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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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Training community healthcare workers on the use of information and communication technologies: a randomised controlled trial of traditional versus blended learning in Malawi, Africa

Nikolaos Mastellos, Tammy Tran, Kanika Dharmayat et al. BMC Medical Education (2018) CC

Despite the increasing uptake of information and communication technologies (ICT) within healthcare services across developing countries, community healthcare workers (CHWs) have limited knowledge to fully utilise computerised clinical systems and mobile apps. The ‘Introduction to Information and ... more

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Overview of rabies post-exposure prophylaxis access, procurement and distribution in selected countries in Asia and Africa, 2017–2018

Sreenivasan, N.; Li, A.; Shiferaw, M. et al. Science Direct (2019) CC

Rabies is a neglected zoonotic disease with a global burden of approximately 59,000 human deaths a year. Once clinical symptoms appear, rabies is almost invariably fatal; however, with timely and appropriate post-exposure prophylaxis (PEP) consisting of wound washing, vaccine, and in some cases rabi... more

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Building Research and Development Capacity for Neglected Tropical Diseases Impacting Leishmaniasis in the Middle East and North Africa: A Case Study

Rafati, S.; Kamhawi, S.; Valentuela, J.; Ghanei, M. PLoS Neglected Tropical diseases (2015) CC

There is an urgent need to build Research and Development (R&D) capacity for leishmaniasis and other neglected tropical diseases (NTDs) in the Middle East and North Africa. The neglected tropical diseases are a group of 17 viral, bacterial, protozoan, and helminthic infections that often have high m... more

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The impact of Covid-19 on HIV, TB and Malaria Services and Systems for Health: a Snapshot from 502 health facilities across Africa and Asia

The Global Fund (2021) CC

In 2020, the COVID-19 pandemic impacted the world beyond imagination. To date, it has infected more than 135 million people, killed over 2.9 million people, and is projected to plunge up to 115 million people into extreme poverty.1 As countries have gone into lockdown, gender-based violence has incr... more

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The impact of COVID-19 on refugees and migrants on the move in North and West Africa

Mixed Migration Centre (2021) CC

MMC Briefing Paper, February 2021

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Technologies of trust in epidemic response: openness, reflexivity and accountability during the 2014–2016 Ebola outbreak in West Africa

Molly J Ryan, Tamara Giles-Vernick, Janice E Graham British Medical Journal (2019) CC

BMJ Glob Health 2019;4:e001272. doi:10.1136/bmjgh-2018-001272 Trust is an essential component of successful cooperative endeavours. The global health response to the 2014–2016 West Africa Ebola outbreak confronted historically tenuous regional relationships of trust. Challenging sociopolitical co... more

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Target Product Profile for Zaïre ebolavirus rapid, simple test to be used in the control of the Ebola outbreak in West Africa

World Health Organization (2014) CC3

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The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

Hanne M. Norseth1,2, Patricia D. Ndhlovu3, Elisabeth Kleppa, et al. (2014) CC

Plos Neglected Tropical Diseases 8(11): e3229 (20 November 2014)

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Promouvoir des Soins de Proximité en Afrique : L'exemple de la Médecine Générale Communautaire au Bénin; Promotion of community-based care in Africa: example of community general practice in Benin

Roland Caplain, Ismaïl Yacoubou, Didier Adedemy, Alidou Sani, Sandrine Takam, Dominique Desplat Cairn Info (2014) C2

Des efforts considérables ont été menés pour apporter aux populations rurales du continent africain des soins de base. Mais la qualité de ces soins reste aujourd’hui peu satisfaisante car le médecin généraliste est le plus souvent absent en première ligne. Cette situation est paradoxa... more

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Assessment of HIV testing services and antiretroviral therapy service disruptions in the context of COVID-19: lessons learned and way forward in sub-Saharan Africa

Maman, D.; et al., World Health Organization WHO (2021) CC

The COVID-19 pandemic arrived in an evolving epidemiological context where some countries are experiencing a progressive decrease in HIV positivity in their testing programme as they are moving closer to the first 95 target. Distinguishing changes in HIV testing services due to the COVID-19 pandemic... more

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Africa’s digital solutions to tackle COVID-19

European Investment Bank EIB and UN Development Programme UNDP (2020) CC

It highlights how proven digital innovation can be replicated to curb the spread of COVID-19 in Africa. It also estimates investment required to implement such high impact solutions.

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South Africa’s capacity to conduct antimicrobial stewardship

Chetty, S. Southern African Journal of Infectious Diseases (2021) CC

Antimicrobial resistance (AMR) as a serious public health threat was globally acknowledged by WHO in 2015, through the launch of the Global Action Plan (GAP). With a limited number of new antibiotics in the developmental pipeline, many countries are in the process of establishing strategies for anti... more

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Contributions of WHO to South Africa’s health agenda: evaluation of the Country Cooperation Strategy 2016-2020: abridged version

World Health Organization WHO (2022) C_WHO

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Let our Actions Count. South Africa's National Strategic Plan on HIV, TB and STIs 2017-2022.
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South African National AIDS Council, et al. (2017) C1

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Let our Actions Count. South Africa's National Strategic Plan on HIV, TB and STIs 2017-2022. Summary

South African National AIDS Council (2017) C1

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Integrating mental health into South Africa’s health system: current status and way forward

Schneider, M.; E. Baron, E. Breuer, et al. (2016) CC

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“Complicit in Exclusion” South Africa’s Failure to Guarantee an Inclusive Education for Children with Disabilities

Human Rights Watch (2015) C2

This report from Human Rights Watch found that South Africa has failed to guarantee the right to education for many of the country’s children and young adults due to widespread discrimination against children with disabilities in enrollment decisions. Human Rights Watch research in five out of Sou... more

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South Africa’s protracted struggle for equal distribution and equitable access – still not there

Hendrik CJ van Rensburg (2014) CC

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Return of the Rebel: Legacies of War and Reconstruction in West Africa’s Ebola Epidemic

Lind, J. and Ndebe, J. IDS (2015)

Practice Paper in Brief 19

Let our Actions Count. South Africa's National Strategic Plan on HIV, TB and STIs 2017-2022. recommended

Let our Actions Count. South Africa's National Strategic Plan on HIV, TB and STIs 2017-2022.
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