The Global Protection Cluster is committed to ensuring that Mental Health and Psychosocial Support (MHPSS) response is right across all humanitarian sectors. In this update (December 2020 - February 2021), emerging protection trends are identified and key country news is reported. The "IN FOCUS section" is about "Tackling Trauma and Prioritizing Mental Wellbeing to Deliver Protection Outcomes". The situation in Palestine, South Sudan and Ukraine is highlighted.
A comprehensive, authoritative and evidence-based overview of the current state and future trends in humanitarian action with three sections: Global Trends; Inter-Agency Coordinated Appeals; and Delivering Better. There is a short section on people with disabilities in Global Trends.
The first part of the Gap Analysis was published in July 2020, which presented the findings of an academic literature review and grey literature review.
Part 2 of the Gap Analysis presents the insights from individuals working in humanitarian response, disability inclusion and older age inclusion. This report begins by looking at how an agenda for the inclusion of people with disability and older people in humanitarian response has been established. The report then considers the ways in which standards and guidance inform humanitarian practice and the challenges associated with translating commitments into practice. Finally, the report identifies seven areas where there are key gaps and opportunities presenting the potential for innovation in research and practice
This report looks at the extent to which older people’s rights are being upheld in emergencies and their needs met. The picture it paints is a bleak one. Although some efforts are being made to support older people, overall, the humanitarian system is failing by the standards it has set itself.
The report draws on the findings of needs assessments carried out by HelpAge International in the 13 months to the end of 2019. We interviewed 8,883 people aged 50 to 80 - plus affected by natural disasters, conflict or socioeconomic crises in 11 countries in Africa, Asia, Latin America and the Middle East.
Since the data was collected, COVID-19 has swept across the globe. The pandemic has both increased the need for humanitarian aid and disrupted its delivery. The response to coronavirus has thrown into stark relief the gulf between the risks older people are facing and the level of support available to them. The findings in this report provide important lessons for improving this response
This brief reviewed evidence-based recommendations on how to ensure the safety and wellbeing of children with disabilities in humanitarian settings. The right to safety for all is enshrined in Article 11 of the CRPD, yet this population has been consistently neglected in the global literature around children affected by disaster and crises, and as such the recommendations made are limited to specific humanitarian settings (e.g., natural disasters, war and conflict) and towards children with physical and mobility challenges. There is a need to further explore their diverse needs and experiences by recognising them as independent actors who can meaningfully participate in and contribute to the development of services and policies targeted towards them
Proceedings of the Multi-sectoral Shelter & Health Learning Day 14th May 2020
The Shelter and Health Multi-sectoral Learning Day was hosted online by Oxford Brookes University’s Centre for Development and Emergency Practice (CENDEP) and CARE International UK, on 14th May 2020. Instigated and led by the ‘Self-recovery from Humanitarian Crisis’ research group, the Learning Day aimed to facilitate the sharing of knowledge about the connections between housing and health, in order to inform humanitarian action and enhance the wellbeing of crisis-affected populations.
Humanitarian organisations can learn a lot from what happened during the Cyclone Idai aid response. The cyclone and its impact made global headlines. The NGO community reacted fast. More than 400 organisations and 1,000 aid workers were rapidly deployed to the affected areas of Mozambique. But what happened next remains untold.
Their stories, which form the basis of our recommendations, can help key actors improve their responses to other crises, including COVID-19.
This report documents the human-centred design process used in a project conducted in 2020 in Nairobi, Kenya. It includes research tools that can be used in other contexts, as well as the adaptations that were made to research tools to ensure they were inclusive. These tools are followed by the main lessons learned, and recommendations for others who want to implement a similar process.
The goal of this project was to better understand how people living with disabilities in humanitarian contexts use mobile technology, the barriers they face in accessing mobile services, and the opportunities that mobile might present to increase access to basic services in their daily lives. The target population for this project was urban refugees living with visual or hearing impairments in Nairobi, Kenya.
