When Institutions Work
When Institutions Work
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.
- World Bank United States
EMERGENCY PREPAREDNESS, PARALYSIS, SYMPTOMS, CHILDREN, DIAGNOSTICS, CHILD HEALTH, FATIGUE, THERAPY, DISEASE, EMERGENCY RESPONSE, HEALTH SYSTEM, PHYSICIANS, ENVIRONMENTAL HEALTH, ENVIRONMENTAL DAMAGE, IMPLEMENTATION, TECHNICAL ASSISTANCE, POLICY MAKERS, DISEASE SURVEILLANCE, POPULATION, WORKING CONDITIONS, NATIONAL LEVEL, IMMUNODEFICIENCY, DISSEMINATION OF INFORMATION, RESOURCE ALLOCATION, EMERGENCY RESPONSE, QUALITATIVE APPROACH, CIVIL WAR, WORKERS, HUMAN IMMUNODEFICIENCY VIRUS, INFECTIOUS DISEASES, MALNUTRITION, 320, REDUCING MATERNAL MORTALITY, HEALTH REGULATIONS, SERVICE PROVIDERS, DISEASES, VIRUS, HEALTH, LARGE POPULATION, WAR, INTERVENTION, SERVICE DELIVERY, SYNDROME, RISK OF EXPOSURE, EBOLA, SERVICE DELIVERY SYSTEMS, EXERCISE, DIAGNOSIS, PATIENT, MORBIDITY AND MORTALITY, EPIDEMIOLOGISTS, SURVEILLANCE, QUALITY CONTROL, LEAD POISONING, PATIENTS, FERTILITY, HEALTH FACILITIES, PROGRESS, HEALTH SURVEYS, MILLENNIUM DEVELOPMENT GOAL, EMERGENCIES, DECISION MAKING, POLIO ERADICATION INITIATIVE, MEDICINE, INFORMATION SYSTEM, MORTALITY, NATIONAL CAPACITIES, PREVENTION, RISKS, CLINICS, INTERVIEW, AGGRESSIVENESS, TECHNICAL RESOURCES, EBOLA VIRUS, HEALTH SECTOR REFORM, HUMAN RIGHTS, MATERNAL MORTALITY, HEALTH SECTOR, ANTIMALARIALS, INFANT, BLIND, MEDICAL ETHICS, POISONING, PEDAGOGY, WORLD HEALTH ORGANIZATION, GLOBAL HEALTH, POLIO, RISK OF DEATH, PLAGUE, INFECTION, FLOW OF INFORMATION, EPIDEMIOLOGY, HEALTH SURVEILLANCE, LASSA FEVER, DISEASE_SURVEILLANCE, HEALTH RESEARCH, PRINT MEDIA, USE OF RESOURCES, MINISTRY OF HEALTH, MEDICAL PERSONNEL, HEALTH POLICY, REST, DEATH, HUMANITARIAN AFFAIRS, DISSEMINATION, HAZARD, POLICIES, TREATMENT, POLIO ERADICATION, POLICY, HEALTH WORKERS, PRIMARY HEALTH CARE SYSTEMS, HEALTH CARE, INFLUENZA, INFECTIONS, EFFECTS, INTERNATIONAL COMMUNITY, MEDICAL PRACTICE, NUTRITION, PUBLIC HEALTH, TECHNICAL CAPACITY, INFECTION RATES, HEALTH CARE SYSTEM, TRAINING, POLICY RESPONSE, DIAGNOSES, INTERNATIONAL RESPONSE, ILLNESS, EMERGENCY RESPONSE SYSTEMS, MORBIDITY, FEVER, EPIDEMIC, VACCINES, CHILD MORTALITY RATES, KNOWLEDGE, STRATEGY, INTERNET, ACUTE FLACCID PARALYSIS, DISEASE CONTROL, HEALTH MANAGEMENT, PRIMARY HEALTH CARE, DISEASE OUTBREAKS, HEALTH CARE SYSTEMS, HIV, NATURAL RESOURCES, 301, MATERNAL AND CHILD HEALTH, LIFE, VISION, HEALTH SERVICES, URBAN AREAS, CHILD MORTALITY, DISEASE OUTBREAK, PUBLICATIONS, WEIGHT, AVIAN INFLUENZA, ALL, HOSPITAL, HEALTH INTERVENTIONS
