Questions over funding and management
Community transmission remains high. According to the Africa Centres for Disease Control and Prevention, 80 per cent of new cases are being detected outside health surveillance, meaning most infections have not been tracked by authorities.
One-third of deaths occur at home or elsewhere in the community, where burials and other procedures are often conducted without specialist supervision, increasing the risk of transmission.
Health workers have repeatedly gone on strike over pay that is months overdue, sometimes leaving patients with confirmed infections without treatment.
Aid groups have also questioned how the response is being managed. Last month, the Africa CDC raised concerns about more than USD 700 million in Ebola aid that remains unaccounted for.
“A troubling disconnect between the considerable resources mobilised for the response and what is actually reaching patients, frontline workers, and communities continues,” said the humanitarian organization Doctors Without Borders, known by its French acronym MSF.
