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the Case of Sierra Leone - Institute of Development Studies

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Social Transformation &<br />

Economic Empowerment <strong>of</strong><br />

Vulnerable Populations: <strong>the</strong><br />

<strong>Case</strong> <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong><br />

Omotayo Daud’ Alabi<br />

International Conference:<br />

“Social Protection for Social Justice”<br />

<strong>Institute</strong> <strong>of</strong> <strong>Development</strong> <strong>Studies</strong>, UK<br />

13–15 April 2011<br />

1


Social Transformation & Economic Empowerment <strong>of</strong> Vulnerable Populations:<br />

The <strong>Case</strong> <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong><br />

Omotayo Daud’ Alabi<br />

Abstract<br />

70% percent <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong>ans are poor and about 50% are critically poor. The country is nearly<br />

bottom <strong>of</strong> <strong>the</strong> Human <strong>Development</strong> Index (180/182 - UNDP 2009); <strong>the</strong> Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong>‟s<br />

low internal revenue generation is outweighed by demand for services. Low on almost all human<br />

development parameters, allocation <strong>of</strong> available resources to priority development sectors (health, food,<br />

education and infrastructural development) means that <strong>the</strong> need <strong>of</strong> <strong>the</strong> extreme poor for social<br />

protection hasn‟t been adequately addressed and <strong>the</strong> government‟s mandate to respond to <strong>the</strong> most<br />

pressing needs <strong>of</strong> <strong>the</strong> chronically poor are not fulfilled. This paper argues that protecting basic needs<br />

and wellbeing <strong>of</strong> <strong>the</strong> extreme poor is a human right and <strong>the</strong> collective responsibility <strong>of</strong> <strong>the</strong> state and<br />

citizens. In <strong>the</strong> paper we underscore <strong>the</strong> fact that, integral to <strong>the</strong> success <strong>of</strong> any medium to longer term<br />

social protection initiative is political understanding <strong>of</strong> <strong>the</strong> dimensions <strong>of</strong> poverty, political commitment to<br />

poverty alleviation and support mechanisms in place to drive <strong>the</strong>se processes.<br />

An overarching policy framework supported by Concern Worldwide and DFID is in its incipient stage in<br />

<strong>Sierra</strong> <strong>Leone</strong>. This is a precursor requirement and an important step towards sustainable development<br />

and implementation <strong>of</strong> a nationally owned social protection system. Using a schematic framework this<br />

paper demonstrates <strong>the</strong> potential <strong>of</strong> social assistance for supporting <strong>the</strong> most vulnerable through <strong>the</strong><br />

recovery phase in fragile states such as <strong>Sierra</strong> <strong>Leone</strong>. We support our argument by detailing ongoing<br />

efforts <strong>of</strong> <strong>the</strong> GoSL to demonstrate that governments in fragile states, if committed, have capacity to<br />

transform lives <strong>of</strong> citizens. The paper provides overview <strong>of</strong> <strong>the</strong> disparate social assistance initiatives<br />

currently supported by GoSL including free health care for pregnant women and under fives, pilot cash<br />

transfers to <strong>the</strong> elderly, free primary education for girls which, though still relatively small and<br />

fragmented, are contributing significantly to <strong>the</strong> wellbeing <strong>of</strong> vulnerable people. It discusses <strong>the</strong> issues<br />

which limit effectiveness <strong>of</strong> <strong>the</strong>se schemes - fraught by a lack <strong>of</strong> coordination and rivalry within<br />

government to pitch social protection control within <strong>the</strong>ir Ministry or Agency. The absence <strong>of</strong> an<br />

overarching, systematic national social protection programme will ultimately impact on <strong>the</strong> progress in<br />

and sustainability <strong>of</strong> <strong>the</strong> ongoing poverty alleviation programmes.<br />

The paper draws on examples from Concern Worldwide‟s work in rural communities in <strong>Sierra</strong> <strong>Leone</strong> in<br />

<strong>the</strong> last six years following <strong>the</strong> civil conflicts that engulfed <strong>the</strong> country from 1991 to2002, showing how<br />

social protection elements have been mainstreamed across <strong>the</strong> three main intervention areas <strong>of</strong><br />

Education, Health and Food Income and Markets (FIM). Programmes have promoted and built upon<br />

traditional coping strategies during <strong>the</strong> period whilst <strong>the</strong> policy formulation process for social protection<br />

at national level was supported. These programmes have not only built capacity and transformed lives<br />

<strong>of</strong> programme participants <strong>the</strong>y also raised local awareness <strong>of</strong> <strong>the</strong> entitlements <strong>of</strong> some <strong>of</strong> <strong>the</strong><br />

community‟s most vulnerable people including orphans, widows, elderly and disabled people and<br />

supported communities to address <strong>the</strong>se needs through innovative, community-based social protection<br />

mechanisms.<br />

1


1. Introduction<br />

The concept <strong>of</strong> “social protection” is derived from <strong>the</strong> visions <strong>of</strong> benevolent individuals, workers<br />

and politicians in Europe which led to <strong>the</strong> policies and<br />

schemes implemented over <strong>the</strong> last century known as<br />

<strong>the</strong> western “welfare state”. Key initiatives associated<br />

with this include „employment protection‟,<br />

„unemployment protection‟, „wage protection‟ and<br />

„social pensions‟. However, social protection initiatives<br />

are also implemented in <strong>the</strong> traditional African context,<br />

where support systems are usually <strong>the</strong> responsibility <strong>of</strong><br />

<strong>the</strong> community or <strong>the</strong> extended family.<br />

Even though a variety <strong>of</strong> formal social protection<br />

policies and initiatives appear to be widely adopted<br />

throughout Africa (see Box 1), <strong>the</strong> debate on <strong>the</strong><br />

African state‟s capability to implement social protection<br />

schemes is <strong>of</strong>ten limited by a pessimistic understanding<br />

<strong>of</strong> <strong>the</strong> African state‟s financial and administrative<br />

capacity. However, <strong>the</strong> transition from structural<br />

adjustment programmes to <strong>the</strong> new development<br />

agenda <strong>of</strong> reaching <strong>the</strong> 2015 Millennium <strong>Development</strong><br />

