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Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Covid-19 &
Community
Resilience
Voices of over 16,000 women and men from
25 countries across 4 continents - a joint
study by Alliance2015 member NGOs.
                                             © Concern Worldwide
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Abstract
This report presents the findings of a survey
conducted in 25 countries in the final quarter
of 2020 to assess the impact of Covid-19 on
food security, WASH, health, education, income,
indebtedness and the psychosocial conditions
of households. The 8 Alliance2015 member
organisations are using the results to adapt their
programmes, initiate new partnerships and to
advocate for better use of Covid-19 recovery
packages. We invite you to join us and support our
work, to use our data and analysis for your own
programme development, communication and
advocacy. Do write to us for further information or
feedback at info@alliance2015.org or consult our
website: www.alliance2015.org

Contents
Foreword                                                                 3
Acknowledgments                                                         5
Executive summary                                                       6
Introduction                                                            8
Methodology                                                             10
Knowledge and practice of protection measures                           12
Coping strategies – people are eating less, eating lower quality food   16
Financial impacts - on incomes                                          19
Remittances have dried up                                               24
Debt - an important coping strategy                                     26
Support from external agencies                                          28
Impacts on health and health seeking behaviour                          31
Education – a lost generation?                                          35
Psychological well being                                                38
Social capital and community dynamics                                   41
Our call for action                                                     42
Our responses                                                           43
Annex 1: Overview of data collection                                    51
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Foreword
Community Resilience is             adverse impacts, recover, adapt
the shared vision and core          and transform towards a more
philosophy of Alliance2015.         secure future.
We seek to strengthen
interconnected societal             The importance of the
foundations by building             ‘community’ has been
individual and community            repeatedly highlighted and
resilience. Resilient people        confirmed by this pandemic.
and communities are better          Our survey shows that the
prepared for, and able to absorb    community has played a vital
and recover from, shocks –          role in helping people cope
whether they arise from slow or     with the most direct, financial
rapid onset disasters, climate      impacts of the pandemic.
change, wars, conflicts or          Globally, we observe that
epidemics.                          the feeling of belonging to
                                    a community has influenced
Covid-19 is testing the             individual responses to the
resilience of an intertwined        pandemic – determining trust in
global system, exposing many        institutions and willingness to
of its weaknesses. Crises are       follow advice and instructions.
an intrinsic characteristic of      However, the ability to respond
complex systems, and our            has also been defined and
development and humanitarian        deeply curtailed by individual
response experience shows that      circumstances: millions
investments in preparedness for     lack access to affordable
all possible scenarios - failures   basic WASH services, food,
of governance, extreme events,      primary education and health
financial or health emergencies     services. Just as a health
- pay off manifold. Traditional     crisis in one province of China
approaches to risk assessment       has quickly spread across
and risk reduction have             other systems that at first
focussed primarily on creating      appeared unconnected, future
‘system hardness’, enhancing        disruptions too can trigger
their ability to absorb shocks.     multi-dimensional global crises.
Such measures are proving           Our response strategies must
to be inadequate as systemic        address impacts and capacity
threats are inherently uncertain,   gaps across sectors and scales,
unpredictable, and random.          combining approaches and
These disruptions can only be       breaking down silos. A focus
addressed through building          on building individual and
resilience – acknowledging and      community resilience helps
enhancing the inherent ability      move towards more holistic,
of people and communities           convergent and integrated
to be prepared for shocks, to       approaches.
have the ability to absorb the

                                           Covid-19 & Community Resilience FEBRUARY 2021   3
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Resilience thinking
acknowledges that massive
disruptions, such as a climate
disruption that compounds other
shocks like pandemics, can
and will occur in the future. It is   france                          spain
essential that our systems have       CEO: Marie-Pierre Caley         CEO: Fernando Mudarra
the capacity to absorb, recover,
adapt and transform, ensuring
their functionality and taking
advantage of new opportunities
that may arise from the crises -
“bouncing forward” to a better
state.
                                      italy                           ireland
We believe that in an                 GENERAL MANAGER:                CEO: Dominic MacSorley
increasingly complex and              Piersilvio Fagiano
interdependent global system,
policies cannot be based on
extrapolations from the past
or analysis of behaviour of
isolated nations or sectors.
The new approach to resilience
must be based on data, a              switzerland                     the netherlands
recognition and understanding         CEO: Melchior Lengsfeld         CEO: Edwin Huizing
of the interconnectedness of
systems and their functionality,
constantly learning and
adapting. This survey of
over 16,000 households in
25 countries is a step in this
direction, helping us to shape
our interventions in profound         czech republic                  germany
ways. We offer it to our              CEO: Šimon Pánek                CEO: Mathias Mogge
colleagues and stakeholders
to help us all better shape our
interventions, decisions and
advocacy in the interests of
those whom the pandemic has
left further behind than ever.

