Emergency|Humanitarian Aid

Our Best Shot: Frontline Health Workers and COVID-19 Vaccines

Fully realizing the social and economic benefits of halting COVID-19 requires investing in a fast and fair global rollout of COVID-19 vaccines. CARE estimates that for every $1 a country or donor government invests in vaccine doses, they need to invest $5.00 in delivering the vaccine.

Investments in frontline health workers are a critical component in this comprehensive vaccination cost. Of the $5.00 in delivery costs, $2.50 has to go to funding, training, equipping, and supporting health workers—especially women—who administer vaccines, run education campaigns, connect communities to health services, and build the trust required for patients to get vaccines. For these investments to work, they must pay, protect and respect women frontline health workers and their rights—a cost that is largely absent from recent WHO estimates on vaccine rollout costs. No current global conversations or guidance on vaccine costs includes the full cost of community health workers or long-term personnel costs.

Investing in a fast and fair global vaccine distribution will save twice as many lives as maximizing vaccine doses for the wealthiest countries in the world. Even better, investing in vaccine equality will speed up economic recoveries in every country in the world. For every $1 invested in vaccines in less wealthy countries, wealthy countries will see $4.80 of economic benefit because economies can fully re-open sooner. Failing to make this investment could cost wealthy economies $4.5 trillion in economic losses.

Current global debates are focused so narrowly on equitable access to for vaccine doses that they largely overlook the importance of delivering vaccines—and the key role women frontline health workers play in vaccine delivery. Of 58 global policy statements on vaccines, only 10 refer to the costs of delivery at all—and these are primarily technical advisories from the World Health Organization. No government donors are discussing the importance of vaccine delivery systems that are necessary to ending COVID-19. Only one statement—from Norway—refers to the importance of women health workers as part of the solution to ending COVID-19.

As new and dangerous strains of COVID-19 emerge in countries that are struggling to access the vaccine and control the pandemic, every day we wait for fair global vaccination allows for more contagious strains that spread around the world. The more chances the virus has to mutate in non-vaccinated populations, the higher the risk for everyone. Comprehensive global vaccine delivery plans that make sure the vaccine gets to people who need it—and that those people are ready to get the vaccine when it arrives—are the only way to end this threat. No one is safe until everyone is safe.
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Gender, Disability and Inclusion Analysis for COVID-19 and Tropical Cyclone Harold

When Tropical Cyclone Harold hit on the 2nd April, the Solomon Islands was among the first countries forced to grapple with the complex intersection of COVID-19 and disaster. While the country has managed to contain the spread of COVID-19 and prevent community transmission to date, the pandemic is still having a major impact on everyday life for men, women, boys and girls. Lock-down measures, the abrupt cessation of tourism, severe disruptions to international trade and other flow-on effects of the global pandemic (combined with the effects of TC Harold and pre-existing vulnerabilities) are resulting in widespread income and job losses, heightened stress and tension, increased family violence, displacement, and disrupted access to education, health, and water and sanitation.
If community transmission of COVID-19 occurs, there will be a public health crisis with complex contextual challenges. These include a population dispersed across isolated islands and limited resources, including limited access to quality health services.
The current COVID-19 impacts are disproportionately affecting women, girls and people with disabilities in the Solomon Islands, and this will be exacerbated in the case of a wider COVID-19 outbreak. All humanitarian programming must consider gender roles and responsibilities and the existing patterns of community participation and leadership, in order to ‘do no harm’ and help facilitate a gender and disability inclusive approach to COVID-19 prevention and recovery.

This gender, disability and inclusion analysis has the following objectives:
* To analyse and understand the different impacts that COVID-19 and TC Harold is having on women, men, girls, boys, people living with disabilities and other vulnerable groups in the Solomon Islands;
* To inform humanitarian programming in the Solomon Islands based on the different needs of women, men, boys, girls and people living with disabilities with a particular focus on gender-based violence (GBV) and livelihoods. Read More...

Papua New Guinea COVID-19 RGA

The impacts – direct and indirect – of the COVID-19 pandemic fall disproportionately on the most vulnerable and marginalized groups in society. PNG presents a range of contextual challenges, including difficult geography. Access to quality health services is limited, due to a lack of infrastructure, equipment, and qualified personnel3. Services are easily stretched or overwhelmed, and provision of specialised services and intensive care is limited. In the current situation, this can pose a problem of access to care if the number of infected people increases4. Coupled with gender inequality, which remains pervasive across the Pacific, in particular in the critical domains of leadership and decision making, access to and control of resources and gender-based violence5, the public health response to COVID-19 can become immeasurably more complex. Read More...

