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1
Johnston, A., and M. Bailey. "Operation Gritrock: first UK army medics fly to Sierra Leone." BMJ 349, oct14 26 (October 14, 2014): g6237. http://dx.doi.org/10.1136/bmj.g6237.
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Johnston, A., M. Bailey, and S. Horne. "Operation Gritrock: Christmas bulletin from UK army medics in Sierra Leone." BMJ 349, dec23 1 (December 23, 2014): g7721. http://dx.doi.org/10.1136/bmj.g7721.
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Utas, Mats, and Magnus Jörgel. "The West Side Boys: military navigation in the Sierra Leone civil war." Journal of Modern African Studies 46, no. 3 (August 18, 2008): 487–511. http://dx.doi.org/10.1017/s0022278x08003388.
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ABSTRACTThe West Side Boys were one of several military actors in the Sierra Leonean civil war (1991–2002). A splinter group of the army, the WSB emerged as a key player in 1999–2000. In most Western media accounts, the WSB appeared as nothing more than renegade, anarchistic bandits, devoid of any trace of long-term goals. By contrast, this article aims to explain how the WSB used well-devised military techniques in the field; how their history and military training within the Sierra Leone army shaped their notion of themselves and their view of what they were trying to accomplish; and, finally, how military commanders and politicians employed the WSB as a tactical instrument in a larger map of military and political strategies. It is in the politics of a military economy that this article is grounded.
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Souris, Renée Nicole. "Child soldiering on trial: an interdisciplinary analysis of responsibility in the Lord's Resistance Army." International Journal of Law in Context 13, no. 3 (March 28, 2017): 316–35. http://dx.doi.org/10.1017/s1744552317000052.
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‘How can we tell what happened to us? There are no words to describe what we have witnessed. What we saw, what we heard, what we did, and how it changed our lives, is beyond measure. We were murdered, raped, amputated, tortured, mutilated, beaten, enslaved and forced to commit terrible crimes.’ (Truth and Reconciliation Commission Report for the Children of Sierra Leone)
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Ansumana, Rashid, Joseph M. Lamin, Joseph Lahai, and Umaru Bangura. "PO 8584 MULTIPLEXED MOLECULAR DETECTION OF MALARIA IN SIERRA LEONE." BMJ Global Health 4, Suppl 3 (April 2019): A58.3—A59. http://dx.doi.org/10.1136/bmjgh-2019-edc.154.
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BackgroundDespite several control measures and policy changes in Africa, malaria remains one of the most prevalent diseases in West Africa. The gold standard for malaria diagnosis is microscopy. However, due to low technical capacities in resource-poor countries, rapid immunochromatographic tests are commonly used. In Sierra Leone, P. falciparum-specific ICT with histidine-rich proteins2(HRP-2) are used. HRP2 is specific to P. falciparum and the kit cannot be used to detect other species of malaria which are also present in the disease ecology in Sierra Leone.MethodsIn this study, we assessed 182 febrile subjects for malaria between April 2017-July 2018 at the Mercy Hospital Research Laboratory in Sierra Leone. The blood samples collected were assessed using the Walter Reed Army Institute for Research(WRAIR) multiplex malaria PCR kit packaged by BioGX, Inc. (Alabama, USA) for detecting and speciation of malaria from human blood. Thin and thick slides were done for each sample and the images recorded by a digital scope.ResultsResults show that, out of 163 samples run by multiplex PCR for malaria, 81 (49.7%) were positive for P. falciparum, while 82 (50.3%) were positive for Plasmodium vivax.ConclusionThe presence of P. vivax in the disease ecology without any significant difference (p>0.05) with P. falciparum poses problems for clinical outcomes of febrile illnesses. Pan-malaria diagnostics in combination with P. falciparum could avert under-diagnosis of malaria.
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Neads, Alex. "You're in the Army Now: The Politics of Cohesion During Military Integration in Sierra Leone." Security Studies 29, no. 5 (October 19, 2020): 894–926. http://dx.doi.org/10.1080/09636412.2020.1859126.
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Dokubo, Charles. "‘An Army for rent’, private military corporations and civil conflicts in Africa: The case of Sierra Leone." Civil Wars 3, no. 2 (June 2000): 51–64. http://dx.doi.org/10.1080/13698240008402438.
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Okulate, G. T., and O. B. E. Jones. "Post-traumatic stress disoder, survivor guilt and substance use - a study of hospitalised Nigerian army veterans." South African Journal of Psychiatry 12, no. 1 (March 1, 2006): 4. http://dx.doi.org/10.4102/sajpsychiatry.v12i1.53.
