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Reform of mental health services: An urgent need and a human rights imperative

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Already in the early stages of the COVID-19 pandemic, the World Health Organisation (WHO) was warning that substantial investment in mental health services was necessary to avert a mental health crisis. The evidence for the devastating impact of the pandemic on mental health is now overwhelming. The reasons for this are clear: the pandemic caused fear and anxiety for everyone, and many of us had to face illness, grief over lost family members, insecurity and loss of income. In addition to this extraordinary burden placed on our mental health, we were cut off from our usual support networks, friends and families, while the pandemic was also disrupting the delivery of existing mental health services themselves.

Not everyone has been affected in the same way by the pandemic, and mental health is no exception here. Among others, the mental health of certain demographics such as older persons, children and adolescents, and women, as well as that of disadvantaged groups such as persons with disabilities, LGBTI people and migrants has been affected more compared to the general population. For example, in a statement I co-signed with the UN Independent Expert on Sexual Orientation and Gender Identity and numerous other human rights experts, we alerted states to increasing mental health problems for LGBTI people, in particular youth, notably as a result of having to shelter with family members who were unsupportive of or hostile towards their LGBTI identity.

I recently published an Issue Paper entitled “Protecting the right to health through inclusive and resilient health care for all” in which I set out twelve recommendations. These include universal health coverage (of which mental health services are an essential component), more equality and dignity for patients, more participation and empowerment in relevant decision-making, the promotion of transparency and accountability throughout policy cycles, and better health communication policies. Since the right to health is defined as the right to the highest attainable standard of physical and mental health, these recommendations naturally apply to mental health care as well. Some recommendations, however, are more specific to mental health, such as those related to the need to ensure that mental health services are accessible to all when needed, of appropriate quality and affordable, to transition from an institutional to a community-based model and to eliminate coercive practices in mental health services.

Mental health systems: a longstanding source of human rights violations

While the additional strain generated by the pandemic is new, the mental health situation and lack of services has been a neglected human rights crisis in Europe for a long time. Despite the suffering and economic burden caused by mental health problems, mental health spending in the WHO European region was estimated to amount to only 1% of total health expenditure in 2019, and the majority of that expenditure was channelled towards mental health hospitals. In a very important report in 2017, the UN Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health was already raising the alarm over the fact that “the arbitrary division of physical and mental health and the subsequent isolation and abandonment of mental health has contributed to an untenable situation of unmet needs and human rights violations”.

In my Issue Paper on health, I called on governments to pay attention to the essential social determinants of health in order to rebuild more inclusive and resilient health care systems, notably social protection, living conditions, working environment and education. These are all the more relevant for mental health, since mental well-being is determined not only by individual attributes but also by the social environment which can prevent, cause or aggravate mental health problems. In recent decades, a human rights-based, holistic and psychosocial understanding of mental health has been emerging, but this approach still faces a lot of resistance in many of our member states, where a reductionist, biomedical paradigm remains prevalent. Further problems identified in the aforementioned report of the Special Rapporteur are power asymmetries in mental health policies and services, and the biased use of evidence in mental health. In combination, these reinforce a vicious cycle of stigmatisation, disempowerment, social exclusion and coercion.

In order to rise to the challenge posed by the pandemic for mental health services, it is essential to reform them, as well as relevant laws and policies, urgently and from the ground up. As with health policy generally, the imperative to prevent human rights violations must be the guiding principle behind these reforms.

The human rights of persons with mental health problems or psychosocial disabilities (i.e. disabilities arising from the interaction between a person with a mental health condition and their environment) are routinely violated in two significant ways. Firstly, their human rights continue to be violated by mental health services themselves, notably because they often display a tendency towards paternalism, coercion and institutionalisation. Secondly, affected patients may not have access to the care they need to achieve the highest attainable standard of health. In this connection, we should bear in mind that this right depends on the realisation of many other human rights, notably those enshrined in the UN Convention on the Rights of Persons with Disabilities (CRPD).

Coercion: a persistent source of human rights violations

In a recent report on its visit to Bulgaria, the European Committee for the Prevention of Torture (CPT) documented how patients in psychiatric hospitals were subjected to widespread and systematic ill-treatment at the hands of staff: they were slapped, pushed, punched, kicked, beaten with sticks, chained to beds and medicated without consent. While this example is particularly horrific, we should not forget that similar institutions, and the underlying approach taking coercion for granted, are still common in the majority of our member states, as demonstrated, for example, in recent exposés on the situation of psychiatric hospitals in Malta. My own Office has addressed human rights violations caused by such institutions in a large number of member states, including in an intervention before the European Court of Human Rights.

