States of Emergency: Citizenship in Times of Crisis in Sierra Leone

Lead Research Organisation: University of Bath
Department Name: Social and Policy Sciences

Abstract

The proposed research project develops work on the association of security and development priorities, by exploring how a heavily militarised response to the outbreak of Ebola has influenced experiences of citizenship amongst socio-economically marginal youth in Sierra Leone. Drawing on a variety of disciplines, from medical anthropology to security studies and political sociology, this study will probe into the nature of state-society relation in times of 'crisis'. In so doing it will analyse both normative definitions of citizenship created through emergency policy interventions and the everyday negotiations and contestations of citizenship by marginal urban youth living in a constant state of emergency.

The Ebola outbreak that has overwhelmed West Africa since 2014 came only a decade after the end of a devastating civil war in Sierra Leone. The cyclical nature of crisis has been linked to structural fragilities, including weak institutions unable to gain the trust of large populations living in poverty. This has made Sierra Leone emblematic of the increasing trend in international development policy that treats poverty reduction as a security priority aimed at mitigating threats to national and international stability. Young people living in urban slum areas have been especially affected by the increasing depiction of poverty as a security risk. First, as they were identified as potential recruits in rebel armies, and secondly as they were seen as vessels of disease during an Ebola outbreak characterised by urban contagion. Young people's recent experiences of a militarised Ebola response thus offer a fascinating entry-point into the study of how crisis creates citizens in a developing country.

While much has been written on the processes whereby security and development priorities have become intertwined, much less is known about how these dynamics impact target populations. This study will thus explore how the securitisation of poverty influences definitions, negotiations and experiences of citizenship in Sierra Leone. This means firstly understanding how the proclamation of states of emergency influences normative definitions of citizenship. Secondly, it means exploring how living under emergency shapes how citizens relate to their sovereign authority and how they negotiate their position in a fragile political community. Methodologically, the study will firstly involve collecting and analysing grey literature from a multitude of agencies involved in the Ebola response in Sierra Leone to tease out policy narratives around citizenship during the outbreak. Secondly, it will entail three months of ethnographic fieldwork amongst young residents of the Magazine Wharf slum area of Freetown, a neighbourhood particularly badly hit by the epidemic. Through interviews, life histories and participant observation, the study will explore young people's everyday interactions with state institutions and their resulting definitions, negotiations and expectations of citizenship.

This research builds on my previous extensive work in Sierra Leone, firstly on young people's post-war political mobilisation and later on community experiences of an Ebola vaccine trial, working as a participant observer with marginal urban youth. This work thus further develops my interest in how high-level policy discourses and development interventions actually impact the everyday lives of marginalised populations in developing countries.

Planned Impact

The Ebola outbreak offers a very current case study of a broader phenomenon whereby security concerns have become increasingly central to all areas of policy making: from migration policy to poverty eradication and global disease control. The findings from this research are thus likely to be of interest to a broad audience and they will be able to influence public debates from two points of view. Firstly, in terms of assessing the outcomes of using security concerns to justify policy interventions in the developing world. Secondly, through contribution to the post-Ebola reconstruction process in West Africa and ongoing reflections on lessons learned from the outbreak.

Various strategies will be used to maximise the potential impact of this research by contributing to these important conversations. Key stakeholders will include: policy-makers in the area of security, disease prevention and citizen engagement in the UK; policy-makers and implementers working in Sierra Leone; and Sierra Leonean youth organisations. Firstly, I will build on my networks with organisations such as International Alert, Oxfam and DFID. Stakeholders will be engaged through the production of regular policy briefs to be disseminated to each organisation, and I will also offer presentations of my research findings at in-house policy events. By offering reflections on the consequences of securitisation on citizens in contexts of crisis, the research will be able to inform interventions in such contexts, in particular given the increasing concern with social mobilisation in the midst of medical emergencies.

In April 2018 I also will return to Sierra Leone to share my research findings through two events: a focus group with the young people who took part in the research process together with prominent youth leaders and one with practitioners working in Sierra Leone on the post-Ebola reconstruction process. These will build on the strong networks I have developed over the years through my doctoral work and as a social scientist on an Ebola vaccine trial, with youth activists, Ministry of Youth Affairs and Ministry of Health and Sanitation officials and country offices of international organisations such as Oxfam and Goal Ireland. The research findings will be able to inform conversations on the country's reconstruction process, and in particular to direct attention towards the restructuring of state-society relations and avenues for building trust in institutions.