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<p><strong>Objectives.</strong> To investigate the prevalence of post-traumatic stress disorder (PTSD) and survivor guilt in a sample of hospitalised soldiers evacuated from the Liberian and Sierra-Leonean wars in which Nigerians were involved as peace keepers. The relationships between PTSD, survivor guilt and substance use were also investigated.<strong> </strong></p><p><strong>Design.</strong> A socio-demographic data questionnaire, the PTSD checklist and a validated World Health Organization substance use survey instrument were used to obtain data from the subjects. <strong></strong></p><p><strong>Setting.</strong> The study took place at the 68 Nigerian Army Reference Hospital, Lagos, Nigeria, which was the base hospital for all casualties from the Liberian and Sierra- Leonean operations. Subjects. All hospitalised patients from the military operations during a 4-year period (1990 - 1994) who were physically capable of being assessed were included in the study. <strong></strong></p><p><strong>Results.</strong> The prevalence rate for PTSD was found to be 22% and survivor guilt was found in 38% of the responders. PTSD was significantly associated with long duration of stay in the mission area, current alcohol use, lifetime use of an alcohol/gunpowder mixture, and lifetime cannabis use. Survivor guilt was significantly associated with avoidance of trauma-related stimuli but not duration of combat exposure. <strong></strong></p><p><strong>Conclusions.</strong> Although the sample studied was specific, PTSD might be quite common and probably undetected among Nigerian military personnel engaged in battle in Liberia and Sierra-Leone. Detection of such persons through deliberate screening in military community studies should help to alleviate the symptoms since good intervention methods are now available. Primary prevention efforts with regard to alcohol and cannabis use should help to reduce the incidence of PTSD.</p>
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Kandeh, Jimmy D. "Rogue incumbents, donor assistance and Sierra Leone's second post-conflict elections of 2007." Journal of Modern African Studies 46, no. 4 (November 11, 2008): 603–35. http://dx.doi.org/10.1017/s0022278x08003509.
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ABSTRACTThe removal of the governing Sierra Leone People's Party (SLPP) from power through the ballot box in 2007 represents a watershed moment in the growth and maturation of Sierra Leone's teething electoral democracy. This is because the peaceful alternation of political parties in power tends to strengthen democracy and nurture public confidence in elections as mechanisms of political change. In contrast to what happened in 1967, when the SLPP derailed the country's first post-independence democratic experiment by orchestrating a military coup after losing power in parliamentary elections, the SLPP in 2007 found itself isolated both internally and externally, and could rely neither on the support of a restructured army and police nor on external patrons like the United Kingdom which, among other things, suspended budgetary support for the government pending the satisfactory conclusion of the elections. The emergence of the People's Movement for Democratic Change (PMDC), whose membership consists largely of disaffected former SLPP members and supporters, and the electoral alliance forged between the PMDC and the All People's Congress (APC) in the presidential run-off, doomed any chance the SLPP may have had of holding on to power. The elections were referenda on the SLPP, which lost both the presidency and the legislature because its rogue leadership squandered the goodwill of the public, misappropriated donor funds with impunity, and failed to deliver basic social goods and services.
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Ward, W. E. F. "The International Institute of African Languages and Cultures: A memory of its Beginnings." Africa 60, no. 1 (January 1990): 132–33. http://dx.doi.org/10.1017/s0001972000051937.
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I went out to the Gold Coast as a teacher on the staff of the newly established Achimota College in October 1924, and a few weeks before I came back for my first leave, in April 1926, there came to the college a distinguished visitor, Major Hanns Vischer (later Sir Harms), the educational adviser to the Colonial Office in London. It was Major Vischer who told me about the project to establish an International African Institute.Vischer was a remarkable and delightful character. I was told that he was of Swedish descent, which was why he spelt his name Harms instead of in the German form Hans. He had served in the British army through the First World War, but before the war he had served in Nigeria as a missionary for the Church Missionary Society. He spoke fluent Hausa, and (I was told) some other languages. He was certainly a skilled linguist, for he seemed equally at home in English, French and German. He spoke English with a slight foreign accent, which made it easy to believe in his Scandinavian origin; it was not a German accent. He stayed at Achimota for a week or so, and went on from the Gold Coast to visit Sierra Leone. He joined my homeward-bound steamer at Freetown; he remembered having met me at Accra, and told me about the projected institute. Whoever may have been responsible for starting the scheme, it was Vischer who was the driving force in organising its inaugural meeting.
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Gates, Scott. "Membership matters." Journal of Peace Research 54, no. 5 (September 2017): 674–86. http://dx.doi.org/10.1177/0022343317722700.