Goals (MDGs) has refocused <strong>the</strong> debate on <strong>the</strong><br />

necessity <strong>of</strong> complementary ambitious state social<br />

policies, ra<strong>the</strong>r than solely focusing on economic<br />

capabilities (World Bank, 2009). It is recognized that<br />

without <strong>the</strong> commitment <strong>of</strong> governments to promoting<br />

social and human capital development and equitable<br />

growth, development initiatives are unlikely to be<br />

sustainable. Strong and effective social protection<br />

policies are increasingly seen as necessary, if not a<br />

condition, for equitable distribution <strong>of</strong> national wealth<br />

and development benefit. Unfortunately though, social<br />

protection is <strong>of</strong>ten not a state priority in <strong>the</strong> face <strong>of</strong><br />

competing needs and interests. The MDGs‟ emphasis<br />

on <strong>the</strong> need to put in place functional policies has<br />

assisted countries in refocusing on policies.<br />

Box 1: Social Protection<br />

Initiatives in Africa<br />

In <strong>the</strong> Sou<strong>the</strong>rn parts <strong>of</strong> Africa,<br />

Namibia and South Africa rapidly<br />

expanded <strong>the</strong>ir social pension<br />

schemes following independence<br />

in <strong>the</strong> early 1990s (Hickey 2007).<br />

In East Africa, <strong>the</strong> Ethiopian<br />

Government implemented <strong>the</strong>ir<br />

Productive Safety Net Programme<br />

in 2004 (Devereux 2006: 14) In<br />

<strong>the</strong> West African region, Burkina<br />

Faso and Cape Verde adopted<br />

National Social Protection Plans<br />

in 2007 and 2006 respectively.<br />

Cape Verde has also embarked<br />

on a Social Pension Scheme.<br />

Ghana engaged in national health<br />

insurance in 2003 and finalized its<br />

National Social Protection<br />

strategy in 2007.<br />

Senegal also has one <strong>of</strong> <strong>the</strong> more<br />

ambitious social protection<br />

strategies, aimed at extending<br />

health insurance to 50% <strong>of</strong> its<br />

population.<br />

Cash transfer programmes are at<br />

<strong>the</strong> moment being tested on a<br />

pilot stage in countries such as<br />

Ghana, <strong>Sierra</strong> <strong>Leone</strong>, Kenya,<br />

Uganda, Malawi and Zambia<br />

(Anthony Hodges 2008).<br />

Based on <strong>the</strong> understanding that government buy in to<br />

this idea, and relevant national policies, are both<br />

central to <strong>the</strong> success and upscale <strong>of</strong> social protection initiatives, this paper explores how <strong>the</strong><br />

Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> approaches social protection, how far it has come in implementing its<br />

initiatives and challenges faced. The discussion will focus on social protection policies and<br />

initiatives directed towards <strong>the</strong> most poor and marginalised people in <strong>Sierra</strong> <strong>Leone</strong>. In order to<br />

inform this discussion and provide empirically founded recommendations as to how <strong>the</strong>se<br />

2


initiatives can be streng<strong>the</strong>ned, lessons learned from community-driven initiatives supported by<br />

Concern will be discussed.<br />

The paper challenges an <strong>of</strong>ten heard assumption with regard to social protection in Africa that poor<br />

and under-developed countries are unable to provide an enduring social protection system which<br />

provides for <strong>the</strong> most marginalized and vulnerable people whilst undertaking rehabilitation and<br />

recovery <strong>of</strong> <strong>the</strong> economy <strong>of</strong> a failed state.<br />

This paper aims, <strong>the</strong>refore, to answer two specific research questions:<br />

- In which regard, and to what extent, has <strong>the</strong> Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> shown initiative<br />

and commitment towards assisting poor and marginalized people through <strong>the</strong>ir post war<br />

policies<br />

- Which recommendations and lessons learned can be derived from community-based<br />

initiatives with regard to developing a stronger social protection framework in <strong>Sierra</strong> <strong>Leone</strong><br />

3


2. Background on <strong>Sierra</strong> <strong>Leone</strong><br />

<strong>Sierra</strong> <strong>Leone</strong> is currently considered to be one <strong>of</strong> <strong>the</strong> most peaceful countries in Africa, according<br />

to <strong>the</strong> Global Peace Index 2010. However, <strong>the</strong> brutal ten year civil war ended less than a decade<br />

ago, in 2002. Some <strong>of</strong> <strong>the</strong> dominant explanations <strong>of</strong> <strong>the</strong> root causes <strong>of</strong> <strong>the</strong> civil war are linked to<br />

pre-war lack <strong>of</strong> opportunities for and protection <strong>of</strong> youths. Many youths were abused by political<br />

elites and traditional chiefs, lacking opportunities to<br />

make a better life in terms <strong>of</strong> access to land, education<br />

and jobs. Such disgruntled youth who felt left out were Box 2:<br />

easily mobilised in <strong>the</strong> civil conflict and made to<br />

Socio-economic Indicators<br />

perpetuate <strong>the</strong> mayhem that followed (Fanthorp 2001).<br />

Social protection in <strong>Sierra</strong> <strong>Leone</strong> is, <strong>the</strong>refore, not only<br />

a question <strong>of</strong> supporting basic needs <strong>of</strong> vulnerable<br />

groups, but should also be understood as a<br />

mechanism and tool for ensuring livelihood security for<br />

marginalised people, which may help to fur<strong>the</strong>r<br />

consolidate peace and eventually mitigate <strong>the</strong><br />

chances <strong>of</strong> relapse into violence and conflict. In<br />

addition, by providing social protection, <strong>the</strong><br />

Government will be seen to be serving <strong>the</strong> needs <strong>of</strong> its<br />

population, and responding to <strong>the</strong> demands <strong>of</strong><br />

marginalised people, thus building a stronger contract<br />

between state and citizen.<br />

In less than ten years <strong>Sierra</strong> <strong>Leone</strong> has undergone a<br />

remarkable post-war transition process. In 2007 <strong>the</strong><br />

first peaceful election without <strong>the</strong> presence <strong>of</strong> UN<br />

peacekeepers was successfully held. In 2008 local<br />

council elections were also held in line with <strong>the</strong> 2004<br />

Local Government Act. This Act was established to<br />

decentralise government power and devolve functions<br />

and key responsibilities to local district councils. These<br />

initiatives are indicative <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong>‟s transition<br />

from a post-conflict rehabilitation phase to a period <strong>of</strong><br />

long term development. However, although progress<br />

has been made along political dimensions, socioeconomic<br />

indicators still show that <strong>Sierra</strong> <strong>Leone</strong> is in a<br />

severe state <strong>of</strong> poverty (See Box 2).<br />

<strong>Sierra</strong> <strong>Leone</strong> has moved from its emergency phase<br />

into a recovery stage and now embarked on <strong>the</strong> path<br />

to development. Poverty Reduction Strategy Papers,<br />

<strong>the</strong> first covering 2005-2007 and <strong>the</strong> second from<br />

