New Research: QMUL’s Sophie Harman co-authors a new article for Nature about the lessons of past pandemics about the effect on women

The social and economic impacts of COVID-19 fall harder on women than on men. Governments need to gather data and target policy to keep all citizens equally safe, sheltered and secure.

Authors/editor(s): Clare Wenham, Julia Smith, Sara E. Davies, Huiyun Feng, Karen A. Grépin, Sophie Harman, Asha Herten-Crabb & Rosemary Morgan

Drawing on the experience of past pandemics new article in the journal Nature argues that

“Women are affected more than men by the social and economic effects of infectious-disease outbreaks. They bear the brunt of care responsibilities as schools close and family members fall ill. They are at greater risk of domestic violence and are disproportionately disadvantaged by reduced access to sexual- and reproductive-health services. Because women are more likely than men to have fewer hours of employed work and be on insecure or zero-hour contracts, they are more affected by job losses in times of economic instability.”

The article can be found at https://www.nature.com/articles/d41586-020-02006-z

New Research: QMUL’s Sophie Harman co-authors a new article for UNWomen on COVID and gender equality

Authors/editor(s): Ginette Azcona, Antra Bhatt, Sara Davies, Sophie Harman, Julia Smith, and Clare Wenham

Original URL: https://www.unwomen.org/en/digital-library/publications/2020/07/spotlight-on-gender-covid-19-and-the-sdgs

Sophie is Professor of International Politics and a BAFTA-nominated film producer. She is interested in visual method and the politics of seeing, global health politics, African agency, and the politics of conspicuously invisible women. Her research has reflected these interests through projects on Global Health Governance, the World Bank and HIV/AIDS, partnerships in health in Africa, the 2014/15 Ebola response, the governance of HIV/AIDS, and her recent film project, Pili. These interests have informed her teaching on the modules Global Health Politics, Africa and International Relations, and Global Governance.

COVID-19 has been declared a public health emergency of international concern and a global pandemic by the World Health Organization. This global threat to health security underscores the urgent need to accelerate progress on achieving Sustainable Development Goal (SDG) 3 and the need to massively scale up international cooperation to deliver on SDG 3. It also reveals what is less obvious, but no less urgent: how health emergencies such as COVID-19, and the response to them, can exacerbate gender inequality and derail hard-won progress not only on SDG 3 but on all the SDGs.

This paper presents the latest evidence on the gendered impact of the pandemic, highlights potential and emerging trends, and reflects on the long-term impact of the crisis on the achievement of the 2030 Agenda for Sustainable Development.

The paper begins by presenting key facts and figures relating to the gendered impacts of COVID-19 followed by reflecting on the health impacts of COVID-19 on SDG 3 targets. Then, the paper explores the socioeconomic and political implications of COVID-19 on women and gender across five of the Goals: SDG 1 (poverty), 4 (quality education), 5 (gender equality), 8 (decent work and economic growth), and 10 (reduced inequalities).

The paper concludes by outlining policy priorities drawn from the evidence presented.

This paper is part of the “Spotlight on the SDGs” series.

View online/download

Bibliographic information

Subject area(s): 2030 Agenda for Sustainable DevelopmentCOVID-19Gender equality and women’s empowermentGender statisticsHealthSex-disaggregated dataSexual and reproductive health and rightsSustainable Development Goals (SDGs)

Media: Papamichail in conversation with Weeam Hammoudeh (Birzeit), Nassim El Achi (AUB), and Abdulkarim Ekzayez (KCL)

By Andreas Papamichail

Dr Andreas Papamichail is a lecturer at Queen Mary University of London. Both his teaching and research interests lie at the interface of International Relations and Global Health. He is a fellow of Advance HE (previously the Higher Education Academy) and, while at King’s, won a university-wide award for inclusive education.

As part of Mile End Institute’s video series on COVID-19, Dr Andreas Papamichail (Queen Mary University of London) speaks to Dr Abdulkarim Ekzayez (King’s College London), Dr Weeam Hammoudeh (Birzeit University) and Dr Nassim El Achi (American University of Beirut) about the current situation with respect to the coronavirus pandemic in Syria, Palestine and Lebanon, and how the political situation in the three countries is affecting the response to the outbreak.

Media: Mile End Institute video with Sophie Harman and Annie Wilkinson

By Sophie Harman

Sophie is Professor of International Politics and a BAFTA-nominated film producer. She is interested in visual method and the politics of seeing, global health politics, African agency, and the politics of conspicuously invisible women. Her research has reflected these interests through projects on Global Health Governance, the World Bank and HIV/AIDS, partnerships in health in Africa, the 2014/15 Ebola response, the governance of HIV/AIDS, and her recent film project, Pili. These interests have informed her teaching on the modules Global Health Politics, Africa and International Relations, and Global Governance.

