Syria’s health professionals have been displaced to neighbouring countries including Jordan and Lebanon since the devastating civil war began in 2011. Our mixed-methods research focused on Lebanon, exploring the emerging phenomenon of qualified Syrians carrying out informal healthcare work to meet local needs. We found a diverse workforce practising in the informal sector, predominantly in primary care settings and as volunteers. But interviewees reported living in fear of exposure and experience wage discrimination in comparison with locals.
Alison Brown, Peter Mackie, Kate Dickenson, Tegegne Gebre-Egziabher
Sharif A Ismail, Adam P Coutts, Diana Rayes, Sophie Roborgh, Aula Abbara, Miriam Orcutt, Fouad M Fouad, Gladys Honein, Nour El Arnaout, Aya Noubani, Hana Nimer, Spencer Rutherford
The impact of nearly seven years of conflict on the Syrian health system has been catastrophic. Thousands of qualified doctors and health workers have left the country since 2011, and Syria today is one of the most dangerous countries in the world in which to practise as a healthcare worker.
How can the scale and relative importance of all risks – from everyday hazards to small and large disasters – be assessed and then acted on? This brief describes the spectrum of risks in urban areas and highlights those that are poorly documented and whose impacts are underestimated. It also highlights measures that can be taken to address this.
This paper is one in a series of briefings that analyse how the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) builds rural households’ resilience to different climate shocks. This paper examines how MGNREGS is helping households in West Singhbhum District, Jharkhand, India, build resilience to drought.
This paper examines how the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) helps households in South Sikkim, India, build resilience to winter drought. It is one in a series of briefings that analyse how the scheme builds the resilience of rural households in different states to different climate shocks. The goal of the series is to identify options for Indian policymakers to integrate climate risk management into MGNREGS.
This paper is one in a series of briefings that analyse how the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) builds rural households’ resilience to different climate shocks. This paper examines how MGNREGS is helping households in Srikakulam District, Andhra Pradesh, India, build resilience to cyclones.
This paper is one in a series of briefings that analyse how the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) builds rural households’ resilience to different climate shocks. This paper examines how MGNREGS is helping households in Mayurbhanj District, Odisha, India, build resilience through convergence with other government departments to help households develop new horticulture livelihoods that strengthen rural livelihoods and improve productivity in the face of drought and flooding.
Despite responses to the Syrian crisis in Lebanon, there is growing pressure to provide adequate water services
This case study describes efforts to embed climate-resilient agriculture practices among smallholder farmers in Zamiba, through the establishment of climate farmer field schools in Northern Province in 2016. The case study presents details of the methodology that enables this work to be taken forward and replicated by local government and other institutions committed to climate-resilient smallholder farming over the medium- to long-term.
Water in MENA: ripple effects in times of conflict
Water has always been a major problem in the MENA region. Despite high production levels, unsustainable management practices and inequality of access have persisted. UNICEF has estimated that at least 52 million people in MENA were deprived of access to an improved water source before 2010.
New research confirms the importance of urban planning in empowering local governments and communities to manage their own recovery after a humanitarian crisis. Elizabeth Parker argues that humanitarian agencies can support the challenging planning process by sharing knowledge, experience, staff, tools and technology.
While urban planning is one of the key responsibilities of local government, in many cases and locations these authorities do not have sufficient financial, technical and human resources to lead a complex urban planning process.
In Myanmar, the National League for Democracy (NLD) is transferring the rights to forest land – and all its potential bounty – to local communities. Duncan McQueen explains how this important move, supported by peer-to-peer learning, is helping to establish new long-term livelihoods.
It is impossible to talk about Myanmar without acknowledging the persecution of the Rohingya by the country's armed forces over which the NLD, Aung San Suu Kyi's governing party, has no constitutional control.
Uganda is at the centre of current debate on urban refugees. The country’s Refugees Act 2006, which establishes refugees’ rights to live, work and own land in urban areas, has been hailed as exemplary and a global model for humanitarian responses. However, new evidence on refugee livelihoods in Kampala suggests that the rights to work and move freely, and without fear, are often unmet in urban areas. In the absence of financial assistance, urban refugees often struggle to find gainful employment and report frequent cases of discrimination by both the Ugandan state and the public.
Self-reliance is, by definition, about individualised responsibility for social wellbeing and economic security. This idea drives urban refugee livelihood programmes, in India and beyond, as aid organisations seek to ensure refugees do not depend on assistance long term. However, ideologically-rooted self-enterprise approaches take little account of insecure labour markets, nor refugees’ actual capabilities to transform humanitarian assistance and livelihood opportunities into something sustainable and meaningful for them.
Deborah Cummins and Sarah Moharram
Cash transfers are increasingly used in urban humanitarian crises. They can stimulate markets and let people choose the help they actually need. But they can also influence gender equality and women’s economic empowerment — for good or, potentially, for bad.
La résilience urbaine est un produit de la capacité des ménages à absorber le stress, à s’adapter et à transformer la marge d’action en gestion du risque. Cette note politique décrit dans ses grandes lignes une nouvelle méthodologie mise au point pour explorer divers aspects de la résilience dans des contextes urbains très pauvres où les biens économiques sont connus limités. La méthode a été développée en réponse à des demandes de Save the Children pour explorer les possibilités d’adaptation d’un outil de suivi de la sécurité alimentaire en zones rurales.
Elizabeth Parker, Victoria Maynard, David Garcia, Rahayu Yoseph-Paulus
Book/Report, 44 pages