2008-2012, were both entitled <strong>the</strong> “Agenda for<br />

Change”: <strong>the</strong> general consensus is that <strong>the</strong>se are solid<br />

structures on which long term development could be<br />

Despite a wealth <strong>of</strong> natural<br />

resources such as gold, diamonds,<br />

iron ore, bauxite and rutile, <strong>Sierra</strong><br />

<strong>Leone</strong> is ranked amongst <strong>the</strong> very<br />

bottom countries listed in <strong>the</strong><br />

UNDP‟s Human <strong>Development</strong><br />

Index (in 2009 <strong>Sierra</strong> <strong>Leone</strong> was<br />

ranked 180/182 and in 2010<br />

158/169).<br />

O<strong>the</strong>r key indicators reveal <strong>the</strong><br />

same devastating picture. Life<br />

expectancy at birth is 48 years (WB<br />

2009), adult literacy is 40% (WB<br />

2008), 1 in 5 children die before <strong>the</strong><br />

age <strong>of</strong> 5, and women have a 1 in 8<br />

lifetime chance <strong>of</strong> dying in child<br />

birth (UNICEF, 2009).<br />

Public spending on health and<br />

education is amongst <strong>the</strong> lowest in<br />

<strong>the</strong> world.<br />

Fur<strong>the</strong>rmore, only 47% <strong>of</strong> people<br />

have access to improved water<br />

sources (GoSL, 2010) and 70%<br />

live under <strong>the</strong> national poverty line<br />

<strong>of</strong> Le 2,111(ca. 0.5 USD) per day<br />

(Statistics <strong>Sierra</strong> <strong>Leone</strong>, 2009).<br />

26% <strong>of</strong> <strong>the</strong>se are extremely poor.<br />

4


ased. This is especially evident from <strong>the</strong> successful democratic national and local elections. The<br />

decentralization process has already recorded elements <strong>of</strong> success and is widely seen as a key<br />

driver for grassroots democracy. There is a steady economic growth rate <strong>of</strong> about 4% along with<br />

single digit inflation rate (Statistics <strong>Sierra</strong> <strong>Leone</strong> Annual Economic Survey 2008, and IFC 2009).<br />

<strong>Sierra</strong> <strong>Leone</strong>‟s remarkable post-war transition process, anchored in <strong>the</strong> consolidation <strong>of</strong> democracy<br />

and peace, and supported by considerable investment in physical infrastructure development<br />

estimated at over $1bn (SLIEPA, 2009) has been presented by many observers as a unique case<br />

in Africa to understand and ga<strong>the</strong>r best practices from. This article will attempt to present a case<br />

that <strong>Sierra</strong> <strong>Leone</strong> is also making progress in this direction in terms <strong>of</strong> exploring social protection<br />

policies.<br />

3. The concept <strong>of</strong> social protection<br />

Concern understands social protection as all forms <strong>of</strong> social insurance and social security/social<br />

welfare that governments regulate, provide, or o<strong>the</strong>rwise make available to <strong>the</strong>ir citizens. These<br />

policies should be predictable and reliable sources <strong>of</strong> protection, in <strong>the</strong> form <strong>of</strong> ei<strong>the</strong>r cash<br />

transfers, in-kind transfers, or a combination <strong>of</strong> both, that help people maintain a minimum<br />

standard <strong>of</strong> living, as defined in each country (Concern, Social Protection Policy Paper, 2008). To<br />

<strong>the</strong> International Labour Organisation (ILO) “social protection means access to essential services<br />

and social transfer for <strong>the</strong> poor and vulnerable” (ILO 2010), while DFID conceptualises social<br />

protection as “public action taken in response to level <strong>of</strong> vulnerability, risk and deprivation which<br />

are seen as socially unacceptable within a given polity or society” (Conway, et.al 2000). UNICEF<br />

views social protection as a basic human right and mentions how “governments have an obligation<br />

to provide both economic and social support to <strong>the</strong> most vulnerable segments <strong>of</strong> <strong>the</strong>ir population”.<br />

Therefore, in this regard Concern‟s definition <strong>of</strong> social protection compliments <strong>the</strong> widely held<br />

views <strong>of</strong> o<strong>the</strong>r development actors.<br />

In <strong>Sierra</strong> <strong>Leone</strong>, in <strong>the</strong> absence <strong>of</strong> a country level social protection policy, Concern proposes a<br />

broad conceptual framework based on our understanding <strong>of</strong> <strong>the</strong> different initiatives currently under<br />

development or being implemented. The framework is guided by <strong>the</strong> various global and regional<br />

conventions and agreements that <strong>the</strong> Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> is party to, and attempts to<br />

capture <strong>the</strong> level and nature <strong>of</strong> <strong>the</strong> varied operational policies in place which act as <strong>the</strong> guidelines<br />

for <strong>the</strong> Government. By so doing it aims to inform development <strong>of</strong> an eventual comprehensive<br />

social protection policy.<br />

The framework captures <strong>the</strong> driving forces and gives suggestions <strong>of</strong> outcomes running through<br />

from <strong>the</strong> process up to <strong>the</strong> point where improved livelihoods options and improved standards <strong>of</strong><br />

living are reached. It shows that <strong>the</strong> main driver <strong>of</strong> any social protection intervention should be <strong>the</strong><br />

desire to unshackle those most economical and socially at risk, for whom it is most difficult to<br />

recover from shocks and stresses. The national policies and initiatives currently implemented,<br />

such as Free Health Care and cash transfers, all implemented through various ministries, are<br />

identified in <strong>the</strong> framework as practical initiatives. The framework <strong>the</strong>n emphasises <strong>the</strong> need for a<br />

steady and continuous reflection on factors that may exert pressure, shocks and stresses. The<br />

processes required to know and understand <strong>the</strong> sources, be it at strategy or activity level, will<br />

