COVID-19 Sensitive Interventions

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Adapting existing interventions to COVID-19.

Adapting existing humanitarian interventions to COVID-19 will be essential to reduce transmission of the virus and thus to contain and mitigate the pandemic. This category refers to interventions that are COVID-19-sensitive, as opposed to COVID-19-specific interventions that are listed in the first category, entitled Preparing for and Responding with COVID-19 specific intervention. The current category includes four sections: 1) Prioritization; 2) Human resources; 3) Essential health services; and 4) Other programmatic areas.

Prioritization
The COVID-19 pandemic has overstretched all health systems, including those in high-income countries. Shortage of essential equipment such as personal protective equipment, ventilators, diagnostic tests together with increased usage of critical care units have forced all clinicians and health facility managers to make challenging triage and allocation decisions. Many humanitarian agencies are unclear as to which health services should be adapted or postponed to protect healthcare staff and patients from COVID-19 infection. A decision framework is needed to help governments, NGOs, donors and health mangers with their allocation and operational decisions according to different contexts.
Guidance
Guidance: COVID-19 Sensitive Interventions Prioritization
Fair Allocation of Scarce Medical Resources in the Time of COVID-19
NEJM, May 7 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
Human Resources
The COVID-19 pandemic strains all health systems’ human resources, especially those that are already underfunded and have limited staffing in health facilities. This section compiles experiences about strategies that can maintain routine services while surging capacity to cope with COVID-19 cases; how to reorganize competencies and repurpose professionals while ensuring safety of health workers; as well as capacity building strategies to ensure availability and quality of services.
Guidance
Guidance: COVID-19 Sensitive Interventions Human Resources
Operational guidance for maintaining essential health services during an outbreak
WHO, March 25 2020

Guidance: COVID-19 Sensitive Interventions Human Resources
Rights, roles and responsibilities of health workers, including key considerations for occupational safety and health during COVID-19
WHO, March 18 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
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Essential Health Services

The continuity of health services when resources and space may be diverted to COVID-19 response are essential to reduce excess morbidity and mortality. Humanitarian actors must prioritize key activities and implement adaptations to ensure the delivery of essential health services. These services include, but are not limited to, maternal and child health, sexual and reproductive health, communicable disease management, chronic disease management, injury and rehabilitation, and mental health.

COVID-19 Sensitive Interventions Essential Health Services guidance:

Maternal Child Health
Guidance
Guidance: COVID-19 Sensitive Interventions Essential Health Services MCH - Compendium of COVID-19 related partner resources on women's, children's and adolescents' health
PMNCH, May 6 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services MCH - Health Technical Brief for Antenatal Care during COVID-19
UNFPA, April 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services MCH - FAQs on Breastfeeding and COVID-19 for healthcare workers
WHO, May 12 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services MCH - COVID-19 technical brief for maternity services
UNFPA, April 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services MCH - Operational guidance for South and South-East Asia and Pacific Regions for continuing essential Sexual Reproductive, Maternal, Neonatal, Child and Adolescent Health services during COVID-19 pandemic
WHO UNFPA UNICEF, April 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
Sexual Reproductive Health
Field Context Specific Adaptations and Innovations
Experience: COVID-19 Sensitive Interventions Essential Health Services SRH - Maintaining Essential Services in Migrant Camp (Samos)
SRH and Mental Health
MSF, May 13 2020

Experience: COVID-19 Sensitive Interventions Essential Health Services SRH - Sexual & Reproductive Health in Pakistan
IRC, April 28 2020
Mental Health
Guidance
Guidance: COVID-19 Sensitive Interventions Essential Health Services Mental Health - MH and psychosocial considerations for COVID-19
WHO, March 18 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services Mental Health - Interim Briefing Note Addressing Mental Health and Psychosocial Aspects of COVID-19 Outbreak – developed by the IASC’s Reference Group on Mental Health and Psychosocial Support
IASC, February 2020
Field Context Specific Adaptations and Innovations
COVID-19 Sensitive Interventions Essential Health Services Mental Health - Psychosocial support to health workers in Kinshasa, DRC
ACF, May 11 2020
Communicable Diseases
Guidance
Guidance: COVID-19 Sensitive Interventions Essential Health Services Communicable Diseases - Polio eradication programme continuity: implementation in the context of COVID-19
GPEI, May 14 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services Communicable Diseases - Adapter la chimioprévention du paludisme saisonnier dans un contexte de transmission du COVID-19: guide de mise en œuvre The Roll Back Malaria Partnership, April 29, 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services Communicable Diseases - Steps for using Infection Prevention and Control to Deliver SMC during COVID-19 Pandemic: Job Aid
Malaria Consortium

Guidance: COVID-19 Sensitive Interventions Essential Health Services Communicable Diseases - Technical Guidance for the COVID-19 Response Global Fund, April 9 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services Communicable Diseases - Tuberculosis and COVID-19 (Information Note)
WHO, April 4 2020

Guidance: COVID-19 Sensitive Interventions Essential Health Services Communicable Diseases - Adapting seasonal malaria chemoprevention in the context of COVID-19
Roll Back Malaria Partnership, April 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
Non-Communicable Diseases
Guidance
Field Context Specific Adaptations and Innovations
Field Experience: NCD Lebanon Refugees, MSF May 19 2020.
Injury and Rehabilitation
Guidance
Updated when available
Field Context Specific Adaptations and Innovations
Uploaded when available.
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Other programmatic areas

The COVID-19 pandemic goes well beyond public health. Existing humanitarian programs across multiple sectors need to be COVID-19-sensitive to reduce the risk of transmission. Humanitarian actors must examine all sectors, and adapt those that are prioritized to continue during the pandemic. These sectors include, but are not limited to, nutrition; food security, water, sanitation, and hygiene (WASH); and education.