A third avenue of impact will be the establishment of practitioner-academic networks. This will be achieved in two ways. Firstly, I intend to establish a network of practitioners and academics working in West Africa in the post-Ebola reconstruction process to discuss community engagement and the rebuilding of trust in institutions. This will expand on the Sierra Leone Research Network, which I helped to develop in 2012 and will entail setting up online forums for discussion, creating an email listserve to link people working on similar issues and supporting the organisation of networking events. These events will stimulate collaborations amongst academics working in different fields as well as encouraging the making of policy informed by sound social science research. Secondly, at the end of the research process I will organise a larger conference, bringing together academics and practitioners to discuss the implications of the securitisation of development policy across different contexts. This conference will allow me to discuss my research findings effectively across disciplines and to consolidate links and networking opportunities with practitioners and academics across different fields to inform new policy approaches in crisis contexts.
 
Description This project explores how a heavily militarised response to the outbreak of Ebola influenced experiences of citizenship amongst socio-economically marginal youth in Sierra Leone. By taking the Ebola epidemic as a case study, the project asks broader questions about how crisis shapes normative ideas of citizenship and how everyday experiences of a state of emergency influences state-society relations. I used a number of qualitative methods, including analysis of policy and programme documents from the Ebola response and recovery efforts; discussions with individuals involved in the response; interviews with 40 young people in communities highly affected by the outbreak and 4 months of ethnographic fieldwork in these communities. The key findings are:

- The securitisation of the Ebola outbreak encouraged rapid mobilisation of resources but had counterproductive effects in terms of eroding the relationship between the state and citizens who came to be defined as security risks
- The language of the response had powerful consequences in terms of drawing distinctions between "heroes" who were willing to change their behaviours and those who were instead criminalised and seen as dangerous because of their behaviours
- Despite significant progress during the outbreak in terms of community engagement, populations in hard to reach areas give more weight to coercive measures (including fines and the presence of the military) when describing how they think Ebola was conquered in Sierra Leone-this has implications for how they view their role as citizens and their relationship to the state
- Significant mistrust still exists amongst populations affected by the outbreak, as the epidemic only exposed or exacerbated much longer standing questions about dissatisfaction with failed social contracts
- Many of those who made significant sacrifices during the outbreak or who were affected by the disease expressed significant dissatisfaction with a sense that their expectations of help and support once the emergency had ended had been failed
- A rise in young Sierra Leoneans' efforts to migrate to Europe by land, and the high visibility of the European migrant crisis has provided a new language to critique this status quo as young people who stay use the metaphor of 'Temple Run' (a term used to describe the treacherous journey) as a way to reflect on the realities of being a citizen in times of crisis.
- At the same time, mistrust and dissatisfaction have not translated in an unwillingness to engage with politics as is often assumed in situations where states are weak or absent-even in the most remote communities, young people had very well defined ideas of their expectations of citizenship and had hopes that the state would fulfil its responsibilities. There is in other words a distinction between a normative political imagination and everyday encounters in practice with state officials and bureaucracy.
-Moments of crisis such as the Ebola outbreak 'made' citizens -- in areas were the state (and its officials) were previously absent or invisible, humanitarian interventions meant that people experienced a form of service delivery that strengthened their claims towards government for inclusion after the crisis. The potential danger with this development is that citizenship claims become tied up with protracted and recurrent crisis, as services are received by virtue of being affected by crisis.
- All these findings point to the need to engage deeply with social, political and economic dimensions of citizens' experiences to understand the full impact of emergency responses and interventions.
Exploitation Route The findings from this research can be taken up by humanitarian and development practitioners as well as civil society groups interested in understanding the social and political consequences of interventions and how they shape relations between states and citizens. The experiences of young people affected by Ebola in Sierra Leone alerts us to the dangers of using security frameworks for engaging with populations during emergencies. These findings also suggest ways to reconsider community engagement strategies during health emergencies as well as 1) how they interact with security components of interventions and 2) how they might be shaped by particular socio-political contexts.