                                      belgium
                                      DIRECTOR: Antonia Potter Prentice

                                       Covid-19 & Community Resilience FEBRUARY 2021       4
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Acknowledgments
This survey, and the multiple      Arshad Hossain (Concern             Kpadeh (Welthungerhilfe);
products that emerge from it,      Worldwide); in Bolivia Jorge        in Madagascar Fitia
is the collective endeavour of     Espinoza, Roy Córdova               Andriamalalanirina (Helvetas);
several people spread across       (Helvetas), Claudia Cardozo,        in Malawi Suzanne Elder
the globe, working together        Freddy Sanjines, Wilma              and Gift Mwembe (Concern
in particularly challenging        Velazquez (Hivos), Isabel Cajías,   Worldwide); in Nepal
contexts. We wish to thank the     Oscar Ernesto Meza (Ayuda en        Maheshwor Rijal and Rabin
thousands of respondents who       Acción); in Burkina Faso Igor       Shrestha (Welthungerhilfe),
generously shared their time,      Ouedraogo (Welthungerhilfe).        Kanchan Tamang Lama, Niraj
their experiences, and concerns    Abdoul Sorgo, Modibo                Acharya, Om B Khadka, Subas
with us. We hope their voices      Ouedraogo (Helvetas); in            Subedi, Bharat Pokharel
carry the urgency of their needs   Burundi Vincent Niyungeko, Eric     (Helvetas); in Niger Moustapha
and trigger actions by each one    Nininahazwe (Welthungerhilfe);      Hamidou and Jameson
of us who can help improve their   in Democratic Republic of           Gadzirai (Welthungerhilfe),
situation.                         the Congo Marie d’Argentre,         Moumouni Magawata, Betou
                                   Lucia Medizza (Concern              Bizo (Helvetas); in occupied
Rupa Mukerji (Helvetas) and        Worldwide); in Ecuador Doris        Palestinian territory Yamen
Chris Pain (Concern Worldwide)     Ortiz, Daniel De la Torre           Tannineh (ACTED); in
were responsible for the overall   (Hivos), Carlos Hernandez           Pakistan Asad Salim, Jawad
coordination of this study.        and Iván Pulgar (Ayuda en           Ali (Helvetas), Farhan Khan,
They were supported by a core      Acción); in El Salvador Michael     Humayun Khan (Cesvi); in
team comprising Kai Schrader       Sambrano, Roberto Flores            Somalia Isabella Garino, Adan
(Helvetas), Paulo Rodrigues        and Jorge Herrera (Ayuda en         Abdi Adan, Abdi Abdulaahi
(Helvetas) and Schahin Bajka -     Acción); in Ethiopia Dinakyew       Osman (Cesvi); in Syria Maija
Intern (Helvetas).                 Tessema, Tewodros Tarekegn,         Jakobsone, Mazen Shahin,
The Alliance 2015 research         Mohammedyasin Jemal, Fitsume        Zuhair Hassoon (People in
team of Gaetane Wicquart,          Woldemedhin (People in              Need) and Patrick Ray (ACTED);
Soraya Douider (ACTED),            Need), Getu Woyesa, Mulugeta        in Ukraine Rafal Chibowski,
Almudena Barrio (Ayuda             Terfa (Concern Worldwide); in       Tatiana Kalitka (People in Need)
en Acción), Camila Azzini          Georgia Nino Chokheli, Tekla        and in Uzbekistan Dilmurod
(Cesvi), Aine Magee (Concern       Nemanishvili (People in Need);      Abidov (ACTED).
Worldwide), Manine Arends          in Guatemala Luis Arcadio
(Hivos), Simona Varga,             Lopez Cardona, Yordana              We are grateful to Prof. Dina
Georgiana Cremene (People          Valenzuela (Helvetas), Fernando     Pomeranz, University of Zürich
in Need), David Streiff, Julia     Cano, Saira Ortega, Karina          and Board Member of Helvetas
Escher (Welthungerhilfe) were      Pierola, Rodrigo Vega (HIVOS),      for her advice and guidance.
responsible for the research       Ada Beda Gaytan, Alejandro          The Alliance2015 Hub
design and implementation.         Farfán and Eddy Asencio             (Brussels), Core Groups
                                   (Ayuda en Acción); in Haiti         (Advocacy, Communication,
Country level Core Teams           Kwanli Kladstrup, Dady Gabriel      Institutional Fundraisers and
were responsible for the data      (Concern Worldwide); in Jordan      Program Groups) and the
collection. In Afghanistan         Sofia de Sanctis (ACTED);           MEAL (Monitoring Evaluation
Nataliia Midna (ACTED); in         in Kenya Yacob Yishak,              Accountability and Learning
Bangladesh Kamlesh Vyas            Felicity Munene (Concern            network), provided invaluable
(Helvetas), Heather Macey,         Worldwide); in Liberia Zinneh       coordination and support.

                                           Covid-19 & Community Resilience FEBRUARY 2021             5
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Executive
summary

The Covid-19 pandemic              practicing them. One in every        Three quarters of respondents
is testing the resilience of       four respondents found it            reported a change in their
communities globally, with         difficult to avoid social contact    ability to earn an income due
very differentiated impacts,       (27%), avoid crowded places          to the policies implemented to
exacerbating existing inequities   (24%), afford masks (26%)            control the spread of Covid-19,
and creating new ones. To          or soap (24%). These issues          with 92% saying this change had
help shape an evidence-            were further exacerbated             been negative. Over two thirds
based response to Covid-19,        for people living in camps.          (72%) of farmers reported a
Alliance2015 members jointly       While information campaigns          reduction in income with half of
conducted a survey in 25           have been effective and              them saying this was on account
countries, covering over           have reached most of the             of market disruption and their
16,000 women, men and trans/       respondents across all 25            inability to sell produce. The
non-binary people over a           countries, the ability to practice   lockdowns and curfews severely
two-month period (from mid-        the recommended measures             affected casual workers, over
October to mid-December            is highly curtailed by a lack of     91% of those who depend on
2020). The large sample size       access to basic hygiene services     this as their primary source
and distribution of respondents,   and products (water, soap,           of income said they had been
living in urban, rural and camp    disinfectant, masks). Crowded        adversely affected. Women
settings, provides a robust base   working and living conditions        reported a higher reliance on
for adapting and designing         also prevent people living           remittances, external support,
humanitarian assistance and        in poverty from adhering to          petty trade and casual labour
development programmes and         physical distancing norms.           than men – with each of
assessing their impacts, by                                             these sectors more adversely
Alliance2015 members, other        Eight months into the pandemic       impacted by policies to control
CSOs, government and donors.       a shocking 46% of women              the spread of Covid-19 than
The survey provides striking       and 37% of men reported that         others. Even among workers
information on the impacts         they and their families were         with a formal work contract, 64%
of Covid-19 on food security,      consuming lesser quantity            reported a reduction in income
WASH, health, education,           and quality of food. Six of          - 41% said this was due to the
income, indebtedness and           the 9 countries where the            lockdowns, 31% said their work
psychosocial conditions of         largest number of respondents        time was reduced while 26%
households.                        reported a decline in quality        reported they lost their jobs.
                                   and quantity of food consumed
At the time of the survey, most    (almost 80%) are in Sub-Saharan      Almost one in seven
respondents were aware of          Africa where the extent of           respondents reported they
the measures to reduce the         hunger, and hunger induced           received remittances from
transmission of Covid-19 such      human development deficits,          family members elsewhere.
as frequent hand washing (87%)     are already among the highest        Over 80% of them said either
and wearing of masks (81%)         in the world.                        remittances had stopped
but faced many challenges in                                            completely or had reduced.

                                            Covid-19 & Community Resilience FEBRUARY 2021              6
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
This suggests the negative                             eight percent of women living in      income in the future. Over
economic impacts affect a                              camps reported a deterioration        80% of respondents across
much wider community, with                             in their health and well-being. At    all settlement types said they
differential impacts on women,                         least a third of respondents said     experienced more frequent
children and the elderly who are                       they had delayed or skipped           feelings of worry than before
more reliant on domestic and                           visits to health centres or had       Covid-19 and were deeply
international remittance flows.                        not completed the planned             concerned about the future.
Over two thirds of respondents                         schedule of visits. The main          While community support
had to borrow money, buy on                            reasons for this were fear of         continues to act as a financial
credit or ask a family member                          contracting Covid-19, the high        safety net for many, conflicts
or neighbour for financial help.                       cost and the waiting time.            and arguments are reported to
A high reliance on informal                                                                  have increased, both within the
sources was reported – of those                        Among respondents with                family and in the community
who borrowed, 61% did so from                          children in their households,         in all settlement types. Across
friends and neighbours, 34%                            two thirds reported their             all settlement types, over 40%
from extended family and 11%                           children’s access to education        of men and more than 50% of
from ‘loan sharks’. Over 38% of                        had worsened post Covid-19.           women reported being in a
respondents reported they had                          Over 22% of respondents who           constant state of worry, feeling
received some form of support                          live in household with children       sad, experiencing mood swings
from external agencies to cope                         in the age group of 4 to 16           or finding it difficult to sleep.
with the impacts of Covid-19 and                       years reported that none of the
most (84%) found the assistance                        children were receiving any           Alliance2015 members are
useful and well targeted.                              education, while 24% reported         using these results to adapt
                                                       that only some children were          their programmes, initiate new
A third of the respondents                             receiving education.                  activities and to advocate for
reported a worsening of their                                                                better use of the Covid-19
health conditions in the period    Most respondents were worried                             recovery packages.
since the start of Covid-19. Forty about their ability to earn an

                                                                                                                            © Welthungerhilfe

Food distribution project, gratis bread distribution in the Northern part of Idlib, Syria.

