Obama as a re-constructed Yoruba Orisha Trickster God Elegua/ Eshu is wearing a half red and half black Uncle Sam hat with the number three on it. His left hand is holding a gigantic condom; his right hand is holding a waterborne disease filter device Lifestraw and a PermaNet mosquito net, which both are manufactured by Swiss company Vestergaard Frandsen. An Elegua medallion is hanging from his chest, with the 75,000 year old Nassarius shell beads from Blombos Cave, South Africa, in the place of the eyes and mouth. The surroundings are filled with numerous HIV viruses and malaria infested mosquitoes. 

He is combating malaria and AIDS epidemics as well as civil wars while trying to balance himself on a blood diamond a the center of a crossroad. On the crossroad there are following elements: “Brown Brown” – a cocaine/gun-powder mixture, AK-47 baring child-soldiers, Somali pirates; burning oil field; Zimbabwean $250 million dollar bill, three eggs, a Robert Mugabe wanted poster, and a logo of the microloan organization KIVA; there is also a lion, an elephant and a rhino crying blood tears and are surrounded by signs with selling prices of illegal poaching; also there is a Sudanese IDP refugee camp; an illustration of an African kid holding a Louis Vuitton bag from Simple Living; a kid inside a mosquito net from NothingButNets.net; a racist cartoon from 1858 The Man Who Won The Elephant At The Raffle picturing General Godfrey Weitzel in New Orleans; a U.S. poster circa 1897 The War in the Soudan depicting British and Mahdis armies in battle, produced to advertise a Barnum & Bailey circus show titled “The Mahdi, or, For the Victoria Cross.” 

The background is composed of a traditional Ghanaian Kente pattern and Kenyan tribal pattern.