Researchers also could ake these findings forward through comparative research on the social, political and economic dimensions of how citizens experience crisis, as this will be essential to draw out key lessons for developing humanitarian interventions and recovery efforts that can be socially and culturally meaningful and sustainable.
Sectors Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice,Security and Diplomacy

 
Description Over the course of the first year of the award I have been involved in a number of different consultations with international organisations, which have given me the opportunity to feed my research into discussions at policy level. This has happened in three different forums: 1) I have been involved in consultations with the World Health Organisation (WHO) and the Wellcome Trust about strategies for integrating social science into response to health emergencies. Given my work on the Ebola outbreak and its aftermath, I was asked to contribute through an individual interview for a report published by the WHO and Wellcome and later I was invited to a workshop to discuss the findings of the consultation and advise on strategies. 2) I was invited to a symposium on community engagement during emergencies in Dakar, Senegal organised by the EBODAC consortium, bringing together academics, governments, civil society and industry to discuss challenges and opportunities mobilising communities for medical research during health emergencies -- this resulted in a report summarising all of our contributions 3) I was interviewed and participated in a worksop organised by the recently established Public Health Rapid Support Team (a collaboration between Public Health England and the London School of Hygiene & Tropical Medicine) to discuss the role of anthropologists in emergency responses, informing the structuring of the new team. Based on my experience in Sierra Leone and the work developed through this project on state-society relations, I was also asked to take part in consultations with the Department for International Development (DFID) in Sierra Leone to support their development of a new strategy for the country-- with a particular focus on young people and their relation to governance institutions. Over the last year I have also written a number of articles for non-academic audiences in popular publications two pieces on the Sierra Leone elections (Washington Post & African Arguments), one on migration from Sierra Leone (Africa is a Country) and one on the Oxfam scandal in Haiti (The Conversation). I was also interviewed about the Oxfam scandal, following my article, by Radio France Internationale. Finally, I wrote a brief for the Institute of Policy Research at Bath on the pitfalls of securitisation in international development. In the second and final year of my award I continued to engage with a wide range of audiences, feeding back research findings in academic, practitioner and civil society spaces. I was interviewed on Radio France Internationale on the Sierra Leone elections. I have written a number of blog posts for non-academic audiences on the practical aspects of research (The New Ethnographer) and on communicating research findings to research participants (London International Development Centre). I continued to engage with DFID in Sierra Leone, contributing to discussions on their country strategies and analyses. I organised a number of events to disseminate research findings including a workshop at the University of Bath entitled "Crisis: Contested Narratives, Interventions and Resistance" which brought together 30 academics and practitioners working on crisis across contexts. I held three research dissemination events in Sierra Leone to report and discuss research findings, presenting specific policy recommendations with research participants, government officials, civil society and international organisations. I was invited to speak on the role of social science in clinical research and medical emergencies in a number of different forums including the PREPARE Conference in Brussels, the HIV Conference in Madrid and at the Institute for Development Studies in Sussex. At the PREPARE Conference my inputs were integrated in a best practices report for participant engagement in medical research during emergencies. I have held a public lecture at the Institute of Management and Technology in Kambia (Northern Sierra Leone) and participated in an interview with local radio. Since the end of my grant, I have continued to share my research findings to different audiences and to develop new avenues for impact based on the relationships and opportunities made possible by my ESRC Fellowship. This has included continued opportunities to speak about the role of social science in humanitarian and medical emergencies, including at a workshop with practitioners in Dakar (Senegal) and a meeting with field epidemiologists and modellers at the Wellcome Trust in London. The findings and relationships built during my fellowship have now enabled me to receive a small grant from the SABIN Institute to deliver training in social science methods for community health workers in Kambia District (Sierra Leone) in partnership with the Sierra Leone Ministry of Health. I am also part of a larger collaboration with the London School of Hygiene and Tropical Medicine, Anthrologica and Oxford University on a project on the anthropology of emergency vaccine deployment for which I lead on the . Through my work I have also provided a conflict analysis for Saferworld for a Sierra Leone-related project and have since then been asked to join their pool of external advisors as well as being approached by other INGOs (e.g. Helen Keller International) for research expertise. The COVID-19 pandemic has meant findings from my research have informed my contribution to various forums on the social science of epidemics, including for example being a member of the social science working group in the COVID-19 Clinical Research Coalition. My objectives were met and in many cases surpassed. I completed data collection and analysis and my data set has been submitted to the UK Data Service. I have published two academic pieces including a book, two more articles have been submitted and two are currently drafted. I have also published two book reviews, and several pieces for a broader public. I have been invited to present my preliminary findings in various academic forums including seminars at the University of Bradford, University of Edinburgh, London School of Economics and the University of Oxford. I have been undertaking training for professional development, including the Bath Course for teaching accreditation, which I have now completed. I had also envisioned a website that would bring together academics and practitioners working on post-crisis recovery. Because of changes in the research landscape since the end of the outbreak and specific and substantial funding for the development of networks centred on social science for emergencies (in which I am also personally involved), creating the initially planned website would have been a duplication of efforts. Instead I have been contributing to existing platforms such as the Social Science in Humanitarian Action Platform and shared findings through my existing networks. The Fellowship work allowed me to develop an ambitious new research agenda which has now been funded by the UKRI under their Future Leaders Fellowships.
First Year Of Impact 2017
Sector Healthcare,Government, Democracy and Justice,Other
Impact Types Societal,Policy & public services

