Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria

As governments impose restrictive policies to contain infectious disease outbreaks, pre-existing gender-based inequalities are often exacerbated, increasing the risk of gender-based violence (GBV). Despite international guidance on the need for continued provision of GBV services during emergencies,...

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Main Authors: Neetu A. John, Paul Bukuluki, Sara E. Casey, Dhruvi B. Chauhan, Moriam O. Jagun, Nicoletta Mabhena, Mary Mwangi, Terry McGovern
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Sexual and Reproductive Health Matters
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Online Access:https://www.tandfonline.com/doi/10.1080/26410397.2023.2168399
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author Neetu A. John
Paul Bukuluki
Sara E. Casey
Dhruvi B. Chauhan
Moriam O. Jagun
Nicoletta Mabhena
Mary Mwangi
Terry McGovern
author_facet Neetu A. John
Paul Bukuluki
Sara E. Casey
Dhruvi B. Chauhan
Moriam O. Jagun
Nicoletta Mabhena
Mary Mwangi
Terry McGovern
author_sort Neetu A. John
collection DOAJ
description As governments impose restrictive policies to contain infectious disease outbreaks, pre-existing gender-based inequalities are often exacerbated, increasing the risk of gender-based violence (GBV). Despite international guidance on the need for continued provision of GBV services during emergencies, governments often de-prioritise GBV services and programmes. We conducted a rapid assessment in South Africa, Kenya, Uganda, and Nigeria to examine the impact of COVID-19 policies on the availability of GBV prevention and response services. The study team interviewed 80 stakeholders representing different GBV services in the four countries. The interviews revealed strikingly similar government mis-steps that disrupted the availability of comprehensive GBV services. In all four countries, the government’s failure to exempt the provision of multi-sectoral GBV services from initial lockdown restrictions led to confusion and disrupted the provision of critical GBV services such as clinical management of rape, legal and judicial services, psychosocial services, availability of shelters, and community-based prevention activities. The government’s imposition of curfews, stay-at-home orders, and transportation restrictions further diminished access to services. Governments must strengthen currently available GBV prevention and response services and be better prepared for future pandemics. Following international guidelines, governments should deem GBV services as essential from the beginning with clear implementation plans. Governments must invest in community-based solutions and the expansion of digital tools to ensure everyone, especially those likely to be structurally excluded, have access to critical services during an emergency.
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spelling doaj-art-db0cf141f9254eec9011bc900c75fc972025-08-20T02:34:56ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972023-12-0131110.1080/26410397.2023.2168399Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and NigeriaNeetu A. John0Paul Bukuluki1Sara E. Casey2Dhruvi B. Chauhan3Moriam O. Jagun4Nicoletta Mabhena5Mary Mwangi6Terry McGovern7Assistant Professor, Global Health Justice and Governance Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.Associate Professor, Makerere University, Kampala, UgandaAssistant Professor, Global Health Justice and Governance Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.MPH Student, Global Health Justice and Governance Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USAConsultant, Center for Bridging Health Gaps, Lagos State, NigeriaManaging Director, ResearchLinkME, Johannesburg, South AfricaIndependent Consultant, Nairobi, KenyaDirector, Global Health Justice and Governance Program, Harriet and Robert H. Heilbrunn Professor and Chair, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USAAs governments impose restrictive policies to contain infectious disease outbreaks, pre-existing gender-based inequalities are often exacerbated, increasing the risk of gender-based violence (GBV). Despite international guidance on the need for continued provision of GBV services during emergencies, governments often de-prioritise GBV services and programmes. We conducted a rapid assessment in South Africa, Kenya, Uganda, and Nigeria to examine the impact of COVID-19 policies on the availability of GBV prevention and response services. The study team interviewed 80 stakeholders representing different GBV services in the four countries. The interviews revealed strikingly similar government mis-steps that disrupted the availability of comprehensive GBV services. In all four countries, the government’s failure to exempt the provision of multi-sectoral GBV services from initial lockdown restrictions led to confusion and disrupted the provision of critical GBV services such as clinical management of rape, legal and judicial services, psychosocial services, availability of shelters, and community-based prevention activities. The government’s imposition of curfews, stay-at-home orders, and transportation restrictions further diminished access to services. Governments must strengthen currently available GBV prevention and response services and be better prepared for future pandemics. Following international guidelines, governments should deem GBV services as essential from the beginning with clear implementation plans. Governments must invest in community-based solutions and the expansion of digital tools to ensure everyone, especially those likely to be structurally excluded, have access to critical services during an emergency.https://www.tandfonline.com/doi/10.1080/26410397.2023.2168399COVID-19 policiesGBV prevention and responsesub-Saharan Africaservice disruption
spellingShingle Neetu A. John
Paul Bukuluki
Sara E. Casey
Dhruvi B. Chauhan
Moriam O. Jagun
Nicoletta Mabhena
Mary Mwangi
Terry McGovern
Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria
Sexual and Reproductive Health Matters
COVID-19 policies
GBV prevention and response
sub-Saharan Africa
service disruption
title Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria
title_full Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria
title_fullStr Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria
title_full_unstemmed Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria
title_short Government responses to COVID-19 and impact on GBV services and programmes: comparative analysis of the situation in South Africa, Kenya, Uganda, and Nigeria
title_sort government responses to covid 19 and impact on gbv services and programmes comparative analysis of the situation in south africa kenya uganda and nigeria
topic COVID-19 policies
GBV prevention and response
sub-Saharan Africa
service disruption
url https://www.tandfonline.com/doi/10.1080/26410397.2023.2168399
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