                                                                     Covid-19 & Community Resilience FEBRUARY 2021          7
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Introduction
Alliance2015 is a strategic                        Alliance2015 joins forces                          policies in Europe, and globally.
network of eight European                          to achieve greater impact                          Alliance2015 is a unique
non-government organisations                       on poverty reduction and                           partnership that relies on its
engaged in joint humanitarian                      disaster preparedness and                          members’ inputs and shared
and development action to                          response in the framework of                       interests. While focussing on
achieve greater scale and                          the SDGs. Based on this work                       joint impact, the partnership is
quality of impact. Originally                      on the ground, Alliance2015                        designed to enable its members
constituted to strengthen its                      also strives to influence                          to retain their own identity,
contribution to the MDGs,                          development and humanitarian                       brand and philosophy.

                                                                                                                                     © Welthungerhilfe

Afghanistan, Improved access to Sanitation, Drinking water and Shelter for IDPs and returnees in Nangarhar.

                                                                                                      Alliance2015 members have
                                                                                                      identified Community Resilience
Alliance2015 members adhere to the values of the UN
                                                                                                      as their common shared vision.
Declaration of Human Rights and are committed to the
                                                                                                      The pandemic is testing the
eradication of absolute poverty and to greater social
                                                                                                      resilience of communities
equality. We promote the principles of aid and development
                                                                                                      globally, across all regions and
effectiveness including that of greater accountability
                                                                                                      socio-economic groups. It is
and transparency. We aspire collectively to becoming a
                                                                                                      also having very differentiated
stronger European and global player in selected areas of
                                                                                                      impacts on people across
development cooperation and humanitarian aid.
                                                                                                      regions of the world and within
                                                                                                      countries, exacerbating existing

                                                                Covid-19 & Community Resilience FEBRUARY 2021                        8
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
inequities and inequalities and     The sample has been chosen
creating new ones. Alliance2015     from current or potential future
members have adapted their          partner communities/ primary
programmes and have initiated       stakeholders of Alliance2015
new activities to address the       member implemented projects
crisis. We have been collecting     and thereby has a certain pro-
qualitative and quantitative        poor bias. We do not seek to
data to inform and shape our        extrapolate the results to the
interventions right from the        whole country or the region. The
start of the pandemic. This         large sample size contributes
joint study complements such        to the robustness of the
data with a large sample,           findings and specific findings
multi-country, cross sectoral       correlate well with results from
survey to assess the impacts        other larger, sector focussed
of Covid-19 on aspects that         quantitative and qualitative
contribute to household and         studies. This gives confidence
community resilience. The data      to use the information to shape
serves multiple needs of shaping    current and future actions.
project design, development         The survey was carried out by
agendas, dialogue and advocacy      our own or partner staff, in a
with multiple stakeholder groups.   two-month window, using the
This study enables us to            same questionnaire. The data
deepen our understanding            provides rich insights to both
of community resilience and         the prevalence of Covid-19,
aspects that contribute to          its impacts on community
coping (absorption), adaptive       resilience as well as the impacts
or transformative response          of government policies and
strategies of households            measures to control the spread
across diverse contexts. The        of Covid-19 on the poorest and
findings from this study help       most vulnerable households and
us to identify interventions        individuals in these countries. An
that can augment community          overview of the data collection is
resilience. We see this as an       provided at Annex 1.
important contribution to our
own, and global understanding
of community resilience, with
possibilities for longitudinal
assessments.

                                           Covid-19 & Community Resilience FEBRUARY 2021   9
Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
Methodology
The survey was conducted
over a two-month period in the              Sample size per country
final quarter of 2020 across
25 countries in four continents            Uzbekistan        513

using the same questionnaire                  Ukraine        285

translated into several                          Syria       988
                                              Somalia
languages. The questionnaire                                 404
                                              Pakistan       995
consisted of 74 multiple choice
                                                  oPT        382
questions, divided into eight                    Niger       1.086
main areas: Knowledge and                       Nepal        1.020
Practices, Impact on Income,                   Malawi        406
Debt and Sale of Assets,                  Madagascar         510

Help from External Agencies,                   Liberia       484

Impacts on Health and Health                    Kenya        486
                                               Jordan        363
Seeking Behaviour, Impacts on
                                                 Haiti       633
Education (Future Perspectives),
                                            Guatemala        1.211
Community Dynamics and                        Georgia        304
Psychological Well-being. The                 Ethiopia       1.184
choice of questions allows an              El Salvador       413

assessment of the impacts of                  Ecuador        409

Covid-19, the reach and efficacy                 DRC         302

of the measures taken to inform,              Burundi        625
                                              Burkina        1.588
protect and support people to
                                               Bolivia       528
deal with the pandemic and the
                                           Bangladesh        617
identification of emerging areas           Afghanistan       458
of further assistance. Interviews
                                                         0           500       1000        1500
were conducted either in-
person or over telephone.
                                    countries several regions were         type). This report presents
The sample was selected             covered. Fifty two percent of          the global data and analysis,
purposively and all the             the respondents were women,            specific country and thematic
respondents in the survey           48% men and 45 respondents             reports are forthcoming.
belong to households that           identified themselves as trans
are either current or potential     or non-binary. The age group of        Where the survey was
participants in development         respondents ranged from 15 to          conducted through personal
and/or humanitarian                 over 65 years and the analysis         interviews, all precautions
response projects of one of         is presented in five age cohorts.      against the spread of Covid-19
the Alliance2015 member             The survey covered rural,              were taken, including wearing
organisations. This study           urban, peri-urban settlements          of masks, maintaining distance
presents data from a total          as well as camps for refugees          of 2m between enumerator
of 16,194 respondents from          or internally displaced people.        and respondent, avoiding
25 countries. A minimum             The data is disaggregated and          all physical contact such as
sample of 285 per country           analysed by gender, age and            through sharing of pens, water
was achieved and in some            location (country and settlement       bottles etc.

                                             Covid-19 & Community Resilience FEBRUARY 2021                 10
Sample                                          Sample                      Sample
                  by gender                                     by age group                 by location

                   FEMALE 52%                                             UNDER 15 YO 0%        RURAL 47%
                   MALE 48%                                               15-19 YO 2%           URBAN 30%
                   TRANS/NON BINARY 0%                                    20-49 YO 76%          PERI-URBAN 12%
                                                                          50-64 YO 17%          CAMP 11%
                                                                          OVER 64 YO 5%

                                                                                                                 © Welthungerhilfe

Kenia. Comic books distribution, Kitui county. Kasarani primary school.