DEC Indonesia Tsunami Appeal Phase I & Phase II Final Evaluation Report

Yayasan CARE Peduli (YCP) has been implementing a 25-month program of DEC-funded Indonesia Tsunami Appeal Phase I and Phase II, running from 1 October 2018 through 31 October 2020. The project aims to help secure livelihoods recovery for the most vulnerable households in Central Sulawesi who were affected by the major earthquake and tsunami in 2018.
In DEC Phase 1, the emergency response was delivered in the sector of WASH and Shelter to support the disaster-affected people. In DEC Phase 2, the recovery period focused in WASH and livelihood programs, particularly for female-headed households. In both phases, YCP was working in collaboration with PKPU/ HI, as local implementing partner. Overall, the DEC provided supports with the amount of about USD 1 million for 25-months project period and reached to more than 28,000 people.
This evaluation is to provide a comprehensive analysis of the project’s achievements, lessons learned, and recommendations for future actions for similar project within YCP. The evaluation focused on research questions that assess criteria in Core Humanitarian Standards: Appropriateness & relevance; Effectiveness; Timeliness; Strengthening of local actors; Communication, participation and feedback; Coordination with and complementarity to other actors; Continuous learning and improvements; Support for staff; and Management of resources, as well as assessing cross cutting Issues, consists of: Gender sensitivity; Social inclusion and; Accountability.
This report is 54 pages long. Read More...

Multiagency and Multisectoral Rapid Need Assessment in Raya Kobo, Raya Alamata, Raya Azebo, Chercher, Wajirat and Ofla Woredas of North Wollo and South Tigray Zones

2020 was ascribed as a record year of disasters by the local communities in the locations covered by this assessment; Raya Kobo, Raya Alamata, Raya Azebo, Raya Chercher, Wajirat and Ofla woredas in North Wollo and South Tigray. The multiple, complex and frequent hazards have proved relentless; COVID 19, Desert Locusts and conflict have exhausted the coping capacity and challenged the resilience of the local communities.
The Tigray conflict erupted at the backdrop of the devastating impact of COVID- 19 and locust infestation crisis. To make the matter worse, the conflict erupted in the middle of the harvest season, effectively halting attempts to gather the remains of already depleted crops. The longer- term effects of, which will impact communities for years to come.
Since there was already an influx of IDPs from the 2017 ethnic conflicts around the country, the region experienced in hosting IDP, but on this occasion, the numbers of incoming families have doubled and, in some cases, trebled, according to reports from the local Woreda authorities responsible for registering such movement. Thus, these two zones are under protracted and complex crisis that have rocked the livelihood base of the communities and put their lives into a very precarious situation.

Objectives of the Assessment
a) Assessing the current humanitarian situation and identify response requirements and preferences1 for IDPs as well as host community members with humanitarian support needs
b) Understand the response capacity and preparedness of partners operating in Amhara and Tigray and to act in a complementary manner to rescue the lives and livelihoods of the
communities and IDPs,
c) To be ready for humanitarian support in line with humanitarian principles and NGOs code of conduct, and
d) Understand current humanitarian concerns of the targeted areas in both regional states
(Amhara and Tigray) and act to raise these concerns with potential benevolent donors within the country and overseas, to generate funds

This report is 43 pages long. Read More...

Multiagency and Multisectoral Rapid Need Assessment in North Gondar and West Tigray Zones Among Conflict Affected IDPs and Host Communities

In its report released a couple of weeks ago, UN urged donor partners and friends of Ethiopia for urgent mobilization of additional resources to address potential new needs as a result of the fighting for the law enforcement, as well as existing needs previously identified in the Humanitarian Response Plan. There are more than 2 million people in need of some type of assistance in Tigray region and thousands of people fleeing from Tigray region to Amhara and Afar regions, having lost everything in the conflict.
As a result of this situation, six international humanitarian agencies including World Vision Ethiopia, CARE, Catholic Relief Service, ActionAid Ethiopia, Oxfam Ethiopia and ORDA agreed to collaborate and carry out joint rapid assessment in most affected woredas of Tigray region and influx affected neighboring woredas of Amhara region. The assessment was organized and carried out in two teams. Team one following the North Wollo and South West Tigray Route (Raya Kobo, Alamata, Raya Azebo and Ofla) and team two following the North Gondar and West Tigray Route (Addi Arikay, Beyada, Janamora and Tselimti). Accordingly, the mission teams have started the assessment on 23rd Dec. 2020 through 3rd Jan 2021. This report is an analysis of the assessment process and findings of team two. This report is 26 pages long. Read More...

