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OCHA Policy Brief on Gendered Drivers, Risks and Impacts of Food Insecurity in the Sahel and the Horn of Africa

UN Office for the Coordination of Humanitarian Affairs (2023) CC

It is widely understood that the food insecurity crisis in the Sahel and the Horn of Africa is one of the world’s fastest growing and most neglected crises. It lacks sufficient global focus, resources and urgency. As in so many crises, women and girls are disproportionately affected and shoulder t...he consequences of protracted neglect, with unconscionable impacts on their safety, life chances and agency. Gaining a holistic view of the gendered drivers, risks and impacts of food insecurity in the Sahel and the Horn of Africa is difficult. This is due to a lack of data and prioritization, and the large geographical and socioeconomic terrain covered by both regions. However, what we do know about this crisis is more than enough to urgently address the needs of women and girls. An OCHA discussion paper on this topic (which will be published imminently, and from which this policy brief is drawn) found that there is: A strong risk of profound regression in gender equality gains made to date in the countries of concern, including on education, sexual and reproductive health, and the economic independence of women and girls (with knock-on effects on broader humanitarian and development outcomes). An increasing challenge to reverse what must be recognized as a protracted and growing gender-based violence (GBV) emergency in the Sahel and the Horn of Africa. The food insecurity crisis in the Sahel and the Horn of Africa is protracted, multidimensional and highly gendered, with spiralling impacts on gender equality and food security outcomes. It is driven by interwoven and overlapping factors, including climate change, political instability, conflict, socioeconomic conditions, migration and displacement and, more recently, COVID-19 and the war in Ukraine. Interlinked with these factors are gendered structural drivers of food insecurity, including deeply entrenched gender inequalities and harmful social norms. Gendered risks and impacts of food insecurity include alarming limitations on access to education, sexual and reproductive health rights, women’s agency and participation, and dramatic increases in different existing forms of GBV and the emergence of new ones. Recognition of such gendered dimensions of food insecurity and of the need for a multisectoral approach in the response is key to addressing the crisis, along-side sustained commitment and adequate allocation of resources. This policy brief draws out key findings from the OCHA discussion paper on this topic, which includes a desk review of studies, assessments and reports, and interviews with local women’s organizations on the front lines of the food insecurity crisis in communities across both regions. Below are the most pressing gendered drivers, risks and impacts of food insecurity (not in order of priority), as well as key gaps in the current humanitarian response to food insecurity, and recommendations to take forward. more

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Participación Infantil y Rendición de Cuentas en Save the Children Colombia

Save the Children (2010) CC

Una Colaboración en Investigación entre el Refugee Law Initiative y Save the Children La participación de las poblaciones afectadas y las metodologías participativas han surgido como una tendencia dominante en el discurso de la rendición de cuentas humanitaria de una amplia gama de organiz... more

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Operation and management of local health institutions to participate in capacity building. Participants Manual. (Nepali Version).

Ministry of Health and Population, Health service Department. Government of Nepal (2010) C1

-By the Government of Nepal, Ministry of population and Health, Health service department, National health training centre. Location: Teku, Kathmandu. Created in year 2010 (english) (2067 Nepalese)

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Social and behavior change communication in the fight against malaria in Mozambique

Harrison Arroz, J Revista de Saúde Pública (2015) CC

Long-lasting insecticide-treated nets and/or indoor residual spraying, associated with case management, are key interventions in the control of malaria in Africa. The objective of this study is to comment on the role of social and behavior change communication as a potential key intervention in t... more

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Rwanda Health Facility Assessment Core Questionnaire

USAID; Maternal and Child Survival Program (2014) CC

Service Availability and Readiness Assessment Tool

External Link

iSupport, an online training and support program for caregivers of people with dementia: study protocol for a randomized controlled trial in India

Mehta, M.K.; et al. (2018) CC

Trials (2018) 19:271 https://doi.org/10.1186/s13063-018-2604-9 Based on the findings of this trial, we will examine the potential use and scale up of iSupport for caregiver distress in India. This style of online self-help programs could be expanded to other regions or countries or to other suitabl... more

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India: What Globalization does to People’s Health!