 
Description Consultation for UK Department for International Development (DFID) Sierra Leone Strategy
Geographic Reach Africa 
Policy Influence Type Contribution to a national consultation/review
 
Description Speaker at event Community Engagement, Communications and Technology in Ebola Clinical Trials
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
 
Description UK Public Health Rapid Support Team Workshop on Understanding the Role of Social Science in Outbreaks
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a guidance/advisory committee
 
Description World Health Organisation Consultative Workshop: Integrating Social Science Interventions in Epidemic, Pandemic and Health Emergency Response
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a guidance/advisory committee
 
Description Anthropological exploration of facilitators and barriers to vaccine deployment and administration during disease outbreaks
Amount £747,966 (GBP)
Organisation NIHR London (South) CRN 
Sector Public
Country United Kingdom
Start 09/2018 
End 04/2021
 
Description Social and Behavioral Interventions for Vaccination Acceptance Small Grants Program.
Amount $24,000 (USD)
Organisation SABIN Vaccine Institute 
Sector Charity/Non Profit
Country United States
Start 08/2019 
End 05/2020
 
Description UKRI Future Leaders Fellowship
Amount £580,284 (GBP)
Funding ID MR/T040521/1 
Organisation United Kingdom Research and Innovation 
Sector Public
Country United Kingdom
Start 02/2021 
End 01/2025
 
Title Qualitative data for states of emergency: citizenship in crisis in Sierra Leone 2017 
Description This dataset relates to an ESRC-funded project entitled State of Emergency: Citizenship in Crisis in Sierra Leone. Through ethnographic research in Freetown and Kambia (Northern Province) this project explored young people's understandings and experiences of citizenship in the aftermath of Ebola, focusing on state-society relations, expectations and the political imagination in/after crisis. The dataset includes redacted personal field notes, information provided to participants and topic guides. 
Type Of Material Database/Collection of data 
Year Produced 2019 
Provided To Others? Yes  
Impact The dataset has only recently been uploaded and access to the data is only accessible on request. 
URL https://researchdata.bath.ac.uk/596/
 
Description A blog post for the New Ethnographer 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This was a blog about the challenges of doing research based on personal reflections from my work in Sierra Leone
Year(s) Of Engagement Activity 2018
URL https://thenewethnographer.org/2018/04/25/elective-affinities-fragility-and-injustice-in-the-field/
 
Description A piece in African Arguments (Royal Africa Society) about the 2018 Elections 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact An analysis for one of the top blogs on African current affairs, drawing on my research in Sierra Leone in the months leading up to the election
Year(s) Of Engagement Activity 2018
URL http://africanarguments.org/2018/02/28/salonedecides-will-new-parties-end-sierra-leone-elections-two...
 
Description A piece in The Conversation about the Oxfam Scandal in Haiti 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact The article was read by 24, 772 people, and it was republished in over 10 other publications, including Quarz and iNews. It sparked significant debate in online forums and social media platforms and has resulted in new connections, including requests for media appearances (such an interview with Radio France Internationale)
Year(s) Of Engagement Activity 2018
URL https://theconversation.com/oxfam-scandal-development-work-is-built-on-inequality-but-thats-no-reaso...
 
Description Briefing on Securitisation of Development for Institute of Policy Research 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A brief on the pitfalls of securitising international development policy for the Institute of Public Research at Bath
Year(s) Of Engagement Activity 2017
URL http://blogs.bath.ac.uk/iprblog/2017/09/22/securitisation-and-policymaking-lessons-from-sierra-leone...
 
Description Interview with Radio France Internationale 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact I gave an interview to Radio France Internationale about the recent scandal involving Oxfam humanitarian workers paying sex workers in Haiti after the earthquake. In the interview I drew on my current research on institutional responses to crisis.
Year(s) Of Engagement Activity 2018
URL http://en.rfi.fr/africa/20180216-Cutting-overseas-aid-no-answer-Oxfam-sex-scandal-NGO-say
 
Description Interview with Radio France Internationale on the Results of the 2018 Sierra Leone Elections 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact I was interviewed on Radio France Internationale (RFI) to comment on the results of the Sierra Leone elections in April 2018.