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Unable to attract enough voluntary recruits, many rebel groups rely on force to fill their ranks. Given that the group used force to compel individuals to join, a coerced conscript would be presumed unlikely to be loyal and would be expected to desert at the first opportunity. Yet, groups that have relied on coerced recruitment retain their members just as well as, if not better than, rebel armies that rely on voluntary methods of recruitment. This is a puzzle. How do rebel groups maintain allegiance and prevent desertion, especially if they rely on abduction to staff their ranks? A recruit can be forced to join a rebel group, but continuing to rely on coercion to enforce retention is too costly and not sustainable. These groups must find a way to reduce the costs of retention. The solution to this puzzle rests in the mechanisms of socialization that shape the allegiance of forcibly recruited soldiers. Socialization mechanisms are traced through three outcomes: compliance (or Type 0 socialization), role learning (Type I socialization), and norm internalization (Type II socialization). Integrating socialization theory and a rational choice analysis demonstrates that mechanisms that alter preferences through Type II socialization are effective in retaining recruits; the highest level of retention occurs when several mechanisms work in concert. Illustrative case studies of the Lord’s Resistance Army from Uganda, the Revolutionary United Front in Sierra Leone, the Maoists in Nepal, and the Liberians United for Reconciliation and Democracy (LURD) show that a reliance on child soldiers, group assets (pecuniary and non-pecuniary), organizational structure, and the nature of military contestation shape when different mechanisms are effective or not.
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Pathak, Professor Bishnu. "A Comparative Study of World’s Truth Commissions —From Madness to Hope." World Journal of Social Science Research 4, no. 3 (June 29, 2017): 192. http://dx.doi.org/10.22158/wjssr.v4n3p192.
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<em>The objective of this paper is to explore the initiatives and practices of different countries in truth seeking. Many countries during the post-conflict, colonial, slavery, anarchical and cultural genocide periods establish the Truth Commissions to respond to the past human wrongdoings: crimes and crimes against humanity. Enforced Disappearances (ED), killings, rapes and inhumane tortures are wrongdoings. Truth Commission applies the method of recovering silences from the victims for structured testimonies. The paper is prepared based on the victim-centric approach. The purpose reveals the piecemeal fact-findings to heal the past, reconcile the present and protect the future. The study covers more than 50 Commissions in a chronological order: beginning from Uganda in 1974 and concluding to Nepal in February 2015. Two Commissions in Uruguay were formed to find-out enforced disappearances. Colombian and Rwandan Commissions have established permanent bodies. The Liberian TRC threatened the government to submit its findings to the ICC if the government failed to establish an international tribunal. The Commissions of Bolivia, Ecuador, Haiti, former Yugoslavia and Zimbabwe were disbanded, and consequently, their reports could not be produced. No public hearings were conducted in Argentina and former Yugoslavia. It is noted that only 8 public hearings in Ghana, 8 national hearings in East-Timor and 15 in Brazil were conducted. Moroccan Commission held public hearings after signing the bond paper for not to disclose the names of the perpetrators whereas Guatemala did not include the perpetrators’ names in the report. The Shining Path’s activists are serving sentences based on civil-anti-terrorist court, but Alberto Fujimori is convicted for 25 years. Chadian Commission worked even against illicit narcotics trafficking. The UN established its Commissions in Sierra Leon, El Salvador and East-Timor, but failed to restore normalcy in Kosovo. Haiti prosecuted 50 perpetrators whereas Guatemala prosecuted its former military dictator. The Philippines’ Commission had limited investigation jurisdiction over army, but treated the insurgents differently. In El Salvador, the State security forces were responsible for 85 percent and the non-state actors for 15 percent similar to CIEDP, Nepal. The TRCs of Argentina, East-Timor, Guatemala, Morocco, Peru and South Africa partially succeeded. Large numbers of victims have failed to register the complaints fearing of possible actions. All perpetrators were controversially granted amnesty despite the TRC recommendation in South Africa. The victims and people still blamed Mandela that he sold out black people’s struggle. Ironically, the perpetrators have received justice, but the victims are further victimized. As perpetrator-centric Government prioritizes cronyism, most of the Commissioners defend their respective institution and individuals. Besides, perpetrators influence Governments on the formation of Truth Commission for ‘forgetting the victims to forgive the perpetrators’. A commission is a Court-liked judicial and non-judicial processes body, but without binding authority except Sierra Leone. Transitional Justice body exists with a five-pillar policy: truth, justice, healing, prosecution and reparation. It has a long neglected history owing to anarchical roles of the perpetrators and weak-poor nature of the victims. Almost all TRCs worked in low budget, lack of officials, inadequate laws and regulations, insufficient infrastructures and constraints of moral supports including Liberia, Paraguay, Philippines, South Africa, Uganda and Nepal. The perpetrators controlled Governments ordered to destroy documents, evidences and testimonies in their chain of command that could have proven guilty to them.</em>
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Knowles, Phoebe. "The Power to Prosecute: the Special Court for Sierra Leone from a Defence Perspective." International Criminal Law Review 6, no. 3 (2006): 387–417. http://dx.doi.org/10.1163/157181206778553860.
