The Africa Centre for Disease Control (CDC), Resolve to Save Lives and opinion and research company Ipsos have teamed up to support governments to help flatten the Covid-19 curve and minimise social and economic slowdown. The joint project will focus on real time monitoring and adaption of guidance and advice where preventive measures taken elsewhere in the world cannot be adapted to the local context. Ipsos will provide data on the impact of Covid-19, behaviours surrounding it, and control measures put in place in African countries, which Africa CDC, with support from Resolve for our Lives, will develop into guidelines and disseminated throughout the continent.
“A lot of the general guidance given is difficult to implement in some contexts,” Amanda McClelland of Resolve said. “People often have to go to the market daily, or live off daily wages. Without access to sick leave or holiday pay. Similarly, with church or mosque attendance often deemed very important, people often prefer to stick to their habit, even if it goes against advice to avoid mass gatherings. Finally, even some basic recommendations such as washing one’s hands or using hand sanitizer can be impractical in places where there is a lack of water and hygienic products.”
The World Economic Forum first heard of the need on the ground as it was creating its Covid-19 platform and it set up a virtual meeting with the three partners: the newly formed coalition discussed crucial hurdles such as cultural fit and data reliability. While Resolve had the capacity to tailor preventive measures to one or two countries, it couldn’t scale its action as obtaining and analysing data from more African countries proved a challenge. This was complemented by the African CDC, the pan-African authority on public health created after the Ebola outbreak.
Still, getting a sense of what was happening at country level called for data which Ipsos could gather and process. It could also do roll out polling to see how people think and feel and about Covid-19 and it offered to share that information. “Much of what the world is doing today to fight the spread of COVID-19 is through asking people to change their behaviour,” Darrell Bricker of Ipsos said. “Is the public getting the message? Do they know what to do? What are the barriers to compliance? In many places we just don¹t know because we lack evidence on the ground. This urgent research will help to fill that gap for Africa. In a first stage the data will be via polling and eventually will be complemented with Big, Digital and Social Data.”
“As a platform for public-private collaboration, the Forum was in a unique position to bring together partners with complementary skills”, said Arnaud Bernaert Head of Health and Healthcare, and Member of the COVID Action Platform Taskforce of the World Economic Forum. “The scope and the pace at which this partnership came together are key to the project’s impact and we’re proud this is the initiative is our platform’s first endeavour”.
The team set the terms for a staged approach where they would start mining the data they have access to in a very pro-active fashion, and to iterate and scale quickly afterwards to be decisive in the course of the outbreak of COVID-19 in Africa. Ipsos’ aim was roll out the project and its resulting measures within days, starting in a few key cities such as Lagos, Nigeria and Addis Ababa, Ethiopia to then be rapidly expanded to dozens of countries. That brings us to today. As the situation evolves, we’ll update this case study.
Partners in this COVID Action Platform initiative:
African Centre for Disease Controls, the pan-African Union authority on public health
Resolve to Save Lives, Civil society, based in NYC active various countries globally
Ipsos¸ a World Economic Forum member, active in user survey and data intelligence
Sudan: 250 killed, over 100,000 displaced as violence surges in Darfur
A sharp uptick in intercommunal violence in Sudan’s Darfur region has forced more than 100,000 people to flee their homes in search of safety, including many into neighbouring Chad, the UN refugee agency (UNHCR) reported on Friday.
According to the agency, 250 people – including three humanitarian workers – also lost their lives in the clashes that started on 15 January in West Darfur province, and spread into South Darfur the next day.
“These refugees – the majority of them women and children – have been hosted in four very remote locations that lack basic services or public infrastructure, where they have been sheltering under trees,” he said.
“Due to the COVID-19 situation, Chadian local authorities are directing the new arrivals to a transit site, where they will undergo quarantine before being relocated to an existing refugee camp, away from the border,” the UNHCR spokesperson added.
He said that the UN agency is rushing supplies to the area to respond to their needs, as well as mobilizing resources as part of an inter-agency response.
‘Break the cycle of violence’
Authorities in the region have been attempting to contain the situation and have deployed security forces to the area but “severe gaps” in protection remain, according to the UN human rights office.
However, an “imminent risk” of further violence remains, in an environment “where decades-old ethnic and tribal tensions that were further stoked by the previous regime continue to fester”, OHCHR spokesperson Ravina Shamdasani said at the same briefing.
There are reports that local health facilities are unable to cope with the high number of casualties, she added.
The OHCHR spokesperson called on the Government of Sudan to protect of civilians as well as restore public order and the rule of law in Darfur.