                                                                 Covid-19 & Community Resilience FEBRUARY 2021   11
Knowledge
and practice of
protection measures
The survey was conducted
between October and                  Knowledge of precautions
December 2020 and at that time
most respondents were aware
                                     (to avoid Covid-19)
of the measures to reduce
the transmission of Covid-19.              Avoid hand-shaking,
                                        hugging or social kissing        31%
Frequent hand washing (87%)              Cover mouth and nose
                                     when coughing or sneezing           27%
and wearing of masks (81%),
                                            Avoid touching eyes,
which are among the most                        mouth and nose           29%
effective measures, were                  Avoid crowded places           43%
widely identified as means of                 Use hand sanitizer         50%
preventing transmission. Over
                                      Maintain physical distance         58%
half the respondents were
aware of the need to maintain                       Wear a mask          81%
a physical distance and the use         Frequent handwhashing
                                                     with soap           87%
of hand sanitizers to combat
the spread of Covid-19. This                          Stay home          49%
reflects the efficacy and reach
of the information dissemination                                     0         20        40        60        80    100
measures taken by many
actors, including government
and A2015 member. No large           Challenges Identified
differences were seen in the
knowledge of preventive
measures across gender,
                                            Cannot afford water          15%
although a higher proportion of
                                          Hard to avoid crowded
women stated ‘staying home’                     places (markets)         24%
as a measure to contain the               There is no availability
                                                                         23%
                                                        of masks
pandemic than men. Younger
                                            Cannot afford masks          26%
respondents were more aware
                                          There is no availability
of the protection measures than                          of soap         18%
older ones.                                  Availability of water       14%

                                    Hard to avoid social contacts        27%
                                             Cannot afford soap          24%
                                   Too many people in household          18%

                                                                     0         5    10        15        20    25   30

                                            Covid-19 & Community Resilience FEBRUARY 2021                            12
The practice of these measures     These challenges were further       While the information campaigns
however posed several              exacerbated for people living in    have been effective and
challenges. One in every four      camps where 41% reported they       appear to have reached most
respondents found it difficult     could not afford to buy soap and    of the respondents in the 25
to avoid social contact (27%)      38% could not afford masks.         countries, the ability to apply
could not avoid crowded places     Over a third (36%) reported that    the recommended measures
(24%), more men reported this      their living areas were over-       is highly curtailed by lack
as a challenge than women.         crowded while access to water       of access to basic hygiene
The affordability of masks (26%)   was a challenge for 28% of the      services and products (water,
and soap (24%) was reported        respondents living in camps. In     soap, disinfectant, masks).
as a challenge, in both cases      peri-urban areas, over-crowding     Crowded working and living
women reported this more           and the difficulty of avoiding      spaces also prevent people
frequently than men. Living in     social contact were highlighted     living in poverty from adhering
an overcrowded household was       by over a third (35%) of the        to the recommended physical
stated as a problem by 18% and     respondents. In rural areas, over   distancing norms. Social
access to and affordability of     a quarter of the respondents        practices such as hand shaking
water was a challenge for 15%      stated they were unable to          and personal hygiene practices
of the respondents. Overall,       follow the physical distancing      such as covering face and mouth
affordability was more often       regulations or the recommended      while coughing and sneezing
referred to as a problem than      hygiene practices.                  have been adopted by most
availability.                                                          respondents.

  Main challenges, by location

  Hard to avoid crowded places (markets)          27%

                                                                                                     CAMP
                      Availability of water       28%
                       Cannot afford soap         41%
  Hard to avoid crowded places (markets)          26%                                             RURAL PERI-URBAN
                      Availability of water       13%
                       Cannot afford soap         31%
  Hard to avoid crowded places (markets)          24%
                      Availability of water       13%
                       Cannot afford soap         24%
  Hard to avoid crowded places (markets)          23%
                                                                                                     URBAN

                      Availability of water       11%
                       Cannot afford soap         17%

                                              0         10         20           30         40

                                              Covid-19 & Community Resilience FEBRUARY 2021               13
As the prospect of
     vaccination reaching
     people in developing
     countries in the next
     months are quite
     bleak, information
     and communication
     efforts need continued
     attention and gaps
     in access to WASH
     services need continued

                                                                                                                                                            © Franca Roiatti
     focus and financing.

                                                     Gel distribution, Burkina Faso.

                                                                                                                                                            © Cesvi, Pakistan

In April 2020, the RAST project (rehabilitation of the communal water infrastructure, sanitation facilities in schools and health centres and work on the
behavior change to improve WASH & hygiene situation) has been further adapted in response to the Covid-19 pandemic emergency.

                                                                  Covid-19 & Community Resilience FEBRUARY 2021                                             14
Our responses:
Alliance2015 members adapted             and share knowledge and
their programmes and increased           resources with municipalities,
their focus on protection and            camp managers, frontline health
hygiene awareness immediately            and education staff as well as
on the outbreak of the pandemic.         millions of households. Local
We aligned our own working               authorities have also been
modalities with official hygiene         supported to combat the spread
regulations to protect staff and         of misinformation.
partners.                                Handwashing facilities have
Every Alliance2015 member                been set up in public health
has initiated large scale                facilities, schools, markets and
campaigns to raise awareness             public buildings. Alliance2015
about the virus, its impact and          members have distributed soaps,
the protection measures. All             sanitizers, masks and personal
Alliance2015 members work                protective equipment (PPE) to
with radio, loudspeakers, mobile         bridge the wide gap between
vans and phones, posters and             the needs and their availability.
plays, as appropriate for the            These actions need continued
context. Alliance2015 members            attention and need to be further
work with partner organisations          scaled up.

Our recommendations:
Covid-19 has put a spotlight             >   Continue campaigns on
on the strategic importance of               raising hygiene awareness
WASH as one of the first lines of            and their effects in terms
defence in preventing infections             of changed behaviour and
and slowing the spread of                    practices.
outbreaks –especially in refugee
camps and informal settlements,          >   Prioritize WASH in camps,
schools and health care facilities.          schools, and health care
Concrete action is needed to:                facilities and equip frontline
                                             health workers with the
>   Stimulate local production of            protection they need to safely
    soap, disinfectants, and masks           execute their duties while
    in areas where they are not              ensuring infection prevention
    available or unaffordable for            and control for healthcare
    those in need. This is critical in       seeking populations.
    order both to increase access
    to hygiene practices and to
    create local income earning
    opportunities.

                                                    Covid-19 & Community Resilience FEBRUARY 2021   15
Coping strategies –
people are eating less,
eating lower quality
food
Eight months into the pandemic,                 long-term impacts, particularly
45% of women reported that,                     on children, pregnant and
compared to the period before                   nursing women. Several studies1
Covid-19, they and their families               have also documented the
were consuming less food with                   additional burden of work
a similar proportion saying                     on women and girls due to
the quality was worse. Over a                   increased household water
third of male respondents also                  needs and presence of larger
reported a decline in both the                  number of family members for
quality and quantity of food                    longer periods of time in the
consumed. This has potential                    house.

                                 Decrease in the Quantity and Quality
                                 of Food consumed in the household

      40

      30
                                   Female 45%

                                                                                             Female 46%
                                                       Total 40%
                     Male 35%

                                                                                                          Total 42%
                                                                           Male 37%

      20

      10

       0

                                Eating less                                           Quality got worse

1 - United Nations Policy Brief: The Impact of COVID-19 on Women; 9 APRIL 2020; COVID-19 and gender equality: Countering
the regressive effects; Mc Kinsey Global Institute, July 2020

                                                           Covid-19 & Community Resilience FEBRUARY 2021               16
Six of the 9 countries where the   Haiti. Many of these countries
largest number of respondents      already suffer from high levels
reported a decline in quality      of hunger. The data collected
and quantity of food consumed      suggests that the reduction
were in Sub Saharan Africa:        in food consumption is the
Democratic Republic of Congo,      combined impacts of loss of
Malawi, Kenya, Burundi, Liberia    incomes, including remittances,
and Madagascar. The other three    increase in local food prices and
are Afghanistan, Ecuador and       lack of access to credit.