RFI is a French current affairs radio station that broadcasts worldwide in French and 12 foreign languages. It draws on the expertise of its Paris-based editorial teams and unique global network of 400 correspondents to provide news bulletins and features which give listeners the keys to understanding the world. Some 40 million listeners around the world tune into RFI every week (weekly audience without extrapolation) and its new media platforms attract 10 million visits a month.
Year(s) Of Engagement Activity 2018
URL http://en.rfi.fr/africa/20180405-military-ruler-sierra-leone-president-who-julius-maada-bio
 
Description PREPARE Europe Conference: Presentation on Social Science for Clinical Research for Emergencies 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact I was invited to give a talk at a conference on clinical research about the role of social science during outbreak emergencies and to chair a worksop on participant engagement for clinical research
Year(s) Of Engagement Activity 2018
URL http://www.prepare-europe.eu/Library/Publications/ID/115
 
Description Piece in the Washington Post about the 2018 Sierra Leone elections 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact A piece in the Washington Post about the 5 key issues in the 2018 elections, drawing on my research on the implications of the Ebola outbreak for citizens' trust in institutions. This was shared widely on social media and led to a number of new connections and requests for contributions-- including media inquiries (e.g. for comment in Jeune Afrique)
Year(s) Of Engagement Activity 2018
URL https://www.washingtonpost.com/news/monkey-cage/wp/2018/02/07/sierra-leone-goes-to-the-polls-on-marc...
 
Description Presentation at VEEPED Meeting in London 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact I was asked to present on the role of social science in medical interventions for an audience of clinicians and representatives of WHO Blueprint
Year(s) Of Engagement Activity 2019
 
Description Presentation to ALERRT Meeting in Dakar 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact I was invited to attend a workshop on community engagement in global health emergencies, attended by practitioners and representatives of civil society in West Africa. I gave a talk about the role of social science in health emergencies drawing on experience in Sierra Leone
Year(s) Of Engagement Activity 2019
URL https://www.nuffieldbioethics.org/news/workshop-report-global-expert-group-highlights-community-enga...
 
Description Public Lecture on Youth Empowerment at the Institute of Advanced Management and Technology in Kambia, Sierra Leone 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact I gave a public lecture based on my research findings attended by over 50 people in Kambia, in Northern Sierra Leone. The lecture stimulated great interest and an extended Q&A session where students and the general public commented on my insights and where I was able to launch my book. The lecture was followed by an interview with local radio.
Year(s) Of Engagement Activity 2019
 
Description Sierra Leone at 60: Coming of Age in Freetown's Streets 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A blog for African Arguments that was then reproduced by other news outlets (like AllAfrica) about what it means to be young across different crises in Sierra Leone.
Year(s) Of Engagement Activity 2021
URL https://africanarguments.org/2021/06/sierra-leone-at-60-coming-of-age-in-freetowns-streets/
 
Description Talk at Beechen Cliff Sixth Form on social science & Ebola 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact 15 pupils attended a lecture on my experiences of social science research during and after the Ebola epidemic, reflecting on the roles of young people and on the ways in which crisis affects citizenship.
Year(s) Of Engagement Activity 2018
 
Description Who is Research for? Feeding Back Research Findings in Sierra Leone 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This was a blog for the London International Development Centre reflecting on a workshop I held with research participants and questioning what ethical research impact looks like
Year(s) Of Engagement Activity 2018
URL https://lidc.ac.uk/feeding-back-research-findings/
 
Description Workshop on Crisis: Narratives, Interventions and Resistance 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact I organised a workshop bringing together academics and practitioners from the humanitarian/ development sector to discuss "crisis" across contexts: what comes to be identified as "crisis" (and why?)? How are crises defined, how does this influence responses to them and with what implications? How do people experience, imagine and resist crisis?

There were 30 invited participants who were highly engaged, and has sparked continued collaborations.
Year(s) Of Engagement Activity 2018
 
Description Youth and Citizenship after Ebola: Presentation of Findings 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact I organised three workshops to present research findings back to study participants and to local and international policy makers/ civil society. One was with the Department for International Development (DFID) in Sierra Leone; one in Freetown with study participants, civil society and the Minister of Social Welfare in Freetown; one was with local civil society and study participants in Kambia, Northern Sierra Leone (one of the two research sites, together with Freetown)
Year(s) Of Engagement Activity 2018
URL https://lidc.ac.uk/feeding-back-research-findings/