Análisis Rápido de Género – ARG / Honduras, 2021. Desafíos para las mujeres y niñas ante una sostenida crisis sanitaria y ambiental.

El 2020, como resultado de los efectos de las crisis sanitaria y ambiental, se caracterizó por evidenciar y profundizar las deficiencias y limitaciones que
enfrenta Honduras en lo relacionado con: las brechas estructurales preexistentes y sus consecuencias en términos de seguridad y desigualdad, especialmente la profundización en la desigualdad de género; las carencias y debilidades de los sistemas de servicios esenciales a nivel sanitario y de protección social; las debilidades del sistema productivo - empresarial y la fragilidad de los procesos económicos del país; y las debilidades existentes en aspectos relacionadas con la infraestructura, las estrategias para la gestión de riesgos y la capacidad de respuesta ante fenómenos naturales.

Esto ha provocado un estancamiento o retroceso en aspectos relacionados con el acceso a medios de vida, a derechos económicos y sociales, y a derechos humanos fundamentales. Sin embargo, se debe subrayar que aunque ambas crisis afectaron directa o indirectamente a toda la población hondureña, su impacto es evidentemente desigual ya que resultó mayormente adverso para los grupos y la población más vulnerable, especialmente las mujeres y niñas. En consecuencia, han empeorado las condiciones y calidad de vida de la población subsistiendo en situación de pobreza o expuesta a alguna condición de riesgo ya sea física, psicológica, social, ambiental, económica o estructural. Esto preocupa en particular si adicionalmente se considera que Honduras está catalogado como uno de los países con mayor desigualdad en el área latinoamericana. El ARG buscó proporcionar recomendaciones prácticas para diseñar estrategias que permitan brindar una respuesta diferenciada a las principales necesidades y brechas humanitarias identificadas, y permitió identificar aquellos factores afectados por ambas crisis y que inciden negativamente en la protección a los derechos humanos fundamentales y en la calidad de vida de los grupos más vulnerables del país. Read More...

CONEX Balkan Project Rapid Gender Analysis Report Western Balkan Region – Albania, Bosnia & Herzegovina, Kosovo, Montenegro, North Macedonia, and Serbia

CONEX is a regional project implemented in six Balkan countries designed to support the marginalized groups of people in the targeted communities that have suffered the most during the Covid-19 crisis, namely the elderly, unemployed women, minorities, refugees, internally displaced persons (IDPs) and persons with disabilities to transition from relief to recovery and onwards to development.
The Rapid Gender Analysis (RGA) has been conducted to provide essential information about gender issues and concerns that should be addressed and will not only be used to define concrete action points and possible adaptations of project design but also as a learning tool and advocacy platform with national NGO networks and local/national authorities. The RGA objectives are to:
 Assess the ways and the extent to which women and other vulnerable groups are affected by social and economic deprivation due to consequences of the COVID-19 crisis;
 Explore how the prevailing gender norms and roles relate to the project activities and objectives, in particular with regard to the access to information, ability to access services, employment and effects of gender based violence (GBV) and
 Increase the gender analysis and integration related capacities of project staff (gender-sensitization, RGA data collection training).
The RGA was conducted in the period May-October 2021 and consisted of three main segments facilitated by the CARE team: 1. Capacity building of partners on gender and how to conduct the RGA; 2. Coordination of data collection, analysis, and validation 3. RGA report writing.
In total, 28 implementing partners’ staff members from nine organizations in 21 locations in six target countries organized and facilitated 53 events (focus group discussions - FGDs and key informant interviews -KIIs) during which they directly talked to 195 persons (66% female), 21% ethnic minority (Roma and Ashkali), over 29% persons from rural areas and 11% persons with disabilities – PWD. Read More...

