COVID-19 impacts on coastal communities in Kenya

Women in Health and their Economic, Equity and Livelihood statuses during Emergency Preparedness and Response (WHEELER) protocol: a mixed methods study in Kenya

INTRODUCTION

Kenya reported its first COVID-19 case on 13 March 2020. Pandemic-driven health system changes followed and unforeseen societal, economic and health effects reported. This protocol aims to describe the methods used to identify the gender equality and health equity gaps and possible disproportional health and socioeconomic impacts experienced by paid and unpaid (community health volunteer) female healthcare providers in Kilifi and Mombasa Counties, Kenya during the COVID-19 pandemic.

METHODS AND ANALYSIS

Participatory mixed methods framed by gender analysis and human-centred design will be used. Research implementation will follow four of the five phases of the human-centred design approach. Community research advisory groups and local advisory boards will be established to ensure integration and the sustainability of participatory research design.

ETHICS AND DISSEMINATION

Ethical approval was obtained from the Institutional Scientific and Ethics Review Committee at the Aga Khan University and the University of Manitoba.This study will generate evidence on root cultural, structural, socioeconomic and political factors that perpetuate gender inequities and female disadvantage in the paid and unpaid health sectors. It will also identify evidence-based policy options for future safeguarding of the unpaid and paid female health workforce during emergency preparedness, response and recovery periods.

Well-being of artisanal fishing communities and children's engagement in fisheries amidst the COVID-19 pandemic: a case in Aklan, Philippines

This study describes and explains the multifaceted effects of the COVID-19 pandemic on the socio-economic and psychosocial well-being of the artisanal fishing communities in Central Philippines. The state of child labour and their education amidst the COVID-19 lockdown were also explored. Four hundred artisanal fishing households, with 792 children, from the 10 coastal municipalities in Aklan province were surveyed in May-December 2020 through face-to-face household interviews. The COVID-19 pandemic worsened poverty in these highly vulnerable fishing communities primarily through severe disruptions in their fishing and marine tourism-related livelihoods. The proportion of households living below the Philippine poverty threshold of PHP12,030 (USD232.7) monthly for a family of five members increased from 78% pre-COVID to 91% peri-COVID. This economic impoverishment was more pronounced in larger families with limited income, as in the survey sites, where 41% of the households have more than five family members. Furthermore, 57% of the surveyed households believed that learning difficulty increased by 81% among children due to the blended online education modality. Amidst increased impoverishment, child labour intensified, and children stopped schooling. A significant decline in happiness index peri-COVID was also observed in the study sites indicating extreme socio-economic challenges. Contrary to expectations, however, interpersonal relations in most households improved, underscoring women's stabilising and nurturing role. This latter phenomenon signifies that cooperative and nurturing actor relationships can be generated even in a crisis. Policies that mainstreamed local communities' reproductive health, family planning, and programmes that diversify socio-economic, environmental, and technological assets must be renewed and promoted. The goal is to holistically improve human well-being by increasing or sustaining stocks of these assets to promote resilience and sustainability amidst crisis and complexity.

How COVID-19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya

This implementation research study sought to examine the impact of the COVID-19 pandemic on maternal and infant nutrition practices, and related aspects of health and food systems in Nairobi and Uasin Gishu Counties, Kenya. The study triangulated in-depth interviews with 16 pregnant women, 31 lactating women (including COVID-19 positive), 10 facility health workers, 10 community health volunteers, 6 focus group discussions (FGDs) with food vendors, 4 FGDs and 15 stakeholder interviews with government and implementing partners. Trends from Kenyan Health Information System indicators (i.e., exclusive breastfeeding and initiation of breastfeeding, antenatal care) were also examined. During the COVID-19 pandemic, a decline in attendance of antenatal care, and maternity facilities was observed, and corroborated by Kenyan Health Information System data. Lack of clarity among health workers on COVID-19 breastfeeding guidance and fear of COVID-19 infection early in the pandemic were key drivers of early infant formula use, mother-child separation following delivery and delayed initiation of breastfeeding. Most women exclusively breastfed due to Government of Kenya restrictions in movement. Unemployment and job loss was linked to food insecurity and worsened by increased food prices and limited social protection measures. In response, pregnant and lactating women resorted to skipping meals and reducing quantity and variety of foods consumed. Efforts to build forward from COVID-19 in Kenya should include facility and community health education to prevent disruptions in breastfeeding and to support maternal dietary intake, and in the provision of targeted social protection measures alongside other multisectoral interventions (i.e., psychosocial support) for Kenyan pregnant and lactating women.