The human-centred design tools used included: Location Mapping, User Journeys, Communication Mapping, Future Me and Daily Diaries.
While Fiji only had 18 cases of COVID-19, all of whom have recovered, the economic and social outcomes are significant and will be felt for years to come. The closure of international borders led to visitor arrivals contracting significantly by 43.5 percent up to April and the economy is projected to decline by 4.9% in 2020 under COVID-19. The impacts will extend to government revenue, which is expected to decrease by almost 50% in the next financial year.
In addition to the pandemic, Fiji was also struck by Severe Tropical Cyclone Harold on 08 April, causing States of Natural Disaster to be declared for COVID-19 and for TC Harold within the same week. Although Fiji is used to cyclones, prevention and movement restriction measures in place for COVID-19 made it difficult to respond to the trail of destruction left by the Category 4 cyclone. A total of 250 evacuation centers were opened in all four divisions and around 10,000 people were displaced.
The objectives of the Gender, Disability and Inclusion Analysis are:
- To analyse and understand the different impacts that the COVID-19 pandemic and TC Harold potentially have on women, men, girls and boys, people with disabilities and people of diverse SOGIESC and other marginalised groups in Fiji;
- To inform humanitarian programming in Fiji based on the different needs of women, men, boys and girls, people with disabilities and people of diverse SOGIESC with a particular focus on Gender Based Violence (GBV), Health, Water, Sanitation and Hygiene (WASH), Education in Emergencies, Food Security and Livelihoods, and Coping Strategies; and
- To provide recommendations for organisations responding to COVID-19 and TC Harold.
Humanitarian and development partners have established a joint Incident Management Team (IMT) to support COVID-19 preparedness and response efforts in the Pacific. This coordination mechanism has successfully leveraged partners’ capacities and resources, and continues to coordinate their actions to ensure that effective support is provided to national authorities and the affected population.
When emergencies strike, there is a huge surge in the need for Early Rehabilitation. Early Rehabilitation for patients with traumatic injuries in conflicts and disasters is now recognised as being an integral part of a patient’s recovery. However, the majority of rehabilitation professionals in countries that experience such emergencies do not have all the skills needed to treat all of the injuries. HI, in collaboration with leading organisations (ICRC, MSF-France, CBM, Livability & the WHO), has created this educational resource package to fill this gap
Each chapter of this handbook has been written by experts in their field. It includes pictures and evidence based treatment protocols to help rehabilitation professionals around the world to delivery high quality early rehabilitation intervention. Chapters included are:
- Key Challenges in Delivering Early Rehabilitation in Conflicts and Disasters
- Early Rehabilitation Patient Assessment and Treatment - the Basics
- Early Rehabilitation of Fractures
- Early Rehabilitation of Peripheral Nerve Injuries
- Early Rehabilitation of Amputees
- Early Rehabilitation of Acquired Brain Injuries
- Early Rehabilitation of Spinal Cord Injuries
- Early Rehabilitation of Burns
Videos accompany each of the chapters. The handbook contents are directly linked to modules taught on disasterready.org where there are additional accompanying resources designed to be used in conflict and disasters settings
Education Cannot Wait reaffirmed itself as the global fund for education in emergencies and protracted crisis in 2019, building a global movement with strategic partners to provide children and youth caught in armed conflicts, forced displacement, climate change-induced disasters and protracted crises with the safety, hope and opportunity of an education.
Working with our broad range of partners, ECW had active grants in 29 crisis-affected countries in 2019. This report captures the results delivered through these investments to support inclusive and equitable quality education for the millions of girls and boys caught in humanitarian crises.