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AbstractThe Special Court for Sierra Leone (SCSL) is a unique attempt by the international community to respond to conflict via a hybrid, in situ tribunal. In the Court's creation and operation key policy, judicial and institutional decisions- innovative elements of the SCSL structure, have impacted adversely on the rights of the accused and the broader social and justice-oriented obligations towards Sierra Leone and the international community. This paper considers the Court's hybridity, and questions the resulting opportunity afforded for participation by Sierra Leone in the post-conflict process; the Court's in situ nature and witness protection measures that may act to unnecessarily restrict the accused's right to a fair and public trial; the Court's interpretation of its jurisdiction over "those bearing greatest responsibility"; the noveland perhaps premature inclusion of the crime of child combatants; and finally, institutional decisions over the Defence Office and the capacity for equality of arms.
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Smith, Dane F. "US–Guinea relations during the rise and fall of Charles Taylor." Journal of Modern African Studies 44, no. 3 (August 3, 2006): 415–39. http://dx.doi.org/10.1017/s0022278x06001832.
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The Liberian civil war was the major issue in US–Guinea relations between 1990 and 2003. During the first half of this period, the US sought with limited success to secure Guinea's cooperation in finding a diplomatic solution. President Conté viewed Charles Taylor as Guinea's implacable enemy and authorised arms support for anti-Taylor factions, while the US pressed for a negotiated peace. The Guinean leader's negative reaction to US criticism of the flawed 1993 presidential elections halted most dialogue on Liberia for the next two years. When Taylor continued supporting civil war in Sierra Leone after 1997, and fighters allied to him assaulted Guinea border posts in 1999, the US strengthened its engagement with Guinea. Providing military training and non-lethal equipment, it sought to counter the threat that Guinea would succumb to the destabilisation which had afflicted Liberia and Sierra Leone. The US appears positioned to play a positive role in Guinea's political and economic transition after the departure from the scene of the seriously ill Guinean president.
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Peters, Krijn, and Paul Richards. "‘Why we fight’: voices of youth combatants in Sierra Leone." Africa 68, no. 2 (April 1998): 183–210. http://dx.doi.org/10.2307/1161278.
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Young people are the major participants in most wars. In the African civil wars of the last twenty years combatants have become increasingly youthful. Some forces are made up largely of young teenagers; combatants may sometimes be as young as 8 or 10, and girl fighters are increasingly common. The trend to more youthful combatants also reflects the discovery that children—their social support disrupted by war—make brave and loyal fighters; the company of comrades in arms becomes a family substitute. There are two main adult reactions. The first is to stigmatise youth combatants as evil (‘bandits’, ‘vermin’). The other (regularly espoused by agencies working with children) is to see young fighters as victims, as tools of undemocratic military regimes or brutally unscrupulous ‘warlords’. But many under-age combatants choose with their eyes open to fight, and defend their choice, sometimes proudly. Set against a background of destroyed families and failed educational systems, militia activity offers young people a chance to make their way in the world. The purpose of this article is to let young combatants explain themselves. The reader is left to decide whether they are the dupes and demons sometimes supposed.
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Langlois, Breanne, Stacy Griswold, Ilana Cliffer, Devika Suri, Ye Shen, Patrick Webb, and Beatrice Rogers. "Behavioral Factors Related to Use of Specialized Nutritious Foods in a MAM Treatment Program in Sierra Leone." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 857. http://dx.doi.org/10.1093/cdn/nzaa053_062.
