Ebola the lens: What do we see?

[This blog was first posted at the great Humanitarian Practice Network.  The research paper is expected this summer and will be co-written by Caitlin Wake.]

Saying goodbye to MSF’s Head of Mission in Liberia and thanking her for hosting me during my research visit. As I leaned in for the double cheek kiss that we Anglophone aid workers are so fond of displaying – a badge of cool and humanitarian familiarity that breaks with the sterility of the brisk American handshake – she leaned back. Her face was slightly horrified, her expression confused. Even as I leaned in further, confused myself and self-conscious of making a mistake, she pulled another step back. And then it clicked: No Touch Policy.

There you have it. One small perversity of the Ebola outbreak. One small particularity in a field of many, and yet also representative of a human crisis where humans are prohibited from touching one another in their blackest moments of need, fear and grief. The sanctioned protocol of bumping elbows – or perhaps fists – just doesn’t allow for the level of human connection that people working in such an unforgiving setting deserve.

A plethora of differences set the humanitarian intervention in West Africa apart from those mounted in response to other major crises, whether in Haiti, Syria or the Central African Republic. Some might find that reason enough to question the wisdom of a research project that aims to draw out lessons for future emergency responses from a black swan of a crisis. I would argue just the opposite – by catching the humanitarian aid system off balance, the Ebola epidemic has thrown the system into high relief, magnifying both strengths and weaknesses that might otherwise have gone unnoticed.

The goal of my research with ODI’s Humanitarian Policy Group (HPG) is to use the international response to the Ebola outbreak in West Africa as a critical lens for scrutinising the ‘humanitarian aid system’ as a whole. We hope to avoid duplicating the multiplicity of other assessments, evaluations and reports by focusing on the big picture, at how the fundamental contours of the aid system result in advantages, as well as shortcomings or gaps. We are interested in the power dynamics which govern the aid system’s architecture, culture and identity, and how these shaped the intervention. Hopefully, this research will contribute to ongoing efforts to improve the system’s response capacity, such as informing HPG’s position towards next year’s World Humanitarian Summit.

For now, though, we must come to terms with the immensity and unprecedented nature of the response, which was not just a colossal humanitarian deployment but also a military and scientific one. To begin with, many viewed this solely as a health emergency, some still do. But when was the last time the aid system confronted a ‘health crisis’ that decapitated local health system systems, shut down schools, postponed elections, gutted economies and shook the stability of nations? Sounds more like a classic complex emergency. Yet beyond MSF and a few specialist NGOs, we consistently hear the same refrain: “We wanted to do something but we didn’t know what to do. We aren’t medical. And we were frightened. Really frightened.” Not the best of starting points for what has become a billion-dollar intervention.

Understanding these dynamics and comprehending how an aid system that was so woefully slow to react has managed to produce such a broad, creative response is part of our task. As is figuring out why some of the mistakes made amount to an almost clichéd repetition of blunders that we have seen over and over again. Do we really need a piece of research to tell us that we are better at identifying lessons learned than implementing them?

3 thoughts on “Ebola the lens: What do we see?”

  1. “…by catching the humanitarian aid system off balance, the Ebola epidemic has thrown the system into high relief”
    The view was not pretty from any perspective but most of all, from the perspective of those who were meant to be helped. For a population with 25 years of humanitarian beneficiary experience, what was obvious was that so few of those who came to help us, were actually helping; so few of the dollars to be spent on helping us, were actually spent helping us; and once more, the ubiquitous white vehicles and t-shirted ‘aid workers’ were in our best hotels and clogging meeting rooms while people perished for a lack of ambulances, perished from refusals by (mainly local) nurses to deliver babies.
    “We were very, very frightened”, but you were there doing research; every major media house had a team there reporting on us; photos went out of us in every undignified stage of horrible suffering.
    As a 25-year veteran humanitarian worker, I was horrified by the callousness of the aid world, the easy dismissals and relentless fund-raising for the pitifully little that trickle in to the population. As a 35-year citizen of a crisis-affected country, member of a victim population and ‘beneficiary’ of international “help”, the international Ebola response traumatised me. I couldn’t help but wonder if the people in South Sudan, in Syria and CAR were as appalled.

  2. I just wanted to thank you for your blunt, honest and real talk during ODI’s Ebola event at the beginning of this month (not sure how else to get in contact with you).

    As a researcher who has spent time in Sierra Leone and who’s project derailed and had to leave before the Ebola outbreak, I found expressing my opinions about the failure of the aid industry as you discussed was more similar to the feeling of bashing my head against the wall.
    They say we should not place blame, but I cannot help but think about the thousands of people who have died because of inaction from both government and donors, and the obvious malpractice (short and long term) –particularly since blame was articulated often on local people. When will ‘we’ learn?

    Refreshing to hear your talk. Looking forward to reading any insights you have: academic, working paper or blog wise. It is a good way to manage my mental health and motivation to meet like minded people.

    Much Love,
    Siera Vercillo

    1. Thanks Siera. First step is to get the paper finished and published, so it isn’t just a question of somebody talking about it.

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