CARE Malawi COVID Vaccine Delivery Situation January 2022

“The vaccines are here but support for delivery is most needed, especially at the last mile.” – District Health Management Team member, Ntcheu
As of January 10, 2022, Malawi had delivered 1.84 million doses of vaccine out of the 3.12 million doses it has received so far.1 Many doses in country have rapidly approaching expiration dates, and if they do not get to people fast, they risk expiring on the shelves. To make sure the 1.26 million doses left go to the people who need them most, we must invest more in communication, engagement, and delivery. The $37M granted by the World Bank over the past year is sufficient for covering only 8% of Malawi’s total population. What is more, as the highly contagious Omicron variant spreads worldwide, it is even more critical that more people are vaccinated now. We cannot assume that the Government of Malawi and its current health system can do it alone.

The government and other health actors in Malawi are working tirelessly to vaccinate people, while facing multiple health crises. The health system is building on a base of committed (if overstretched) health workers, an openness to community feedback, and a long expertise of delivering The government is coordinating closely with many actors to reduce gender gaps, get vaccines to the last mile, and keep existing health services open. Nonetheless, the Ministry of Health is under-resourced, and operating in a global system where the vaccine supply that arrives may be close to expiring. For example, doses of the Astra-Zeneca vaccine had to be destroyed in the spring, after arriving in Malawi with only two and a half weeks left before their expiration date.

More investment is needed. To take just one example, the national government has been able to provide one van per district to support mobile vaccination sites, to get vaccines to the last mile. Mobile vaccinations are the most effective way to serve people who live far away from health centers and do not have access to easy forms of transportation. That means that in Ntcheu, one van is expected to serve a target population of 214,929 people living over 3,424 square kilometers. One van cannot serve those people fast enough to make sure vaccines get where they need to in time, especially when an inconsistent and unpredictable vaccine supply could have doses expiring at any time. Read More...

Nepal COVID-19 Vaccine Costing Study

By December 6, 2021, 19.2 million doses of COVID-19 vaccines have been administered in Nepal, enough for 36% of the population to have gotten at least one dose of vaccine. After a rough road with unpredictable vaccine supply, the government has been able to procure several million vaccine doses. Now delivery at the last mile is the biggest hurdle they face. Nepal’s Minister of Health says, “We are not going have shortages of vaccines anymore, but our main concern and focus now is on getting these vaccines to all corners of the country, including the remote mountain areas.”

Based on national data, and in-depth studies in 2 health districts, CARE estimates that delivery costs from “tarmac to arm” for vaccines in Nepal are $8.35 (1,019 NPR) per dose of vaccine administered, or $18.38 (2,241 NPR) per person fully vaccinated.

This is nearly 5 times more expensive than current global estimate for delivery costs. These costs range from $11 per fully vaccinated person in easier to reach areas, to $33 per dose in remote, difficult to reach areas. Gaps in vaccine coverage are particularly acute for mountainous areas, people with low mobility, and communities far from health centers. Even the lowest-cost estimates for the easiest to reach areas are nearly 3 times higher than global average estimates.

70% of these costs are personnel needs to ensure vaccines reach people at the last mile. This points to a major need to improve investments in vaccine delivery, especially the health care workers who administer vaccines and ensure everyone gets vaccinated.
Read More...

