Recovery, Renewal, Resilience

The British Red Cross recently shared a report ‘Communities of Humanitarian Thought: The Case for Change in a Time of Crisis’. The report considers the next steps on the following prominent humanitarian issues: Displacement & Migration; Health Inequalities, and Disasters & Emergencies. The report highlights the need for real change for people experiencing, or at risk of experiencing, crisis across various priorities:

• ‘Eliminate the gaps in health and social care’, by employing a person-centred approach to reduce access barriers and prevent people from “falling through the gaps between services”. The inequalities in health and social care exacerbated by COVID-19 require a more integrated approach, along with investment in care and support at the community level
• ‘Ensure humanitarian needs are met in emergencies’, by clearly defining the statutory responsibilities of national government and emergency response organisations, to ensure that they “fully meet the humanitarian needs of their communities”
• Review social protection infrastructure to learn lessons from the pandemic and best practice across the world, e.g. ‘Cash-based assistance in emergencies’, which has shown to deliver a more “dignified response” and enables people to rapidly access the resources they need during crisis
• ‘Provide safe and legal routes for people seeking asylum’, by reviewing domestic policy to ensure that the “end-to-end experience of a person in the asylum system is efficient, fair and humane”. The Sovereign Borders Bill presents an opportunity to evaluate and take action to improve the entire system
• ‘Uphold international law and principled humanitarian action’, by committing to humanitarian action and support for the most vulnerable communities across the world
• Recognise how young people and civil society drive climate action, e.g. the Youth Advisory Group on Climate Change, which strives to amplify youth voices and engage young people in an open and transparent dialogue on climate action

The significant impacts of COVID-19 have created new groups of vulnerable people, such as people on middle-incomes and small businesses owners who have experienced a sudden loss of income and are now financially vulnerable. These new vulnerable groups have not before been targeted for social protection. Consider how other countries have expanded existing systems to support newly vulnerable people, for example:

• Adjust social protection programmes to give flexibility that can adjust to changing public health situations:
  • Directly link social protection measures to region-specific health or lockdown measures, e.g. tie social protection policies to tiers/categories in health responses
  • Establish a trigger system to rapidly adjust social protection measures to affected areas and groups
• Enable vulnerable people to access the assistance they need:
  • Establish a beneficiary database to identify and assess the social protection needs of newly vulnerable people
  • Partner with existing community organisations to identify vulnerable people, develop community-based targeting, and ensure those who become newly vulnerable are not excluded
  • Facilitate vulnerable individuals to self-identify through a registration service, e.g. online application, supported by a means test for verification
  • Expand sources of data to identify and verify intended beneficiaries, e.g. electricity or bank account data, employer’s redundancy data
• Revise legislation surrounding conditionality requirements, e.g. loosening conditionality principles of social protection programmes:
  • Morocco transformed ‘conditional cash transfer’ (CCTs) to ‘labelled cash transfer’ (LTCs) by removing the conditionality of continued school enrolment for cash transfers - resulting in reduced costs of programme implementation and reported increases in school enrolment and participation of children

COVID-19 has added thousands more cases to the backlog faced by courts in England and Wales, has delayed proceedings for those already in the justice system, impacted police capacity and could negatively impact reporting of more serious crimes. Delays in processing and handling criminal cases has negative impacts on the health and wellbeing of victims, and could lower confidence in the justice system. Consider how to effectively support those involved in criminal proceedings by:

• Making arrangements with telecoms companies to provide free access to websites that provide information/support to victims of crime to avoid mobile data usage. This should include websites run by organisations such as charities, official government sites (including health), the police, and law courts
• Increasing communications with victims about the progress of their cases. This may require careful partnership working with specialist organisations to mitigate victims' anxieties and create additional capacity for services such as the police, who may be increasingly stretched during COVID
• Ensuring there is support for specialist communications from all partnering organisations. This may include the use of translators, experts able to speak with children, or those with special educational needs

In Pune, an 'Action Plan for Hotspot Areas' was developed in which the local police force supported implementation of contact tracing and wide-spread testing, water and sanitation support, food and shelter planning and public awareness. Teams carried out local door-to-door check-ups of all households in the hotspot areas. Consider how to take public health interventions and information into the community:

