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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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Improving Cultural Competence - QUICK GUIDE FOR CLINICIANS

SAMSHA (2016) C1

Treatment Improvement Protocol (TIP) Series No. 59 This Quick Guide is based entirely on information contained in TIP 59, published in 2014. No additional research has been conducted to update this topic since publication of TIP 59. | This Quick Guide provides succinct, easily accessible informatio... more

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No Peace of Mind

World Vision (2022) C1

Children’s mental health is top concern for Ukrainian parents, new World Vision report finds; Studies show 22 per cent of people in conflict zones suffer mental disorders; Prevention programs must be urgently prioritised

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Adherence among chaos: Exploring how control and relationships influence adherence to HIV medication

M. Lefebvre; M. Mayan; C. Hughes; et al. Cogent Medicine; Taylor Francis Online (2018) C2

Public Health & Primary Care / Research Article Cogent Medicine (2018), 5: 1430197 Lefebvre et al., Cogent Medicine (2018), 5: 1430197 https://doi.org/10.1080/2331205X.2018.1430197

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CARE Rapid Gender Analysis. Latin America & Caribbean: Venezuelan Migrants & Refugees in Colombia

Anushka Kalyanpur CARE (2019) CC

This Rapid Gender Analysis provides preliminary information and observations on the different needs, capacities and coping strategies of Venezuelan migrant and refugee women, men, boys, and girls in Colombia. It seeks to understand how gender roles and relations have changed as a result of the crisi... more

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Infographic: COVID-19 contact tracing

European Centers for Disease Control and Prevention ECDC (2020) C_CDC

Contact tracing is a core public health response to COVID-19.Other measures include active case finding or physical distancing. In order to trace a contact, we first need to define what a ‘contact’ is.

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Ophthalmic nurses: meeting the need for human resources to end trachoma

International Coaltion for Trachoma Control (2020) CC

COMMUNITY EYE HEALTH JOURNAL | VOLUME 33 | NUMBER 110 | 2020

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The impact of COVID-19 on indigenous peoples in Latin America (Abya Yala): between invisibility and collective resistance

United Nations publication (2021) C2

The health and socioeconomic crisis triggered by the COVID-19 pandemic has hit the countries of Latin America hard and laid bare the profound inequities about which numerous international, regional and national reports have sounded warnings in recent decades. In this context, the historical politica... more

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Public perceptions of intellectual disability in a shantytown community in Lima, Peru

M.S. O’Shea, J. M.Girón, L. Cabrera, et al. (2012) CC

Int Health. 2012 December 1; 4(4): 253–259. doi:10.1016/j.inhe.2012.07.001

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Girls' Education and Family Planning

MEASURE DHS (2013) C2

Data from the 2011 Ethiopia Demographic and Health Survey

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The Premium Counselling Relationship Manual

N. Chowdhary, H. Dabholkar; R. Velleman, et al. Sangath; London School of Hygiene & Tropical Medicine (2013) CC

his manual is for people who have had no formal training in counselling but wish to learn the necessary components to establishing an effective counselling relationship. It will be useful for anyone who is involved in counselling people with a mental health problem. h... more

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Swaziland Briefing Kit 2006-07

MEASURE DHS (2008) C2

2006-07 Swaziland Demographic and Health Survey

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Medical Peace Work Textbook, 2nd edition, Course 3: War, weapons and conflict strategies

Salvage J, Rowson M, Melf K, Wilmen A (2012) C1

This course describes the health effects of war, weapons and strategies of violent conflict. Beginning with weapons of mass destruction it then moves on to other weapons and strategies of war such as the use of landmines and mass rape. The course concludes with a number of lessons which give an hist... more

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Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study

Roberton, T.; et al. (2020) CC

The Lancet Global Health Published:May 12, 2020DOI:https://doi.org/10.1016/S2214-109X(20)30229-1

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National Guideline For Emergency Nutrition Intervention (May 2022)

Government of Ethiopia (2022) CC

Humanitarian crises exacerbate nutritional risks and often lead to an increase in acute malnutrition. Emergencies include both manmade (conflict) and natural disasters (floods, drought, cyclones, typhoons, earthquakes, volcanic eruptions, etc.). Complex emergencies are combinations of both manmade a... more

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Unintended Pregnancy and Induced Abortion In Burkina Faso: Causes and Consequences

Bankole A., Hussain R., Sedgh G. et. al. Guttmacher Institute (2014) C2

Induced abortion is permitted in Burkina Faso only to save the life and protect the health of a pregnant woman, or in cases of rape, incest, and severe fetal impairment. As a result, the vast majority of women who end unintended pregnancies do so in secrecy, out of fear of prosecution and to avoi... more

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Keeping the 100-year-old promise: making insulin access universal

WHO (2021) C_WHO

High prices, hard-to-access human insulin, few insulin producers, and weak health systems are just some of the barriers that people with diabetes face a century after insulin was discovered, WHO notes in a new report

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Determinants of Maternal Care-Seeking in Kenya

Samwel Mbugua, Kerry L. D. MacQuarrie (2018) C1

DHS Further Analysis Reports No. 111
This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delive... more

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Retrospect, advances and challenges in Chagas disease diagnosis: a comprehensive review

Schijmann, A.G.; J. Alonsa-Padilla, C. Britto, et al. (2024) CC

The Lancet Regional Health - Americas 2024;36: 100821 https://doi.org/10.1016/j.lana.2024.100821

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Factors influencing the use of malaria prevention strategies by women in Senegal: a cross-sectional study

Mbengue M. A. S., A. K. Bei, A. Mboup Malaria Journal (2017) C2

The World Health Organization (WHO) recommends the use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) as a cost-effective intervention for the prevention of malaria during pregnancy in endemic areas. This study was conducted to investigate: (1) the exten... more