CARE Rapid Gender Analysis Latin America & the Caribbean – Ciudad Juárez, Mexico

Asylum seekers and migrants traveling through Central America and Mexico to the U.S. border face a range of risks, but women, girls, and other vulnerable groups—such as members of the LGBTQIA community—are confronted with additional threats to their health, safety, and well-being in their countries of origin, countries of transit, and in the U.S. As a result, asylum seekers and migrants who arrive at the U.S.–Mexico border often carry a heavy burden of trauma from experiences with violence. The lack of a system to appropriately support people on the move deepens pre-existing inequalities and exposes already vulnerable groups to additional, unnecessary, risks.
The U.S. Government’s Migrant Protection Protocols (MPP), also known as the “Remain in Mexico” policy, returns asylum seekers and migrants from U.S. custody to Mexican territory, compelling them to face months of risk and uncertainty as they wait to complete their asylum processes. The asylum process itself is challenging and unclear, liable to change without warning, and largely opaque to affected populations. The asylum seekers and migrants waiting in Mexico’s Ciudad Juárez city, along the Mexico–U.S. border, face ever-present threats of extortion, gender-based violence (GBV), and kidnappings, which compound their trauma and restrict their freedom of movement and access to critical resources and services. Trauma and fear were the norm of the population that CARE surveyed, not the
exception.
The female asylum-seekers and migrants in Ciudad Juárez that CARE spoke with reported feeling profoundly vulnerable and isolated. They consistently relayed a lack of trust in authorities and an increasing level of anti-migrant sentiment in the city. The lack of either confidential GBV screenings or formal complaint mechanisms left survivors with almost no one to turn to for support and services. Asylum seeking and migrant women, girls, and LGBTQIA individuals who feared for their safety reported remaining inside shelters as much as possible, leaving only when absolutely necessary. In Ciudad Juárez, some asylum seekers and migrants have found refuge in overwhelmed and
underfunded informal shelters. These shelters are largely run by local faith-based organizations, and could meet only a fraction of the need. Despite these efforts, the humanitarian response to the migration crisis is characterized by a haphazard and uncoordinated approach that is devoid of reference to the humanitarian standards that would be the norm in other emergencies. The shelters did not have appropriate intake procedures, such as vulnerability screenings. Few had sufficient water and sanitation facilities for the number of residents, and many shelters housed residents together in common spaces regardless of age or gender, amplifying the risk of harm to vulnerable persons. Asylum seekers and migrants in the shelters frequently lacked information about available health and legal services. Read More...

Fast and Fair Vaccine Update August to October 2021

CARE's Fast and Fair initiative supports countries to equitably deliver COVID-19 vaccines through four pillars: Advocate, Facilitate, Protect and Mobilize.
CARE has identified 22* countries (and counting ) with strong capacity, partnerships, and readiness to scale.
As of October 2021: 126.2 million people have been vaccinated in areas where CARE is providing meaningful and significant promotion for vaccination rollout. We have also supported mass media messages promoting vaccines to 263 million people. Read More...

A STUDY ON THE IMPACT OF COV1D-19 ON WOMEN AND GIRLS IN ETHIOPIA

By August 9, 2021, Ethiopia had reported more than 284,000 COVID-19 cases and 4,426 deaths. Since COVID-19 was first reported in Ethiopia in March of 2021, the impacts of the pandemic, the measures taken to curb COVID-19, and additional political, economic, and environmental crises have severely impacted the population.
Women and girls bear different burdens in this crisis, and emergency responses often overlook the differences
in impacts and needs for women, girls, men, and boys in humanitarian responses. To that end, this research—
with funding from the EUTF (European Union Emergency Trust Fund) provides insight into the impact of COV1D-19 on women and girls in Ethiopia. This insight informs recommendations and guide EUTF partners and other relevant stakeholders in the areas of EUTF interventions. With this objective in mind, four woredas (administrative districts), one refugee camp, and one Industrial Park (IP) were considered as sample areas. These are Sekota Zuria and Gazgibla woredas in Wag Hemra zone of Amhara region; Moyale and Miyo woredas in Borena Zone of Oromia region, Asayita Refugee Camp in Afar region, and Bole-Lemi Industrial Park in Addis Ababa.
This research surveyed 372 women and girls in April 2021. The quantitative surveys covered adult women and girls over the age of 15. It also provides insights into the differences between refugees, Internally Displaced People (IDPs), refugees, and migrants. Qualitative from focus group discussions and key informant interviews also reflects opinions from men and boys. Read More...

Gender Gaps in Vaccines November 2021

COVID-19 vaccinations are quickly becoming a story of inequality. Gender inequality is a critical part of this story. In 22 of 24 countries where CARE has data, women are less likely to be vaccinated and less likely to feel vaccines are safe.

