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Infectious Injustice: The political foundations of the Ebola crisis in Sierra Leone

Anderson, E-L and Beresford, A (2016) Infectious Injustice: The political foundations of the Ebola crisis in Sierra Leone. Third World Quarterly, 37 (3). pp. 468-486. ISSN 0143-6597

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Anderson %26 Beresford 'Infectious Injustice - The political foundations of the Ebola crisis in Sierra Leone' (2).pdf - Accepted Version
Restricted to Temporary Embargo (access restricted until embargo expiry date) until 10 September 2017.


This article identifies the long-term political factors that contributed to the Ebola crisis in Sierra Leone, which are largely overlooked by the emerging international focus on building resilient health systems. We argue that the country exhibits critical symptoms of the recurrent crises of a gatekeeper state, including: acute external dependency, patron-client politics, endemic corruption, and weak state capacity. A coterie of actors, both internal and external to Sierra Leone, has severally compromised the health system. This left certain sections of the population acutely at risk from Ebola and highlights the need for political solutions to build stronger, inclusive health systems.

Item Type: Article
Copyright, Publisher and Additional Information: (c) 2016, Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Third World Quarterly on 10 March 2016, available online: http://www.tandfonline.com/10.1080/01436597.2015.1103175.
Keywords: Global health, health systems strengthening, Ebola Virus Disease (EVD), gatekeeper state, patronage politics, Sierra Leone
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Education, Social Sciences and Law (Leeds) > School of Politics & International Studies (POLIS) (Leeds)
Depositing User: Symplectic Publications
Date Deposited: 09 Oct 2015 15:37
Last Modified: 13 Jul 2016 18:47
Published Version: http://dx.doi.org/10.1080/01436597.2015.1103175
Status: Published
Publisher: Taylor & Francis
Identification Number: 10.1080/01436597.2015.1103175
URI: http://eprints.whiterose.ac.uk/id/eprint/90600

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