The newest addition to the Mile End Institute at Queen Mary University of London video series on the #COVIDー19 crisis. In this episode, Professor Sophie Harman (QMUL) and Dr Annie Wilkinson (Institute of Development Studies) consider how simple COVID-19 prevention methods in slums and informal settlements are often difficult or impossible to administer. They also highlight how a lack of available data can impact the effectiveness of strategies for responding to the pandemic. The series is introduced by Professor Tim Bale:

Media: Andreas Papamichail on the effect of COVID-19 on areas affected by conflict

By Andreas Papamichail

Dr Andreas Papamichail is a lecturer at Queen Mary University of London. Both his teaching and research interests lie at the interface of International Relations and Global Health. He is a fellow of Advance HE (previously the Higher Education Academy) and, while at King’s, won a university-wide award for inclusive education.

As part of Mile End Institute’s video series on COVID-19, Andreas Papamichail speaks on the possible impact of COVID-19 in areas affected by violent conflict where weakened health systems, risks and vulnerabilities, security practices and conflict dynamics can amplify the effects of the pandemic.

Blog: The Narikuravars’ Quest for Political Engagement in Perambalur During COVID-19

By Cristina Dragomir

Cristina-Ioana Dragomir is a Lecturer at Queen Mary University of London, School of Politics and International Relations; and was a 2016 CASI Visiting Scholar. She gives special thanks to Ms. Saranya Vadhani for her work and research, to the School of Politics and International Relations at Queen Mary University of London for their support, and to Prof. Rowan Lubbock for his suggestions.

When I asked Rajasekaran Selvam, Educational Program Director at Derek Community Center, how the largest national lockdown in India’s history has affected his nomadic community, he described a dire situation: one water pipe to which people have limited access, no toilets, hungry children, and a lack of government help. “We have ten to twelve people staying in one home during the lockdown,” he explained. “We are told that we need to wash and maintain hygiene, but there is not enough water.”

Selvam comes from the Narikuravar community in Eraiyur village, Perambalur, in Tamil Nadu. Even though he has a stable address and officially lives in a settlement, like many members of his community, he considers himself a nomad. He is part of a small group of about 30,000 people (though the true number of Narikuravars may be twice as high, as they are not accounted for in censuses). Narikuravars have traditionally been hunters, but now make and sell beads and small beauty products at the margins of roads, often searching for business from place to place in hopes of finding new markets and customers. For the past fifty years, in an attempt to sedentarize the community, the state has been providing the Narikuravars with settlements like the one in Perambalur.

Under current legislation, the Narikuravar community in Tamil Nadu is listed as a Most Backward Class (MBC), and for decades they have been struggling to be recognized as a Scheduled Tribe (ST), a status that would allow them to access education and employment reservations. In spite of their assiduous efforts they have not been able to be recognized as an ST; the community continues to live in extreme poverty, surviving on meager incomes from selling their products. As a result of India’s lockdown, their movement has been curtailed, and with it, their livelihood. So far, COVID-19 has not drastically affected the members of the Perambalur settlement, but the Narikuravars are more afraid of the hunger and depravation that comes with the lockdown than the virus itself.

Habitually, the Narikuravars are a tight-knit community whose extensive family networks cross regional and state boundaries. When the order for the lockdown went into effect, many took shelter in their government-allocated settlements or in the homes of their extended families. But these homes were built at least forty years ago and are now in precarious conditions. In Perambalur, there were about 750 people sharing 120 houses; now these houses need to host an increased number of people (often more than ten) under one roof. This increased population density makes state-mandated social distancing measures impossible and heightens the potential for the spread of COVID-19.

Most of the Narikuravars’ government settlements were built during the administration of MG Ramachandran/AIADMK party and came equipped with toilets. However, over the years, as the homes became unable to accommodate the large numbers of people who needed them, bathrooms started being used as living or storage spaces. And since these settlements have no public toilets, Narikuravars are forced to relieve themselves in public places—something they say they try to do in the early mornings when police are not around to enforce the mandatory lockdown. As the World Health Organization notes, “some evidence [shows] that COVID-19 may lead to intestinal infections and be present in feces.” A lack of toilets could, therefore, expose the community to even further risk of the spread of the virus.