Why is this still accepted in 2021? Historically, fear, rejection and isolation have been our default response to persons with mental health problems. The ingrained fear and stigma of mental illness is still very strong, fuelling prejudice and the narrative that persons with mental health problems pose a danger to themselves and to society, against all available statistical evidence to the contrary – persons with mental health problems are in fact far more likely to be victims of violence than perpetrators. Mental health laws that normalise closed institutions and forced treatment confirm and reinforce these prejudices. Furthermore, while there is ample evidence that coercive treatment may lead to substantial trauma and that fear of coercion can actually deter persons experiencing mental ill-health from seeking help, there appears to be little scientific evidence to substantiate the supposed benefits of forced treatment.

In 2019, the Parliamentary Assembly of the Council of Europe unanimously adopted a groundbreaking Resolution calling on member states to end coercion in mental health, pointing to the fact that the number of persons subjected to coercion was still growing in Europe. It noted that so-called safeguards to prevent excessive use of coercion had not reduced but, on the contrary, seemed to have increased coercion, for example in France following a reform in 2011: what is defined as last resort in legislation often becomes the default approach, especially when resources are scarce. The corresponding report presented to the Parliamentary Assembly also reflects my observations concerning the marked differences in the level of involuntary placements between countries, but also between different regions of the same country or even from one hospital to another, suggesting that the main cause of coercion is not the inherent dangerousness of persons or therapeutic necessity, but an institutional culture that confines more out of prejudice or habit. This interpretation is supported by research.

In my address to the Parliamentary Assembly prior to the adoption of this Resolution, I drew attention to how my own country work allowed me to see first-hand the vicious circles caused by a mental health approach based on coercion, which perpetuates the isolation of the very persons who need the support of their community the most, fuelling more stigma and irrational fear. The lack of community-based, voluntary mental health services also results in even more coercion and deprivation of liberty.

I have also shared my observation that safeguards supposed to protect persons from arbitrariness and ill-treatment are reduced to mere formalities because they operate in a legal system where persons with mental health problems do not even have a chance to have their voices heard, owing to the profound power asymmetry between the patient and physician in most mental health settings. Judges almost invariably follow the opinion of the psychiatrist over the wishes of the patient, when the law provides for such a possibility. At their worst, such safeguards do little more than ease the conscience of those who are in fact taking part in human rights violations.

My position on coercion in psychiatry and the Resolution of the Parliamentary Assembly should be seen against the background of a growing consensus within the international community to consider involuntary measures without the informed consent of persons with mental health problems as human rights violations, or even as possibly amounting to torture. This is in large part due to the paradigm shift operated by the CRPD when it entered into force in 2008, and the efforts of civil society, in particular of persons with lived experience of mental health problems and psychosocial disabilities, to have their say in policy-making. As a result, a growing number of relevant international and national human rights bodies are now calling for an end to coercion and its replacement by community-based treatment options based on consent. This approach is slowly making headway in the medical community as well, as can be seen in the growing body of WHO guidance to states to reduce coercion, establish community-based alternatives and integrate mental health into primary care. Similarly, the World Psychiatric Association issued a position statement on the need to reduce coercion in October 2020.

This revolution is rooted in the CRPD and it would be a mistake to cling to older Council of Europe standards that place the bar lower. In this context, it is regrettable that work is still continuing in the Council of Europe on a draft Additional Protocol to the Oviedo Convention that reflects an outdated, biomedicine-driven approach reducing mental health to mental disorders and empowering physicians to forcibly confine and treat persons without consent, with virtually no limit being set on the duration of this placement or the treatments to be used. The vagueness of the definitions in this text and the trust in the judgement of a single physician, which appears misplaced given the human rights violations we are still witnessing on a daily basis, could easily give the impression of sanctioning even the worst kinds of human rights abuses in psychiatry. The opposition of the Parliamentary Assembly, several UN bodies including the treaty body of the CRPD, the unanimous protests of representative organisations of persons with psychosocial disabilities and my own opposition to this initiative have so far been ignored.

I call on member states to stop supporting such initiatives at international level, which may create confusion and become a stumbling block to necessary progress in advancing the human rights agenda when it comes to mental health. If new international standards do not nurture the paradigm shift from institutional to community-based care, and from coercive to consent-based care, they should at least do no harm by muddying the waters.

