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 has markedly affected our study settings of Lebanon, Nepal, Myanmar and Sierra Leone. Close-to-community (CTC) providers were part of the response to the pandemic and other shocks in these settings. However, there are evidence gaps, including how policy and practice (eg support structures) 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 fragile 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 fragile and shock-prone contexts to fulfil their vital roles in the COVID-19 response and future disease outbreaks and shocks. It has resulted in a follow-on study involving health workers in Lebanon and Nepal – more on that study here.



Project summary/overview

Myanmar strand

Sierra Leone strand

Lebanon & Nepal strands


"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