Being forced to defecate in public spaces raises the corollary issue of lacking access to water. The Narikuravars are increasingly worried about not having the ability to wash their hands in order to prevent the possible spread of infection. Water shortage is not a new issue in the Narikuravar settlement of Perambalur, which does not have a water tank. Based on seasonal changes, the community has sporadic access to a pipe that has running water for only one hour each morning, which has long since placed them under enormous pressure to survive on a daily ration of one to two buckets of water per family. As water is limited, so is soap. Moreover, there is no access to hand sanitizer, a product now sought after by the entire world, and sold at exorbitant prices, well above what the Narikuravars can afford.

As the country remains in lockdown, the Narikuravars can’t go about the business of selling their products, their only way to make ends meet. In response to communities facing extreme difficulties in procuring daily food and wages, the Indian government put forward various schemes aimed at addressing the basic needs of the most vulnerable. In Tamil Nadu, Minister D. Jayakumar announced that “each ration cardholder will be provided with Rs 1,000 due to the lockdown.” Additionally, the chief minister announced that the government will distribute 15 kg of rice, 1 kg of dal, and 1 kg of cooking oil to families for the month of May.

While these measures are both needed and well-received, the key element is being a ration cardholder, or having a “family card”—the form of identification needed to access these government provisions. Every Indian citizen is eligible to apply for a family card, but in Perambalur, only 60 percent of Narikuravar families have one, as many are unable to prove their family status. While they fulfill all the requirements of the application, government officials need to confirm it by visiting their settlement. Selvam explained that whenever officers come to verify the information, many Narikuravars are nowhere to be found “due to their migration for their livelihood.” Lacking family cards makes it difficult, if not impossible, for many Narikuravars to access government programs and ensure their survival during the pandemic.

For now, Selvam said that Narikuravars are trying to make due with the help of several NGOs (both local and international) that have been providing milk and biscuits. While in Perambalur, Selvam and his community face incredible hardships, the Narikuravars living in large urban spaces like Chennai face harsher realities. There, many do not have houses and are forced to live in habitations made of metal sheets, which are unable to accommodate the increasing number of people in need of shelter, further exposing them to the virus.

The Narikuravars’ problems are not new. However, the pandemic has escalated their dire conditions into unbearable ones, and highlighted the dreadful situation in which communities relegated to the margins have been struggling for a long time. The pandemic also brings awareness to the fact that more political engagement (beyond the known electoral visits) is needed to understand these communities and to engage their members as equal citizens.

It is important to mention that this pandemic has also occasionally brought glimpses of solidarity and government care. Recently, in response to a Twitter plea made by the Narikuravars in Perambalur, local officials sent food relief packages for thirty-five families. While not enough to cover the needs of the community, the packages were well received. Additionally, given that vulnerable communities like the Narikuravar often do not get accounted for in distributions of resources, the Revenue and Disaster Management Department advised to “disburse ex-gratia Rs. 1,000 to registered communities.” However, to date, the Narikuravars have not yet received this assistance.

To further address the Narikuravars’ unique challenges, two sets of policies need to be implemented. In the short term, a relaxation of restrictions on access to rations without a family card is crucial. Distribution of food and supplies could then be facilitated through local officials. Additionally, given the water and sanitation shortages, the Narikuravars urgently need hygiene products. In the long term, a coherent policy has to be designed and implemented, one that takes into consideration the Narikuravars’ mobile lifestyle and provides them access to education, housing, health care, and employment. Currently, the Narikuravars’ livelihood—making and selling beads and beauty products—is not recognized under “authorized” or “unorganized” work, categories that would allow the community access to relief packages and/or a relaxation of lockdown rules. This will be especially crucial in the coming months when the community once again becomes mobile, as their products will not be in high demand. Furthermore, it is likely that in the near future, the community’s mobility and lack of access to hygiene products might associate them with the stigma of spreading COVID-19, and the Narikuravars, who have long since been kept at an arm’s length from mainstream society, will be further marginalized.

The COVID-19 pandemic has created harsh circumstances for everyone around the world. Many are operating beyond their capacity, facing various shortages and hardships. In these times, more than ever, the Narikuravars—as well as many other traditionally nomadic communities—need the awareness of local and regional government bodies to ensure their survival. Only then, will they become equals in the large and diverse citizenry and finally be visible in the eyes of the state.

This blog was originally published at  https://casi.sas.upenn.edu/iit/cristinaioanadragomir2020 

Media: Mile End Institute video with Sophie Harman and Daniel Kettor

By Sophie Harman

Sophie is Professor of International Politics and a BAFTA-nominated film producer. She is interested in visual method and the politics of seeing, global health politics, African agency, and the politics of conspicuously invisible women. Her research has reflected these interests through projects on Global Health Governance, the World Bank and HIV/AIDS, partnerships in health in Africa, the 2014/15 Ebola response, the governance of HIV/AIDS, and her recent film project, Pili. These interests have informed her teaching on the modules Global Health Politics, Africa and International Relations, and Global Governance.