Nutrition
The management of maternal and child malnutrition, micro-nutrient deficiencies as well as infant and young child feeding among others will require prioritization and adaptation to continue life-saving activities.
Guidance
Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition- Nutrition Information Management, Surveillance and Monitoring in the Context of COVID-19 UNICEF, Global Nutrition Cluster, GTAM, April 14 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Mitigating the effects of the COVID-19 pandemic on food and nutrition of schoolchildren
WFP FAO UNICEF, April 7 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Operational guidance on Nutrition Sectoral/Cluster Coordination in the context of COVID-19
Global Nutrition Cluster, April 6 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - WFP’s additional recommendations for the management of maternal and child malnutrition prevention and treatment in the context of COVID-19
WFP, April 4 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - IYCF Tools in the Context of COVID-19
Save the Children, April 4 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Global Technical Assistance Mechanism for Nutrition (GTAM) Management of child wasting in the context of COVID-19
UNICEF Global Nutrition Cluster, March 27 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Interim Recommendations for Adjusting Food Distribution Standard Operating Procedures in the Context of the COVID-19 Outbreak
IASC, March 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Resources on Nutrition in Emergencies including COVID-19
Global Nutrition Cluster

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Resources on Nutrition Coordination during COVID-19
Global Nutrition Cluster

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Preparedness Guidelines for Nutrition in Emergency Coordination
Global Nutrition Cluster, October 2019

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Infant & young child feeding in the context of COVID-19
UNICEF Global Nutrition Cluster GTAM, March 30 2019

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition - Protecting Maternal Diets and Nutrition Services and Practices in the context of COVID19
Global Nutrition Cluster
Field Context Specific Adaptations and Innovations
COVID-19 Sensitive Interventions Other Programmatic Areas Nutrition: Adapting Nutrition programming in Pakistan PINS, May 15 2020

Food Security
Food security of vulnerable populations is under threat of disruption by COVID-19. Namely processes of cash transfers, supply chain, registration and distribution of food assistance require adaptations to safely prevent a food crisis.
Guidance
Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Emergency Seed Interventions during the COVID-19 pandemic Food Security Cluster, May 13 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Emergency livestock actions in the context of COVID-19 pandemic Food Security Cluster, May 13 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Cash and Voucher Assistance (CVA) in COVID-19 contexts
CaLP Network, May 7 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security- Multi-Sectoral Surveillance System In COVID-19 Context ACF, April 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Guidance note on the role of CVA to reduce financial barriers in the response to the COVID-19 pandemic in countries targeted by the Global Humanitarian Response Plan
WHO GHC, April 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Addressing the impacts of COVID-19 in food crises
FAO, April–December 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Interim Recommendations for Adjusting Food Distribution Standard Operating Procedures in the Context of the COVID-19 Outbreak
WFP, March 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Humanitarian Cash Transfers and COVID-19 Key messages: Recommendations for ongoing and future interventions

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Targeting and Prioritization
WFP, March 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Food Security - Livelihoods Short Guidance on COVID-19 response
UNHCR, April 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
WASH
The continuity of water, sanitation, and hygiene (WASH) services is essential for infection prevention and control of COVID-19 as well as other communicable diseases. The prioritization and adaptation of services at the household, health facility, and public space level are necessary to response.
Guidance
Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - COVID-19 Response Guidane Note
Global WASH Cluster, April 1 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - COVID-19 Emergency Preparedness and Response: WASH and Infection Prevention and Control Measures in Schools
UNICEF, March 15 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - COVID-19 Emergency Preparedness and Response: WASH and Infection Prevention and Control in Health Care Facilities
UNICEF, March 14 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - COVID-19 Preparedness and Emergency Response: WASH and Infection Prevention and Control (IPC) Measures in Households and Public spaces
UNICEF, March 12 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - COVID-19 Emergency Response UNICEF Hygiene Programming Guidance Note
UNICEF, March 10 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - Technical WASH Guidance for COVID-19 Preparedness and Response
UNHCR, April 4 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - Webinar on WASH for Preventing COVID-19
Global WASH Cluster, March 11 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas WASH - Water, Sanitation, Hygiene and Waste Management for the COVID-19
WHO UNICEF, March 19 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
Education
The continuity of educational services for children and young people should be considered when disruptions or alternatives are required during pandemic response. Adaptations to ensure safe operations, alternative modalities, and safe re-opening are part of a comprehensive COVID-19 response.
Guidance
Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Education - COVID-19 Guidance for Educational Settings
Africa CDC, May 26 2020


Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Education - Guidance for COVID-19 prevention and control in schools
UNICEF WHO IFRC, March 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Education - Education during the COVID-19 Pandemic
Inter Agency Network for Education in Emergencies, April 2020

Guidance: COVID-19 Sensitive Interventions Other Programmatic Areas Education - Framework for reopening schools
UNESCO UNICEF WFP World Bank, April 2020
Field Context Specific Adaptations and Innovations
Uploaded when available.
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Please Let Us Know in the Comments:

Le formulaire en français sera bientôt disponible. Pour l’instant, n’hésitez pas à partager votre expérience en français en utilisant le formulaire existant

1. Which specific intervention within the specific program area that you chose, do you want to document?

2. How did you specifically implement it (COVID-specific) or adapt it (COVID-sensitive; what changes/modications)? Did you add a new activity in your program, did you change its focus, did you change the way/modality it was implemented?

3. Why did you decide to adapt it this way? Explain the contextual considerations amongst other issues.

4. What challenges did you have in adaptation?

5. Which resources (financial, human, supplies/logistics) did you need?

6. Is it working as intended or not? Please explain regardless of outcome.

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