Thesis (Ph. D.)--Texas State University-San Marcos, 2006. / Curriculum vitae. Includes bibliographical references (leaves 192-220). Also available on microfilm.

This study provides an analysis of the experience of persons disabled by war in the peace processes of Sierra Leone such as the Demobilization, Disarmament and Reintegration Program, the Truth and Reconciliation Commission, the Special Court and the electoral process. The research findings are a result of participant observation and qualitative interviewing methodologies carried out over two months of intensive in-country field research. The main themes that resulted from the research are: Inclusion and Participation in Decision Making, Utilizing Unique Initiatives, Dissension among the Disabled, Justice Unfulfilled, Recognizing the Unintended Consequences of Peace Building, and Experiences with Policy Makers. The results of these findings are discussed in relation to current notions of peace, reconciliation, justice and retribution. Particular attention is paid to the current relationship between the international community and persons disabled by war in Sierra Leone, and recommendations are made by participants regarding ways to strengthen and build on that relationship.

Th. doct.--Hist.--Paris 7, 1996. / En appendice, choix de documents en français et en anglais. Bibliogr. vol. 2, p. 478-506. Index à la fin de chaque vol.

Introduction Anemia prevalence in pregnancy ranges from 51%-60% globally. Genetic disorders, infectious diseases, reproductive factors, nutritional deficiencies, and poverty can affect anemia status. Anemia can negatively impact economic progress, social and intellectual development, and maternal health. Estimates indicate that anemia is the direct cause of 3-7% of maternal deaths and an indirect cause of 20-40% of maternal deaths. Although several initiatives by the international community address the anemia problem, prevalence remains unacceptably high in Sierra Leone at 2,000 per 100,000 live births. This study explored ecological determinants of anemia status of pregnant women living in Freetown, Sierra Leone. Method This was a mixed-method, retrospective, unmatched case-control research study based on the Modified Ecological Model for Health Behavior and Health Promotion. One hundred and seventy one pregnant women, who visited one of five health facilities were interviewed for the study. Anemic participants' (Hgb<11.0g/dL) responses were compared to responses of non-anemic participants and the differences were assessed. Content analysis and descriptive statistics were used to assess qualitative knowledge items, whereas t-tests were conducted to determine if mean knowledge differences existed between those with anemia and those without. Chi-square was used to analyze forced choice attitude items: perceived threat to anemia and perceived benefits of anemia prevention and treatment. Chi-square was also used to analyze selected behaviors and perceived barriers to anemia prevention and treatment. Odds ratio determined the strength of the relationship between the dependent variable (anemia status) and selected exposure variables (modifying factors). Results Seventy-seven percent of participants were anemic (M: Hgb=9.63g/dL). Those with anemia were more likely to first see a health care provider after 12 weeks of pregnancy (p<.05). Participants who earned income in the top two quintiles were less likely to have anemia than those in the lower three quintiles (p=.007). Participants who had anemia were more likely to cite lack of finances as a barrier to seeking prenatal services (p=.007). Although differences existed between participants who had anemia and those who did not have anemia, they were generally not statistically significant for knowledge, behavior or modifying factors. Participants who had pica, however, were more likely to have anemia than those who did not (p=.005). There was misinformation among participants about the use of palm oil, Vimto and "blood tonic" as treatment options. In addition, participants cited family and friends as sources of this same information as well as correct suggestions and information about anemia prevention and treatment. Discussion Health providers need to be clearer about messages that they deliver to service users to reduce misinformation about anemia prevention and treatment. Community awareness about anemia, anemia causes, anemia prevention and anemia treatment needs to be raised. Information, particularly about anemia causes, need to be disseminated and programs to address those causes need to be developed and implemented. Program development and implementation should be a comprehensive effort that includes training traditional birth attendants and lay health workers. Efforts should incorporate health efforts from government agencies, the non-governmental sector, donor groups, and community and civil society groups to deliver culturally and regionally appropriate interventions.

The aim of this thesis is to analyse EU response towards the Ebola outbreak that developed in spring and summer 2014 in Western Africa. The emphasis is put on the EU external action towards the Ebola crisis in the frame-work of the EU development policy and humanitarian aid provided by the EU while identifying the financial framework, institutional structure, key players and the role of the EU Members. It was a common endeavour of whole range of global actors, national governments and many regional or local stakeholders that led to elimination of the threat represented by the Ebola Virus Disease. The European Union traditionally empha-sized multilateral approach that is in compliance with the EU middle power capacities. The de-velopment policy financial mechanisms within the EU have two resources, the EC and the Mem-ber States which cumulatively contributed twice as much as the European Commission to re-solving the crisis.