constantly need to be monitored and reviewed.<br />

5


DRIVING<br />

FORCES:<br />

Existence <strong>of</strong><br />

endemic<br />

poverty,<br />

marginalized<br />

+ vulnerable<br />

groups<br />

Global and<br />

regional<br />

factors:<br />

- Donor<br />

policy and<br />

practice<br />

- Global<br />

social trends<br />

- Policy<br />

trends<br />

Social<br />

factors:<br />

- Public<br />

attitudes<br />

- Lobbying<br />

National<br />

policies:<br />

- Free Health<br />

care<br />

- Education<br />

- SCP<br />

- PRSP<br />

- Local<br />

Government Act<br />

NGO / CBO:<br />

Country<br />

Strategy<br />

Plan<br />

-<br />

-<br />

Risks and vulnerability<br />

STRATEGIES<br />

ACTIVITIES<br />

National level:<br />

Documentation:<br />

- - Pilot cash transfer,<br />

- Registry<br />

- - National school feeding,<br />

- Levels <strong>of</strong><br />

programme,<br />

embarkment<br />

- - Health fee waivers,<br />

- Baseline<br />

- - Smallholder<br />

-Technology<br />

commercialization<br />

programme,<br />

Targeting:<br />

-Orphans,<br />

- - Decentralization<br />

-Widows,<br />

-Handicapped,<br />

Community level:<br />

-Young children,<br />

- Aged,<br />

- - Distribution <strong>of</strong> seeds,<br />

- Unemployed,<br />

- - Solidarity groups,<br />

- Chronically ill<br />

- - Access to health and<br />

education<br />

- - Livestock,<br />

- - DRR<br />

Review + M&E<br />

Review + M&E<br />

Review + M&E<br />

IMPACTS<br />

Political impact e.g.<br />

regime stability, dividend<br />

<strong>of</strong> democracy, meeting<br />

MDG goals<br />

DISEMBARKMENT<br />

improved livelihood<br />

options as a result<br />

<strong>of</strong> social protection<br />

initiatives<br />

Civil Society impact<br />

e.g. broader<br />

participation<br />

-<br />

Acknowledging that social protection is a relatively new concept in <strong>Sierra</strong> <strong>Leone</strong>, <strong>the</strong> Government<br />

and o<strong>the</strong>r stakeholders, prompted by <strong>the</strong> “Livingstone process” 1 organised by <strong>the</strong> African Union,<br />

are all developing <strong>the</strong>ir own understanding <strong>of</strong> it. Civil society organisations such as Concern are<br />

using a combination <strong>of</strong> <strong>the</strong>ir involvement in policy formulation at national level, and experiences<br />

and activities implemented in <strong>the</strong> field, to inform <strong>the</strong>ir approach. The broad framework above<br />

reflects Concern‟s understanding <strong>of</strong> social protection in <strong>Sierra</strong> <strong>Leone</strong> and is presented as a tool to<br />

inform our engagement with <strong>the</strong> Government, alongside o<strong>the</strong>r stakeholders, through membership<br />

<strong>of</strong> <strong>the</strong> National Committee on Social Protection, to support development and advocate for adoption<br />

<strong>of</strong> a national level framework, which will guide policy formulation and implementation.<br />

The two following sections provide fur<strong>the</strong>r information on a few national and community level<br />

initiatives represented in <strong>the</strong> framework. As most <strong>of</strong> <strong>the</strong>se initiatives are still in <strong>the</strong>ir infancy,<br />

impacts may not be visible at <strong>the</strong> moment; it is, however, anticipated in <strong>the</strong> framework that <strong>the</strong><br />

collective impact <strong>of</strong> <strong>the</strong> individual initiatives will lead to impacts in political, civil society and<br />

household spheres.<br />

1 The Livingstone Process refers to <strong>the</strong> commitment made by heads <strong>of</strong> African governments in 2006 and 2008 to<br />

fur<strong>the</strong>r basic social protection in support <strong>of</strong> <strong>the</strong>ir most disadvantaged citizens, with special emphasis placed on<br />

implementing cash transfer schemes, including social pensions and child grants.<br />

6


3. National Level Initiatives<br />

<strong>Sierra</strong> <strong>Leone</strong> still faced enormous challenges. For instance <strong>the</strong>re is limited internal revenue<br />

generated by <strong>the</strong> Government. Nearly half <strong>of</strong> <strong>the</strong> current revenue base is derived from bilateral<br />

donor support (WB 2009). In spite <strong>of</strong> this, <strong>the</strong> Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> (GoSL) has expressed<br />

commitment to ensuring <strong>the</strong> welfare <strong>of</strong> poor and vulnerable populations by embarking on<br />

developing various social protection and social assistance initiatives. Among o<strong>the</strong>rs, <strong>the</strong>se include:<br />

<br />

<br />

<br />

<br />

launching <strong>of</strong> a pilot project for conditional cash transfers to vulnerable and marginalised<br />

people across <strong>the</strong> country;<br />

launching <strong>of</strong> free health care for children under five, pregnant women and lactating mo<strong>the</strong>rs<br />

to reduce infant and maternal mortality;<br />

introduction <strong>of</strong> a Smallholder Commercialisation Programme (SCP) that incorporates a<br />

safety net component for small scale farmers; and<br />

support to free primary education, waiving fees for girls as part <strong>of</strong> <strong>the</strong> commitment to<br />

Universal Education for All in 2004.<br />

3.1. Free Health Care<br />

Free health care was launched by <strong>the</strong> GoSL on 27 th April 2010. It is intended to contribute to<br />

overcoming and addressing <strong>the</strong> barriers to health care faced by poor, marginalised and vulnerable<br />

people. <strong>Studies</strong> by Médecins Sans Frontières and Save <strong>the</strong> Children (MSF, 2005) and Concern<br />

have shown that one <strong>of</strong> <strong>the</strong> primary barriers for extremely poor people to access health care was<br />

user fees, which were being charged for both consultation and for obtaining medication. O<strong>the</strong>r<br />

reasons given were limited physical access to health-care facilities and low remuneration <strong>of</strong> health<br />

workers.<br />

This initiative built on <strong>the</strong> previous policy to provide free access to anti retro-viral <strong>the</strong>rapy (ARVs)<br />

for people living with HIV. Implementation <strong>of</strong> <strong>the</strong> free healthcare programme, 60% <strong>of</strong> funds for<br />

which are provided by <strong>the</strong> national Government, with additional support mostly from <strong>the</strong> UK and<br />

USA, is expected to benefit approximately 1.5 million people (lactating mo<strong>the</strong>rs, children under five<br />

and pregnant women as direct beneficiaries). The initiative is estimated to cost <strong>the</strong> Government <strong>of</strong><br />

<strong>Sierra</strong> <strong>Leone</strong> nearly 19 million US dollars over an initial three years. This indicates a strong<br />

demonstration <strong>of</strong> <strong>the</strong> Government‟s commitment to addressing <strong>the</strong> problem <strong>of</strong> infant and maternal<br />

mortality. Concern Worldwide, along with o<strong>the</strong>r actors, supports <strong>the</strong> Government technically and<br />

financially to actualise this ambitious plan. Salaries for health workers have been revised and<br />

increased within <strong>the</strong> free health care package. Access to health facilities is being addressed<br />

through <strong>the</strong> „rural feeder road development support‟ and „smallholder commercialisation<br />

programme‟ supported by a number <strong>of</strong> actors such as <strong>the</strong> World Bank, European Union, Concern,<br />

and <strong>the</strong> German International Cooperation (GIZ).<br />

Concern‟s Health programme aims to support <strong>the</strong> development <strong>of</strong> sustainable health care systems<br />

and practices through Government and community (civil society) mechanisms. A major component<br />

is <strong>the</strong> huge support Concern provides to <strong>the</strong> Government‟s Free Health Care initiative. This is<br />

particularly through procurement and supply <strong>of</strong> medical drugs to targeted clinics in our operational<br />

area, and technical support to effective monitoring and evaluation to ensure that drugs reach <strong>the</strong><br />