The newest addition to the Mile End Institute at Queen Mary University of London video series on the #COVIDー19 crisis. In this episode, Professor Sophie Harman (QMUL) discusses lessons that can be learned from the Ebola response in relation to COVID-19 with Daniel Kettor (Rainbo Initiative). He highlights, from his experiences of Ebola in Sierra Leone, that social behaviours towards the end of the COVID-19 pandemic will be crucial in ending transmission. The series is introduced by Professor Tim Bale:

Blog: Sophie Harman’s COVID-19 Global Health reading list

By Sophie Harman

Sophie is Professor of International Politics and a BAFTA-nominated film producer. She is interested in visual method and the politics of seeing, global health politics, African agency, and the politics of conspicuously invisible women. Her research has reflected these interests through projects on Global Health Governance, the World Bank and HIV/AIDS, partnerships in health in Africa, the 2014/15 Ebola response, the governance of HIV/AIDS, and her recent film project, Pili. These interests have informed her teaching on the modules Global Health Politics, Africa and International Relations, and Global Governance.

‘In time of trouble, I had been trained since childhood, read, learn, work it up, go to the literature. Information was control’ (Didion, 2005: 44).

As COVID19 spreads across the world and into our every aspect of our lives, I’ve been thinking a lot about this quote from Joan Didion. As someone who has conducted research and taught on global health politics for 15 years, I feel some control derived from knowing what to expect from a global health emergency and pandemic: the rapid shift from social distancing to lockdown to inevitable enforcement is not surprising and expected, it is also totally alien, discombobulating, and scary. I decided one helpful thing I could do would be to share my module reading list. This is for three reasons. First, if like Didion, you make sense in times of trouble through reading, I’m sharing this to both help you and better inform the public about pandemics as a means to gain some sense of knowledge and control. Second, there are aspects of International Relations who have just discovered (and in so doing announced this discovery) pandemics and that global health may have an impact on global peace and security: welcome friends, you have some catching up to do. Third, you may be looking for resources to teach your students or want to develop your own module on Global Politics of Health and Disease – please feel free to use this as your guide (and if you have the time to let me know, please do so, as will help my justification to share it!).

This reading list is drawn from over ten years teaching the Global Politics of Health and Disease. The module itself is divided into themes – e.g. global health governance, global health security, right to health – in the lectures, with students then focusing on specific health issues of topics e.g. Zika, HIV/AIDS, Pandemic Flu – in the seminars. I therefore encourage you to cross-read the sections e.g. if interested in pandemic flu, read across the flu, governance, international law, and global health security sections. I have also kept in the background reading I recommend to students and the essay questions to give you a sense of the topics and issues we explore across the module. Please also note that this is a Politics and International Relations module, so no epidemiology, mathematical modelling, or public health practices to be found here!

Global Health Politics is a flourishing field of research and there will definitely be excellent papers I have overlooked. This is not a deliberate snub, I also last updated the module in December 2018. The list misses work on Ebola and the DRC and any COVID19 work. Global Health is also subject to academic research and publication inequality, I have tried to address this as much as possible, but there is still more work to do.

Finally, if you’re looking for the must-reads on pandemic flu, a great place to start would be Sara E. Davies Containing Contagion, Christian Enemark Biosecurity Dilemmas, and Simon Rushton Security and Public Health. There are loads more excellent books (see Pandemic Flu section), these are just the three I grabbed off my shelf before heading to isolation.

To download the reading list in PDF form, go to: https://drive.google.com/open?id=1F5U4jSfVTGYzUlH82oDYP0OFjhE-Fjyz

Media: Mile End Institute video series on the pandemic, with Sophie Harman

By Sophie Harman

Sophie is Professor of International Politics and a BAFTA-nominated film producer. She is interested in visual method and the politics of seeing, global health politics, African agency, and the politics of conspicuously invisible women. Her research has reflected these interests through projects on Global Health Governance, the World Bank and HIV/AIDS, partnerships in health in Africa, the 2014/15 Ebola response, the governance of HIV/AIDS, and her recent film project, Pili. These interests have informed her teaching on the modules Global Health Politics, Africa and International Relations, and Global Governance.