The way forward

A number of member states have started reviewing their mental health legislation in the light of these considerations, for example in Ireland and in the UK. What I found particularly positive with these two examples is the commitment to engage with civil society, and in particular users and providers of mental health services. Initiatives by representative organisations of persons with psychosocial disabilities to promote more inclusive policy-making, for example in the ongoing trialogue in Germany, are also to be commended. The active participation of persons with lived experience of using mental health services in defining policies, in particular, is a sine qua non condition of successful mental health reform, as their exclusion from the debate so far has allowed human rights violations to continue unchecked for as long as they have. This is also a general obligation under Article 4(3) of the CRPD.

The realisation of the right to full enjoyment of the highest attainable standard of mental health depends on the realisation of many other crucial human rights. In particular, member states need to conduct the necessary reforms of their mental health legislation in parallel with reforms in two crucial areas affecting core rights enshrined in the CRPD: legal capacity (Article 12) and the right to live independently and be included in the community (Article 19). Mental health care that truly respects the autonomy, dignity, will and preferences of service users is simply not possible so long as legal systems continue to tolerate substituted decision-making or segregation in institutions. Ongoing legal capacity reforms in our member states are very important in this respect. States must ensure that persons with mental health problems or psychosocial disabilities, including children, never lose their say on decisions involving their health, if necessary by providing the appropriate supports for decision-making, in order to ensure that mental health care is provided on the basis of free and informed consent. For as long as involuntary measures remain a reality, it is also crucial to ensure full access to justice to challenge any decision, an area where there are also some good practices, for example in the Netherlands.

As for institutions, I refer to the longstanding recommendations of my Office to put an end to their use, starting with immediate moratoria on future placements. Experience shows the crucial importance of closing large psychiatric hospitals where persons are involuntarily placed. To take one example, Italy was a pioneer in this respect by initiating a process of gradual closure of psychiatric hospitals from 1978, replacing them with alternatives closer to the community. While Italy is also facing a number of problems regarding the use of coercive measures in psychiatric establishments that still need to be addressed, it should be thought-provoking that the rate of involuntary placements in Italy today appear to be lower, by orders of magnitude, than in neighbouring states.

Reduction of coercive practices in psychiatric services, including the use of restraints and forced medication, and their progressive elimination should be another immediate priority. As mentioned above, the institutional culture and habits largely determine the prevalence of such measures. For example, my predecessor recommended to Denmark in 2013 that recourse to coercion in psychiatry be drastically reduced, and I was happy to note that a psychiatric centre in Ballerup had managed to put an end to the use of restraints as a first in the country, by training staff on conflict management and increasing physical activity for residents, without augmenting medication, for the benefit of both patients and staff.

The ultimate goal must be to replace institutions and a coercion-based mental health system by a recovery- and community-based model, which promotes social inclusion and offers a range of rights-based treatments and psychosocial support options. These can take many different forms and many models exist including, for example, support provided by peers or a support network, patient advocates/personal ombudspersons, advanced planning, community crisis resolution or open dialogue. It is also crucial to deconstruct the lingering stigma associated with seeking help for mental health problems, whether this is done in the school environment, at the workplace or in primary healthcare centres, through targeted awareness-raising and outreach. Only then can mental health services, as an integral part of primary care, be universally available to individuals throughout the entire life cycle. Once more, true involvement of persons with lived experience in the design, implementation, delivery and monitoring of these services is crucial.

Member states can take inspiration from several compilations of promising practices at the European and global levels, as well as ongoing projects and research conducted into community-based delivery of recovery-oriented mental health services, such as the RECOVER-E project running in Croatia, Montenegro, North Macedonia, Bulgaria and Romania. I am also conscious of the potential impact of new technologies on mental health care, which represent both opportunities and serious risks for human rights, and I refer to my general recommendations concerning human rights and artificial intelligence.

In this context, I encourage states to pay special attention to the mental health of children and adolescents, not least because of the extraordinary strain that the COVID-19 pandemic has placed on them. Lockdown measures and prolonged school closures have deprived them, more than other groups, of their usual routines, while exposing them to isolation and an increase in violence and abuse. We should not forget that childhood and adolescence are crucial periods for life-long mental health. Mental ill-health experienced in the formative years of one’s life, for example as a result of adversities or trauma, affects brain development and the ability to form healthy relationships and life skills. Children and adolescents therefore need non-bureaucratic access to mental health support, as early as necessary and as least invasively as possible, without any shame attached. Institutionalisation of children, on the other hand, has a devastating impact on childhood development. We also need to bear in mind that suicide was one of the leading causes of death among adolescents in the European region even before the pandemic, which makes recent evidence of a marked increase in anxiety levels, depression and self-harm among young people particularly alarming. In order to prevent future burdens on mental health systems, it is crucial to expand our capacities for early psychosocial interventions for children by building on innovative and community-based child mental health services, rather than pursuing the worrying trend of ever-increasing use of psychotropic medication on children.

