COVID 19

AN ASSESSMENT OF THE GENDERED EFFECTS OF THE COVID-19 PANDEMIC ON HOUSEHOLDS

The Coronavirus Disease 2019 (COVID-19) is arguably one of the biggest pandemics to hit the world in recent times. It began in Wuhan, China and within a span of a few months took a toll on all the countries. A pandemic of such magnitude was witnessed when the 1918 flue pandemic started in Europe, spreading to United States of America, Asia and later to the rest of the world. Globally, the pandemic has affected the achievement of the Sustainable Development Goals (SDGs). Governments across the world, including Kenya, have taken up different containment measures including introduction of economic stimulus programs to cushion women and men, girls and boys and the economy at large, from the devastating effects of the pandemic. In Kenya, the pandemic and its associated containment measures resulted in unprecedented effects on the country’s economic and social outcomes such as Gross Domestic Product (GDP) and people’s well-being with a disproportionate burden falling on women and girls. This report analyses the gendered socio-economic effects of COVID-19 and provides policy recommendations that will guide responses, interventions and recovery plans for COVID-19 in Kenya. Specifically, the report assesses the effect of COVID-19 on: incomes including remittances; food security; education; unpaid care and domestic work; access to healthcare services; access to sexual and reproductive health services; access to social protection; access to water and sanitation services; gender-based violence (GBV) due to restrictions associated with COVID-19, and the prevention and response mechanisms. The analysis in this report is informed by primary data collected from a sample of 2,587 individuals from all the 47 counties in Kenya between 4th August and 8th September 2020 using Computer Assisted Telephonic Interviews (CATI). Due to the sensitivity of GBV information and the need to uphold the privacy of respondents in the survey, a separate SMS-based survey was conducted. Two questionnaires were administered to a sample of 2,482 individuals drawn across all the 47 counties in Kenya. The same individuals were interviewed at different times with the duration of each interview lasting not longer than 20 minutes. A total of 34 Key Informant Interviews (KIIs), that is 19 women and 15 men, were conducted from both State and non-State actors to complement and triangulate the findings from the individual/ household data while drawing more insights on the effects and recovery plans from the pandemic. Read More...

Gender Gaps in COVID 19 Vaccines

COVID-19 vaccinations are quickly becoming a story of inequality. Gender inequality is a critical part of this story. In 16 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 1 9 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...

CARE Rapid Gender Analysis North West Syria-Idleb

This Rapid Gender Analysis (RGA) provides information about the different needs, capacities and coping mechanisms of women, men, boys and girls living in Idleb Governorate. Idleb has long been a safe haven for hundreds of thousands of internally displaced people (IDP) since the early years of the Syrian conflict. The growing population of IDPs overstretched the already limited capacity of the governorate. Since 1 December 2019, almost one million people were forced to flee from their homes to escape from the violence and four out of five people who have been displaced are women, girls or boys.
1 Humanitarian workers in the field raised concerns over the effects of the current situation on women and children, due to displacement, crowded living conditions, the lack of privacy, exploitation, and other factors.
2 Women and girls are disproportionately affected by humanitarian crises due to the exacerbation of already existing gender inequalities and vulnerabilities. An inclusive, effective and successful humanitarian response should understand and address different needs, vulnerabilities, capacities and coping mechanisms of women, men, girls and boys.
For this purpose CARE conducted three Rapid Gender Analysis (RGA) in 2014, 2018 and 2019 in North West Syria. The fieldwork of the last RGA was completed in August 2019 and the report was finalized in December 2019. However, as the situation deteriorated after heavy airstrikes and shelling targeted Idleb in mid-December, CARE decided to conduct a new RGA to better understand and respond to the evolving crisis. The objectives of this RGA are to inform program activities and procedures, including how to better target women and girls in ways that are safe, equitable, and empowering within the local context and develop a set of actionable recommendations for the different sectors based on key findings. The RGA used a CARE RGA3 methodology. It included a household survey of 396 participants: 186 women and 210 men. Read More...

Endline Evaluation of Udaan II: Catching the Missed Opportunity

Udaan II “Catching the Missed Opportunity” Project, funded by OPEC, is one of the most important initiatives for girls’ education and economic prosperity. As an instrument to women and girls’ empowerment through transforming harmful social norms, building life skills and advocating related policy reforms; the Project was operated for 3 years (November 2017 to October 2020). The project was focused on out of school girls (10 to 14 year old) from marginalized and socially excluded communities and have never been to school or dropped out in their primary education for delivering an accelerated learning approach. This project was implemented by Care Nepal in Krishannagar Rural Municipality, Kapilvastu Municipality and Maharajgunj Rural Municipality of Kapilbastu district in cooperation with its local partner Siddhartha Social Development Centre (SSDC).