The Mile End Institute at Queen Mary University of London will be releasing a series of video updates addressing the #COVIDー19 crisis. In the first episode, Professor Sophie Harman explores whether we should have seen the current global health crisis coming. The series is introduced by Professor Tim Bale:

In the second episode, Prof Harman will focus on community involvement and responses to coronavirus.

https://www.youtube.com/watch?v=v1P15TcOg3E

In the third episode, Prof Harman speaks about the role of the military in relation to the COVID-19/coronavirus pandemic and other global health emergencies.

https://www.youtube.com/watch?v=S-QalKnsaI4

Blog: Coronavirus: to avoid major humanitarian fallout, UK must act urgently

By Sophie Harman

Sophie is Professor of International Politics and a BAFTA-nominated film producer. She is interested in visual method and the politics of seeing, global health politics, African agency, and the politics of conspicuously invisible women. Her research has reflected these interests through projects on Global Health Governance, the World Bank and HIV/AIDS, partnerships in health in Africa, the 2014/15 Ebola response, the governance of HIV/AIDS, and her recent film project, Pili. These interests have informed her teaching on the modules Global Health Politics, Africa and International Relations, and Global Governance.

Without an appropriate response, health emergencies like the one the world is currently experiencing can tip over to become humanitarian crises. This tipping point often occurs when a health system is overwhelmed by large numbers of patients, combined with the acute societal effects of an outbreak – such as people’s inability to pay their rent or mortgage or get enough food.

Despite what many may think, humanitarian issues are not just limited to low and middle-income countries or conflict zones. They are a core part of responding to global health outbreaks and can happen in high-income countries in Europe. And right now the UK is at a tipping point of humanitarian concern.

Dame Louise Casey advises the government on homelessness. She announced on BBC Radio 4’s The Today Programme, that the outbreak of coronavirus is not just about health vulnerability, but that it’s also about welfare vulnerability. This outbreak is going to show how decimated the UK’s welfare system is. And it is the most vulnerable in society that will suffer most.

Stockpiling will hit food banks. Lack of sick pay in the gig economy will push workers into greater poverty. The disaster that is Universal Credit will not provide for the additional numbers of people seeking help. This does not even begin to cover the increased need for adult social care provision, vulnerable children, support services for domestic abuse (isolation and quarantine can be a huge risk for women), or the safety of workers that deliver these services.

These essential services in the UK are provided by local authorities. The same local authorities that have been subject to a cut of 49% in real terms between 2010 and 2018, according to the GMB Union and National Audit Office. Local authorities have already struggled to maintain essential services for the most vulnerable in society. It will be impossible for them to handle the humanitarian fallout brought about by coronavirus without extra government funding and support.

Funding questions

The UK government has pledged £5 billion to a COVID-19 response fund for the NHS “and other public services”. “Other public services” here refers to “local authority actions to support care services and vulnerable people”.

The government has also said that it will ensure “that funding is available so other public services are prepared and protected”. But it’s unclear how this £5 billion is to be divided up.

The NHS and Public Health England rightfully need as much money as they can get and it’s good the government recognises the need for greater cash for local authorities. But the UK government also needs to recognise that health emergencies have humanitarian effects and need separate budget allocation. To bundle all of this together under the £5 billion will lead to problems.

Competing responses

My own research with Clare Wenham, assistant professor of global health policy at London School of Economics, shows how failure to understand the difference between health crises and the humanitarian impacts of those crises can significantly delay, confuse, and intensify the response to the crisis.

In such instances, already overburdened health services may become responsible for addressing the humanitarian impacts. This can lead to two competing systems of governance –- the healthcare response and the humanitarian response – which can cause confusion and overlap if not fully understood from the outset.

Funding allocation also becomes confused and ends up creating tension between different sectors, all in desperate need of money and resources. And, ultimately, those most in need slip between the cracks of the health and humanitarian responses.

This will have significant consequences for the secondary health impacts of the outbreak – such as care for the vulnerable, homelessness and access to basic needs such as food.

Not just a health issue

So if the UK government is serious about responding to this health emergency it needs to stop seeing it in purely health terms and act now to stop it spilling over into a humanitarian concern.

Decades of austerity already mean that the UK is tackling the health and social impacts of the virus from a position of weakness. Tacking care of vulnerable adults and children and increasing numbers of people who will need welfare assistance on to NHS spending is not enough. Care and welfare provision must be valued as equally important to health rather than an afterthought.

Valuing care and welfare while allocating proper budgetary spending will help to minimise the impact of the outbreak in an already broken welfare system – and will help to protect the most vulnerable. This is important and is ultimately the way to stop a health emergency becoming a humanitarian crisis.

This blogpost was originally published at https://theconversation.com/amp/coronavirus-to-avoid-major-humanitarian-fallout-uk-must-act-urgently-133968