National Coordination Committee, Jan Swasthya Sabha (2000) C1

Towards the Peoples Health Assembly Book -1

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Working with Individuals, Families and Communities to Improve Maternal and Newborn Health. Module 1

World Health Organization WHO; PAHO Pan American Health Organization, Enfant du Monde (2017) C_WHO

A Toolkit for Implementation. Module 1: An Overview of Implementation at National, Province and District Levels

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Working with Individuals, Families and Communities to Improve Maternal and Newborn Health. Module 2

World Health Organization WHO; PAHO Pan American Health Organization, Enfant du Monde (2017) C_WHO

A Toolkit for Implementation. Module 2: Facilitator’s guide to the orientation workshop on the IFC framework;

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Etude Des Interactions Entre Les Differents Acteurs Des Interventions Sous Directives Communautaires Et Changements Obtenus Au Benin Et Au Togo

Malou Adom P. V.1, Makoutode Ch. P.2, Gnaro T.3, Ouro-Koura A.-R.4, Ouendo E. M.5, Napo-Koura G.6, Makoutode M.7 J. Rech. Sci. Univ. Lomé (Togo), Centre de Formation en Santé Publique (2016) C2

Introduction : Pour la mise en oeuvre des interventions sous directives communautaires, les Etats ont retenu le profil des agents de santé communautaire de même et le rôle et responsabilité que chaque acteur doit jouer. L’objectif du présent travail est d’étudier les interactions entre ... more

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Namibia: Training of Trainers Manual on School Health

Ministry of Health and Social Services (MOHSS) & Ministry of Education, Arts and Culture (MOEAC) (2015) C1

External Link

The role of health extension workers in improving utilization of maternal health services in rural areas in Ethiopia: a cross sectional study

A. Medhanyie, M. Spigt, Y. Kifle, et al. (2012) CC

BMC Health Services Research 2012, 12:352 http://www.biomedcentral.com/1472-6963/12/352

External Link

Six I’s HIV/TB Communication and Advocacy Toolkit

AIDS and Rights Alliance for Southern Africa (ARASA) (2017) CC

Please download the complete toolkit directly from the website (large size: 24 MB)

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Wheelchair Service Training Package - Reference Manual for Participants (Basic level)

World Health Organization; USAID; Leadership Managemtn & Governance project (2013) C_WHO

The main purpose of the training package is to develop the minimum skills and knowledge required by personnel involved in wheelchair service delivery. An important aim of the training package is to get it integrated into the regular paramedical/rehabilitation training programs such as physiotherapy,... more

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Village Health Team. Guide for Training the Trainers of Village Health Teams

Ministry of Health, Uganda (2015) C1

Accessed 13 Febr 2015

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Uganda: VHT-Book

Ministry of Health, Republic of Uganda (2009) C1

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Rehabilitación basada en la comunidad: guías para la RBC - Folleto Introducción

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, et al. World Health Organization WHO (2012) C_WHO

Guía para la rehabilitación basada en la comunidad (RBC) En el 2003, una Consulta Internacional para Revisar a Rehabilitación Basada en la Comunidad, celebrada en Helsinki, hizo un número de recomendaciones. Seguidamente, la rehabilitación basada en la comunidad se volvió a posicionar con una... more

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Primary Health Care Sysems (PRIMASYS). Case study from Ethiopia

Alliance for Health Policy and System Research; World Health Organization WHO (2017) C_WHO

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Power to the People

UNAIDS (2019) C_WHO

The report shows that where people and communities living with and affected by HIV are engaged in decision-making and HIV service delivery, new infections decline and more people living with HIV gain access to treatment. When people have the power to choose, to know, to thrive, to demand and to work... more

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Link Worker Scheme Operational Guidelines

National AIDS Control Organisation, Ministry of Health & Family Welfare , Government of India, (2009) C1