7


most remote areas. Anecdotal evidence suggests that a positive impact is already being<br />

witnessed, with clinics reporting an increase in attendance <strong>of</strong> pregnant women, new mo<strong>the</strong>rs and<br />

children under-five.<br />

32. Smallholder Commercialization Programme<br />

The Smallholder Commercialisation Programme (SCP) is an integral part <strong>of</strong> <strong>the</strong> National<br />

Sustainable Agricultural <strong>Development</strong> Programme (NSADP). The Government has made a<br />

commitment to run <strong>the</strong> NSADP for 20 years (2010-2030), with allocation from its own budget and<br />

grants from <strong>the</strong> European Union, Islamic <strong>Development</strong> fund and o<strong>the</strong>r donors; <strong>the</strong> overall<br />

estimated project cost over five years is US$403 million. Two key pillars in <strong>the</strong> SCP are social<br />

protection and safety nets for smallholding farmers. The safety net provides „food for work‟ to<br />

farmers and youths doing labour intensive essential activities such as swamp development, feeder<br />

road rehabilitation and culvert construction. The scheme intends to reach two million beneficiaries.<br />

3.3. Cash Transfer Pilot project<br />

The Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> initially launched <strong>the</strong> National Social Security and Insurance<br />

Trust (NASSIT) in 2001, a contributory programme to cater for workers in employment and lead<br />

development <strong>of</strong> a social health insurance policy. However, NASSIT only provides for employees in<br />

<strong>the</strong> formal sector: in <strong>Sierra</strong> <strong>Leone</strong>, as well as in many o<strong>the</strong>r African countries <strong>the</strong> non-formal sector<br />

is significant and growing (UNCDF 2004).<br />

The non-formal sector is comprised especially <strong>of</strong> unemployed youths and women who are not<br />

benefitting from NASSIT. This category <strong>of</strong> <strong>the</strong> population remains marginalised and vulnerable to<br />

shocks and stresses. The initiation <strong>of</strong> <strong>the</strong> six-month cash transfer pilot scheme, <strong>the</strong>refore,<br />

represented hope, especially for <strong>the</strong> youths. Through this scheme, $11 was transferred monthly to<br />

6,000 extremely poor people, with <strong>the</strong> purpose <strong>of</strong> alleviating <strong>the</strong>ir suffering; it has enabled<br />

recipients to establish petty trading enterprises, pay school fees, and purchase essential<br />

households commodities. Ano<strong>the</strong>r 5,000 youths were provided with a $2 daily wage as part <strong>of</strong> a<br />

cash-for-work initiative largely supported by GIZ and <strong>the</strong> Ministry <strong>of</strong> Education, Science, and<br />

Technology.<br />

3.4 Education for vulnerable girls<br />

The Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> recognises <strong>the</strong> challenges <strong>of</strong> accessing post-primary education<br />

for girls: as a result in 2004 it initiated conditional incentives to keep vulnerable girls in junior<br />

secondary school. The programme provides school uniforms, school fees and free books to girls in<br />

junior secondary schools. This is part <strong>of</strong> promoting Education for All by <strong>the</strong> year 2015 and an<br />

attempt to ensure that women are supported to acquire education, with an objective to narrow <strong>the</strong><br />

ratio between boys and girls in secondary schools.<br />

8


3.5 Constraints<br />

A number <strong>of</strong> factors are already being experienced which may hinder successful implementation <strong>of</strong><br />

some <strong>of</strong> <strong>the</strong> initiatives at national level. Relating to <strong>the</strong> SCP, <strong>the</strong> Government has identified <strong>the</strong><br />

following constraints: weak implementation capacity, procurement difficulties, weak extension<br />

services, weak private sector linkages, possibility for gender and youth exclusion, political<br />

interference in asset and fund management, and <strong>the</strong> potential change in political and economic<br />

environment (NSADP Investment Plan 2010-2014). However, <strong>the</strong> Government has also put plans<br />

in place to mitigate <strong>the</strong> likely effect <strong>of</strong> <strong>the</strong>se constraints.<br />

Referring to <strong>the</strong> Free Health Care initiative, some <strong>of</strong> <strong>the</strong> most significant constraints identified by<br />

<strong>the</strong> civil society body “Health for All Coalition” are: <strong>the</strong> significant funding gap and risk <strong>of</strong> downward<br />

change in donor financing, and delays in procurement and supply <strong>of</strong> drugs and consumables to<br />

health facilities. It has also been observed (for example by <strong>the</strong> ECOWAS Nutrition Forum) that staff<br />

in all facilities are overwhelmed as <strong>the</strong> number <strong>of</strong> patients has quadrupled a a result <strong>of</strong> <strong>the</strong> scheme.<br />

Attitude <strong>of</strong> health workers is also cited as a challenge, which can be linked to demands for<br />

increases in salary by junior health workers.<br />

Although <strong>the</strong> evaluation <strong>of</strong> <strong>the</strong> Cash Transfer pilot programme is still to be finalised, key civil<br />

society stakeholders are <strong>of</strong> <strong>the</strong> opinion that <strong>the</strong> scheme‟s impact will be more limited than was<br />

anticipated due to poor planning, poor targeting, absence <strong>of</strong> a baseline, poor monitoring, and a<br />

lack <strong>of</strong> coordination, which is indicative <strong>of</strong> a need for targeted capacity building. The GoSL is<br />

currently reviewing <strong>the</strong> impact and implementation process <strong>of</strong> <strong>the</strong> pilot cash transfer and <strong>the</strong>re is a<br />

very strong commitment by <strong>the</strong> key involved actors (<strong>the</strong> Government, civil society and private<br />

sector) to learn and improve <strong>the</strong> process.<br />

O<strong>the</strong>r general constraints common to <strong>the</strong> national level initiatives cited above include: corruption,<br />

too rapid implementation, and poor collaboration between ministries in <strong>the</strong> implementation <strong>of</strong><br />

policies that require <strong>the</strong> involvement <strong>of</strong> all ministries. There is a need to improve <strong>the</strong> limited<br />

technical capacity to implement policies. An overarching framework and social protection policy<br />

that would guide design and implementation <strong>of</strong> initiatives is, <strong>the</strong>refore, essential.<br />