The objective of the evaluation study was to measure both, the intended and unintended outcomes and impact of the project against the targeted results.

The evaluation study followed both the qualitative and quantitative methods for data collection. The focus group discussion, in-depth interview, and key informant interviews were the methods for field data collection. The data collected were analyzed and presented in tables, figures, and themes. [58 pages] Read More...

COVID-19 Vaccination Uptake: A study of Knowledge, Attitudes and Practices of Marginalized Communities in Iraq

CARE Iraq conducted a study to better understand community acceptance of COVID-19 vaccination and existing barriers to vaccine uptake. The objectives of the study were to create an understanding of people’s knowledge, attitudes and perceptions about COVID-19 and the vaccines, establish what reasons undermine the COVID-19 vaccination campaign and inform about the status of vaccine uptake among marginalized communities. The results of the study can inform policy makers and health actors to design awareness campaigns and address barriers to vaccine uptake to increase the vaccination rate.

CARE found that:
• Vaccine hesitancy is high.
• Women have less access to, knowledge of, and willingness to accept the COVID-19 vaccine then men.
• Barriers to access are still high, and higher for women than for men.
• Fear of side effects is the biggest obstacle.
• There is little trust in the vaccination process.
• Many people do not believe vaccines are important.
• People are not confident they have enough accurate information.

Key recommendations
• Social media can be a primary channel for vaccine messaging.
• It’s critical to counteract misinformation.
• Multiple sources of information are critical.
• Focus messaging for women and religious leaders.
• Develop different messages in different areas.
• Build on people’s willingness to be convinced with good information. Read More...

Community Scorecard for COVID-19 Vaccines in Malawi

The significant amount of misinformation surrounding COVID-19 has deteriorated trust in governments and health systems, leading the World Health Organization to claim it as an “infodemic.” As the massive vaccine roll-out efforts launch, systematic trust-building and social accountability approaches are vital to ensure that civil society can hold governments accountable for equitable and people-centered vaccine roll-out that reaches the last mile. CARE knows that epidemics, like COVID-19 and Ebola, start and end with communities, which is why we are working to build meaningful citizen engagement into national vaccine roll-out frameworks to increase trust, accountability, and information dissemination.
CARE’s Community Score Card
The Community Score Card (CSC) was developed by CARE Malawi in 2002 and has been effectively used in a wide range of settings and sectors to ensure that public services are accountable to the people and communities they serve. CSC has demonstrated impact on power-shifting and improving service quality and trust building within and between communities and government actors. When COVID-19 arrived in Malawi during March 2020, CARE adapted CSC for remote use. The remote CSC includes an SMS platform and WhatsApp groups through which groups of men, women, youth, community and religious leaders, and service providers could voice their concerns and hesitancies about the vaccine and other health services. The CSC helped to identify major concerns around the vaccine and aided stakeholders in creating locally-driven solutions to combat vaccine hesitancy and misinformation.
Building on these early experiences, from May to June 2021, CARE further implemented a pilot project designed to support efficient and equitable COVID-19 vaccine roll-out in three locations in Malawi: Kandeu and Chigodi health facility catchment populations in Ntcheu district and the New Hope Clinic health facility catchment population in Ngolowindo in Salima district. In all three locations, key stakeholders included groups of women, men, youth, community leaders (chiefs and religious), district health management teams, and health personnel (including health surveillance staff, health facility staff in-charge, and the health center management committee). CARE Malawi’s CSC team led the implementation of the pilot with support from CARE USA and digital support from Kwantu. Read More...

COVID-19 Response in Tabora Tanzania (Bloomberg)

CARE Tanzania builds on its successful partnership with the Government of Tanzania’s Regional Health Management Team (RHMT) in Tabora Region. Leveraging funding from the Government of Canada as part of the Tabora
Maternal Newborn Health Initiative (TAMANI), CARE’s Bloomberg-funded COVID-19 activities builds on efforts to improve access of and quality of health services across health facilities and communities to challenge harmful gender norms.
In partnership with the Government of Tanzania, activities cover all 8 districts in Tabora Region. CARE provides technical support and training to Community Health Workers, who are supported by the government in their duties.With the onset of COVID-19, CARE Tanzania quickly implemented a digital survey to understand the impacts of COVID-19. The majority of female respondents reported increases in gender-based violence and harassment, with COVID-19 restricting women’s access to resources and decision-making. Read More...