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Abstract Objectives This analysis describes differences in household-level use of four specialized nutritious foods (SNFs) for treatment of moderate acute malnutrition (MAM) in children 6–59 months of age in Sierra Leone and explores whether these behaviors influenced recovery. Methods From 4/2017 to 11/2018, sub-samples of caregivers whose children were enrolled in a supplemental feeding program (SFP) for a MAM treatment study were randomly selected for in-depth interviews and in-home observations. This was a cluster-randomized trial of 2653 children with MAM in Sierra Leone evaluating cost-effectiveness of 4 SNFs: Super Cereal Plus w/amylase (SC + A), Corn-soy Blend Plus w/oil (CSB + w/oil), Corn-soy-whey Blend w/oil (CSWB w/oil), and Ready-to-Use Supplementary Food (RUSF). Caregivers received bi-weekly isocaloric distributions of 1 of the 4 SNFs until recovery or up to 12 weeks. The purpose of the in-depth interviews was to understand caregivers’ experiences with the SFP and the SNF which they received. In-home observations gathered information about observed behaviors related to SNF use over 5 consecutive days. Descriptive statistics were calculated and stratified by study arm and by outcome to explore: consumption of the SNF by the target child, sharing and selling, and diversion of other household foods. Results A total of n = 949 caregivers completed an in-depth interview. Of these, n = 323 also had an in-home observation. Observed consumption of the SNF was high in all study arms (>60%), with no discernible differences among arms. Consumption of the study food by anyone other than the beneficiary child (i.e., sharing) was similar across arms (9–12% reported, 19–27% observed), with the lowest reported and highest observed in RUSF. Very few reported giving the SNF away or selling it to others (<1%). Sharing and displacement did not differ by recovery status, but children who recovered were observed consuming the SNF more often than those who failed (82% vs. 46%). Conclusions Sharing of the SNF was common among all arms but did not affect likelihood of recovery. Ensuring adequate consumption of the SNF by the beneficiary child is critical for effectiveness. Qualitative data can expand on these findings. Funding Sources Office of Food for Peace, United States Agency for International Development.
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Fotso, Jean Christophe, Ashley Ambrose, Paul Hutchinson, and Disha Ali. "Improving maternal and newborn care: cost-effectiveness of an innovation to rebrand traditional birth attendants in Sierra Leone." International Journal of Public Health 65, no. 9 (October 10, 2020): 1603–12. http://dx.doi.org/10.1007/s00038-020-01487-z.
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Abstract Objectives This paper evaluates the cost-effectiveness of rebranding former traditional birth attendants (TBAs) to conduct health promotion activities and refer women to health facilities. Methods The project used 200 former TBAs, 100 of whom were also enrolled in a small income generating business. The evaluation had a three-arm, quasiexperimental design with baseline and endline household surveys. The three arms were: (a) Health promotion (HP) only; (b) Health promotion plus business (HP+); and (c) the comparison group. The Lives Saved Tool is used to estimate the number of lives saved. Results The HP+ intervention had a statistically significant impact on health facility delivery and four or more antenatal care (ANC) visits during pregnancy. The cost-effectiveness ratio was estimated at US$4130 per life year saved in the HP only arm, and US$1539 in the HP+ arm. Therefore, only the HP+ intervention is considered to be cost-effective. Conclusions It is critical to prioritize cost-effective interventions such as, in the case of rural Sierra Leone, community-based strategies involving rebranding TBAs as health promoters and enrolling them in health-related income generating activities.
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Orogun, Paul. "Plunder, Predation and Profiteering: The Political Economy of Armed Conflicts and Economic Violence in Modern Africa." Perspectives on Global Development and Technology 2, no. 2 (2003): 283–313. http://dx.doi.org/10.1163/156915003322763593.
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AbstractThis paper presents a comparative analytical study that is based on a political economy perspective concerning the effects of economic violence and the specter of predation-induced armed conflicts in modern African states. Although "blood diamonds," crude oil, "conflict timber," and illicit arms trafficking have engendered and exacerbated civil wars, cross-border raids, and protracted regional destabilization in Angola and the Democratic Republic of Congo, my primary focus is on the ongoing military debacle in Liberia and the recently concluded mayhem in Sierra Leone. The "resource curse" hypothesis will be utilized to examine and to illuminate the impact of economic pillaging, illicit arms trade, and predatory warlordism on the political instability and humanitarian atrocities in these two West African countries. A review of the internal regime types and the regional security relations within the sub-region will help to contextualize the recurrent trends and discernable systemic patterns that have been associated with these pillaging wars in the post-cold war era of Africa's international relations. In short, armed conflicts have weakened state capabilities, strained the financial resources of nongovernmental organizations and even raised provocative questions about the political will and sustaining capacities of the international community and regional security organizations to keep the peace and create conditions that are conducive to long-term, sustainable and viable political stability and economic development in the conflict-ridden and war-ravaged Sub-Saharan African States.
