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The international community failed to deliver on its promises to rebuild health systems in West Africa after Ebola. This is a moral failure with deadly consequences.

Margaret Chan

Interview with *The Lancet*, 2016 · Checked on 3 March 2026
The international community failed to deliver on its promises to rebuild health systems in West Africa after Ebola. This is a moral failure with deadly consequences.

Analysis

The Lancet published an interview with former WHO Director‑General Margaret Chan in June 2016 in which she said the international community had failed to meet its promises to rebuild health systems in West Africa after the Ebola outbreak, calling it a moral failure. Independent audits and WHO assessments published after the outbreak confirm that a significant portion of pledged funding was delayed or fell short of commitments, leading to continued health‑system weaknesses.

Background

After the 2014‑2016 Ebola epidemic, donors pledged billions of dollars to strengthen health infrastructure in Guinea, Liberia, and Sierra Leone. While some funds were disbursed, multiple assessments highlighted gaps, delays, and uneven implementation, undermining the intended health‑system reforms. Chan's comment reflects the consensus among health experts that the response was inadequate.

Verdict summary

Margaret Chan did make that statement in a 2016 Lancet interview, and subsequent reports show many pledged resources for West African health‑system rebuilding were not fully delivered.

Sources consulted

— Lancet, "Interview: Margaret Chan on the Ebola crisis and health‑system rebuilding" (June 2016)
— World Health Organization, "Ebola: Health‑system recovery in Guinea, Liberia and Sierra Leone" (2017) – WHO report on post‑Ebola funding gaps
— The Guardian, "Donors fail to meet Ebola health‑system rebuilding pledges" (October 2017)