CARE Rapid Gender Analysis (RGA) Mopti Mali April 2020

The ongoing crisis in Mali has led to levels of socioeconomic disruption and displacement at an unprecedented scale. There are numerous factors that contribute to aggravate/worsen the situation - political crises, decades of drought, structural food insecurity, climate change, high rates of poverty, and high rates of youth unemployment. In many areas traditional livelihoods have been usurped by political conflict or by drought, causing extremely high rates of displacement and food insecurity. Since 2017 there have been significant increases in violent attacks and rates of displacement, and the crisis continues to grow in scope and scale into 2020 (OCHA 2020).
The first few months of 2020 saw escalating violence and conflict, leading to a sharp rise in internal displacements, the continued disruption of markets, and a deterioration in the supply of basic social services. The results from the recent food and nutrition security analysis (Cadre Harmonisé, November 2019) indicate that from October to December 2019, 648,330 people are estimated to be food insecure – representing an increase of 250 percent compared to the same time last year (WFP 2020).
Mali is a highly patriarchal society, with institutionalized gender inequality that marginalizes women. The effects of the crisis have not affected all equally, and there is significant evidence that there are significant differences, with the resources, rights, and afforded to women, men, boys, girls, and other groups of individuals, requiring different coping strategies. High levels of diversity in ethnicity, socioeconomic status, and circumstance within communities bring about important intersections between power and vulnerability that further prioritize and marginalize certain individuals. As the crisis in Mali continues to rapidly evolve, it is critical to ensure that humanitarian interventions are designed to respond to the needs of women, men, boys, girls, people with disabilities, and other vulnerable groups.
To better understand the experiences of women, men, boys within this highly dynamic and rapidly evolving crisis, CARE Mali conducted a Rapid Gender Analysis in March 2020, with the objective of analysing and understanding how the insecurity and conflict in the Mopti region has influenced women, men, girls, boys, people with disabilities, and other specific groups; as well as to identify and propose solutions to limitations women face to full participation in decision making; and to provide practical advice to decision-making to improve gender integration in humanitarian response programming and planning. Of key importance was the generation of recommendations to the Harande program, a USAID Food for Peace program being led by CARE and implemented in the Mopti region from 2015-2020. Read More...

Real-Time Evaluation Asia-Pacific Regional COVID-19 Task Force

The Asia-Pacific Regional COVID-19 task force (RTF) was set-up in April 2020 as part of CARE’s global corporate emergency protocols. The intention of the RTF was to coordinate support across the CARE membership to contribute to effective pandemic response actions at the country level, as well as appropriate support and guidance for staff at all levels.
The official remit of the RTF that was agreed upon by the membership was to support: 1) COVID-19 humanitarian response; 2) clear, consolidated and contextualized programming guidance for COs, CMPs, affiliates and candidates; 3) communications for brand coherence & higher influence; d) information management; 4) COVID-19 specific regional advocacy; 5) consolidating program and response learning; 6) making resources on COVID programming available for external partners; 7) coordinating technical support; 8) linking to the global task team.
Now, six months into the response, the RTF has established a real-time evaluation to draw out learnings and understand how effective a role it has played in reaching its stated objectives. This RTE is intended to be a light, “good enough” review of the AP COVID-19 Task Force’s (henceforth referred to as RTF) performance since its inception.
The expectation is that learning from this evaluation will inform decision-making around possible continuation of the RTF, and also shed light on any adaptations to the remit, configuration or ways of working of the grouping that are required. Read More...

SOMALI RELIEF AND RECOVERY PROGRAM (SSRP) Final Evaluation

The Somalia Relief and Recovery Project-SRRP main goal was to address the most urgent and basic needs of drought affected communities in Bari, Galgaduud, Lower Juba, Mudug, Sanaag, Hiraan, and Sool regions that have been severely affected by the recurrent drought crisis. In particular, the project aimed to improve access to safe water and hygiene to drought-affected communities, provide temporary employment opportunities, and delivered treatment services for acutely malnourished children and pregnant and lactating women, provide basic health services, and protection services. The project also aimed at improving coordination through Somalia NGO consortium to concert and coordinate efforts to adequately address the recurrent humanitarian challenges in Somalia. [66 pages]. Read More...

Beyond Economic Empowerment The Influence of Savings Groups on Women’s Public Participation in Fragile and (post) Conflict-Affected Settings Every Voice Counts

Women’s meaningful participation and influence in public processes in fragile and (post) conflict-affected settings (FCAS) is not only necessary to achieve inclusive development but is a fundamental human right. Unfortunately, in most contexts, men are overrepresented in decision-making and women do not have equal voice in the decisions that affect their lives. Some evidence suggests that the economic empowerment of women opens up opportunities for them to participate in public decision-making processes. One such means for economic empowerment in FCAS is savings groups. Savings groups are small, community-based groups that can provide members a safe space to save money, take small loans, and make investment decisions. Globally, women have made advances in improving their income and access to savings, as well as increased their entrepreneurial endeavours as a result of their participation in savings groups. Research also shows that women’s participation in savings groups improves their confidence, skills, and ability to influence household decision-making. This prompts the question: do these benefits of women’s participation in savings groups extend into the public sphere? In other words, does women’s participation in savings groups influence their public participation1 and decision-making? Through a mixed methods investigation across five countries (18 villages) in Africa and South Asia (Burundi, Mali, Niger, Pakistan, and Sudan), using CARE’s Gender Empowerment Framework, this research investigated the differences in outcomes between women who participate in savings groups under three CARE programmes: Every Voice Counts (EVC), Women on the Move (WoM), and Latter Day Saints Charities (LDS) Recovery Support for Vulnerable Households programmes [74 pages]. Read More...

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