency Plan for AIDS Relief [PEPFAR]) to the setting of Sierra Leone. Acutely cognizant of the limitations of the health system, this national strategy created a similar post-epidemic supportive hierarchy to that in the U.K. and U.S. initiatives which (1) spanned all government departments, (2) enhanced monitoring and evaluation of national development efforts, and (3) had unprecedented authority to direct national and international resources to the epidemic. A further logic to the President’s Recovery Priorities approach was a kind of benign quid pro quo: just as the country’s trade, industrial, and agricultural sectors were all affected by the outbreak, all of them were drafted into the national recovery. … For the President’s Recovery Priorities intervention, the principle of a holistic response … has been one of the most valuable innovations…” (January 2019).