• Establish dedicated COVID care booths in hotspot areas
• Allot dedicated ambulances in case serious cases are detected
• Designate, specific localised teams within the hotspot area, including police, medical staff and community engagement officers to conduct thorough, localised door-to-door check-ups of all households in the hotspot areas (including virus testing)
• Use teams to distribute medication to those who need it, and to provide discharge public health packages. These may include:
  • A packet of masks
  • Sanitizer
  • Soap
  • Cleaning products
• Ensure comprehensive medical, nutritional, and psycho-social care for those identified as COVID-19 positive
• To maximise identification of cases, adopt standardized systems for testing

Reference: representative of the Australian Department of Justice and Community Safety

In Pune, 7,500 Special Police Officers (SPO) were given specific powers to help manage areas which had seen a rise in COVID-19 infections. They provided an important role in managing the spread of the virus, in partnership with the community and public health officials. Consider how to:

• Implement a standard operating procedures which include the police in public health interventions for COVID-19
• Use efficient reporting structures, and easy-to-use methods of communication (such as WhatsApp) to manage situations in real time
• Utilise the police to help provide essential response services (e.g. to those who are shielding), and in spreading awareness of social distancing and lockdown norms (e.g. by being out in public or by going door-to-door)
• Utilise the increased widespread interactions of the police with the community for voluntary operations supporting COVID-19 interventions

No-one has been un-touched by Covid-19. It has brought vulnerability and the perception of risk to each of our doorsteps and is making an entire nation think about how we behave against the COVID-19 risk. The public have been taught about risk over the weeks by constant use of risk principles such as transmission rate, R, personal protection, their own personal vulnerability. This emphasises the need to lower risk through shielding, social distancing, hand washing, and self-isolation.

One major response to this risk is the public's willingness to volunteer - both through officially directed activities and through mutual aid activities. The public know their effort is essential to reduce the risk of those who are intensely vulnerable - however, they may not realise that their action is creating resilience in our society. Now, we all know that small groups of people can change the world and can build resilience when we need it.

Consider:

• That there is currently an opportunity to talk more about this wide-scale risk - before people become more disillusioned and fatigued with COVID-19
• How to enhance the public's understanding of risk by simple messages which are easily understood and not nuanced
• How to educate the public on risk and resilience
• How mass volunteering builds resilience
• How this new expression of volunteering social capital has created opportunities to:
  • strengthen resilient and society
  • change the relationship between crisis responders and volunteers
• How to convert the experiences of children and young person into a legacy about prevention, preparedness and social responsibility learning

It is possible that the general public's understanding of risk and resilience is greater than ever before - let's capitalise on that

TMB Issue 10 brings together the reflections of our learning from the first 10 weeks of gathering lessons on recovery and renewal from COVID-19. Follow the source link below to read all of the reflections from our team (p.9-15)

In Argentina, there has been a sharp rise in cybercrime directed at the elderly. Consider:

• Restructuring sections of the police force to incorporate more officers to reinforce cybercrime investigations
• Preventive and participatory approaches to reducing crime through participatory security mapping. This combines crime data, geography and local knowledge to help protect people vulnerable to this type of crime
• Recruit retired police officers to help cope with the demands of COVID-19 - this has a positive impact on officers' mental health

This lesson was contributed by an expert within the Ministry of Government and Security in Argentina during project data collection.

There have been a range of incident types against key workers, so:

• Ensure deliberate coughing and spitting is addressed in official policy such as the UK Assaults on Emergency Workers (Offences) Act
• Patrol areas in which key workers work to provide protection from assault and mugging as a result of workers' association with COVID-19 response, and assumptions that some workers have access to medicine and food
• Release official statements from law enforcers to the public to bring attacks on key workers to light. Use the opportunity to fact-check claims which may appear on social media such as the one claiming that an Italian doctor had been charged with killing over 3,000 COVID-19 patients

Actively investigate hoax messages purportedly from official Government sources that could put key workers at risk

Local government should assess the health seeking behaviours of certain populations within their community. Health seeking behaviours will impact the success of disease suppression as behaviours impact access and understanding of public health measures (lessons from influenza A/H5N1 and 'swine influenza' A/H1N1).

Local government should identify strategies to tackle spikes in gender based violence as a result of isolation, social distancing and quarantine measures. They should consider requirements for increased social and legal support for elongated/reoccurring lockdowns, and holistic partnerships with the voluntary sector to support and protect those at risk and educate both men and women.

References: Professor from the International Center for Collaborative Research on Disaster Risk Reduction; Hospital Executive; Chief Resilience Officer; UK Local Resilience Forum