A draft Social Protection policy exists, development <strong>of</strong> which has been supported by DfID and<br />

Concern, and it is currently awaiting cabinet and parliamentary approval. When fully approved <strong>the</strong><br />

policy will ensure that those segments <strong>of</strong> <strong>the</strong> population most at risk and vulnerable will be<br />

classified into three categories, so that initiatives are reaching <strong>the</strong> most in need. The classifications<br />

proposed in <strong>the</strong> draft policy are: <strong>the</strong> chronically poor (i.e. economically unproductive, which<br />

includes people with disabilities, people living with AIDS, <strong>the</strong> poor and elderly aged 65 years and<br />

above, and <strong>the</strong> chronically ill; <strong>the</strong> economically at risk (poor farmers, un/under employed, petty<br />

traders); and <strong>the</strong> socially vulnerable (vulnerable and excluded children, older people, single<br />

parents, teenage mo<strong>the</strong>rs, unemployed and out <strong>of</strong> school youths). This is an ambitious policy that if<br />

successful will provide social protection throughout <strong>the</strong> life cycle.<br />

9


4. Community level initiatives<br />

There are many notable non-governmental organisations (NGOs), and community-based<br />

organisations (CBOs) implementing community level poverty alleviation projects in <strong>Sierra</strong> <strong>Leone</strong>.<br />

All community level initiatives, in whichever sector, are designed in line with <strong>the</strong> Government <strong>of</strong><br />

<strong>Sierra</strong> <strong>Leone</strong>‟s national strategies, such as <strong>the</strong> poverty reduction strategy paper (PRSP), and<br />

sector based policies such as Education, Agriculture, Social Welfare and Health, through which <strong>the</strong><br />

Government in its traditional role provides <strong>the</strong> overarching policy and enabling environment. In <strong>the</strong><br />

section below we present some <strong>of</strong> <strong>the</strong> community-led initiatives supported by Concern‟s<br />

programmes sectors, all <strong>of</strong> which are represented in <strong>the</strong> broad framework above. Social protection<br />

is, for Concern, a cross-cutting approach and in a continuous state <strong>of</strong> development as learnings<br />

are incorporated into programme design.<br />

Integral to Concern are <strong>the</strong> beliefs that Governments have a responsibility to eradicate poverty and<br />

that people living in extreme poverty must be specifically targeted. Even with inclusive<br />

development programming it is evident that a percentage <strong>of</strong> <strong>the</strong> extremely poor will not be able to<br />

access and benefit from our interventions. According to Evans (2008), who attempts to move <strong>the</strong><br />

debate beyond traditional quantification based on income, it is important, along with proper<br />

understanding <strong>of</strong> <strong>the</strong> poverty continuum, that “in describing <strong>the</strong> nature <strong>of</strong> <strong>the</strong> lives <strong>of</strong> people living<br />

in extreme poverty it is necessary to recognise <strong>the</strong> depth, duration and nature <strong>of</strong> poverty in order to<br />

design <strong>the</strong> most appropriate interventions with and for extreme poor people”. These people require<br />

alternative support in <strong>the</strong> form <strong>of</strong> social protection. In some cases such support is a permanent<br />

requirement. In <strong>the</strong> long term it is <strong>the</strong> role <strong>of</strong> <strong>the</strong> Government to provide such support. However in<br />

<strong>the</strong> interim, while <strong>Sierra</strong> <strong>Leone</strong>‟s national Social Protection policies and processes are under<br />

development, Concern‟s programmes in <strong>Sierra</strong> <strong>Leone</strong> (which work closely alongside partners and<br />

front line government <strong>of</strong>ficials) provide an example <strong>of</strong> community-led social protection possibilities<br />

in <strong>the</strong> Education, and Food, Income and Markets (livelihoods) sectors.<br />

4.1. Education<br />

The overall objective <strong>of</strong> our Education programme in <strong>Sierra</strong> <strong>Leone</strong> is to streng<strong>the</strong>n <strong>the</strong> provision <strong>of</strong><br />

formal education among <strong>the</strong> poorer section <strong>of</strong> society, sustaining equitable access to improved<br />

quality <strong>of</strong> primary education. The programme activities recognize that not all children <strong>of</strong> schoolgoing<br />

age have <strong>the</strong> capability to gain an education because <strong>of</strong> costs and <strong>the</strong> need for children to<br />

support <strong>the</strong>ir families. Orphans are identified as particularly vulnerable. A major component <strong>of</strong> our<br />

Education programme is, <strong>the</strong>refore, support to School Management Committees to develop<br />

income-generating activities (IGAs, such as agricultural projects), in line with <strong>the</strong>ir own school<br />

development plans. Ten Concern supported SMCs choose in 2010 to employ <strong>the</strong> funds raised<br />

through <strong>the</strong>ir IGAs to ensure that marginalized orphans in <strong>the</strong>ir community are able to attend and<br />

remain in primary school (for example, through provision <strong>of</strong> school uniforms, food, text books and<br />

o<strong>the</strong>r learning materials), reaching a total <strong>of</strong> 146 children (67 boys and 79 girls).<br />

4.2. Food, Income and Markets<br />

Concern‟s Food, Income and Markets (livelihoods) programme in <strong>Sierra</strong> <strong>Leone</strong> supports poor<br />

households‟ to achieve adequate and sustainable access to and control over resources. This is to<br />

enable <strong>the</strong>m to achieve <strong>the</strong>ir livelihood rights without undermining <strong>the</strong> natural resource base. A<br />

10


community-driven poverty alleviation activity undertaken by targeted beneficiary groups<br />

incorporates a conditional social protection component into <strong>the</strong>ir undertakings. Through <strong>the</strong>se<br />

activities, more vulnerable people in <strong>the</strong>ir communities are reached. For instance, Concern support<br />

a women‟s development group in Petifu Chain and a farming group in Mabekor (both in Tonkolili<br />

district) with agricultural inputs, agronomic training, market linkages, and training in leadership,<br />

equality and adult literacy. In return, <strong>the</strong> groups are encouraged to support o<strong>the</strong>r vulnerable<br />

members <strong>of</strong> <strong>the</strong>ir community: from <strong>the</strong> pr<strong>of</strong>its made, a percentage is set aside to support<br />

vulnerable girls who have completed primary schools in <strong>the</strong>ir community to continue education.<br />

Although <strong>the</strong> girls benefit from <strong>the</strong> blanket government school fee waiver initiatives, support from<br />