The essence of this thesis is to explore the role of Nigeria, West Africa's hegemon, in the intervention efforts by the Economic Community of West African states (ECOWAS) through its Cease-fire Monitoring Group (ECOMOG) in both Liberia (1990-1997) and Sierra Leone (1993-2000). While the thesis has sought to understand the leading role played by Nigeria in first establishing the ECOWAS and being the primus motor for its functions, I have also attempted to analyse the rationalities for the transformation of ECOWAS from a purely economic integrative scheme to a security organisation. While the economic agendas for ECOWAS have not changed, the argument in this thesis is that security related issues and realities have taken precedence over the original economistic agendas. One of the thesis' major arguments is that the nature of results attained in both Liberia and Sierra Leone are different because of (a) the leadership role of Nigeria and (b) the nature of international responses and contributions to the resolution of these conflicts. In the thesis, I argue that in the Liberian case, Nigeria took a more domineering leadership role albeit tinged with the characteristics of the actions of a benevolent hegemon. Here, Nigeria through different processes either through leadership, consensus-seeking processes and dialogue managed to get other ECOWAS states to coalesce around its leadership. However, in Sierra Leone, Nigeria's leadership role was not permitted to unfold. The resultant effect was the shift from NIFAG to ECOMOG and eventually "rekindling hatred" of these troops as UN troops. This thesis has pointed to the utility of sub-regional organisations in resolving conflicts and demonstrates the need for further study. / Political Science / DLITT ET PHIL (INT POL)

This case-study provides a critical evaluation of the effects of neo-liberal (market-driven) reforms in achieving the goal of human security in Sierra Leone after the civil conflict in 2002. In the context of Sierra Leone, there are fundamental questions about the basic security of the population. This mean the ability to live without fear of conflict and the security to do with the ordinary lives of Sierra Leoneans. This is absolutely central to the post-war reconstruction of that country. It represents a major concern for the international community, the Sierra Leone Government, foreign government donors as well as the NGO communities. Underlying these issues is the subject of which development paragon is best suitable in addressing these questions, and what impact will it have on the people. To understand this, the study has framed the issues of education and health, the two aspects which this thesis focuses upon, as a commitment to human security. Human security has become a dominant theme for many development organisations around the world because of it connection with security and development. Education and health are important because they are crucial social and basic human right that should be provided without any form of unfairness by the state. Because of their multiplier effect, they assist in eradicating poverty and further the attainment of human security. The reforms, which includes privatisation and decentralisation, has been imposed primarily by the World Bank and the IMF to transform the education and health system in order to improve the human security of the Sierra Leonean people. Proponents of these reforms argued that it would provide equal access, make the system more efficient, provide more choices for the population, and enhances accountability and citizens’ participation in governance. As a result of these, the study is important for three reasons: first, it assesses the success of these reforms; second, it offers a better understanding of socio-economic development related to education and health as they are now viewed as a commodity; and third, it suggests ways of enhancing the performance of its delivery intended to assist the population. The evaluation is informed by critical theory, the theoretical framework because: of its usefulness in understanding the concept of power/knowledge, ideology and governance, as neo-liberalism has become a discourse of global common sense that frames policy options as though they were natural or not to be questioned, and yet serve to reinforce the interests of dominant groups. Critical theory enable us to make sense of the hidden power relations in the way knowledge/policy is constituted. Second, critical theory is also a qualitative approach and hence comes as a way of critiquing quantitative methodology. The study argues that it is very problematic to imagine that this strategy (neo-liberal reforms) is actually for the great masses of people living in poor conditions, while it does not address their needs and does nothing to deal with the security of their lives. The study found that the reforms were considered undemocratic, and has led to unequal access thus augmenting fears of stratification on the basis of an individual being rich or poor. Therefore, the study recommends that if the goal of human security is to be achieved, it is important to strengthen citizens’ and other local actors’ voices in governance to develop effective local policies; and government intervention and commitment is also needed to improve the performance of public schools and health care institutions in order to make them more competitive so that they can co-exist with their private counterparts. Key Words: Neo-liberalism, critical theory, education policy, health policy, human security, privatisation, decentralisation, social justice, socio-economic development.