COVID-19 experiences of small-scale fishing households: The case of Lake Victoria, Kenya

Introduction

The impact of COVID-19 on small-scale fishing communities is of great concern given the importance of aquatic foods in trade, nutrition and livelihoods. Using a case study of Lake Victoria, augmented by published literature, we examine the socioeconomic dynamics and severity of COVID-19 impacts on Kenyan fishing communities.

Methods

A household level questionnaire was administered through phone interviews on a monthly basis from June 2020 to May 2021, including a focus group discussion in July 2021.

Results

We find that multifold fear of COVID-19 infection and control measures were present and varied across case rates and stringency of control measures. Fishers and traders reported being affected by disease control measures that limited market access and their ability to fish overnight. In spite of these worries, and contrary to what has been reported in the published literature regarding impacts observed in the early months of the pandemic, we see stable participation in fishing and fish trading over time despite the pandemic. Food insecurity was high before and during the COVID-19 pandemic, but did not substantially shift with the pandemic.

Conclusion

Our findings suggest that Kenyan fishing and fish trading households adopted diverse strategies to cope and balance generating income to provide for their families and staying safe. Our results underscore the need to understand ways in which acute pandemic impacts evolve over time given that effects are likely heterogeneous across small-scale fishing communities.

Review: Climate change resilience disconnect in rural communities in coastal Kenya. A rhetoric communication discord proliferated by COVID-19 pandemic

The world has been hit by consequential pandemics in the past two millennia. The COVID-19 pandemic has taken center stage, paralyzing vulnerable communities in the global south impacted by unprecedented climate vagaries. The focus of this study is COVID-19 and climate resilience communication rhetoric. In this context, we embed this study in response to the resilience of rural livelihoods to the COVID-19 crisis and climate resilience education communication rhetoric. We posit our review based on the following questions: Has COVID-19 worsened the climate resilience pathway for rural communities in coastal Kenya? Is the COVID-19 pandemic a proxy for climate resilience in rural livelihoods? How does COVID-19 communication rhetoric undermine climate resilience for vulnerable coastal communities in Kenya? Through a resilient theoretical paradigm, we enclose our view based on the existing literature along with climate resilience and COVID-19 proliferation. In light of the current state of COVID-19, the focus has shifted to the pandemic that will cover climate resilience. From the review, climate resilience pathway has been impacted by corona virus with noted funding response variations, in addition, even with the corona virus pandemic, climate resilience communication should be on-going rather than sporadic. Increasing the discursive process about climate change challenges is critical among Kenyan coastal communities. We recommend inclusion of climate resilience communication in existing policy frameworks as a salient solution to notable information discourse bottlenecks.

Fish catch responses to Covid-19 disease curfews dependent on compliance, fisheries management, and environmental contexts

The responses of small-scale coastal fisheries to pauses in effort and trade are an important test of natural resource management theories with implications for the many challenges of managing common-pool resources. Three Covid-19 curfews provided a natural experiment to evaluate fisheries responses adjacent a marine reserve and in a management system that restricted small-mesh drag nets. Daily catch weights in ten fish landings were compared before and after the curfew period to test the catch-only hypothesis that the curfew would reduce effort and increase catch per unit effort, per area yields, and incomes. Interviews with key informants indicated that fisheries effort and trade were disrupted but less so in the gear-restricted rural district than the more urbanized reserve landing sites. The expected increase in catches and incomes was evident in some sites adjacent the reserve but not the rural gear restricted fisheries. Differences in compliance and effort initiated by the curfew, changes in gear, and various negative environmental conditions are among the explanations for the variable catch responses. Rates of change over longer periods in CPUE were stable among marine reserve adjacent landing sites but declined faster after the curfew in the gear-restricted fisheries. Two landing sites nearest the southern end of the reserve displayed a daily 45 % increase in CPUE, 25-30 % increase in CPUA, and a 45-56 % increase in incomes. Results suggest that recovering stocks will succeed where authorities can achieve compliance, near marine reserves, and fisheries lacking additional environmental stresses.