<strong>the</strong> Petifu Chain and Mabekor groups enables <strong>the</strong>m to remain in <strong>the</strong>ir boarding schools at junior<br />

secondary level. The cost <strong>of</strong> <strong>the</strong>ir food is covered and <strong>the</strong>y are provided with pocket money to<br />

meet o<strong>the</strong>r expenses. This is essential, given that all studies relating to girls‟ retention in school<br />

emphasises <strong>the</strong>ir inability to sustain <strong>the</strong>mselves when <strong>the</strong>y are away from <strong>the</strong>ir villages. This is<br />

also a dominant reason why many girls drop out <strong>of</strong> school, become pregnant and are pushed into<br />

early marriage (Concern et al, 2010).<br />

5. Lessons learned and challenges<br />

If a long-term social protection initiative is to be achieved, an understanding <strong>of</strong> people‟s<br />

circumstances based on risk and vulnerability is essential. The absence <strong>of</strong> a systematic and<br />

inclusive Government social protection programme may set all on-going poverty alleviation<br />

programmes on unstable ground. Concern acknowledges <strong>the</strong> good intention <strong>of</strong> <strong>the</strong> Government <strong>of</strong><br />

<strong>Sierra</strong> <strong>Leone</strong> to put in place policies that allow for free health care, cash transfer, safety net and<br />

support for education <strong>of</strong> girls. This is remarkable because <strong>of</strong> low internal revenue generation and<br />

<strong>the</strong> huge infrastructural requirements <strong>of</strong> <strong>the</strong> country following emergence from <strong>the</strong> protracted civil<br />

conflict. The drafting and approval <strong>of</strong> <strong>the</strong> national Social Protection policy is <strong>of</strong> utmost importance<br />

and it must be quickly passed into an Act. All Social Protection initiatives currently implemented by<br />

<strong>the</strong> Government, though at incipient stages, are still very significant. However, improper<br />

coordination and rivalry for control within ministries should be avoided, since it could undermine <strong>the</strong><br />

efforts and could make adoption <strong>of</strong> <strong>the</strong> policy framework very difficult. Technical support to improve<br />

implementation capacity <strong>of</strong> <strong>the</strong> Government should be a priority for key stakeholders and<br />

international partners, including <strong>the</strong> African Union. Concern recommends that a Social Protection<br />

Commission should be established. This Commission should be placed ei<strong>the</strong>r within <strong>the</strong> Office <strong>of</strong><br />

<strong>the</strong> President or <strong>the</strong> Office <strong>of</strong> <strong>the</strong> Vice President. By so doing, <strong>the</strong> emphasis and close oversight<br />

required will be assured. This strategy has been very successful in terms <strong>of</strong> Disaster Management,<br />

National Security and <strong>the</strong> HIV and AIDS secretariat.<br />

Concern recommends that <strong>the</strong> national cash transfer initiative be extended to include 1/ conditional<br />

cash transfers dependant on status, for example to unemployed youth, with clear entry and<br />

disembarkment levels, as illustrated in <strong>the</strong> framework above, and 2/ unconditional cash transfers to<br />

chronically poor categories <strong>of</strong> <strong>the</strong> population, such as elderly people, etc.. Both <strong>of</strong> <strong>the</strong>se should be<br />

determined by a systematic research process and need to be very well articulated and set within<br />

<strong>the</strong> framework and eventual policy. NASSIT is a good example <strong>of</strong> a long term sustained approach<br />

to caring for workers at old age, <strong>the</strong>refore <strong>the</strong> contributory pension scheme should remain in place<br />

and to be well protected. Care must be taken to ensure that benefits are not eroded by inflation<br />

11


and devaluation in <strong>the</strong> longer term, which would hence render <strong>the</strong> dividend economically worthless<br />

by <strong>the</strong> time <strong>the</strong>y will be dispensed.<br />

Just as national level Government driven initiatives are ongoing, <strong>the</strong>re is a need to be conscious <strong>of</strong><br />

<strong>the</strong> changing investment environment, with more and more large private sector companies<br />

investing in <strong>Sierra</strong> <strong>Leone</strong>. The Government need to ensure that adequate regulations are in place<br />

to, one <strong>the</strong> one hand, protect citizens and communities from exploitation, and on <strong>the</strong> o<strong>the</strong>r hand,<br />

ensure corporate social responsibility. However, increased private sector investment also raises<br />

<strong>the</strong> opportunity to increase revenue generation, that can support financial sustainability <strong>of</strong> national<br />

level social protection initiatives; it is <strong>the</strong> role <strong>of</strong> <strong>the</strong> Government in that instance to encourage<br />

contributions from companies and to launch an independent fund on social protection, managed by<br />

<strong>the</strong> proposed Commission on Social Protection, with active participation <strong>of</strong> civil society to ensure<br />

monitoring and allay worries.<br />

Central to <strong>the</strong> sustainability <strong>of</strong> any programme is <strong>the</strong> ability <strong>of</strong> <strong>the</strong> Government to generate its own<br />

funds internally. The drive must be stepped up to ensure that <strong>the</strong>re is a reduction in reliance on<br />

foreign donors for <strong>the</strong> provision <strong>of</strong> free health care, for instance.<br />

Health insurance is a fantastic opportunity to ensure a productive and healthy workforce. As <strong>the</strong><br />

informal sector in <strong>Sierra</strong> <strong>Leone</strong> accounts for about 70% <strong>of</strong> <strong>the</strong> workforce (over 70% are engaged in<br />

<strong>the</strong> agrarian sector, and in <strong>the</strong> urban areas about 70% are engaged in petty trading (UNCDF,<br />

2004), if <strong>the</strong> scheme was extended to include <strong>the</strong> informal sector, as is Concern‟s<br />

recommendation, it would benefit a significant proportion <strong>of</strong> <strong>the</strong> population. Therefore, marginalised<br />

people, including groups like smallholding farmers, will benefit from <strong>the</strong> scheme and will be made<br />

to contribute to <strong>the</strong> process <strong>of</strong> social protection. There is also a social benefit <strong>of</strong> esteem and<br />

recognition by <strong>the</strong> beneficiaries through <strong>the</strong> process.<br />

A corruption-free society is important in economic development. This cannot be over emphasised.<br />

The anti-corruption commission must be seen to be independent, functional and trusted. The<br />

leakages in <strong>the</strong> system that continue to pose challenges, for example to availability <strong>of</strong> <strong>the</strong> right<br />

drugs in <strong>the</strong> clinics, must be checked.<br />

Research must continue and piloting <strong>of</strong> technology be encouraged to ensure proper registry and<br />

ensure that administrative costs for dispensing any social protection initiative are kept reasonably<br />

minimal.<br />

As indicated in <strong>the</strong> framework, community level initiatives can support and empower vulnerable<br />

people whose needs are as yet unaddressed by national schemes. The participation <strong>of</strong> civil society<br />

in <strong>the</strong> social protection system in this way should be fur<strong>the</strong>r explored. Concern‟s experience in<br />

community level initiatives shows that <strong>the</strong>re is a need for proper monitoring <strong>of</strong> all activities and to<br />

constantly build capacity at institutional, organisational and individual levels, for example, including<br />

literacy training for beneficiaries. A focus is required on proper registration, impact, monitoring and<br />

disembarkment <strong>of</strong> beneficiaries from any intervention so as not to overstretch social protection<br />

systems <strong>of</strong> this nature. In this regard targeting, monitoring and evaluation are <strong>of</strong> key importance.<br />