Mental health reform is an extremely challenging task for all our member states, given the complexity of the issues and the huge gap between agreed international standards and the reality on the ground. This, however, makes it all the more urgent. Let us turn the current challenge of the pandemic into an opportunity, by thoroughly transforming mental health services in Europe, with human rights as our guide and compass.

Council of Europe

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New Social Compact

WHO and Future Frontiers of Global Pandemic Governance

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The Covid-19 pandemic has revealed the deep fissures among the countries with regards to governance of the pandemic .The uncoordinated and the haphazard  knee-jerk reactions and policy nostrums is indicative of the abysmal sclerosis of the governance mechanisms of the WHO .While  with the advent of the hyper-nationalism and  kindred predilections  of the countries in  protectionist initiatives global governance across the issue areas has witnessed a diminishing efficacy or outright floundering, it is however in the health issue that the governance mechanism aimed at containing pandemic has unraveled  deplorably.

The global efforts aimed at grappling with the unwieldy virus can be termed as a debacle as the hitherto infrastructure that   framers of institutions have forged had met with outright disregard  in favor with a  harkening back to the 19th century  protectionist attitudes where each country guided by their parochial interest had  jealously guarded national sovereignty in order to safeguard their goals. The countries who were bound together through   the robust bond of globalization had reacted to the pandemic with a spirit that is antithetical to the underlying rationales of globalization .Especially, European nations  had maintained more sophisticated and intricate collective cooperation  and n in effect had spawned a federal European identity. However, during the outbreak of the pandemic they had resorted to measures which is unbecoming of their collective identity and was emblematic of a realpolitik reckoning of state interest.

As with Europe, pandemic had unraveled the prolonged vacuous rhetoric of the country apropos international cooperation and global governance. While United States deem itself as the lone custodian of the liberal world order and underscore the necessity of cooperation in order to safeguard the collective freedom of the country, however at the beginning of the pandemic and throughout the turbulent pandemic period the preeminent country in the world had denigrated the global governance efforts in favor of its arm-twisting tactics and notoriously browbeaten India to secure crucial medical supplies. Besides, at the height of the pandemic far from concentrating collective efforts to halt the unceasing onslaught of the pandemic, United States had embroiled in bickering with the China over the origin of the Covid-19 virus and wielded mud-slinging and other measures to denigrate its prime geo-political adversary.

The victims of great powers’ unabashed skirmishes were however the less developed countries who hinge on global governance and collective cooperation in the pressing situation .However ,any consensus had been impeded due to the barrage of recriminations  by both the United States and China. This wrangling had deflected the elite attention from the containment of the pandemic and provided ground for further aggravation of the global pandemic. Moreover, the  reaction of the countries  to the Covid-19 was  haphazard and  had been lacking in any coherent collective will in facing the  pandemic.

The slipshod management of the global health crisis had been a characteristic of WHO despite the fundamental pillar underlying this paramount organization being the management and prevention of the world health crisis. Since its inception, however, WHO had fared miserably in its bid in containment of the numerous public health crisis .The earlier debacle of WHO was marked by dilatory response or unsolicited response. Moreover,  WHO failed to mobilize due response in the face of pressing threats to global health. This is a consequence of the organization’s lack of coordinated effort and deficiency of any coercive capabilities.  While WHO is entrusted with the paramount responsibility of managing international and collective response against public health crisis ,it is however devoid of any mechanism that and aren’t mandated to coerce its constituent states to abide by its regulations. Therefore, WHO and its efforts at countering the health crisis are often rendered futile due to the stubborn attitude of the countries and due to the unwieldy nature of global governance.

Therefore, the efficacy of the paramount institution that has been envisaged in order to shield the world from a disastrous public health crisis is increasingly hamstrung in want of a coordinated and refined mechanism. Against this backdrop, the surfacing of ominous novel variant Omicron has jolted the already fragile economic recovery in the  world and run the risk of wiping the hard-earned gains  in the wake of vaccination efforts. The current woe and resurfacing of the pandemic points towards the callous stance of the developed countries with regards to vaccination. While developed countries had inoculated their domestic population, they however is shilly shallying  about mounting a coordinated global effort in confronting the global pandemic. This has meant that a excruciatingly slow vaccination rate in the African region. The fact that this virus had originated in Africa is indicative of a ominous message and suggest that due to dilatory vaccination  efforts globally bulk of the developing and lower developed countries remain outside the vaccination and the virus are mutating incessantly through these unvaccinated population are growing more virulent .