                  Countries with the highest               Countries with the highest
                  proportion of respondents                 proportion of respondents
                  saying they are eating less             saying the quality of the food
                     than before Covid-19                  they consume has declined

           80

           60

           40

           20

                 84%    81%    79%      79%      69%       87%     86%     76%                      71%      70%
                 DRC   MALAWI ECUADOR   KENYA    HAITI    KENYA   ECUADOR MALAWI                   AFGHA.   LIBERIA
                                                                             © Moumouni Magawata

                                                                                                                      Helvetas, Niger.

                                                Covid-19 & Community Resilience FEBRUARY 2021                                     17
Our responses:
The pandemic has brought             helped to prepare nutritious
together the global community        meals with locally available
in shared grief, trauma as well as   ingredients. In others, local food
the experience of shortages of       networks are being stimulated
basic necessities. Alliance2015      where farmers can sell their
members have had to respond          produce over digital platforms
to food insecurity not only in       to consumers, tying up with
their partner countries but also     auto rickshaw services for home
in their own countries. Cesvi        delivery. Funds have been made
had to initiate home delivery of     available to our local partners
food packets and medicines for       to respond to emergency food
the elderly and children in Italy,   needs and project budgets and
at the peak of the pandemic.         durations have been adapted
Alliance2015 members started         to enable this. While many
food and cash distribution           innovations have been triggered
on a large scale in areas of         by our responses, a lot more
their operation. We scaled up        needs to be done to protect the
existing food and food voucher       most vulnerable from the long-
distribution programmes in           term economic impacts of the
camps and in schools. In remote      pandemic.
areas, communities are being

Our recommendations:
Covid-19 and its consequences        >   A clear commitment to
are fuelling chronic and acute           multi-sectoral approaches
malnutrition across the globe.           designed to build resilience
New levels of leadership and             at community level while
action must be delivered over            improving nutrition outcomes.
the coming months and in
particular through the UN Food       >   A scale up of investment in
Systems Summit, COP26 and the            humanitarian response to
Nutrition for Growth Summit. We          deal with the growing threat
call for:                                of famine faced by millions
                                         across some of the most fragile
>   A consistent focus on                countries of the world.
    those furthest behind, the
    poorest and most vulnerable      >   National governments
    and women and children in            and donors to enhance
    particular.                          their support for safety
                                         net programmes as part
                                         of developing stronger
                                         nationally led Social Protection
                                         programmes.

                                                Covid-19 & Community Resilience FEBRUARY 2021   18
Financial impacts
- on incomes
The primary sources of income
of the household of those
interviewed were agriculture                                     Primary source
(35%), followed by casual labour
(22%), petty trade (20%), formal
                                                                    of income
labour (i.e., with a contract, 13%)
while 7% of respondents (mainly
from camps) reported their main
source of income came in the
form of assistance from external
agencies, and 3% relied on
remittances.

A greater proportion of women
reported their households
relied on remittances, external
support, petty trade and casual
labour than men – these sectors
have been more adversely
impacted by policies to control
the spread of Covid-19 than                                AGRICULTURE 35%            FORMAL LABOUR 13%
others.                                                    PETTY TRADE 20%            REMITTANCES 7%
                                                           CASUAL LABOUR 22%          SUPPORT EXT. AGENCIES 7%

Across all occupations,
settlement types, gender and
age groups, a substantial
majority of respondents stated                                      Ability to earn an income
that their ability to earn an                                    negatively affected by Covid-19
income had been affected.
Amongst those who gave this             AGRICULTURE        72%

response, those identifying a           PETTY TRADE        86%
negative impact were highest in
                                       CASUAL LABOR        91%
the peri-urban areas where over
87% of respondents reported           FORMAL LABOUR        63%
that their ability to earn an
                                        REMITTANCES        78%
income had worsened – with
40% saying it got a little worse        SUPPORT EXT.
                                           AGENCIES        69%
and 46.6% saying it got a lot
                                                       0            20         40       60           80          100
worse.
                                                                         NO     YES     DON’T KNOW

                                                 Covid-19 & Community Resilience FEBRUARY 2021                         19
Over two thirds (72%) of farmers
reported a reduction in income
                                         Main challenges COVID-19
due to Covid-19. Of them, half said      posed for Agriculture
this was on account of disruption
of markets and their inability to
sell produce. Nearly a third (30%)            Loss of market              50%
reported delayed planting and             No time for harvest             18%
23% reported that they could only
                                             Harvested early              7%
cultivate a smaller area of land.
                                                  No harvest              16%
The lockdowns and curfews                    Delayed harvest              17%
imposed by governments to
                                           Decreased acrage               24%
control the spread of Covid-19 also
severely affected casual workers,           Delayed planting              32%
over 91% of whom said their ability
                                                                                    10        20             30         40        50
to earn an income was adversely
affected. Over three quarters (76%)
reported fewer work opportunities        Main challenges COVID-19
while 48% stated they were being
offered lower wage rates.                posed for Casual Labour

Petty traders have been                     Payment is lower              48%
particularly badly affected by the            There are less
measures to control Covid-19                work opportunity              76%

with 86% reporting a reduction                                    0            10    20       30    40        50       60    70   80
in income which they attributed
equally to lack of customers and
the inability of customers to pay.        Main challenges COVID-19
They suffer from the closure of
                                          posed for Petty Trade
markets – 49% had restricted
access to markets and 29% could
                                              Customers have
not procure the goods to sell. Trade               no money               48%
disruptions are having adverse                    Regulations             17%
impacts on the smaller market
actors who are not protected by
                                          Goods not available             36%
                                       Customers not coming
any government policy, have little                    to buy              53%
access to credit, little capacity to   Closed areas (markets)             49%
stock goods or negotiate terms of
trade. These risks and costs will in                                  0         10        20            30        40        50    60
turn be passed on to the equally
poor households who are their
customers.                                 Main challenges COVID-19
                                           posed for Formal Labour
Even among workers with a formal
work contract, 63% reported a           Employer reduced the pay
                                       but not the amount of work         11%
reduction in income, 41% said this
                                              Cannot work due to
was because they were not able         lockdown/travel restrictions       35%
to work due to the lockdowns, 31%       Employer has reduced the
                                           work time and the pay          27%
said their work time was reduced                 Employer has laid
                                                       people off         26%
while 26% reported they lost their
jobs.                                                                 0         5        10        15        20    25        30   35

                                           Covid-19 & Community Resilience FEBRUARY 2021                                               20
Respondents were asked to              Unsurprisingly, only a small                            decreased while 38.8% said
describe the overall change            proportion (3.4% in total) said                         they experienced a ‘significant
in the financial situation of          there had been an improvement;                          negative change’. This was
their households since the             18.9% said it had remained the                          worst in peri-urban areas.
start of the Covid-19 crisis.          same, 34.6% said it had slightly

