Recovery, Renewal, Resilience

Many local governments have begun to take the lessons learn lessons from their COVID-19 response and amend strategies to improve emergency response plans for the future. E, ensuring these plans are disability inclusive is critical. Persons with disabilities can often be more vulnerable to risk during normal times and even more so in the height of a crisis. A recent paper explored the social determinants of disabled people’s vulnerability to COVID-19 and the impact of policy response strategies. The paper identifies recovery and renewal strategies that focus on reducing the social, economic, and environmental conditions that create disproportionate and unequal impacts. When re-evaluating local disaster preparedness and response, consider:

• Seek feedback from local people in your local community who live with a disability, and their carers, to understand how local response to COVID-19 met their needs or how their needs might be met more effectively in the future e.g. communications, access to services, community support mechanisms etc.
• Include strategies that recognise social vulnerability, as well as health related vulnerabilities, for example ‘universal basic income’ approaches to social security or ’housing first’ approaches to tackling homelessness
• Identify the various forms of risk that persons with disabilities might be exposed to, taking geographical and locale-specific risks into consideration. Needs will differ in the case of a flood/fire and evacuation than when faced with a health crisis
• Integrate the diverse and intersecting needs of persons with disabilities into preparedness and response plans. Co-produce these plans with them and their carers
• Identify the barriers that people with disabilities face in the community – work to reduce these barriers through long-term renewal initiatives, and not just in the case of emergency (e.g. re-designing local infrastructure to increase accessibility)
• Incorporate training for volunteers on the rights and diverse needs of people living with disabilities to maintain their dignity, safeguard against discrimination, and prevent inequalities in care provision (see UK guidance on supporting people with disabilities)

See: ‘Disability and Health Emergency Preparedness’ for guidance on identifying needs, tools and resources, and guidance for assessing preparedness and response programmes. See also: TMB Issue 19 for a further case study on disability-inclusive recovery and renewal.

TMB 36 discussed the potential role of young people in reducing and responding to disaster risk. The lesson details meaningful, inclusive, and creative strategies for engaging young people in all stages of DRR such as youth-led/collaborative participation. A recent addition to the Sendai Framework Voluntary Commitments details The Africa Youth Advisory Board on DRR (AYAB DRR), a collective established to encourage meaningful youth engagement and participation in DRR policy development, implementation and evaluation across Africa. Consider:

• Connect with local youth-led/youth-focused organisations, invite these organisations to collaborate on all stages of DRR and connect their voices with local decision makers
• Support young people as agents of change by acting as a facilitator/brokerage to connect their groups and initiatives to resilience partners who can inform and coach/take inspiration from youth-led DRR initiatives. This activity could also support the development of local/regional networks between young people and resilience partners
• Use online platforms (websites, social media etc.) to create open, accessible and inclusive knowledge sharing capacity for youth-led DRR groups/organisations, or to showcase, celebrate and promote their work. For example:
  • The Himalayan Risk Research Institute is developing a platform for disaster risk reduction students, researchers and young professionals. The initiative aims to develop a “skill transfer mechanism” whereby training, field research and workshops can build the knowledge and skills of young scientists and professionals and in turn benefit local DRR activities
• Enable the mobilization of youth groups, by increasing their access to local resources (e.g. community spaces they could use) and support “physical and virtual capacity building” to improve their visibility, inclusion and active participation

Research into MNCH demonstrates that early-life determinants of health help create more resilient societies. Previous trends indicate that socioeconomic shocks lead to an increase in markers of poor MNCH including low birthweight, maternal and infant malnutrition, and maternal drug or alcohol misuse etc. These factors can have impacts across a person's life and effects the next generation. At particular risk are people from Black, Asian, or minority ethnicities who are more likely to be socio-economically disadvantaged, and at higher risk of pre-existing health conditions, contracting COVID-19, and having poor markers of MNCH. Consider:

• Research and data collection to monitor the immediate and longer-term effect of COVID-19 and related socioeconomic crisis on MNCH, using routine data collection systems and reinstating systems that have been suspended during COVID-19 e.g.:
  • the short, medium, and longer-term consequences of COVID-19 on neurocognitive development in children
  • disruptions as a result of COVID-19 e.g. on food insecurity, access to health services and impacts on MNCH
• Investment of resources into promotion of early-childhood health and development, including the training and provision of community health workers
• Promotion of MNCH care as an essential service and human right, including investment to access to contraception/reproductive health services, antenatal/postnatal care, and child health etc
• Strengthen community-based interventions to promote MNCH, such as home visits during and after pregnancy and in the early years
• Develop new policies to drive gender equity and reduce the penalties of motherhood e.g. parental leave for each parent on a use it or lose it basis