Estudio de Base del Proyecto “MUJERES RESILIENTES: NUEVAS OPORTUNIDADES PARA SU REACTIVACIÓN ECONÓMICA E INCLUSIÓN FINANCIERA EN RESPUESTA AL IMPACTO DE LA CRISIS DEL COVID-19”

El presente estudio de base es elaborado con el objetivo de medir la situación inicial PROYECTO “MUJERES RESILIENTES: NUEVAS OPORTUNIDADES PARA SU REACTIVACIÓN ECONÓMICA E INCLUSIÓN FINANCIERA EN RESPUESTA AL IMPACTO DE LA CRISIS DEL COVID-19”, el cual viene siendo ejecutado por CARE Perú. Para el desarrollo del estudio se implementó una metodología predominantemente cuantitativa que emplea principalmente fuente y técnica de recojo de información de naturaleza cuantitativa. El ámbito geográfico del estudio de base comprende las zonas donde actualmente interviene el proyecto, las cuales involucra 38 distritos en los departamentos de Arequipa, La Libertad y Lima. Las principales variables analizadas se corresponden con el contexto local distrital en el que opera el proyecto, con características básicas del público objetivo (características personales de las beneficiarias, de sus hogares, acceso a servicios y afectación por el COVID-19), los cambios esperados por el proyecto como estrategia de intervención (capacidades técnicas, estrategias de mercado, servicios financieros) y la transversalización de género. Estas variables se analizaron en la población objetivo del proyecto. Los informantes que proporcionaron la información requerida para el estudio fueron principalmente las mujeres emprendedoras inscritas en el Proyecto. En este grupo de informantes se aplicaron 302 encuestas a mujeres emprendedoras y se complementó con siete entrevistas a funcionarios públicos de Municipios y Programas Públicos. Para el recojo de información, se diseñó un total de 3 formatos de recojo de información primaria, los cuales fueron aplicados durante los meses de mayo y junio del 2021, con algunas limitaciones propias de una aplicación por teléfono (llamadas no contestadas, servicios suspendidos, números equivocados) y otras referentes a la disponibilidad del informante (rechazo directo, falta de tiempo). [90 Pages]
Read More...

South Sudan: The True Cost of COVID-19 Vaccines

By July 18, South Sudan was able to administer the nearly all of the 60,000 doses of COVID-19 vaccine they had in stock through a series of smart investments in delivery, training, and social mobilization coordinated with several different partners. As new doses are projected to arrive in country in August, South Sudan continues to reinforce gaps in the health systems to make COVID-19 vaccinations possible without disrupting existing health services.

CARE’s estimated delivery costs from “tarmac to arm”1 for vaccines in these areas are $9.97 per dose of vaccine administered, or $22.22 per person fully vaccinated.

This is six times more expensive than current global estimate for delivery costs. For some actors providing vaccinations in South Sudan, the cost has been as high as $20 per dose administered when they include all costs. That’s because the health system in South Sudan is fragile, and it was already struggling to deliver even routine services. South Sudan is one of many health systems around the world that will need additional personnel, resources, and infrastructure to effectively deliver COVID-19 vaccines to at-risk populations, especially in hard-to-reach areas. The exact cost will continue to evolve as new vaccines arrive in country and the country vaccinates new groups of people. Read More...

GENDER AND COVID-19 VACCINES Listening to women-focused organizations in Asia and the Pacific

More than a year into the coronavirus pandemic, COVID-19 vaccines are being distributed across at least 176 countries, with over 1.7 billion doses administered worldwide. Combating the pandemic requires equitable distribution of safe and effective vaccines, however, women and girls are impacted by gaps both in the supply side and the demand side that hamper equitable distribution of the vaccine. Evidence reveals that 75 per cent of all vaccines have gone to just 10 countries, and only 0.3 per cent of doses have been administered in low-income countries. Very few of COVID-19 vaccines are going to those most vulnerable. The vaccine rollout in Asia and the Pacific has been relatively slow and staggered amid secondary waves of the virus. India, despite being the largest vaccine developer, has only vaccinated 3 per cent of the population and continues to battle a variant outbreak that, at its peak, was responsible for more than half of the world’s daily COVID-19 cases and set a record-breaking pace of about 400,000 cases per day.5However, the small Pacific nation of Nauru, reported a world record administering the first dose to 7,392 people, 108 per cent of the adult population within four weeks. Bhutan also set an example by vaccinating 93 per cent of its eligible population in less than two weeks. That success could be at risk, given the situation in India and the suspended export of vaccines. Read More...

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