She also called for thorough and effective investigations into the violence to bring the perpetrators to justice and “to break the cycle of armed citizens taking the law into their own hands to avenge attacks on members of their communities.”
A vast, strife-torn region
Darfur, a vast region roughly the size of Spain and plagued by violence for years, was the site of a United Nations-African Union hybrid peacekeeping mission (UNAMID) that was deployed to protect civilians, facilitate aid delivery, and support efforts to address root causes of the conflict.
The mandate of UNAMID ended last year and it ceased operations on 31 December 2020, roughly two weeks before the latest round of violence.
The mission is currently drawing down, a process that includes repatriation of troops, their vehicles and other equipment; the separation of civilian staff; and the closure of its offices.
COVID ‘vaccine hoarding’ putting Africa at risk
Africa is in danger of being left behind in the rollout of COVID-19 vaccines as countries in other regions strike bilateral deals, thus driving up prices, the World Health Organization (WHO) warned on Thursday.
Although vaccines have been administered in 50 wealthier nations, Guinea is the sole low-income country on the continent to receive doses, with only 25 people being inoculated so far. Meanwhile, Seychelles is the only African country to start a national vaccination campaign.
‘We first, not me first’
“We first, not me first, is the only way to end the pandemic. Vaccine hoarding will only prolong the ordeal and delay Africa’s recovery. It is deeply unjust that the most vulnerable Africans are forced to wait for vaccines while lower-risk groups in rich countries are made safe”, said Dr Matshidiso Moeti, WHO Regional Director for Africa.
“Health workers and vulnerable people in Africa need urgent access to safe and effective COVID-19 vaccines.”
An international coalition known as the COVAX Facility was established to ensure all countries will have equal access to any vaccines against the new coronavirus disease.
It is co-led by the Coalition for Epidemic Preparedness Innovations (CEPI), Gavi, the Vaccine Alliance, and WHO.
The COVAX Facility has secured two billion doses of vaccine from five producers, with options for over one billion more. Delivery is set to begin soon, according to Thabani Maphosa, Managing Director, Country Programmes at GAVI.
“This massive international undertaking has been made possible thanks to donations, work towards dose-sharing deals and deals with manufacturers that have brought us to almost two billion doses secured. We look forward to rollout in the coming weeks”, he said.
COVAX has committed to vaccinating at least 20 per cent of the population in Africa by the end of this year.
Priority will be given to health workers and other vulnerable groups, such as older persons and those with pre-existing health conditions.
An initial 30 million vaccine doses are expected to begin arriving in countries by March. Overall, a maximum of 600 million doses will be disbursed, based on two doses per person.
WHO said timelines and quantities could change, for example if vaccines fail to meet regulatory approval or due to challenges related to production, delivery and funding.
‘Complex’ emergency unfolding in Mozambique’s Cabo Delgado
UN agencies voiced deep concern on Wednesday over the worsening humanitarian crisis in Mozambique’s Cabo Delgado province, where attacks by armed groups have forced more than 565,000 to flee their homes.
According to the agencies, growing insecurity and poor infrastructure are making it increasingly difficulty to reach families “completely reliant” on humanitarian assistance, amid fears that imminent rains and threat of cyclones could further compound the challenges.
“The crisis is a complex security, human rights, humanitarian and development emergency, underscoring the imperative of continuing to provide life-saving assistance while collectively supporting Government-led long-term resilience building”, the statement added.
In December, the UN officials visited Mozambique to assess the needs of the displaced populations as well as of the host communities.
They heard extremely moving accounts from displaced men, women and children in the city of Pemba, the capital of Cabo Delgado, and in the districts of Ancuabe and Chiúre – people whose lives have been upended by conflict and insecurity.
While acknowledging that much has been done to help victims of the crisis, the UN officials stressed that with displacement increasing daily, the lack of adequate food, water, sanitation, shelter, health, protection and education, was exacerbating an already dire situation, which could be further complicated by on-going torrential rains.
Urgent support needed
The UN agencies also raised concerns over the continuing impact of the coronavirus pandemic, which is keeping most schools closed.
There is an urgent need to expand protection, healthcare, food and nutrition programmes, vaccination efforts and psychosocial counselling, and to aid displaced farming and fishing families to re-establish sustainable livelihoods, they added.
They also urged support for adequate resettlement of uprooted families straining the already limited resources of impoverished host communities, and Government efforts to effectively register and assist the displaced.
The senior officials are urging the Government of Mozambique and the international community “to step up efforts to end all forms of violence in the country, including gender-based violence and child marriage, and to invest more in women and girls as agents of progress and change,” the statement said.
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