The outbreak of the Ebola virus disease in West Africa from 2014 to 2015 underscored the fragility of public health services in countries emerging from protracted conflict, as well as the link between governance and health. In both Sierra Leone and Liberia, war had seriously undermined the health sector. Ebola arrived as the large-scale postwar international presence was downsizing and the responsibility for healthcare was shifting to the governments. Both governments had developed comprehensive health policies and plans, including devolution of health service delivery, but these were not fully implemented in practice. As a result, they were unprepared to address the Ebola crisis. This report explores the response to the Ebola crisis in Sierra Leone and Liberia, respectively.
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