Similar Design Different Outcome: How Liberia and Sierra Leone achieved different outcomes from Ebola Epidemic.

Cassandra Wee Ju Lin, Minsol Kim & Peter-Ditlev Grambye Christensen

Studenteropgave: Bachelorprojekt


This paper was structured with the framework of a case study that investigated the independent variables that fueled death rate from an Ebola infection. Using a model of Most Similar Different outcomes, we have explored most important variables in the Ebola outbreak in Liberia and Sierra Leone. We have found that both countries are in common regarding governance, culture and health system capacity. Along with this, three factors were analyzed. Findings from the analysis have identified that national lack of health capacity influenced the outcome. Most importantly, the based on the findings in this research project, we find that both countries share similar responses to Ebola however, Liberia seemed to have responded more promptly on all variables, which could answer why the rate of case infection is lower than Sierra Leone, which lacked in proper prevention measures when the first outbreak happened. In this regard, all independent variables can explain aspects of the responses. However for both countries, the response systems first started to have an effect when the variable of culture and local community engagement was taking into account.

Keywords: Ebola, Governance and coordination, Culture, Local engagement, Health System Capacity, Liberia, Sierra Leone.

UddannelserKommunikation, (Bachelor/kandidatuddannelse) Bachelor el. kandidatGeografi, (Bachelor/kandidatuddannelse) Bachelor el. kandidat