                              Financial situation compared
                               to pre-Covid-19 by location

           URBAN        42%                                       33%

           RURAL        37%                                 40%

       PERI-URBAN       51%                                                    33%

            CAMP        43%                                        34%

                    0             20                     40                         60                 80                 100

      SIGNIFICANT DECREASE      SLIGHT DECREASE           ABOUT THE SAME                 SLIGHT INCREASE        SIGNIFICANT INCREASE

Respondents were also asked
whether they were worried if
Covid-19 would (further) affect              Main financial fears
the financial situation of their
                                             for the future
household over the next six
months, with 76.9% responding
that this was the case. Many                      Inability to pay rent       18%
respondents (62.8%) reported
                                          Reduction in support from
they were worried about price                 other family member             16%
increases. Just over 43% worried                    Transport will be
                                                     more expensive           35%
about not having a job while 34%
were concerned about reductions                     Increased prices
                                              for basic commodities           63%
in their income due to less work
                                            Less work hours leading
hours. High transport costs, which                to reduce income            34%

have a negative impact on the                 Loss of job leading to
                                                                              44%
                                            complete loss of income
poor who need to travel to work
or markets, were a concern for                                            0     10       20   30    40     50    60    70    80
34% of the respondents. Inability
to pay rent, with the attendant
risk of eviction, was a concern for
18% of respondents, the majority
of them in urban areas.

                                                     Covid-19 & Community Resilience FEBRUARY 2021                                     21
Our responses:

                                                                                            © Yacouba Lankoande
Soap manufacture, Burkina Faso.

Alliance2015 members have           both financial and technical
initiated a range of local income   assistance, is a key focus aimed
generating activities that cater    at protecting employment
to the new demands arising          opportunities. Small businesses
from Covid-19 such as mask          are being supported to use
production, soap manufacture,       radio and digital platforms
fabrication of hand washing         to promote their products.
stations etc. Cash-for-Work         Many local youths have also
schemes have been started           been hired to support and
in many countries. People,          implement our own Covid-19
especially the youth, are           related activities such as
being trained in the use of         hygiene promotion trainings,
digital technologies for new        construction work and material
employment opportunities,           distribution. Cash assistance
such as in delivery services.       and vouchers are being
Enhanced assistance to micro,       provided to the most vulnerable
small and medium enterprises,       persons and households.

                                            Covid-19 & Community Resilience FEBRUARY 2021   22
© Helvetas, Mozambique
Mask production in Mozambique.

Our recommendations:
The livelihoods and income of      >   At national level, governments
extremely poor people have             must invest in and adopt
been severely impacted by              policies to mitigate the rising
the pandemic with differences          costs of basic needs.
across urban, peri-urban and
rural contexts. In response:       >   Governments, donors,
                                       and NGOs must work with
>   At the individual household        organizations trusted and
    level, recovery packages           monitored by communities
    must provide appropriate and       to ensure social protection
    adequate support to allow          programs function optimally
    individuals access to the          and fairly and promote gender
    goods, services and social         equity and social cohesion.
    support they need.

                                              Covid-19 & Community Resilience FEBRUARY 2021   23
Remittances have
dried up
Almost 14% of all respondents
reported receiving remittances
                                                               Receive Remittances?
from family members elsewhere.
While remittances are a primary
source of income for 3% of            CASUAL LABOR       85%                                                           15%
the respondents, it was a
complementary source of income       FORMAL LABOUR       86%                                                           14%
for many more. Receipt of
remittances was highest among          REMITTANCES       81%                                                         19%
respondents from peri-urban
areas and slightly less so among
                                             CAMP        91%                                                               9%
urban and rural respondents
(14%).
                                                     0              20              40               60         80            100
Over three quarters (77%) of
all who received remittances                                                        NO         YES

reported a reduction or complete
stoppage of remittances.

                       Stopped      Decreased             Somewhat                 About the          Somewhat         Increased
                      completely      a lot               decreased                  same             increased           a lot
  What
                         28%           22%                     31%                       14%              3%                 2%
  happened to
  the flows of
  remittances?                         81%                                                                19%

Forty percent of women from
peri-urban settlements who              Reasons for declines
relied on remittances reported
that these have stopped
                                        in remittances
completely.
                                                     Don’t know              4%
Most of these respondents (85%)
                                                           Other        11%
knew the reason for stoppage or
reduction of remittances – 55%          Person got sick or died         6%
reported this was the result of            The cost of sending
                                                                        7%
                                         the transfer increased
income loss of the relative who
                                                   Relatives cost
                                                                        32%
was sending the money, 38%                   of living increased

reported the relative sending                 Relatives income
                                                  was reduced           55%
money had lost her/his job while        Loss of job leading to
                                                                        38%
                                      complete loss of income
32% attributed it to higher costs
of living.                                                          0         10         20     30        40     50          60

                                               Covid-19 & Community Resilience FEBRUARY 2021                                        24
The World Bank recently revised, its estimates of the reduction in international
      remittance flows due to Covid-19 estimating a 14% decline in 2020 compared to
      201921. It predicts that ‘the economic crisis induced by Covid-19 could be long, deep,
      and pervasive when viewed through a migration lens’. Our study captures the impact
      of Covid-19 on both domestic and international remittances and presents a much
      starker picture.

Our responses:
Migrant workers are one of              are met and are also providing
the groups most affected by             them with job and psychosocial
government policies to contain          counselling.
the spread of Covid-19. As a vast
majority of migrant workers are         Cash transfers, food aid
employed in the informal sector,        and alternate employment
they rapidly lost their sources         opportunities are some of the
of income, their shelters, and          actions initiated to help the
had to face harsh quarantine            most vulnerable households
measures on their return home.          who relied on remittances.
Allaince2015 members helped             Several countries with fragile
local governments to build              economies, such as Somalia, rely
quarantine facilities in areas          significantly on remittances. They
that saw large scale return of          need particular attention and
migrants. We help ensure that           continued international support.
the basic needs of the returnees

Our recommendations:
Labour migrants have been               >   Instigate special measures           >   Use innovative channels
particularly affected by the                to support individuals,                  to ensure that the benefits
pandemic, due both to mobility              households and communities               of fiscal stimulus reach
restrictions as well as severe              who depend on remittances                vulnerable populations.
impacts on people working in                and/or the informal economy              The creation of alternative
the informal sector. This has an            and who have no economic                 livelihoods for those rendered
immediate effect on remittance              safety net to support                    unemployed by Covid-19,
flows and thus, household                   themselves in a situation of             especially opportunities in the
incomes in developing countries.            forced confinement or mobility           green sectors in rural and peri-
In response, it is necessary to:            restriction.                             urban areas, is an urgent need.

