Malaria is a vector-borne disease that presents the most persistent and serious public health burden in Liberia. Numerous studies have examined the relationship between ITN use and malaria prevalence. However, little research has explored the effectiveness of ITNs in controlling malaria among children in postwar Liberia. The aim of this study was to examine the association between ITN ownership, parental economic status, ITN installation support, and malaria prevalence among children. This was a quantitative cross-sectional study guided by the health belief model. The study used secondary data from the 2011 Liberia Malaria Indicator Survey. Chi-square for association and Logistic regression were used to analyze the data. The results revealed a significant association between parental education and malaria prevalence. There was also a significant association between parental economic status and malaria prevalence. However, there was no significant association between ITN ownership and malaria prevalence after controlling for parental education and ownership of structure. These findings may foster social change by helping public health authorities in Liberia integrate ITN use with other strategies like mosquito larvae elimination and indoor/outdoor insecticide spraying as part of a comprehensive approach to malaria control. Additionally, massive awareness and economic capacity building should be undertaken to empower malaria endemic communities with the understanding that malaria can be rapidly reduced with other robust strategies in combination with ITN use. These strategies, if implemented, may effectively control malaria prevalence among children and the emotional and financial burdens endure by their families.

The Ebola outbreak in West Africa in 2014 to 2016 had more than 28,000 suspected, probable, and confirmed cases. It was the largest Ebola outbreak in history. Of the 28,000 cases in the three Ebola-affected countries, Liberia had 10,000 cases with almost 5,000 deaths. The Ebola Virus Disease (EVD) entered Liberia along the border of Guinea and moved to the capital city of Monrovia where the virus spread. Ebola Treatment Units (ETUs) were constructed throughout the response in locations where there were available facilities versus distance to care challenges. This study examined the association of distance from villages to ETUs and mortality. Using Geographic Information System (GIS) and statistics framed within the Social Ecological Model and the GIS Framework, this study geolocated the Ebola cases by village, mapped the travel routes and calculated the distance to the ETU. A logistic regression was then used to determine if there was an association between distance and mortality, with and without controlling for age and gender, and, to calculate the odds ratio. A logistic regression model showed there is an association between distance and mortality and that Ebola patients living within 12 kilometers of the ETU were 1.8 times less at risk of mortality (OR = 1.778, 95% CI [1.171 - 2.7]) than those living more than 12 kilometers. In addition, males had a 1.4 times lower risk of death due to EVD. This understanding can inform future outbreak responses and placement of treatment units. In addition, this information can lead to social change with respect to individual understanding of access to care, community expectations, and national health care planning.

After the United Nations' mission in Liberia (UNMIL) ends on September 30, 2015, effective policing will be a security concern for Liberians. Liberians have expressed fear that conflict could return if ongoing police training programs do not sustain public safety. The purpose of this mixed methods study was to understand how UNMIL's training affected public confidence in the Liberia National Police (LNP). The theoretical bases for this study included public choice theory and liberal democratic theory. Quantitative data were used to address impact of UNMIL's police training on the maintenance of law and order. These data were collected through a researcher-developed survey which measured recruitment, training, effectiveness (insert comma here) and public confidence in the LNP. Participants were government officials, members of UNMIL, LNP, and civic organizations (n = 120). Data were analyzed using ANOVA. Qualitative semistructured interview data were also gathered from 18 additional participants to address the challenges for quality improvement in the police security forces. The results were inductively coded and organized across themes and patterns. Quantitative findings indicated a moderately significant correlation between police perceived knowledge and job effectiveness (r = -0.35). However, qualitative findings show the government of Liberia failed to provide adequate resource support to complement the training due to its weak commitment. Diversity of trainers from contrasting policing jurisdictions produced an outcome that lacked a country-specific context for Liberia. This study promotes positive social change by informing future police training interventions by the United Nations on a host county's policing needs.

Between 1990 and 2005, the state of affairs in parts of Sub-Saharan Africa, including Liberia, remained fragile due to continuous civil unrest and war. Although peace initiatives were initiated, progress toward peace has remained minimal. Ghana, one of the nations in Sub-Saharan Africa, has continued to demonstrate significant stability and progress in the midst of civil and political conflicts in the sub-region. Currently, little research exists on how Ghanaians managed to remain stable, while countries in the sub-region continued to experience civil unrests and wars. Using Eisenstadt's theory of sociological modernization as the theoretical foundation, the purpose of this holistic case study sought to understand factors that have driven stability in Ghana. Data were collected from multiple sources including 15 research participants of diverse professions and perspectives, numerous pertinent documents, and field notes. All data were inductively coded and then subjected to a thematic analysis procedure. Social change lessons extracted from the study linked to core findings include (a) Ghanaians demonstrate an understanding of the importance of both African and Western cultural experiences and integrating the experiences from both cultural sectors for national harmony, and (b) Ghanaians are pursuing a national development agenda through economic reforms, participatory democracy, and some level of equal distribution of the national wealth. The effectiveness of Ghana's national development agenda is demonstrated by capacity building and the strengthening of social service programs not just in the urban sector, but also in the rural sector of Ghanaian society. These two core social change lessons could remain useful for countries in Sub-Saharan Africa.