In 2019, ECW reached 10,473 children with disabilities, bringing the number of children with disabilities reached since the Fund’s inception to about 23,600. A short case study is provided about inclusive education for children with disabilities in Uganda
Published at the same time as the Inter-Agency Standing Committee (IASC) Guidelines on Inclusion of Persons with Disabilities in Humanitarian Action, this report aims to support their uptake and promote learning by example. This report presents 39 short case studies on inclusive practices for persons with disabilities in humanitarian action and disaster risk reduction (DRR). It is designed for humanitarian stakeholders with limited experience of working with and for persons with disabilities, as well as for organizations of persons with disabilities (OPDs) planning to engage in humanitarian action and DRR. The report draws lessons from field practices, but does not provide technical guidance. The IASC Guidelines are the reference document to seek in-depth theoretical and technical information
The case studies focus on:
- Inclusive disaster risk reduction and preparedness
- Collecting and using disability disaggregated data for assessments and programming.
- Participation of persons with disabilities and their representative organizations in humanitarian response and recovery
- Removing barriers to access humanitarian assistance and protection.
- Influencing coordination mechanisms and resource mobilization to be inclusive
The evidence presented in this report was identified in 2017-2018 through a desk review of publicly available reports and internal documents on projects implemented by CBM, HI and IDA members, as well as their partners and affiliate members. Field visits to Lebanon, Jordan, Kenya, Nepal, and the Philippines conducted in 2018 also informed the case-study collection and documentation
The guidelines set out essential actions that humanitarian actors must take in order to effectively identify and respond to the needs and rights of persons with disabilities who are most at risk of being left behind in humanitarian settings.
The recommended actions in each chapter place persons with disabilities at the centre of humanitarian action, both as actors and as members of affected populations. They are specific to persons with disabilities and to the context of humanitarian action and build on existing and more general standards and guidelines.
These are the first humanitarian guidelines to be developed with and by persons with disabilities and their representative organizations in association with traditional humanitarian stakeholders. Based on the outcomes of a comprehensive global and regional multi-stakeholder consultation process, they are designed to promote the implementation of quality humanitarian programmes in all contexts and across all regions, and to establish and increase both the inclusion of persons with disabilities and their meaningful participation in all decisions that concern them.
The objective of this study is to generate empirical evidence on the barriers to accessing aid for women and men, girls and boys with disabilities in a post-Cyclone Idai context. By doing so, it also seeks to contribute to policy development for an inclusive humanitarian response in Mozambique
The research followed a qualitative design, using interviews and focus group discussions followed by inductive analysis to reveal dominant themes and stories. Data was collected in 30 in-depth interviews with women and men, girls and boys with disabilities and/or caregivers in communities (Beira), as well as in resettlement sites (Dondo).
This report aims to reflect, respond to and inform efforts to improve the delivery of humanitarian assistance. This year's focus is on recurrent and protracted crises, to better understand how assistance is provided over the multiple years of a crisis. In the context of ever-more-complex and enduring crises and the increasing demand on limited resources, there is a pressing need to address the underlying causes of crises. The GHA Report therefore looks beyond humanitarian financing to examine other resource flows to countries in crisis, including developmental official development assistance (ODA less humanitarian assistance) and foreign direct investment, and the role they can and should play alongside humanitarian assistance to address crisis.
Chapters of the report include: people, crisis and assistance; internation humanitarian assistance; wider crisis financing; effectiveness, efficiency and quality; and methodology and definitions. [Each chapter can be downloaded separately]
Associated datasets are also freely available
- International humanitarian assistance provided by government donors, 2000–2018
- International humanitarian assistance by recipient countries, 2000-2017
The guidelines set out essential actions that humanitarian actors must take in order to effectively identify and respond to the needs and rights of persons with disabilities who are most at risk of being left behind in humanitarian settings. The recommended actions in each chapter place persons with disabilities at the centre of humanitarian action, both as actors and as members of affected populations. They are specific to persons with disabilities and to the context of humanitarian action and build on existing and more general standards and guidelines. These are the first humanitarian guidelines to be developed with and by persons with disabilities and their representative organizations in association with traditional humanitarian stakeholders. Based on the outcomes of a comprehensive global and regional multi-stakeholder consultation process, they are designed to promote the implementation of quality humanitarian programmes in all contexts and across all regions, and to establish and increase both the inclusion of persons with disabilities and their meaningful participation in all decisions that concern them.