2 - Dilip Ratha, Supriyo De, Eung Ju Kim, Sonia Plaza,Ganesh Seshan, and Nadege Desiree Yameogo.
2020. “Migration and Development Brief 33: Phase II: COVID-19 Crisis through a Migration Lens.”
KNOMAD-World Bank, Washington, DC. License: Creative Commons Attribution CC BY 3.0 IGO

                                                   Covid-19 & Community Resilience FEBRUARY 2021                   25
Debt - an important
coping strategy
Respondents were asked                  Sources of Loans by those
whether they had to borrow              who report borrowing to cope
money to cope with the situation        with COVID 19
since the start of the Covid-19
pandemic. Over 47% of all
                                                      MFI    13%
respondents said they had to
borrow money. In addition, 41%                       Bank           6%
of respondents said they had             Community Group     10%
taken goods on credit from
                                                   Family    34%
the local shops. As with many
of the other indicators, the                   Neighbours    61%
greatest proportion of such                    Loan Shark    11%
responses were recorded in
the peri-urban and camp areas.
                                          Delayed planting          4%

While responses of men and                                         10    20   30   40   50   60   70   80
women were similar, younger
age groups were more likely         time frame. Amongst this group,           (at 47.7%), followed by those who
to report increased borrowing       almost 40% said they did not              had borrowed from Community
or purchases on credit post         expect to be in a position to             Groups (at 46%), while the lowest
Covid-19, than other age groups.    repay the loan while 37% said             proportion giving this response
People were further asked where     they would be able to do so               were recorded amongst those
they were borrowing this money      and 22% said they didn’t know.            who had borrowed from family
from – the largest proportion       Respondents who borrowed from             (at 33.9%) and neighbours (at
of respondents borrowed from        banks felt more certain that they         33.8%).
neighbors (60.9%) followed by       would be able to repay the loans
family (34.3%) – the proportion
who relied on Micro Finance
Institutions (at 12.9%) or Banks
(at 6.1%) was considerably lower,
while almost 11% have had to
resort to borrowing from ‘loan
sharks’.

Community groups, once an
important source of consumption
loans, especially for women, had
been accessed by only 10% of
respondents.
                                                                                                            © Helvetas, Mozambique.

Respondents who reported
borrowings were asked whether
they thought they would be able
to repay this loan in the agreed

                                             Covid-19 & Community Resilience FEBRUARY 2021                  26
Our responses:

The CGAP31 assesses financial             furlough schemes, grants,                 of the local economy. Inputs for
inclusion to be important for             interest free and low interest            agriculture and livestock rearing
achievement of 11 of the 17 SDGs.         credit have buffered the impact           have been provided to ensure
However, as this crisis indicates,        of Covid-19 for millions in               continuity of these livelihoods
in developing countries marked            developed countries, people in            in contexts where markets have
by informality, access to credit          developing countries have had             been disrupted. Emergency cash
for consumption needs from                few avenues for financial support         assistance has been provided to
the formal sector is limited and          from the formal, regulated                many of the neediest persons.
social networks continue to play          sectors. Alliance2015 members             These programmes need to be
an important safety net function.         have focussed their efforts on            continued to prevent further
Community based institutions              creation of local income and              indebtedness or dilution of the
needs to be strengthened as               employment opportunities                  asset base of households.
they are the lender of first and          for women and men thereby
last resort for the poor. While           strengthening the foundations

Our recommendations:
This research reveals the extent          >   Adopt and expand graduation
to which individuals have had                 programming in order to build
to take on debt in order to                   the resilience of communities
manage their way through the                  and individuals to future shocks
pandemic. Uncertainty about                   and stresses.
the future and the stresses
that brings compounds the                 >   Work to ensure a clear
burden of debt being carried.                 transition from humanitarian
In order to help individuals and              response to addressing long
communities escape that burden,               term solutions.
Governments and humanitarian
actors must coordinate in order
to:

>   Provide financial assistance
    as part of a wider package
    of support which enables
    the creation of livelihood
    opportunities in the longer
    term.

3 - Leora Klapper, Mayada El-Zoghbi, Jake Hess: Achieving the Sustainable Development Goals: The Role of Financial Inclusion,
CGAP, UNSGSA; APRIL 2016

                                                     Covid-19 & Community Resilience FEBRUARY 2021                        27
Support from
external agencies
Over 38% of respondents report
receiving some form of support
from external agencies to cope          Received external support
with the impacts of Covid-19 in    to cope with the impacts of Covid-19
the three months prior to the
survey.
                                                                        1%
Respondents were also
asked whether they were
aware of other members of
their community receiving
assistance – this was highest                               38%
in camp settings (at 65.8%),
                                                                              61%
with slightly over half (50.6%)
the respondents in rural
areas said they were aware of
someone in their community
receiving external support,
followed by those living in
urban areas (49.1%). As is often
the case, respondents living                                     NO
in peri-urban areas have been                                    YES
disproportionately excluded                                      DON’T KNOW/NO ANSWER

with only 36.4% of respondents
reporting anyone in their
community received assistance.
Most beneficiaries, 84%, found     Someone in their community received
the assistance useful and 79%      assistance in last 3 months due
                                   to Covid-19 pandemic
said the assistance was given to
those who were most needy.
                                              CAMP        66%
Of those who received                    PERI URBAN       36%
assistance 60% report receiving
                                             RURAL        51%
food aid, 44% said they received
cash and the remaining received              URBAN        49%
soaps, masks and sanitisers.
                                                      0     10     20    30   40    50   60   70   80
Nine percent reported that they
got better access to water.

                                        Covid-19 & Community Resilience FEBRUARY 2021                   28
Type of support received

      Soap / Hand sanitizer        42%
                     Water         9%
    PPEs (masks or gloves)         35%
                      Cash         44%
                      Food         60%

                               0         10       20        30        40        50         60

Our responses:

                                                                                                                                                               © Firoz Mahmud / Concern Worldwide

Concern Bangladesh have implemented new measures to prevent the spread of Covid-19 at distributions, such as maintaining social distancing, wearing
protective equipment and installing hand-washing stations. Kalpona is pictured washing her hands, prior to receiving her cash transfer at the “Monsoon Flood
Recovery project” distribution.

While all Alliance2015                                and persist for almost a year
members substantially                                 now. While the targeting
adapted their programme                               and the nature of support
and scaled up actions to                              provided are appropriate,
support communities                                   they need to be complemented
with food and material aid,                           and scaled up.
the needs are overwhelming

                                                                    Covid-19 & Community Resilience FEBRUARY 2021                                              29
Our recommendations:
While aid agencies at all levels
try their best to support poor
and disadvantaged people
during the pandemic, the needs
revealed through this survey
will increase day by day over
the weeks and months to come.
Action must therefore be taken
to:

>   Scale up the level of
    external support to the most
    vulnerable, with a special
    focus on women, children,
    elderly and people with
    disabilities.

>   Find ways to improve and
    maintain external support
    also in humanitarian settings,
    including in camps.

                                                                                                                                                          © Concern Worldwide
>   Understand and respond to
    the real needs at community
    level, and be ready to meet
                                                   Marriam Jamali washes her hands after receiving soap as part of of hygiene distribution to help prevent the
    them adequately, timely and in                 spread of Covid-19 by Concern Worldwide in Lilongwe. On receiving the soap Marriam says ‘this could not
                                                   have come at a better time’.
    a coordinated manner.

                                                                                                                                                          © Dieu Nalio Chery/ For Concern Worldwide

Yvener Jose, left, a staff of Concern Worldwide checks registration documents for Guillaume Ysmara (75), during a distribution of hygiene kits by Concern
Worldwide in Cite Soleil slum, a district of Port-au-Prince, Haiti.