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MCDERMOTT, YVONNE. "The Admissibility and Weight of Written Witness Testimony in International Criminal Law: A Socio-Legal Analysis." Leiden Journal of International Law 26, no. 4 (November 8, 2013): 971–89. http://dx.doi.org/10.1017/s0922156513000502.
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AbstractThis article introduces some quantitative and qualitative analysis on the use of written witness statements in lieu of oral testimony at trial to assess in practice the impact of the rules on the admissibility of written witness testimony before the International Criminal Tribunal for the Former Yugoslavia, the International Criminal Tribunal for Rwanda, and the Special Court for Sierra Leone. It traces pieces of evidence admitted under the newer, more liberal, rules on written witness testimony from admissibility to judgment, to establish what impact, if any, these rules have had in practice and whether the critique that such rules might jeopardize fair-trial standards has been realized. The analysis illustrates that the newer rules on admissibility are used with relative infrequency in some tribunals, but that the admission of such statements could raise the question of equality of arms in others, given that the more liberal rules on written statements tend to be used more frequently by the prosecution than by the defence. It will be shown that some chambers have continued to emphasize the importance of oral testimony and have taken a very cautious approach when weighing written testimony, whilst others have suggested that written testimony that was not subject to full cross-examination should not, in principle, be given less weight than oral testimony. The ‘totality of the evidence’ approach in weighing the evidence will be analysed from a practical standpoint, and it will be shown that recent Appeals Chamber jurisprudence suggests that trial chambers may need to take a more particularized approach to pieces of evidence in the future.
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Corbin, Joanne. "CHILD SOLDIERS - Christine Ryan. The Children of War: Child Soldiers as Victims and Participants in the Sudan Civil War. New York: I. B. Tauris & Co. Ltd, 2012. viii + 320 pp. Figures. Annexes. Notes. Bibliography. Index. $95.00. Cloth. - Danny Hoffman. The War Machines: Young Men and Violence in Sierra Leone and Liberia. Durham, N.C.: Duke University Press, 2011. xxii + 295 pp. Illustrations. Notes. Bibliography. Index. $89.95. Cloth. $24.95. Paper. - Krijn Peters. War and the Crisis of Youth in Sierra Leone. New York: Cambridge University Press, 2011. xv + 274 pp. Abbreviations. Annex I and II. References. Index. Map. Table. $90.00. Cloth. - Wojciech Jagielski. The Night Wanderers: Uganda’s Children and the Lord’s Resistance Army. Translated by Antonia Lloyd-Jones. New York: Seven Stories Press, 2009. Originally published in Polish as Nocni wędrowcy (Warsaw: Wydawnictwo W.A.B, 2009). $14.21. Paper." African Studies Review 56, no. 1 (April 2013): 171–74. http://dx.doi.org/10.1017/asr.2013.11.
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"Sierra Leone: Reconstruction of the Army." Africa Research Bulletin: Political, Social and Cultural Series 46, no. 10 (November 2009): 18164A. http://dx.doi.org/10.1111/j.1467-825x.2009.02628.x.
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Mullins, Christopher W. "Variations in War Crimes During the Sierra Leone Civil War." International Criminal Justice Review, December 30, 2020, 105756772098162. http://dx.doi.org/10.1177/1057567720981621.
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This article explores the nature of, and variation within, war crimes committed during the Sierra Leone civil war. Drawing upon testimonies given before the Sierra Leone Truth and Reconciliation Committee and from trials held by the Special Court for Sierra Leone, this article establishes that crimes were committed by all belligerents in the war. However, the type of crime, the frequency, and the motivation of crimes varied widely among the different armed forces. By contexting these acts within the aims, composition, and position of the various warring parties, this article discusses the role violations of the Geneva Conventions played in the short- and long-term goals of each army.
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Cabestan, Jean-Pierre. "China’s response to the 2014–2016 Ebola crisis: Enhancing Africa’s soft security under Sino-US competition." China Information, December 18, 2020, 0920203X2097854. http://dx.doi.org/10.1177/0920203x20978545.
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The 2014–16 Ebola crisis in West Africa was China’s very first opportunity to demonstrate its willingness and ability to play a meaningful role in addressing public health emergencies of international concern. China’s decision to participate in the international response to the outbreak was part of an ambition to enhance its contribution to Africa’s security in general and health security in particular and to exert more influence on global norms. The specific role played by the People’s Liberation Army (PLA), especially its Academy of Military Medical Sciences, in Sierra Leone and Liberia is part of an ongoing effort to increase China’s involvement in international humanitarian assistance and disaster relief operations. It was the first time that it sent medical military teams to set up and operate infectious disease hospitals overseas. This participation also underscores the PLA’s crucial role in fighting epidemics overseas as well as at home, as the current COVID-19 pandemic illustrates. The Ebola crisis enables us to explore aspects of the PLA’s overseas missions, some of which are humanitarian and others which generally enhance China’s influence as a great power in Africa and in the world in the context of a growing Sino-US strategic competition.
