When Institutions Work : Nigeria's Ebola Response

Nigeria is a country of immense natural resources and potential, but the government’s capacity to deliver public goods has generally been weak. It was against this backdrop that Nigeria faced the arrival within its borders of the deadly Ebola virus disease in July 2014. Despite assurances that the Nigerian government was prepared to respond to an outbreak of Ebola, the country was caught unaware and forced to mount an emergency response. Yet despite these serious concerns, the spread of Ebola was successfully contained in Nigeria. This case study seeks to understand why Nigeria’s Ebola response was so successful despite the challenging context. The case study will focus on institutional architecture and political will, taking an exploratory qualitative approach to examine the institutional dynamics and motivations among various stakeholders involved in the country’s response. The aim is to distill lessons that may be applied to other emergency response initiatives, as well as elsewhere in the health sector and in other areas of service delivery. A proactive communication strategy is required to build a broader coalition of support, and demand-side actors such as nongovernmental organizations play a helpful role.

Bibliographic Details

Main Author:	Tilley-Gyado, Ritgak Dimka
Format:	Working Paper biblioteca
Language:	English en_US
Published:	World Bank, Washington, DC 2015-05
Subjects:	MEDICAL PRACTICE, CHILD HEALTH, EPIDEMIOLOGISTS, RISKS, TREATMENT, DIAGNOSIS, DISEASE OUTBREAK, EBOLA VIRUS, INFORMATION SYSTEM, HUMAN IMMUNODEFICIENCY VIRUS, PREVENTION, POLIO ERADICATION INITIATIVE, MORBIDITY, REDUCING MATERNAL MORTALITY, RESOURCE ALLOCATION, HEALTH RESEARCH, HEALTH CARE, HEALTH SURVEYS, DEATH, EFFECTS, HEALTH, EPIDEMIC, HEALTH WORKERS, PUBLICATIONS, NATIONAL LEVEL, ENVIRONMENTAL HEALTH, SYNDROME, HEALTH FACILITIES, HOSPITAL, PUBLIC HEALTH, NATIONAL CAPACITIES, MATERNAL MORTALITY, QUALITATIVE APPROACH, HEALTH SECTOR, KNOWLEDGE, POLICY RESPONSE, TECHNICAL CAPACITY, TECHNICAL ASSISTANCE, MINISTRY OF HEALTH, DISEASES, MILLENNIUM DEVELOPMENT GOAL, TRAINING, INFECTIOUS DISEASES, PATIENTS, PATIENT, LIFE, INTERVENTION, POISONING, HUMANITARIAN AFFAIRS, PEDAGOGY, EMERGENCIES, HEALTH MANAGEMENT, PARALYSIS, HAZARD, DISSEMINATION, EMERGENCY RESPONSE, SYMPTOMS, SERVICE DELIVERY, NATURAL RESOURCES, GLOBAL HEALTH, INTERVIEW, MORTALITY, HEALTH CARE SYSTEM, TECHNICAL RESOURCES, ENVIRONMENTAL DAMAGE, PROGRESS, DISEASE OUTBREAKS, LARGE POPULATION, DIAGNOSES, HEALTH REGULATIONS, INFANT, WORKERS, FEVER, USE OF RESOURCES, POLICIES, FATIGUE, INFLUENZA, HIV, SURVEILLANCE, AGGRESSIVENESS, IMMUNODEFICIENCY, POLICY MAKERS, SERVICE DELIVERY SYSTEMS, HEALTH POLICY, MEDICINE, HEALTH SECTOR REFORM, MORBIDITY AND MORTALITY, URBAN AREAS, EMERGENCY   RESPONSE, MEDICAL PERSONNEL, DECISION MAKING, MALNUTRITION, POLIO ERADICATION, ACUTE FLACCID PARALYSIS, DISEASE_SURVEILLANCE, NUTRITION, ANTIMALARIALS, INTERNATIONAL COMMUNITY, QUALITY CONTROL, INTERNATIONAL RESPONSE, POLICY, HEALTH SURVEILLANCE, REST, PRIMARY HEALTH CARE, WORLD HEALTH ORGANIZATION, THERAPY, DIAGNOSTICS, INTERNET, CHILD MORTALITY, AVIAN INFLUENZA, CHILD MORTALITY RATES, HEALTH SYSTEM, VACCINES, WEIGHT, PHYSICIANS, HUMAN RIGHTS, VIRUS, EXERCISE, CHILDREN, DISEASE, DISEASE CONTROL, CLINICS, WORKING CONDITIONS, WAR, DISEASE SURVEILLANCE, RISK OF EXPOSURE, ILLNESS, INFECTION, INFECTIONS, ALL, POPULATION, POLIO, DISSEMINATION OF INFORMATION, MATERNAL AND CHILD HEALTH, MEDICAL ETHICS, PLAGUE, INFECTION RATES, VISION, LEAD POISONING, CIVIL WAR, EMERGENCY PREPAREDNESS, STRATEGY, FLOW OF INFORMATION, FERTILITY, EPIDEMIOLOGY, RISK OF DEATH, EBOLA, EMERGENCY RESPONSE SYSTEMS, HEALTH INTERVENTIONS, PRIMARY HEALTH CARE SYSTEMS, HEALTH CARE SYSTEMS, HEALTH SERVICES, IMPLEMENTATION, BLIND, SERVICE PROVIDERS, PRINT MEDIA, LASSA FEVER,
Online Access:	http://documents.worldbank.org/curated/en/2015/09/25078433/doing-development-differently-ddd-pilot-politically-savvy-locally-tailored-adaptive-delivery-nigeria-country-delivery-case-study http://hdl.handle.net/10986/22775
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