Current political research on peace negotiations is fundamentally incomplete because it lacks the capacity to explain individual intents, choices and actions. This dissertation asks what impact individual negotiators, their approaches and choices of tactics have on peace talks and their outcomes. Individual people—be they representatives of rebel groups, non-governmental organisations or states—negotiate peace agreements. Consequently, an examination of individual motivations and actions in negotiations yields important knowledge. A fuller understanding of political negotiations, negotiators, and their tactics in Sierra Leone and Liberia is facilitated through a multidisciplinary consideration of the psychology, law and management studies literatures that consider individual motivations, biases, and behaviours. Based on extensive field research in Sierra Leone and Liberia, including numerous interviews with key players, I argue that individuals and their specific approaches and tactics influenced and altered the course of these peace negotiations, as well as their outcomes. Negotiators engaged in peace talks with underlying approaches (such as competitive, collaborative and cooperative styles) and then came to use various tactics (including shifting goalposts, hardball, silence, and bad faith), many of which were influenced by their innate biases and frames. Exploring these individuals’ conduct gives us previously unexplored insight into peace processes.

In capital-scarce low income economies, the lack of attractiveness to private foreign investment implies that the only readily available source of external financing for economic development has to come from foreign aid which normally comes with an altruistic motive. However, despite long history of aid-giving to low income countries and especially Sub-Saharan Africa, evidence of effectiveness of such assistance has remained debatable, particularly with the dominance of cross-country studies in such enquiry. With yet no existing country study for Sierra Leone, a typical aid dependent country, this research investigates the relationship between donor intervention (in their aid disbursement) and the development outcomes of economic growth and poverty reduction in the country. In conducting such an enquiry, the study proposed three objectives. The first examines the relationship between aid and economic growth. The second objective investigates the relationship between aid and poverty reduction considering two variants of poverty reduction: improvement of pro-poor growth and aggregate human welfare. The final objective assesses the effect of domestic politics on aid’s effectiveness in improving human welfare. Arising from a pluralistic analytical framework involving a triangulation of econometric estimation approaches complemented with qualitative enquiry, the study finds that aid to Sierra Leone is significant in promoting economic growth in the country. In terms of the impact on poverty, the results show that foreign aid to Sierra Leone has significantly improved long-run pro-poor growth in the country, but this impact could not be confirmed in the short-run. With respect to the other strand of poverty, the study finds that though aid may have not improved human well-being in Africa, it is found to significantly improve human development in Sierra Leone, though the evidence could not support its reduction of infant mortality rate as a second indicator of human well-being. Finally, for the investigation of the link between aid, politics and human development in Sierra Leone, the study finds that though aid is significant in directly improving human development in the country, yet pro-democratic politics (as against autocratic regimes) can also be good a policy option for aid‘s impact on human development in the country. Accounting for disaggregation bias of foreign aid, the study finds that whilst grants seem to consistently improve economic growth, pro-poor growth and human welfare, the study could not find strong evidence to suggest that technical assistance and loans likewise improve economic development the country. The impact of food aid on pro-poor growth is found to be moderate in conformity with the study’s hypothesis. Concluding from the analysis, it is evident in the case of Sierra Leone that the supplemental theories largely hold that foreign aid is vital in the promotion of a country’s economic development. Hence, the intervention of donors in the economy of Sierra Leone has not seemed to be in vain, but has rather proved to be largely useful. It implies that Sierra Leone’s persistent poverty characterisation amidst notable donor presence and participation in the country’s economy has little to do with the fact that foreign aid has not been effective in promoting the country’s economic development, but it may however be that the magnitude of the effect may not have been that high to completely eradicate poverty. The study’s identification of the most effective types of aid as well the realisation of political stability and democracy for enhanced effectiveness of aid in the country could be crucial if the economic significance of foreign aid is to be improved in Sierra Leone.

Between 2014 and 2016, West Africa was struck by the largest ever Ebola epidemic. In Sierra Leone, the outbreak occurred only about a decade after the end of an eleven-year long civil war, which left the country with little capacity to contain the virus. While many have investigated the crisis that the Ebola outbreak caused West African countries, few have turned their attention directly towards the response to it. Following that line of thought, this case study explores how the Ebola response carried out by local, national and international actors played into conflict dynamics in the aftermath of the Sierra Le-onean civil war. By applying the theoretical perspectives of ‘the fortified aid compound’ and ‘dependent agency’, I argue that the response embodied a militarised approach and that it was insensitive towards local customs, which showed in shifting acts of compliance and resistance by beneficiaries. Lastly, by applying the theory of ‘protracted social con-flict’, I argue that conflict dynamics from the civil war were amplified by the Ebola re-sponse to some extent. The study concludes that future responses to epidemics, particu-larly in conflict affected settings, should consider potential negative effects connected to response structures and measures to a greater extent.