Covid-19 & Community Resilience - Voices of over 16,000 women and men from 25 countries across 4 continents - a joint study by Alliance2015 member ...
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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 NGOs. © Concern Worldwide
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
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
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
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
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
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
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
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
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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