Conceptualizing the COVID-19 Pandemic: Perspectives of Pregnant and Lactating Women, Male Community Members, and Health Workers in Kenya

Pregnant women are at greater risk of adverse outcomes from SARS-CoV-2 infection. There are several factors which can influence the ways in which pregnant women perceive COVID-19 disease and behaviorally respond to the pandemic. This study seeks to understand how three key audiences-pregnant and lactating women (PLW), male community members, and health workers-in Kenya conceptualize COVID-19 to better understand determinants of COVID-19 related behaviors. This study used qualitative methods to conduct 84 in-depth interviews in three counties in Kenya. Data were analyzed using a grounded theory approach. Emerging themes were organized based on common behavioral constructs thought to influence COVID-19 related behaviors and included myths, risk perception, economic implications, stigma, and self-efficacy. Results suggest that risk perception and behavioral attitudes substantially influence the experiences of PLW, male community members, and health workers in Kenya during the COVID-19 pandemic. Public health prevention and communication responses targeting these groups should address potential barriers to preventive health behaviors, such as the spread of misinformation, financial constraints, and fear of social ostracization.

Impacts, Diversity, and Resilience of a Coastal Water Small-Scale Fisheries Nexus during COVID-19: A Case Study in Bangladesh

The COVID-19 pandemic has profoundly affected many world regions’ coastal social-ecological systems (SESs). Its extensive consequences have exposed flaws in numerous facets of society, including small-scale coastal fisheries in developing countries. To this extent, by focusing on two coastal districts in Bangladesh, namely Chittagong and Cox’s Bazar, we investigated how the lockdown during COVID-19 impacted small-scale coastal fishers in Bangladesh and which immediate measures are required to develop and implement insights, on the role of the scale of governance attributes, in facilitating or impeding the resilience of small-scale fisheries (SSFs). We analyzed both qualitative and quantitative data obtained through semi-structured, in-depth individual interviews (n = 120). Data were further validated using two focus group discussions in the study areas. The impact of the pandemic on the fishers’ livelihood included halting all kinds of fishing activities; limited time or area for fishing; livelihood relocation or alternative work; low fish price; fewer fish buyers, causing difficulty in selling; and travel or free-movement restrictions. Additionally, the study discovered several coping skills and found that the most prevalent coping strategy against the effect of the COVID-19 pandemic was to take out loans (48%) from different organizations and NGOs and borrow money from relatives, neighbors, friends, or boat owners. Finally, the current research analysis identified possible recommendations to enhance the resilience of coastal fishers during COVID-19, emphasizing arrangements that should be made to provide alternative livelihood opportunities for coastal fishermen via need-based training, technical and vocational education and training, and microcredit to keep them afloat and earning during the pandemic, not relying only on fishing.

Empowering fisherwomen leaders helped reduce the effects of the COVID-19 pandemic on fishing communities: Insights from Brazil

Small-scale fishers in the developing world have been particularly affected by the COVID-19 pandemic given that they belong to one of the most socioeconomically vulnerable groups. In Brazil, one of the countries most affected by the pandemic, it was expected early on that the economy and wellbeing of fishers would be negatively impacted, yet fishers were expected to show some adaptive and coping mechanisms. To assess whether this was the case, 40 fishers, who are also leaders of fishing associations representing over 80 thousand fishers throughout the country, were interviewed. Results revealed that female leaders appraised the economic and health / wellbeing impacts to be harsher on fishers than men did. Moreover, fishers on the coast were found to be better able to adapt than those inland, although both had low levels of adaptive capacity. The nature of coping and adaptive mechanisms was also found to be different between locations. Whereas leaders from coastal associations stated that most of the adaptive responses occurred in the post-harvest sector (e.g., changes to the types of sales and changes to supply chain actors), leaders from inland communities stated that the changes that occurred related specifically to fishing (e.g., decrease in effort and changes in fishing grounds). These findings suggest that: 1) women may be better prepared to respond to COVID-19 because their appraisal may be more realistic than men, 2) the historic vulnerability of fishing communities may limit their adaptative capacity, and 3) coastal fishers have likely found ways to maintain part of their trade, contrary to inland fishers. Thus, to better help small-scale fisheries to cope with this particular pandemic or other large disruptive impacts, it would be recommended to invest in women in leadership roles while also guaranteeing that fishers have the minimal conditions to cope with and adapt to impacts. The latter can be done by assuring emergency cash transfers for the duration of the impact, as with the still ongoing pandemic, and investing in building fisher resilience for future shocks.