EMERGENCY PREPAREDNESS, PARALYSIS, SYMPTOMS, CHILDREN, DIAGNOSTICS, CHILD HEALTH, FATIGUE, THERAPY, DISEASE, EMERGENCY RESPONSE, HEALTH SYSTEM, PHYSICIANS, ENVIRONMENTAL HEALTH, ENVIRONMENTAL DAMAGE, IMPLEMENTATION, TECHNICAL ASSISTANCE, POLICY MAKERS, DISEASE SURVEILLANCE, POPULATION, WORKING CONDITIONS, NATIONAL LEVEL, IMMUNODEFICIENCY, DISSEMINATION OF INFORMATION, RESOURCE ALLOCATION, EMERGENCY RESPONSE, QUALITATIVE APPROACH, CIVIL WAR, WORKERS, HUMAN IMMUNODEFICIENCY VIRUS, INFECTIOUS DISEASES, MALNUTRITION, 320, REDUCING MATERNAL MORTALITY, HEALTH REGULATIONS, SERVICE PROVIDERS, DISEASES, VIRUS, HEALTH, LARGE POPULATION, WAR, INTERVENTION, SERVICE DELIVERY, SYNDROME, RISK OF EXPOSURE, EBOLA, SERVICE DELIVERY SYSTEMS, EXERCISE, DIAGNOSIS, PATIENT, MORBIDITY AND MORTALITY, EPIDEMIOLOGISTS, SURVEILLANCE, QUALITY CONTROL, LEAD POISONING, PATIENTS, FERTILITY, HEALTH FACILITIES, PROGRESS, HEALTH SURVEYS, MILLENNIUM DEVELOPMENT GOAL, EMERGENCIES, DECISION MAKING, POLIO ERADICATION INITIATIVE, MEDICINE, INFORMATION SYSTEM, MORTALITY, NATIONAL CAPACITIES, PREVENTION, RISKS, CLINICS, INTERVIEW, AGGRESSIVENESS, TECHNICAL RESOURCES, EBOLA VIRUS, HEALTH SECTOR REFORM, HUMAN RIGHTS, MATERNAL MORTALITY, HEALTH SECTOR, ANTIMALARIALS, INFANT, BLIND, MEDICAL ETHICS, POISONING, PEDAGOGY, WORLD HEALTH ORGANIZATION, GLOBAL HEALTH, POLIO, RISK OF DEATH, PLAGUE, INFECTION, FLOW OF INFORMATION, EPIDEMIOLOGY, HEALTH SURVEILLANCE, LASSA FEVER, DISEASE_SURVEILLANCE, HEALTH RESEARCH, PRINT MEDIA, USE OF RESOURCES, MINISTRY OF HEALTH, MEDICAL PERSONNEL, HEALTH POLICY, REST, DEATH, HUMANITARIAN AFFAIRS, DISSEMINATION, HAZARD, POLICIES, TREATMENT, POLIO ERADICATION, POLICY, HEALTH WORKERS, PRIMARY HEALTH CARE SYSTEMS, HEALTH CARE, INFLUENZA, INFECTIONS, EFFECTS, INTERNATIONAL COMMUNITY, MEDICAL PRACTICE, NUTRITION, PUBLIC HEALTH, TECHNICAL CAPACITY, INFECTION RATES, HEALTH CARE SYSTEM, TRAINING, POLICY RESPONSE, DIAGNOSES, INTERNATIONAL RESPONSE, ILLNESS, EMERGENCY RESPONSE SYSTEMS, MORBIDITY, FEVER, EPIDEMIC, VACCINES, CHILD MORTALITY RATES, KNOWLEDGE, STRATEGY, INTERNET, ACUTE FLACCID PARALYSIS, DISEASE CONTROL, HEALTH MANAGEMENT, PRIMARY HEALTH CARE, DISEASE OUTBREAKS, HEALTH CARE SYSTEMS, HIV, NATURAL RESOURCES, 301, MATERNAL AND CHILD HEALTH, LIFE, VISION, HEALTH SERVICES, URBAN AREAS, CHILD MORTALITY, DISEASE OUTBREAK, PUBLICATIONS, WEIGHT, AVIAN INFLUENZA, ALL, HOSPITAL, HEALTH INTERVENTIONS
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