Evening Ebola Update, Mon, 1/5/15: IMF funding to West Africa are loans, not donations/Chap. 3 & 4 of World Bank Report reviewed   Leave a comment

1/5/15

Dear Colleagues:

l.  The Lancet 5 January has an article by Sanjeev Gupta, a fiscal officer of the IMF, rebutting the earlier Lancet article on how  IMF funding stipulations for West Africa had hampered the West African response to EBOV epidemic.  Gupta states that some information in the previous article was incorrect, and he states that the IMF funded $130 Million to Guinea, Liberia, and Sierra Leone on September 26th in addition to previous allocated funding.

2.  Guinea, Liberia, and Sierra Leone each received $40-50 Million from IMF in extra funding.  However, this funding is in the form of zero interest loans with a grace period of 5.5 years and payment due in 10 years.  These extra monies are not donations. See the Gupta article at: http://www.thelancet.com/journals/langlo/article/PIIS2214-109X(14)70345-6/fulltext

3.  Two chapters from the World Bank World Development Report are reviewed tonight:

In Chapter 3: ‘Thinking with Mental Models’:

Figure 3.1 on page 64 says people do not respond to objective experiences but to our mental ‘do-overs’ of the objective experiences.  These ‘do-overs’ are called ‘mental models’ and change our reactions to experiences.  Mental models develop through shared beliefs which are passed through generations; e.g., West African villagers ‘fear’ of white foreign HCW.

In Chapter 4: ‘Psychological and Social Perspectives on Poverty’:

On page 80: “Day to day hard choices (of the poor) wear down their psychologic and social resources so that they make bad decisions/choices which continue the chain of poverty.”

Figure 4.1 says that poverty in a particular district or region or country is ‘fluid’; i.e., some people move out of poverty over time, while other people move into poverty during that same time.

On page 86 it says that to achieve success in behavior change for the poor one needs to keep changes simple.  These people are already at their wit’s ends just trying to feed and shelter and clothe their family.

RGL, MD

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Posted January 6, 2015 by levittrg in Ebola

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