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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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Perinatal mortality audit: North Macedonia 2019

World Health Organization WHO (2021) C_WHO

The purpose of the review was to assign a cause of death, to ascertain the fac-tors that contributed to the death and to identify any systemic issues that could be addressed to prevent future similar deaths. The perinatal mortality audit process in 2019 provided important insights and evidence-based... more

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An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

Thomas, L.S., E. Buch and Y. Pillay Human Resources for Health (2021) C1

Community health worker teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage? As the proactive arm of the health services, community health workers teams provide ho... more

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SGBV response, risk mitigation and prevention in humanitarian crises: A synthesis of findings from evaluations of UNHCR operations 2019

UN High Commissioner for Refugees UNHCR (2019) C1

The synthesis looked across the evaluations and reviews as mentioned above to draw lessons and conclusions across the different contexts. The synthesis aims to identify: recurrent issues, patterns and trends, and promising initiatives and lessons learned from existing programming including main... more

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Tajikistan - Demographic and Health Survey 2017

Republic of Tajikistan; USAID; Unicef; UNFPA; TAJSTAN (2018) C2

Statistical Agency under the President of the Republic of Tajikistan Dushanbe, Republic of Tajikistan Ministry of Health and Social Protection of Population of the Republic of Tajikistan Dushanbe, Republic of Tajikistan The DHS Program ICF Rockville, Maryland, USA

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Towards One Health preparedness: expert consultation 11–12 December 2017

European Centre for Disease Prevention and Control ECDC (2018) CC

Climate change, increasing population densities, and intensified globalisation in trade, travel and migration are among the most important factors shaping the 21st century. Each impacts upon population health and the risk of infectious disease, particularly those originating at the human-animal-envi... more

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Uptake of HIV testing in Burkina Faso: an assessment of individual and community level determinants

Kirakoya-Samadoulougou F., K. Jean, M. Maheu-Giroux BMC Public Health (2017) C2

Previous studies have highlighted a range of individual determinants associated with HIV testing but few have assessed the role of contextual factors. The objective of this paper is to examine the influence of both individual and community-level determinants of HIV testing uptake in Burkina Faso.

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Charter on Inclusion of Persons with Disabilities in Humanitarian Action
recommended

United Nations (UN) (2016) C2

This Charter on Inclusion of Persons with Disabilities in Humanitarian Action has been developed in advance of the World Humanitarian Summit (23 and 24 May 2016, Istanbul) by over 70 stakeholders from States, UN agencies, the international civil society community and global, regional and national or... more

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Noncommunicable diseases risk behaviours among adults in the South-East Asia Region: Findings from STEPS and GATS

World Health Organization (WHO), Regional Office for South-East-Asia (2016) C_WHO

The publication conveys the most recent quantitative surveillance results focusing on noncommunicable disease (NCDs)-related risk behaviours among adults from the WHO STEPwise approach to NCD risk factor surveillance (STEPS) and tobacco use among adults from the Global Adult Tobacco Survey (GATS) in... more

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Neonatal resuscitation – Understanding challenges & identifying a strategy for implementation in Nepal

Ashish, K.C. Uppsala Universitet (2016) C2

Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine | The aim of this study was to explore the risk factors for stillbirth and neonatal death and change in perinatal outcomes after the introduction of helping Babies Breathe Quality Improvement Cycle in Nepal.

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The Child Safeguarding Policy of CBM

Christoffel-Blindenmission (CBM) (2014)

CBM’s Child Safeguarding Policy is based on the UN Convention on the Rights of the Child, 1989 (and its optional protocols); the national child protection legislation of Germany as well as that of the CBM program countries and the Keeping Children Safe Standards. This policy has been created beca... more

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Stop bombing civilians: An advocacy guide on explosive weapons in populated areas

International Network on Explosive Weapons (INEW) (2012) C1

This guide has been produced by the International Network on Explosive Weapons (INEW) to introduce the humanitarian advocacy agenda on the use of explosive weapons in populated areas and to provide ideas for actions at the national level. It is aimed primarily at NGOs and campaigners worki... more

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The World Health Report 2008: Primary Health Care - Now more than ever

World Health Organization (2008) C_WHO

Primary care - Putting people first: This chapter describes how primary care brings promotion and prevention, cure and care together in a safe, effective and socially productive way at the interface between the population and the health system.

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Handbook on War and Public Health

Pierre Perrin ICRC (1996) C1

A manual intended for medical and other personnel responsible for humanitarian activities in armed conflicts. It covers the following topics: setting up a health-care system that meets the essential needs of war victims, particularly of displaced persons; public health tools most frequently used for... more

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Sahel Crisis 2020: Responding to the urgent needs of refugees, internally displaced, returnees and others of concern (June 2020)

UN High Commissioner for Refugees UNHCR (2020) CC

he central Sahel region—Burkina Faso, Mali and Niger—is facing a severe humanitarian and protection crisis. Massive displacement, most of it driven by intense and largely indiscriminate violence perpetrated by a range of armed actors against civilian populations, is taking place across the regi... more

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Gender in Humanitarian Action Brief No. 5. Rohingya Refugee Crisis Response - Cox’s Bazar, Bangladesh (July 2018)

Inter Sector Coordination Group (ISCG) (2018) C1

UNHCR and its partners implement interventions focusing on adolescent girls and boys, including:
▪ Formation and capacity building of adolescent girls and boys’ clubs as peer groups for awareness raising, and SGBV prevention and response mechanisms.
▪ Community based protection activ... more

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Return Counselling of Children and Their Families

International Organization for Migration IOM (2022) CC

The Return Counselling Toolkit is a capacity-building instrument aimed at providing a harmonized and coherent approach to return counselling, based on key migrant-centred principles while protecting migrants’ rights. Mindful of the specific needs and rights pertaining to children, this additional ... more

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Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019

GBD2019 Dementia Forecasting Coolaborators (2022) CC

Lancet Public health 2022 January 6, 2022 https://doi.org/10.1016/ S2468-2667(21)00249-8 Growth in the number of individuals living with dementia underscores the need for public health planning efforts and policy to address the needs of this group. Country-level estimates can be used to inform nati... more

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Linking Disaster Risk Reduction (DRR) and Mental Health and Psychosocial Support (MHPSS) - Practical tools, approaches and case studies

World Health Organization (WHO) and InterAgency Standing Committee (IASC), Save the Children, et al. (2021) C_WHO

Technical Note Recently, the approach to hazardous events has undergone a considerable shift, away from reactive activities focused on managing and responding to events and towards a more proactive process of emergency and disaster risk management (DRM). The ultimate goal of this shift in focus is ... more

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The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health

Vaduganathan, M.; Mensah, G.A.; Turco, J.V. et al. Journal of the American College of Cardiology (2022) CC

Cardiovascular diseases (CVDs) have collectively remained the leading causes of death worldwide and substantially contribute to loss of health and excess health system costs. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study has tracked trends in death and disability since 1990 a... more

Charter on Inclusion of Persons with Disabilities in Humanitarian Action recommended

Charter on Inclusion of Persons with Disabilities in Humanitarian Action
recommended