Covid-19 affects those with weakened immune systems more severely; Oxfam is particularly worried about the
potential for Covid-19 cases to affect people already experiencing humanitarian crises, especially refugees and
IDPs. This would pose a massive threat to people who are already extremely vulnerable and have limited access
to basic services.
Oxfam’s experience of working in humanitarian situations and in the Ebola and Zika outbreaks
tells us that the best way to respond is to build trust in communities and services, understand community
perspectives and share information, and work with communities on how to keep themselves and their loved
Start now: the pandemic is spreading fast and the window of opportunity is short. Work with communities and service providers on response plans with clear roles and responsibilities and solutions in case access to the camps is limited or not possible at all. This means to:
Engage with different and varied groups in communities to understand their perceptions, coping mechanisms, current behaviour, options for health seeking, rumours and misinformation;
Work with these groups to explore community-led solutions and make sure that community focal points, committees and groups are trained to make the following points below more effective.
Increase the access to soap and handwashing stations, especially in places where people gather throughout the camp
These handwashing stations should be provided with soap and be easy and attractive for people to use, including those with more limited mobility.
Nudges and prompts to encourage handwashing behaviour – such as stickers and footprints – should be used to increase handwashing practice.
Ensure that there is a community-based mechanism in place which allows people to keep the physical distance needed
Undertake public health promotion campaigns using varied communication channels, and ensuring space for two way discussion, to increase knowledge of the risks and preventative measures, and dispel unhelpful rumours and myths
Coordinate with health care providers, camp management and other humanitarian actors to support households that are symptomatic, or high risk (such as the elderly or the immunocompromised) to modify their living arrangements to minimise contact with neighbouring households (commonly referred to as shielding or self-isolation)
Work with households that have high-risk individuals to discuss options, and ensure that the individuals and their caretakers understand and are able to practice preventive actions against Covid-19
Ensure these household are provided with the basic necessities of food and water and they have a dedicated latrine which is cleaned after each use. If this is not possible, ensure access to a containerised toilet that would need to be frequently emptied
Ensure that this approach is informed by a risk analysis avoiding the stigmatisation of vulnerable population groups and seeking by all means to reduce the infection risks for care takers, especially women and girls
Increase the cleaning regime at all toilets especially communal and shared family latrines. Toilets should be cleaned with chlorine solution (1%) after each use.
Extra toilet cleaning materials need to be provided for families
Engagement with latrine user groups, or WASH Committees to increase monitoring and encourage a ‘clean after each use’ policy
If required, pay for cleaners to work at communal or multi-family use toilets
Where possible increase the number of latrines to limit queuing to a minimum
All surfaces that hands frequently come in contact with such as taps at water points, frequently used door knobs, hand rails to be cleaned with chlorine solution at regular intervals throughout the day. Attendants either voluntary should be available at each tap stand to ensure people queue two metres apart from each other
Where possible extend the hours water is provided at tapstands to limit queuing to a minimum
Closely monitor epidemiological data from health care facilities, and analyse to determine:
Whether particular groups in the community, or particular areas have higher case numbers than others; adapt programming to respond to those people or geographic areas more at risk
Ensure sufficient quantities of water are provided and numbers of latrines and handwashing facilities continue to meet SPHERE standards
Ensure adequate stocks of HTH and hydrated lime are maintained at health facilities for disinfection procedures (accounting for potential influx of patients)
Activity 10 is the priority from your local situation validated with feedback from the affected population