What We're Reading

CASE STUDY - Delivering on a presidential agenda: Sierra Leone’s Strategy and Policy Unit

In 2010, President Ernest Bai Koroma struggled to implement his development agenda for Sierra Leone, unable to count on consistent follow-through by his own ministries. Early in his presidency, Koroma had established an advisory group called the Strategy and Policy Unit (SPU) in a bid to monitor ministries’ progress on major projects and to hold ministry staff accountable. During 2008–09, the SPU had made a few notable gains, but by 2010, major elements of Koroma’s development agenda had faltered, and the president knew he had to improve coordination and accountability at the center of government in order to address Sierra Leone’s daunting challenges. He hired a chief of staff, Kaifala Marah, and charged him with overhauling the SPU. Rather than spreading its efforts across all of the president’s priorities, the unit targeted a handful of flagship projects. The revamped SPU held regular coordination meetings of the president and ministry officials that strengthened monitoring and accountability and identified logjams and bottlenecks that required presidential intervention. By late 2011, with support from the Africa Governance Initiative, the United Nations Development Programme and other partners, the SPU had increased interministerial coordination and significantly improved progress on priority programs.

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CASE STUDY - A Promise Kept: How Sierra Leone’s President introduced Free Health Care

When Ernest Bai Koroma assumed the presidency of Sierra Leone in 2007, he promised to run his government as efficiently as a private business. Koroma launched an ambitious agenda that targeted key areas for improvement including energy, agriculture, infrastructure and health. The president faced mounting pressure to reduce maternal and child death rates, which were the highest in the world. In November 2009, he announced an initiative to provide free health care for pregnant women, lactating mothers and children under five years of age, and set the launch date for April 2010, only six months away. Working with the country’s chief medical officer, Dr. Kisito Daoh, he shuffled key staff at the health ministry, created committees that brought ministries, donors and nongovernmental organizations together to move actions forward, and developed systems for monitoring progress. Strong support from the center of government proved critical to enabling the project to launch on schedule. Initial data showed an increase in utilization rates at health centers and a decline in child death rates.

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Rwanda Can Be Proud of Its Economic Progress

John Rwangombwa, Rwanda's minister of finance and economic planning, writes in the Wall Street Journal how, since 2006, one million of the country's 11 million citizens have emerged from poverty.

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Wisman on MLI: Skepticism faded, trust grew

MLI was originally about building leadership.  We found there are many truly effective leaders in ministries of health.  Our work was less about building leadership, but more about unleashing that leadership and finding ways to help ministry leaders convince donors and development partners that their priorities should be supported. Their priorities, informed by civil society and local partners, had the greatest chance for success and for national impact.

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President Koroma’s political will

Political will is said to be able to move mountains, bringing about unlikely reforms in countries desperately needing them. Sierra Leone’s President Ernest Bai Koroma is a prime example of this phenomenon. In power since 2007, Koroma fought skeptical donors to bring free health care to pregnant and lactating women and children under five in Sierra Leone after a 1 in 8 maternal mortality rate created a human rights emergency. While the system is not yet perfect, preliminary results have pointed to more women and children getting the life-saving treatment they need.

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An interview with AGI alumnus David Easton

In the tenth of a series of interviews with social enterprise professionals, On Purpose Associate Martin Underwood talks to David Easton, one of the investment team at Bridges Ventures and former Director of Strategy at AGI.

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The Africa-America Institute Recognizes Sierra Leone With Award

His Excellency President Ernest Bai Koroma accepted The Africa-America Institute’s African National Reconciliation and Peace Award on behalf of the People of The Republic of Sierra Leone at AAI’s 27th annual Awards Dinner Gala on September 20 in New York City.

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More aid for poor countries, but is it better aid?

A new survey of 78 countries and territories is a global scorecard showing whether they are making aid more effective. The Survey findings are summarised in Aid Effectiveness 2005-10: Progress in Implementing the Paris Declaration and will be the basis of discussion at the international High Level Forum on Aid Effectiveness in Busan, Korea later this year.

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