Recovery, Renewal, Resilience

Previous issues of TMB have detailed Impact and Needs Assessments (Issue 8,15 and 32) to collect information about effects, impacts and opportunities from the crisis alongside pre-crisis needs. These can be used to create an overall understanding from which recovery and renewal strategies can be developed and actioned. TMB Issue 9discussed the recovery actions that can follow an Impact and Needs Assessment, such as recovering operations and preparedness. In light of the most recent lockdown and the updates that may be made to Impact and Needs Assessments, we revisit the discussion on what the next steps could be. Consider:

• Identify the effects, impacts and opportunities to inform the development of transactional recovery strategies and transformational renewal initiatives. For example, for the opportunity of 'enhancing community resilience; the local resilience capabilities that have been to active and effective during COVID-19';
  • Transactional recovery: Identify community initiatives that will deliver the strategic priorities of the recovery partnership, increase collaboration, assess the need to fund those using existing resources, and measure their impact on the partnership's performance
  • Transformational renewal: Repurpose community liaison officers to work with selected communities and foster connections, secure seed funding for their self-generated activities, and focus on rebalancing inequalities and other partnership aims
• Review each theme identified through the Impact and Needs Assessment in collaboration with relevant partners to assess the feasibility of achieving the desired effects
• Forecast the capacity and capabilities required to delivery on actions - draw on existing/recruit additional resources
• Identify the duration and effort required to establish and deliver actions
• Assess the impacts that may occur from pursuing recovery actions, compared with not pursuing them
• Specify data for monitoring and evaluating, for example:
  • Renewal objective: Increase capacity
  • Outcome indicator: Build community awareness and understanding of potential risks and impacts of emergencies
  • Measure: Proportion of people who understand warnings (tested through risk preparedness exercises with the community)

Vaccination certification for COVID-19, sometimes referred to as immunity/vaccine passports, are being considered by some countries as a strategy to relax the strict measures that have been imposed on society over the last year. The document is designed to certify people as immune to COVID-19 based on vaccination. Consider the ethical issues associated with varying restrictions on individual liberties based on possession of a vaccine certificate. Consider:

• If a vaccination certification programme could cause unequal treatment of individuals by segregating members of society into different tiers of infection risk and contagiousness, for example:
  • Members of groups who live with systemic discrimination and marginalization may face more barriers to accessing particular areas of society or activities if they are not certified as vaccinated
  • Differences in exposure, access to health care and vaccination certification may lead to some groups having higher or lower proportions of vaccine-certified people
• If the application of vaccination certification should only be used with existing precautions and should not prevent non-vaccine certified people from accessing areas or activities, e.g. people who have not received a vaccination certificate should not be prevented from travelling but may be required to take a test/quarantine on arrival as per the existing precautionary measure
• Whether vaccinations certifications should:
  • Impact a person's ability to exercise fundamental rights such as voting, accessing and social care or education
  • Cause an increase in cost or burden for vaccine-certified individuals, e.g. frontline healthcare workers who are vaccination certified should not be expected to manage more work
• If the perceived benefits of vaccine certifications could increase the risk of people increasing their exposure to intentionally become infected and receive a certificate, which poses risks to an increase in community spread and could potentially cause harm to others
• The perceived value of vaccine certificates and counterfeit market activity/certificates
• How to mitigate implementation risks, e.g. certification being managed by certified bodies, results being processed and confirmed by licensed laboratories, and certificates being issued by health authorities
• To protect personal data and minimize breaches of confidentiality, legal and regulatory measures should be put in place to limit the access to data by governmental authorities