The gendered experience of close-to-community providers in fragile and shock-prone settings: implications for policy and practice during and post COVID-19


Partners: Liverpool School of Tropical Medicine, HERD International, American University of Beirut, Burnet Institute Myanmar and COMAHS


COVID-19 is has markedly affected our FASP study settings of Lebanon, Nepal, Myanmar and Sierra Leone. Close-to-community (CTC) providers are part of the response to the pandemic in these settings. However, there are evidence gaps, including how policy and practice (eg support structures) have adapted to the realities of the COVID-19 pandemic, and the CTC providers’ experiences during the pandemic and how these are gendered.


This study explored the roles of CTC health care providers and their gendered experiences during the COVID-19 pandemic FASP settings. We conducted document reviews, interviews with CTC providers and key informants in Lebanon, Nepal, Myanmar and Sierra Leone.


This study contributes evidence on gender equitable approaches to supporting CTC providers in FASP contexts to fulfil their vital roles in the COVID-19 response and future disease outbreaks and shocks.



"ReBUILD for Resilience brings together partners to share experiences, to discuss our contexts, and to create an appropriate model that helps build resilience in health systems across the country and beyond"

Sushil Baral, HERD International