                                                                 Covid-19 & Community Resilience FEBRUARY 2021                                             30
Impacts on health
and health seeking
behaviour
A third of the respondents         since COVID. A substantial
reported a worsening of their      48% of women living in camps
health conditions post Covid-19.   observed a deterioration in their
Fourteen percent also stated       health and well-being now.
that health had improved

   Compared to the period before Covid-19 how would you describe the overall
                health and well-being of your family members?

                                                  Decreased                             Refuse to
                                    Improved                   Got worse   Don’t know
                                                    a lot                                answer

  Male                                16.1%         52.3%        30.9%       0.5%         0.1%

  Female                              12.7%         51.2%        35.4%       0.5%         0.3%

  Trans / Non-Binary                  4.4%          64.4%         31.1%      0.0%         0.0%

  Urban                               14.0%         53.5%        32.1%        0.1%        0.3%

  Rural                               14.2%         54.8%        30.0%       0.8%         0.2%

  Peri Urban                          17.6%         42.0%        40.2%        0.1%        0.1%

  Camp                                14.2%         43.4%        41.9%        0.1%        0.4%

  19 years and under                  15.4%         60.7%        22.8%       0.3%         0.8%

  20 to 59 years                      14.7%         51.5%        33.1%       0.5%         0.2%

  50 years and above                  12.9%         51.7%        34.7%       0.5%         0.1%

  Total                              14.3%          51.8%        33.2%       0.5%         0.2%

                                              Covid-19 & Community Resilience FEBRUARY 2021      31
At least a third of respondents           schedule of visits. More women              The main reasons for this
in all settlement types reported          reported such disruptions than              were stated to be a fear of
that they had delayed or                  men with up to 42% women                    contracting Covid-19, the high
skipped visits to health centres          respondents in urban areas                  cost and waiting time.
or had not completed planned              reporting such disruption.

   Delayed, Skipped, or Unable to Complete Healthcare Visits

                   male        35%                                      64%
    URBAN

                  female       42%                                      56%
                   male        30%                                      68%
    RURAL

                  female       31%                                      67%
                   male        31%                                      66%
    URBAN
     PERI-

                  female       34%                                      63%
                   male        30%                                      69%
    CAMP

                  female       39%                                      60%

                           0              20                 40                60                 80          100

                                             YES           NO            DON’T KNOW

   ‘During this crisis, 70 countries have halted childhood vaccination programmes, and
   in many places, health services for cancer screening, family planning, or non-Covid-19
   infectious diseases have been interrupted or are being neglected. This could reverse
   decades of improvement, affecting population health for years to come’.
   Editorial, The Lancet41, citing the UN Sustainable Goals Report, 202052

4 - https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30189-4/fulltext#articleInformation,
DOI:https://doi.org/10.1016/S2468-2667(20)30189-4, Published September 2020
5 - https://unstats.un.org/sdgs/report/2020/ accessed 09.01.2021

                                                     Covid-19 & Community Resilience FEBRUARY 2021                     32
Our responses:
The huge inequities in health                       for avoiding infections and
care services have been starkly                     minimizing negative health
revealed by the pandemic.                           impacts. Towards ensuring
Alliance2015 members and                            continued access to basic health
partners are providing hygiene                      services, Alliance2015 members
items, personal protective                          are mobilising and training
equipment, Covid-19 test kits                       local health workers in several
and other medical supplies                          countries.
to local health centres in
numerous countries. We are
training extension workers to
raise awareness on disease
prevention measures, crucial

                                                                                                                  © Henry Mhango / Concern Worldwide

Bertha Chiwaya washes her hands before seeing a patient in the ward. Malawi.

                                                                  Covid-19 & Community Resilience FEBRUARY 2021   33
Our recommendations:
The pandemic calls for a           >   Maintain and strengthen
significant strengthening of           essential health services and
primary, community-based               systems during the outbreak
health care services and local         and beyond.
care workers who play a crucial
role in controlling the spread     >   Equip frontline health
of Covid-19. However, they             workers with the protection
have been long neglected               they need to safely execute
and underfunded, despite the           their duties while ensuring
valuable experiences gained            infection prevention and
during past epidemics of Ebola         control for healthcare seeking
and SARS. Such investments             populations.
are also critical towards the
achievement of Universal Health
Coverage (UHC) and delivery on
SDG 3. Concrete actions that are
needed include:

                                                                                              © Cesvi’s archive

Cesvi, Somalia.

                                              Covid-19 & Community Resilience FEBRUARY 2021   34
Education – a lost
generation?
Respondents were asked how
they would describe the access
                                             Access to school                                          Are schools
to schools for the children in             compared to pre-covid                                      reopened now
their households compared
to the period before Covid-19.
Overall, 90% of respondents
said they had school aged
children 61 , and of those who
gave an opinion 7.7% said
access to education had
improved (highest in Niger
at 51% followed by Burkina
Faso at 10.4%), 25% said it had
remained the same (highest
in Burundi, where schools did                  IMPROVED 7,7%
                                               REMAINED THE SAME 25,3%
                                                                         DON’T KNOW 1,2%
                                                                         REFUSE TO ANSWER 0,2%
                                                                                                      NO 34%                 YES, SOME 10%
                                                                                                      YES, ALL OF THEM 49%   DON’T KNOW 7%
not close, at 92.6%, followed                  GOT WORSE 65,1%

by Ukraine at 52.1%), but most
respondents (65%) stated it got
worse. This was highest in the            been closed, they were asked                       While Burundi kept the schools
occupied Palestinian Territory            if they had been reopened.                         open throughout the period,
(oPT) (98.9%), followed by                Almost half (48.2%) said yes all                   countries like Malawi, Pakistan,
Liberia (at 93%) and Ecuador              of them had re-opened, almost                      Afghanistan and Madagascar
(86.8%). In only two countries,           one tenth (9.7%) said some                         have re-opened their schools.
Niger and Burundi, did less than          had, while 34% of respondents                      Amongst respondents who
one quarter of respondents                said schools had not reopened.                     identified schools had not
say the schooling situation had           Bolivia, Guatemala and Nepal                       reopened, 31.2% said none of
worsened (24.8% and 6.9%                  have the most stringent policies                   their children had access to
respectively).                            towards school opening with                        education. Where respondents
Among families with younger               all respondents reporting that                     said some of the schools had
children, in the age group of 4 to        the schools were still closed                      reopened, a similar proportion
16, over 90% report that schools          at the time of the survey.                         said none of their children had
in their locality had been closed         In Bangladesh, most of the                         access to education (31.4%)
at some stage as part of the              respondents were from the                          whereas a much lower, 13%
measures to control the spread            refugee camps, where the                           percentage, of people gave this
of the virus. If respondents              disruption of education was                        answer where all schools were
indicated that schools had                reported to be nearly universal.                   opened.

6 - There was an unusually high proportion of respondents in Ukraine (73%), Georgia (57%) and Bolivia (35.6%) who did not
have children, this is reflective of the target groups the A2015 agencies are working with in these countries.

                                                       Covid-19 & Community Resilience FEBRUARY 2021                                 35
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