Moreover, until a substantial percentage of people come under the ambit of vaccination, it will be remain herculean task of extirpating the Covid menace. However, there are paucity of sincere efforts from the has undermined WHO’s overtures aimed at a coordinated vaccination program had faltered due to the callous and apathetic attitude of the developing nations. Besides, the profit-guzzling pharmaceuticals companies had found a windfall of endless profiteering from the plight of pandemic and in effect weaponized pandemic as a means to monopolizing their vaccines and other medical goods and safeguarding this inordinate market dominance under the questionable TRIPs .

Against this backdrop, the world requires   a well-coordinated, hierarchical, top-down and systemic institution with the capacity of the managing the global health crisis with efficiency .Besides, the new governance mechanism need to be modeled on other organizations that wield capacity of sanction and can exert pressure on the government if any country doesn’t abide by its dictates. Besides, rather than inefficacious and toothless organization , an  efficient management of global health crisis is required in order to persuasively deal with the global health crisis. A treaty needs to be formulated with all of the countries entrusting their partial sovereign power to the organization and should abide by the injunction of the organization. Moreover, an overhaul of infrastructure of global health governance is presupposed in order to confront the pressing challenges of the  imminent health crisis.

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Partnering with persons with disabilities toward an inclusive, accessible and sustainable post-COVID-19 world

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As the world observes the International Day of Persons with Disabilities today, we honour the leadership of persons with disabilities and their tireless efforts to build a more inclusive, accessible and sustainable world. At the same time, we resolve to work harder to ensure a society that is open and accommodating of all.

An estimated 690 million persons with disabilities, around 15 per cent of the total population, live in the Asia-Pacific region. Many of them continue to be excluded from socio-economic and political participation. Available data suggests that persons with disabilities are almost half as likely to be employed as persons without disabilities. They are also half as likely to have voted in an election and are underrepresented in government decision-making bodies.  Just about 0.5 per cent of parliamentarians in the region are persons with disabilities. Women with disabilities are even less likely to be employed and hold only 0.1 per cent of national parliament positions.

One of the main reasons behind these exclusions is a lack of accessibility. Public transportation and the built environment in general — including public offices, polling stations, workplaces, markets and other essential structures — lack ramps, walkways and basic accessibility features. Accessibility, however, goes beyond the commonly thought of physical structures. Barriers to access to services and information and communication technology must also be removed, to allow for the participation of persons with diverse types of disabilities, including persons with intellectual disabilities and hearing and vision impairments.

The COVID-19 pandemic and related lockdowns has exacerbated existing inequalities. Many persons with disabilities face increased health concerns due to comorbidities and were left without access to their personal assistants and essential goods and services. As much of society moved online during lockdowns, inaccessible digital infrastructure meant persons with disabilities could not access public health information or online employment opportunities.

Despite these challenges, persons with disabilities and their organizations were among the first to respond to the immediate needs of their communities for food and supplies during lockdowns in addition to continuing their long-term work to support vulnerable groups.

ESCAP partnered with several of these organizations to support their work during the pandemic. Samarthyam, a civil society organization in India led by a woman with disabilities, has trained many men and women with disabilities to conduct accessibility audits in their home districts. With these skills, they are becoming leaders and advocates in their communities, working towards improving the accessibility of essential buildings everywhere.

Another ESCAP partner, the National Council for the Blind of Malaysia (NCBM), is working to improve digital accessibility by training a group with diverse disabilities in web access auditing, accessible e-publishing and strategic advocacy. NCBM hopes to support participants in forming a social enterprise for web auditing and accessible publishing, creating employment opportunities and enabling persons with disabilities to lead efforts to improve online accessibility.

Women and men with disabilities have been leaders and champions to break barriers to make a difference in Asia and the Pacific. Today, ESCAP launches the report “Disability at a Glance 2021: The Shaping of Disability-inclusive Employment in Asia and the Pacific.” The report highlights some innovative approaches to making employment more inclusive, as well as recommendations on how to further reduce employment gaps. 