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Langlois, Breanne, Stacy Griswold, Devika Suri, Ye Shen, Kenneth Chui, Shelley Walton, Mark Manary, Irwin Rosenberg, Patrick Webb, and Beatrice Rogers. "Comparative Effectiveness of Four Specialized Nutritious Food Products for Treatment of Moderate Acute Malnutrition in Sierra Leone (P10-140-19)." Current Developments in Nutrition 3, Supplement_1 (June 1, 2019). http://dx.doi.org/10.1093/cdn/nzz034.p10-140-19.
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Abstract Objectives This study compared the effectiveness of 4 specialized nutritious foods (SNFs) used for the treatment of moderate acute malnutrition (MAM) in children <5 years of age in Pujehun District, Sierra Leone. Methods This was a cluster-randomized trial operating through a supplementary feeding program (SFP) providing SNFs for treatment of MAM. Three study foods were fortified blended foods – Super Cereal Plus w/amylase (SC + A), Corn-soy Blend Plus w/oil (CSB + w/oil), and Corn-soy-whey Blend w/oil (CSWB w/oil) – and one was a lipid-based Ready to Use Supplementary Food (RUSF). From 4/2017 to 11/2018, children with MAM, defined as mid-upper arm circumference (MUAC) ≥11.5 cm and <12.5 cm without bipedal edema, were enrolled at participating health clinics and received rations bi-weekly until they reached an outcome or for up to 12 weeks. A stratified randomization technique was used to select 28 sites and randomize them into 7 per arm based on pre-determined criteria. During the study, an 8th site was added to the CSWB w/oil arm due to low enrollment. The primary outcome was graduation from SFP defined as MUAC ≥12.5 cm within the 12-week treatment period. Mixed-effect regression assessed whether there were differences in graduation rates among children treated with one of the 4 SNFs. Results A total of 2683 children were enrolled out of a planned sample size of ∼5000. Overall: 63% graduated from MAM, 19% developed severe acute malnutrition (SAM), 7% defaulted (missed 3 visits in a row), 1% died, and 10% reached no outcome within 12 weeks. Twenty-five % were transferred into the study from SAM treatment. By study arm, graduation rates were: 62% in CSWB w/oil, 65% in SC + A, 64% in CSB + w/oil, 62% in RUSF. In an unadjusted model, statistically significant differences in graduation rates between the arms were not detected. Data analysis is ongoing to determine if this finding is maintained in adjusted models. Conclusions The 4 foods performed comparably in treating MAM in unadjusted analysis. Decision-making by donors, governments, and programmers on which food to program should also be based on cost-effectiveness analysis. Funding Sources Supported by the Office of Food for Peace, Bureau for Democracy, Conflict, and Humanitarian Assistance, U.S. Agency for International Development.
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Shen, Ye, Stacy Griswold, Breanne Langlois, Devika Suri, Stephen Vosti, Patrick Webb, and Beatrice Rogers. "Cost and Cost-Effectiveness of Four Specialized Nutritious Foods for Treatment of Moderate Acute Malnutrition in Sierra Leone (P10-142-19)." Current Developments in Nutrition 3, Supplement_1 (June 1, 2019). http://dx.doi.org/10.1093/cdn/nzz034.p10-142-19.
