Stigma harming Somalia’s efforts to stop COVID-19
LONDON 22 July 2020 - Stigma around COVID-19 is stopping Somalis from seeking medical treatment and thwarting efforts in Somalia and Somaliland to stop the spread of the virus, including track and trace.
In health centres supported by DEC member charity CARE International in Somalia/Somaliland, the number of people seeking consultations for communicable diseases has fallen by more than a quarter [26 percent] since the first case of COVID-19 was recorded, with fear of stigma for having the virus being a major factor.
Abdinur Elmi, CARE Somalia/Somaliland’s Emergency Director, said:
Our teams are seeing people who have tested positive running away from their homes out of fear of being stigmatized by the community. We are deeply worried that whole communities can get infected if we don't address the stigma, which is being fuelled by cultural and religious beliefs.
Somalia’s health system is already at breaking point following decades of instability caused by conflict, neglect and climate shocks. The country ranks 194th out of 195 on the Global Health Security Index, and according to a study by US-think tank The Rand Corporation, is the country most vulnerable to the spread of infectious diseases and most unequipped to deal with a pandemic. Somalia has confirmed 3,119 COVID-19 cases and 93 deaths.
Humanitarian organisations and partners are racing to try to support the Somali health system and stop the spread of COVID-19. But stigma is making people avoid treatment.
Amran Shire, CARE Somalia/Somaliland’s Humanitarian Program Manager, said:
I’ve heard of patients who’ve disappeared from their communities after testing positive and many others who are now afraid of visiting health centers because they fear being shunned if they test positive. In turn, this has made contact tracing nearly impossible.
People suspected or known to have COVID-19 have reported being cut off by the community, of being unable to access essential services such as water, food and health care, and of having no support.
Amina*, aged 21 and from Hargeisa, lost her mother and sister to COVID-19. She and her brother tested positive for the virus. She said:
I felt isolated and even after recovering, the whole community avoided me and I had to stay indoors all the time. I felt everyone was blaming our family for bringing this virus to the community. It was and still is a difficult time for me. I even struggled to find a nurse to tell me how to take care of myself and I wish this virus had not come to my family.
CARE Somalia/Somaliland’s COVID-19 awareness-raising campaign aims to reach more than 2 million people through text messages, radio and TV talk shows. CARE is also giving people hygiene and sanitation supplies and providing health centres with hand-washing facilities.
Through our programs, we have started raising awareness about the detrimental effects of stigma in the communities we work. We are calling on Somali communities to unite and collectively fight stigma to beat COVID-19.
CARE is a member of DEC – Disasters Emergency Committee, who are currently running an appeal to support families forced to flee their homes in Somalia, Yemen, Syria and other fragile place to face the deadly new threat of COVID-19.
Note to editors:
*Name changed for sensitivity purposes
At the onset of the COVID-19 pandemic in March, 2020, 1,759 people over 5 years visited CARE supported health facilities in Somalia/Somaliland for OPD communicable disease consultations. June 2020 saw a decrease of more than 400 people with 1,294 consultations.
CARE has been providing emergency relief and lifesaving assistance to the Somali people since 1981. Our main program activities since then have included projects in emergency response, cash programming, water and sanitation, resilience and disaster risk reduction, sustainable pastoralist activities, civil society and media development, small-scale enterprise development, primary school education, teacher training, adult literacy and vocational training. We work in partnership with Somali and international aid agencies, civil society leaders and local authorities. CARE Somalia/Somaliland has a large footprint across the country and is operational in the regions of Puntland, Somaliland and South-Central Somalia.
Somalia ranks 194th out of 195 on the Global Health Security Index (behind North Korea and in front of Equatorial Guinea).
Somalia only has 2 health care workers per 100,000 people, far less than the WHO's global standard for health care workers is 25 per 100,000 people.
With only 15 ICU beds for a population of more than 15 million, Somalia is listed among the least prepared countries in the world to detect and report epidemics, or to execute a rapid response that might stop diseases spreading.
A global study by The Rand Corporation, a US think-tank based in California, found that Somalia was the least equipped country to cope with coronavirus