There are massive local and global gaps in who can get vaccinated. Only 4.5% of people in low-income countries are vaccinated, and 79% of vaccinations have been in wealth countries. Tragically, wealth and geography are just two factors that skew access to vaccines. Another is gender. In many low and middle-income countries, women are less likely to get COVID-19 vaccines than men are. This compounds gender inequality women are already facing in health and decision-making Read More...

Who pays to deliver vaccines? An Analysis of World Bank Funding for COVID-19 Vaccination and Recovery

The World Bank is one key source of funding in the global push to vaccinate 70% of the world’s population against COVID-19. Many actors point to this as the funding that will cover any additional delivery needs for COVID-19 vaccines that national governments cannot meet. With $5.8 billion in funding already approved out of a $20 billion commitment, the World Bank funding is an important part of the picture, but the World Bank alone cannot cover the full gap in vaccine delivery needs.

Reviewing 60 funding agreements from the World Bank on COVID-19 vaccination and recovery shows the following insights.

• There is still a gap in delivery funding. The World Bank is currently funding $1.2 billion in vaccine delivery—10% of the total funding allocated for COVID-19 recovery. If that trend applies to the rest of the $20 billion commitment, World Bank funding will cover a between $2 and $4 billion—well below the $9 billion that ACT-A estimates as the lowest possible investment to vaccinate 70% of the world’s population. In contrast, $3.1 billion is going to purchase vaccines.
• Health workers remain underfunded. Only 15 of 60 agreements, just 25% detail provisions to pay health workers. Of those, 7 explicitly fund surge capacity, 3 provide for ongoing salaries, and 4 allow for hazard pay to health workers.
• Countries are taking on debt to rollout COVID-19 vaccinations. 86% of the funding in this analysis is in the form of loans. That gives countries debt that may weaken future pandemic preparedness rather than reinforcing health systems.
• All funders should adopt the World Bank’s commitments to investments in gender equality. 90% of the agreements in this analysis refer to gender inequality and many make corresponding investments—like requiring that 60% of vaccine leadership positions are women—to overcome these barriers. Earmarking exact funds going to advance gender equality would provide further transparency. Nevertheless, this consistent and concrete commitment is commendable, and all actors should strive to replicate it.
Read More...

Estudio sobre conocimientos, actitudes y prácticas sobre COVID-19 y diseño de estrategias metodológicas de información, educación y comunicación (IEC)

Este estudio se realizó en el marco del Proyecto Fortalecimiento de la Respuesta Sanitaria Local que tiene como objetivos: i) fortalecer las capacidades de respuesta organizada de los sistemas de salud locales y las comunidades/territorios del área de influencia operativa de Antamina frente a la emergencia COVID-19, priorizando a la familia y ser humano en su protección, cuidado y capacidad de contagio; y ii) acompañar el tránsito hacia una comunidad/territorio saludable que gestione un nuevo escenario post emergencia, protegiendo y promoviendo la salud de la población.
El objetivo específico del estudio fue conocer la situación actual con relación a los Conocimientos, Actitudes y Prácticas (CAP) frente a la COVID-19 y otros cuidados de la salud, de las familias, agentes comunitarios de salud y comités COVID-19 comunales y distritales, así como entender el nivel de organización y articulación de los servicios de sanitarios y las organizaciones de base o comunales. Para ello, se aplicaron tres instrumentos. En primer lugar, una encuesta CAP a familias, aplicada a 276 jefas/es de hogar de las cinco UGT. En segundo lugar, una encuesta en los establecimientos de salud de las cinco UGT, aplicada a 111 profesionales de la salud. En tercer lugar, entrevistas semiestructuradas aplicadas a 5 agentes comunitarias de la salud y a 5 profesionales de la salud de los establecimientos de las UGT. Read More...

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