12


6. Conclusion<br />

Despite <strong>Sierra</strong> <strong>Leone</strong>‟s heavily reliance on foreign donors, and given that <strong>the</strong> country is only ten<br />

years out <strong>of</strong> a very brutal civil conflict, <strong>the</strong> country has clearly demonstrated <strong>the</strong> commitment to<br />

alleviate poverty. The Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> has equally demonstrated <strong>the</strong> ability and<br />

willingness to care for <strong>the</strong> most needy, through people-centred policies, respect for global<br />

agreements and conventions. It is <strong>the</strong> mandate <strong>of</strong> a government to provide for its citizens, hence<br />

<strong>the</strong> need for a national level social protection framework and policy as discussed in this paper.<br />

However, community level initiatives can be learned from so as to ensure that policies are<br />

grounded in experience <strong>of</strong> practical implementation. Participation <strong>of</strong> civil society at all levels<br />

ensures confidence, impartiality and transparency. It is important to upscale and ensure that all<br />

national level initiatives reach every corner <strong>of</strong> <strong>the</strong> country and that <strong>the</strong>y benefit people who wish to<br />

avail <strong>of</strong> <strong>the</strong>se services. According to Concern‟s value statement: “good stewardship ensures<br />

trust...” which is crucial for development.<br />

13


References<br />

1. Adato, M. and Hoddinott, J. (2008) Social Protection – Opportunities for Africa. IFPRI Policy<br />

Brief Vol. 5. International Food Policy Research <strong>Institute</strong>: Washington<br />

2. Bank <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> (2004) Micr<strong>of</strong>inance programme development paper presented by Dr.<br />

J.D. Rogers. 7th meeting <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> development partnership committee: Freetown<br />

3. Deverux.S. (2006) Cash transfers and social protection. Paper prepared for regional workshop<br />

on “Cash transfers activities in Sou<strong>the</strong>rn Africa”. Sou<strong>the</strong>rn African Regional Poverty Network:<br />

Johannesburg<br />

4. ECOWAS Nutrition Forum (2010) www.pfnutrition.org/IMG/ppt/<strong>Sierra</strong><strong>Leone</strong>.ppt. Accessed 1st<br />

March 2011.<br />

5. Evans, D. (2008) Extreme poverty and EPAF. Concern Worldwide background paper.<br />

6. Fanthorp, R. (2001) Nei<strong>the</strong>r citizen, nor subject Lumpen agency and <strong>the</strong> legacy <strong>of</strong> native<br />

administration in <strong>Sierra</strong> <strong>Leone</strong>. African Affairs 100(363- 386). Royal African <strong>Institute</strong>.<br />

7. Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> (2010a) Millennium <strong>Development</strong> Progress Report 2010:<br />

Freetown<br />

8. Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> (2010b) Social Protection Agenda 2010 – 2014: National<br />

Committee for social action (supported by Concern): Freetown<br />

9. Government <strong>of</strong> <strong>Sierra</strong> <strong>Leone</strong> (2010c) National Sustainable Agricultural <strong>Development</strong><br />

Programme Investment Plan: 2010-2014<br />

10. Health for All Coalition <strong>Sierra</strong> <strong>Leone</strong> (2011) Report on Monitoring Activities Conducted Over <strong>the</strong><br />

First Quarter <strong>of</strong> <strong>the</strong> Free Health Care Initiative<br />

11. Hickey, S. (2007) Conceptualizing <strong>the</strong> politics <strong>of</strong> social protection in Africa. BWPI Working<br />

Paper 4: University <strong>of</strong> Manchester: Manchester<br />

12. Hodges, A. (2008) Perspective for social protection <strong>of</strong> West and Central Africa. Child Rights<br />

Information Network: London<br />

13. <strong>Institute</strong> <strong>of</strong> Economics and Peace (2010): most peaceful cities in <strong>the</strong> world ranking<br />

http://www.vision<strong>of</strong>humanity.org/gpi-data/#/2010/scor<br />

14. International Finance Cooperation (2009) IFC annual report.www.ifc.org, accessed 28 th<br />

February 2011.<br />

15. International Labour Organization (2010) ILO-UN Social Protection Floor Initiative: The role <strong>of</strong><br />

social security in crisis response and recovery, and beyond. www.Ilo.org<br />

16. Kamerman, S. B. and Gabel, S. G. (2006) Social protection for children and <strong>the</strong>ir families: A<br />

global overview. Paper presented at <strong>the</strong> UNICEF sponsored Conference; “Social protection<br />

initiatives for children, women and families – An analysis <strong>of</strong> recent experiences. New School:<br />

New York<br />

17. Medecins Sans Frontiers (2005) Access to Healthcare in Post-War <strong>Sierra</strong> <strong>Leone</strong>.<br />

18. <strong>Sierra</strong> <strong>Leone</strong> Investment and Export Promotion Agency (2009), <strong>Sierra</strong> <strong>Leone</strong> Conference Brief<br />

www.sliepa.org/sites/default/files/documents/InfrastructureSector%20Brief.pdf, accessed 28 th<br />

February 2011.<br />

19. Statistics <strong>Sierra</strong> <strong>Leone</strong> (2009) 2008 Annual economic survey – Economic statistics division.<br />

Vol. 1.<br />

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20. Tim Conway et. al. (2000) Social Protection – New directions <strong>of</strong> donor agencies. DFID paper:<br />

London<br />

21. UNDP (2009) Human <strong>Development</strong> Report 2009.<br />

22. UNDP Human <strong>Development</strong> Report (2010) http://hdrstats.undp.org/en/countries/pr<strong>of</strong>iles/SLE.<br />

Accessed on 28th February 2011.<br />

23. UNICEF (2009), State <strong>of</strong> <strong>the</strong> World‟s Children<br />

24. United Nations Capital <strong>Development</strong> Fund ( UNCDF 2004) <strong>Development</strong> <strong>of</strong> a Sustainable Pro-<br />

Poor Financial Sector in <strong>Sierra</strong> <strong>Leone</strong> (2004 -2009): New York<br />

15

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