- What to do - key approaches to programming
- Data and information management
- Partnerships and empowerment of organisation of people with disabilities
- Cross cutting considerations
- Accountability to affected people and protection from sexual exploitation and abuse
- Humanitarian response options
- Stakeholder roles and responsibilities
- What sectors need to do
- Camp coordination and camp management
- Food security and nutrition
- Shelter and settlements
- Water, sanitation and hygiene
In early March 2019, heavy rains and floods affected the majority of the districts in southern Malawi. At least 115,000 were affected, with scores of fatalities, injured and missing persons. The situation intensified when Cyclone Idai reached Malawi, increasing the devastation caused by heavy rain weeks earlier. When Cyclone Idai caused the Shire river to reach capacity and flood, the districts of Chikwawa and Nsanje were among the worst affected. The aim of this rapid needs assessment was to inform the design of HelpAge International’s own humanitarian response to the devastating impact of Cyclone Idai on older people in Malawi. The Malawi Network of Older Persons’ Organisations (MANEPO) and HelpAge International jointly conducted the assessment in Chikwawa and Nsanje districts in March 2019. The report also aims to support organisations operating in the affected areas to develop inclusive programmes and support advocacy for the rights of older people to be upheld in the response. The report contains key findings of the assessment, together with observations and analysis.
Purpose: Psychological well-being is a growing concern in society. It is starting to play a pivotal role in the treatment and care of clients. This study aimed to evaluate the effect of age, sex and socioeconomic status on the self-esteem, body image and quality of life of the 2008 Sichuan earthquake amputees. Many of them are at a significant stage in their lives, especially those who are making the transition from childhood and adolescence into adulthood.
Methods: This cross-sectional study was conducted in October 2015. Forty-five participants were recruited from clinic sessions in Sichuan. The main outcome measures were Rosenberg Self-Esteem Scale (RSE), Chinese Amputee Body Image Scale (CABIS), and WHO Quality of Life-Bref Instrument (WHO-QOL-Bref). Results were analysed using Student’s T-test and Chi-square test where appropriate, and ANOVA for multi-group comparisons.
Results: Participants under 18 years of age scored higher in RSE (p=0.05), and lower in CABIS (p<0.005). They also scored higher in various QOL domains (D3: p<0.08, D4: p=0.06) and WHOQOL-Bref question 2 (p=0.06). Participants of different SES did not show any significant differences in the outcome measures. Female subjects scored higher in WHOQOL-Bref Question 1 (p=0.03).
Conclusion and Implication: Younger amputees have less body image distortion, higher quality of life and self-esteem compared to older amputees. Female amputees also appear to have a higher quality of life compared to male amputees. Socioeconomic status does not affect rehabilitation outcome and psychological well-being of amputees. However, the main factors affecting psychological well-being appear to be predominantly age and, possibly, gender.
This digital learning platform was established for the purpose of remote humanitarian response for hard to reach areas. HelpAge International is utilizing expertise to train international and national organizations, government agencies, and the private sector on Age Inclusive Interventions.
These series of trainings on 'Helping Older People in Emergencies (HOPE)' is designed to strengthen the capacity of humanitarian actors to ensure that their humanitarian action is evidence-based and responds to the distinct needs and priorities of crisis-affected to older men, women, and other vulnerable groups.
Modules available are:
1. Age & its interaction with vulnerabilities in humanitarian crises
2. Inclusion of older people in emergency needs assessments & SADDD
3. Health, home-based & community-based care in humanitarian crises
4. Protection of older people in humanitarian crises
5. Food security & livelihoods interventions for older people in humanitarian crises
Source e-bulletin on Disability and Inclusion