Adjusting to a post-COVID-19 world presents an opportunity for governments to reassess and implement policies to increase the inclusion of persons with disabilities in employment, decision making bodies and all aspects of society. Accessibility issues impact not only persons with disabilities but also other people in need of assistance, including older persons, pregnant women or those with injuries. Implementing policies with universal design, which creates environments and services that are useable by all people, benefits the whole of society. Governments should mainstream universal design principles into national development plans, not only in disability-specific laws and policies.   

As a global leader in disability-inclusive development for over 30 years, the Asia-Pacific region has set an example by adopting the world’s first set of disability-specific development goals in the Incheon Strategy to “Make the Right Real.” Meeting the Incheon Strategy goals will require governments to intensify their efforts to reduce barriers to education, employment and political participation.

At ESCAP, we know that achieving an inclusive and sustainable post-COVID-19 world will only be possible with increased leadership and participation of persons with disabilities. To build back better — and fairer — we will continue to strengthen partnerships with all stakeholders so together we can “Make the Right Real” for all persons with disabilities.

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Remote Learning during the pandemic: Lessons from today, principles for tomorrow 

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Education systems around the world reacted to COVID-19 by closing schools and rolling out remote learning options for their students as an emergency response.  New World Bank analysis of early evidence reveals that while remote learning has not been equally effective everywhere, hybrid learning is here to stay.

Going forward, for remote learning to deliver on its potential, the analysis shows the need to ensure strong alignment between three complementary components: effective teaching, suitable technology, and engaged learners.

“Hybrid learning – which combines in-person and remote learning – is here to stay. The challenge will be the art of combining technology and the human factor to make hybrid learning a tool to expand access to quality education for all,” emphasized Jaime Saavedra, World Bank Global Director for Education.  “Information technology is only a complement, not a substitute, for the conventional teaching process – particularly among preschool and elementary school students. The importance of teachers, and the recognition of education as essentially a human interaction endeavor, is now even clearer.”

The twin reports, Remote Learning During the Global School Lockdown: Multi-Country Lessons and Remote Learning During COVID-19: Lessons from Today, Principles for Tomorrow, stress that three components are critical for remote learning to be effective:

  • Prioritizing effective teachers: a teacher with high subject content knowledge, skills to use technology, and appropriate pedagogical tools and support is more likely to be effective at remote instruction.
  • Adopting suitable technology: availability of technology is a necessary but not sufficient condition for effective remote learning.
  • Ensuring learners are engaged: for students to be engaged, contextual factors such as the home environment, family support, and motivation for learning must be well aligned.

The reports found that many countries struggled to ensure take-up and some even found themselves in a remote learning paradox: choosing a distance learning approach unsuited to the access and capabilities of a majority of their teachers and students.

“Emerging evidence on the effectiveness of remote learning during COVID-19 is mixed at best,” said Cristóbal Cobo, World Bank Senior Education and Technology Specialist, and co-author of the two reports. “Some countries provided online digital learning solutions, although a majority of students lacked digital devices or connectivity, thus resulting in uneven participation, which further exacerbated existing inequalities. Other factors leading to low student take-up are unconducive home environments; challenges in maintaining children’s engagement, especially that of younger children; and low digital literacy of students, teachers, and/or parents.”

“While pre-pandemic access to technology and capabilities to use it differed widely within and across countries, limited parental engagement and support for children from poor families has generally hindered their ability to benefit from remote learning,” stressed Saavedra.

Despite these challenges with remote learning, this can be an unprecedented opportunity to leverage its potential to reimagine learning and to build back more effective and equitable education systems. Hybrid learning is part of the solution for the future to make the education process more effective and resilient. 

The reports offer the following five principles to guide country efforts going forward:

Ensure remote learning is fit-for-purpose. Countries should choose modes of remote learning that are suitable to the access and utilization of technology among both teachers and students, including digital skills, and that teachers have opportunities to develop the technical and pedagogical competencies needed for effective remote teaching. 

Use technology to enhance the effectiveness of teachers. Teacher professional development should develop the skills and support needed to be an effective teacher in a remote setting.

Establish meaningful two-way interactions. Using the most appropriate technology for the local context, it is imperative to enable opportunities for students and teachers to interact with each other with suitable adaptations to the delivery of the curriculum.

Engage and support parents as partners in the teaching and learning process. It is imperative that parents (families) are engaged and supported to help students access remote learning and to ensure both continuity of learning and protect children’s socioemotional well-being.

Rally all actors to cooperate around learning. Cooperation across all levels of government; as well as partnerships between the public and private sector, and between groups of teachers and school principals; is vital to the effectiveness of remote learning and to ensure that the system continues to adapt, learn, and improve in an ever-changing remote learning landscape.

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