A psychosocial counsellor in Jordan’s Azraq refugee camp informed the UN Population Fund (UNFPA) on Thursday that during the first four days of the COVID-19 lockdown she called beneficiaries to let them know that “virtual support” was available.

Orouba Amin has spent 11 years providing psychosocial care to survivors of trauma and violence, from refugees escaping the horrors of war to women and girls escaping sexual abuse and exploitation. Today, her work comes on top of a new threat: the coronavirus pandemic.

Around the world, as governments implement lockdowns and movement restrictions, women’s centres and safe spaces are closing their doors – even as evidence mounts that gender-based violence may be increasing.

Countries are also seeing their reproductive health services being curbed as resources are diverted to the pandemic response. Where reproductive health care remains available, movement restrictions and fears of the virus are keeping women from seeking attention.

And communities affected by humanitarian crises are particularly imperiled by these conditions. Many are already struggling with poverty and limited access to health services. Infection-control measures are even harder to implement in densely packed settlements with limited water and sanitation resources.

These challenges are greatly exacerbated for women who are pregnant, require family planning supplies or need protection from violence.

In humanitarian situations, women’s vulnerability to violence and exploitation escalates. And even before the pandemic, hundreds of women and girls in humanitarian and fragile settings died each day from complications of pregnancy and childbirth. Now, as health systems and protection services are stressed by the pandemic, conditions for women are poised to worsen.

UNFPA has urgently called for funding to the COVID-19 Global Humanitarian Response Plan, with a requirement of $120 million for UNFPA to ensure the health and safety of women and girls affected by humanitarian crises. In addition, UNFPA has appealed for $67.5 million to support COVID-19 preparedness efforts through March and April.

This amount – a total of $187.5 million – will go, among other things, towards strengthening health systems and ensuring continuity of services for survivors of gender-based violence. It is separate from the humanitarian funding needed for UNFPA’s ongoing support to crisis-affected countries.

United Nations