This paper discusses earth as a building material and the extent to which earth building technology has evolved over the years. In particular it addresses the adobe, compressed and rammed earth techniques of earth building as suitable techniques for Liberia consumption. In addition, the paper investigates the suitability of the Latosols soils of Liberia for earth building construction purposes using standardized earth building principles and requirements. A local Johnson City, Tennessee, earth sample found to have the same physical characteristics of the Latosols of Liberia was used to simulate Liberia soils to produce specimen blocks at different configurations of moisture content and stabilizers (Bentonite and cement). Following 14 days of cure, the blocks were tested for compressive strength. It was found that blocks produced from the natural soil with no stabilizer added were structurally adequate for building construction purposes. A cost-benefit analysis involving blocks with and without stabilizer (cement) added was also performed.

Background. This paper reviews the efficacy of a community psychosocial arts program focused on building mental health capacity within post-Ebola Liberia. The aim of this paper was to evaluate the outcome effects of two groups using pre- and post-treatment data. We hypothesized that there would be a difference in symptoms pre- and post-treatment, and the longer program would yield more significant results. Methods. There was a total of 870 child participants. Of 40 sites, 24 were selected for a 5-month treatment (TG1) while the remaining 16 sites received 3 months of treatment (TG2). Paired t tests and a mixed-model analysis of variance (ANOVA) were used to analyse pre- and post-psychological stress symptoms (PSS) for samples from both groups. Results. Separately, treatment group 1 (TG1) and treatment group 2's (TG2) paired t test yielded significant results (p < 0.001) for the decrease of PSS. The mixed-model ANOVA found that there were significant differences in total pre- and post-test PSS and a significant difference in PSS means over time. Conclusions. Results indicated that there was a statistically significant decrease in reported symptoms in both treatment groups pre- to post-intervention and a significant difference in total symptoms over time. However, the findings do not indicate that the longer programming was statistically different compared to the shorter programming. The study presented had gaps in data, largely due to limits in research during the crisis. However, this paper provides a unique case study for challenges that can be faced for project evaluation in emergency settings.

From 2014 to 2015, Liberia experienced the largest Ebola epidemic in world history. The impact of this disease was not only physical; it created fear, loss, and trauma throughout the country. This article will describe the process of three phases of a community-based psychosocial expressive arts program, which used theory from the fields of expressive arts therapy to build mental health capacity during and after the epidemic. This article will highlight the background of Ebola virus disease and the Ebola virus disease epidemic, provide an overview of current theory and research for expressive arts therapy and the impact of trauma, describe the process of how the program developed and was implemented, the process of partnering with the community, program components, the two pilot programs, and the large-scale community program. We performed a mixed-methods analysis of the large-scale program’s activity data to evaluate the impact. The results highlight a positive response from the participating children and facilitators. The authors discuss the findings from the results, best practices, and limitations. Additionally, the authors discuss implications and considerations for future programming.

Instability and political repression are two reasons why many states in Africa are unable to develop. African regional organizations have the potential to encourage democracy, stability and development within their regions if they have the right tools. Using case studies of two major interventions by African regional organizations this thesis will determine what those tools may be. Both the intervention of ECOWAS into Liberia and the SADC into the DRC were rife with problems but they were able to bring some stability and even democracy to states in crisis. This thesis finds that African regional organizations can promote democracy and stability, but the focus is always on stability for the region. With strong institutions and mandates, policy agreement and strong leadership, African regional organizations can bring stability, development and even democracy to their regions.

Liberia emerged from 14 years of brutal civil conflict, demobilized and “reintegrated” large numbers of ex-combatants, but there are still concerns about ex-combatants’ re-engagement in violence. Yet, adequate knowledge and empirical evidence about this are still sketchy. Qualitative fieldwork among ex-combatants conducted in five locations in Monrovia from 2012-2013, suggests that ex-combatants are re-marginalized. This research presents excombatants’ current status, their re-marginalization, and factors indicative of their re-engagement in violence in post-conflict Liberia. The study contends that ex-combatants were apparently not satisfied with the outcome of the DDRR programme, as it failed to reintegrate them successfully. The study developed a four dimensional analytical framework that includes, (a) re-marginalization (b) re-criminalization (c) exploitation, and (d) economic insecurity, which are then applied to the outcome of the reintegration of ex-combatants in Liberia. On the basis of the data collected in fieldwork, the analytical framework reveals how these factors and dynamics interacted and facilitated the occurrence of violence. The study argues that an awareness of ex-combatants’ vulnerability and re-marginalization should put state actors in a position to better predict their violent inclinations. It further notes that ex-combatant re-engagement in violence is largely manifested at the political and economic levels and this has the potential to lead to a renewed conflict if not mitigated. This study by no means completes the tasks of research and analysis on violence and excombatants, but it outlines theoretical propositions and conclusions, which can hopefully spark further debate and collective efforts among researchers to push this field of study forward.

Yes / Liberia’s 2017 elections represented a watershed moment in the country’s political history. In addition to completing the first democratic transfer of power from one president to another since 1944, it resulted in wide representation across many different parties and independents as well as high levels of legislative turn-overs. Additionally, these polls brought forward unprecedented numbers of party reconfigurations, increased levels of defections, and politicians/parties losing abysmally in presumed ethno-regional bases. In this article, we argue that Liberia currently exists in a post-war arena of “post-party” politics where a profound disregard for parties is the norm, and in which the electorate and politicians alike forum shop for candidates and/or political configurations they presume will deliver the best results at national, sub-national and local levels. Although literature exploring electoral trends in Africa tends to over-emphasize ethno-regionalism as a driver and constraint in the choices of voters and politicians, we demonstrate instead that Liberians make relatively informed, strategic decisions about political alliances and ballot casting thereby subverting allegiances to ethnicity and region. By further eschewing party loyalties, Liberians have gradually become astute forum shoppers in a political marketplace that makes running for office and voting complex undertakings.