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Abstract Objectives To estimate cost-effectiveness of 4 specialized nutritious foods (SNF) for Moderate Acute Malnutrition (MAM) treatment in children under five in Pujehun District, Sierra Leone Methods In a cluster randomized trial, a mobile supplementary feeding program was set up at 29 peripheral health units to treat children with MAM (mid-upper arm circumference (MUAC) ≥11.5 cm and <12.5 cm without bipedal edema) with 1 of 4 iso-caloric rations: Corn Soy Blend Plus w/oil (CSB + w/oil, reference), Corn Soy Whey Blend w/oil (CSWB w/oil), Super Cereal Plus w/amylase (SC + A), or Ready to Use Supplementary Food (RUSF). All foods were procured from U.S. except locally produced RUSF. Unlike RUSF and oil provided in commonly programmed specifications, CSB + , CSWB, and SC + A were produced in experimental package size or formulation at small scale. Caregivers picked up rations bi-weekly until children reached an outcome or up to 12 weeks. Collected from accounting records and study instruments using activity-based costing with ingredients, data on 10 components from implementer perspective (start-up, supply chain, and programming) were summarized into cost per enrolled child in 2018 USD for each arm. Other stakeholders’ costing perspectives will also be analyzed. To assess cost-effectiveness by arm, cost per recovered child = cost per enrolled child/graduation rate. Predicted means of crude graduation rate (% of children reaching MUAC ≥12.5 cm in 12 weeks) with 95% confidence intervals were estimated from unadjusted mixed-effect model to construct crude cost-effectiveness ranges. Future analyses will be based on adjusted modeling and realistically estimated product costs at scaled production. Results Children (N = 2681) received similar number of bi-weekly rations by arm. Product and international freight were top drivers of cost differences across arms. Crude graduation rate was not statistically different by arm. Cost per enrolled child ranged from $86 in RUSF to $94 in SC + A. Cost per recovered child was $137 ($130 - 145) in RUSF, $142 ($134 - 151) in CSB + w/oil, $146 ($138 - 155) in SC + A, and $149 ($140 - 160) in CSWB w/oil. Conclusions Crude cost-effectiveness to treat MAM considering only implementer cost was similar across 4 SNFs. Funding Sources Office of Food for Peace, Bureau for Democracy, Conflict, and Humanitarian Assistance, U.S. Agency for International Development.
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Suri, Devika, Isabel Potani, Akriti Singh, Stacy Griswold, William Wong, Breanne Langlois, Ye Shen, et al. "Changes in Body Composition Using Deuterium Dilution Technique Among Young Children Receiving Specialized Nutritious Foods for Moderate Acute Malnutrition in Sierra Leone (P10-141-19)." Current Developments in Nutrition 3, Supplement_1 (June 1, 2019). http://dx.doi.org/10.1093/cdn/nzz034.p10-141-19.
Full textAbstract:
Abstract Objectives To determine differential changes in children's body composition—fat-free mass (FFM) and fat mass (FM)—after 4 weeks of treatment for moderate acute malnutrition (MAM) with one of 4 four specialized nutritious foods (SNFs). Methods This sub-study was nested within a larger cluster-randomized trial comparing the cost-effectiveness of 4 isocaloric SNFs in treating MAM among children 6–59 months in Pujehun District, Sierra Leone: Corn-Soy Blend Plus w/oil (CSB + w/oil), Super Cereal Plus w/amylase (SC + A), Corn-Soy-Whey Blend w/oil (CSWB w/oil) and Ready-to-use-Supplementary Food (RUSF). Children with mid-upper arm circumference (MUAC) ≥11.5 cm and <12.5 cm with no clinical complications were enrolled and received an SNF ration bi-weekly until they reached MUAC ≥12.5 cm or up to 12 weeks. Body composition was assessed using the deuterium dilution technique at program enrollment and after 4 weeks of treatment. Changes in weight, FM, FFM and %FFM overall and by study arm were calculated; statistical significance was determined using t-tests and ANOVA (unadjusted). Results Among 336 subjects at enrollment, mean ± SD age was 11.8 ± 6.5 mos, weight was 6.5 ± 0.9 kg, FM was 1.3 ± 0.5 kg, FFM was 5.2 ± 0.9 kg, and %FFM was 80.4 ± 7.3. After 4 weeks of treatment, mean ± SD change in weight was 0.44 ± 0.39 kg (P < 0.001), FM was 0.09 ± 0.60 kg (P = 0.005), FFM was 0.35 ± 0.56 (P < 0.001), and %FFM was 0.003 ± 8.5 (NS). Overall, weight gain consisted on average of 20.9% FM and 79.8% FFM. By study arm, mean ± SD changes in FM and FFM respectively, were: 0.12 ± 0.53 kg and 0.32 ± 0.49 kg in CSB + w/oil; 0.13 ± 0.67 kg and 0.34 ± 0.64 kg in SC + A; 0.08 ± 0.65 kg and 0.36 ± 0.57 kg in CSWB w/oil; 0.02 ± 0.49 kg and 0.39 ± 0.5 kg in RUSF. These changes were not significantly different across study arms. Conclusions Over 4 weeks of treatment for MAM, children gained roughly 80% lean mass relative to 20% fat mass. This body composition is consistent with predicted sustainability of recovery from MAM and healthier long-term disease risk. Differential effects on body composition by type of SNF were not detected after 4 weeks of treatment in this study. Funding Sources The Office of Food for Peace, Bureau for Democracy, Conflict, and Humanitarian Assistance, U.S. Agency for International Development.