Lockdown 3.0 will disproportionately affect #women, and #ukgov isnt doing enough to mitigate this unequal impact.

A thread on what we know from the last year *and before 🧵
According to @ONS women did 2/3rds additional childcare duties + spent more time on unpaid work + less time on paid work than men during lockdown1.0

ONS also show that women did more non-developmental care than men (i.e. cooking, washing, not playing)
shorturl.at/gjrCY Image
Whether due to gendered work sectors, or requests owing to additional childcare: women more likely to be furloughed than men according to @WomensBudgetGrp meaning 20% income reduction

wbg.org.uk/analysis/uk-po…
For those ineligible for furlough, we saw increased unemployment for women compared to men during 2020. (a trend replicated across Europe and N. America)

ifs.org.uk/publications/1… Image
Some of this was due to lack of childcare - @The_TUC found 2/5 working mothers struggling w/out formal or informal childcare arrangements to do their routine work, forcing 1/6 to reduce working hours (and pay)

tuc.org.uk/research-analy…
Decisions about childcare and paid employment based on gendered norms, #genderpaygap and feminised sectors (i.e. which sectors of the economy shutdown) - retail, education, hospitality etc.

+ amid this Gov stopped Genderpaygap reporting

icaew.com/insights/viewp…
This was most acute for single parents (90% are women) - with 1/10th single parents lost job 1/3rd furloughed, dramatic reduction of paid hours - leaving up to 44% children in single parent households in poverty read work by @Gingerbread

gingerbread.org.uk/policy-campaig…
This has longer term consequences - data from @orianabandiera post Ebola showed that economic security remained precarious:

13 months post crisis: 63% men returned to work compared to 17% women

theigc.org/wp-content/upl…
Beyond economics, women were subject to increased risk of domestic violence, both formally reported (below) and informally thru proxy measures - 49% ⬆️ in calls to hotlines and 3 x rate of femicide compared to prev years

shorturl.at/szLMY Image
Lockdown also reduced women seeking #SRH services + perinatal care (both supply and demand factors) leading to risks of ⬆️unwanted pregnancy and potential for poorer birth outcomes

obgyn.onlinelibrary.wiley.com/doi/full/10.11…
Barriers to accessing #SRH services are a problem globally during #COVID19 - but mainly as a result of stay at home orders, appointment cancellations or women not wanting to burden health system/risk transmission

guttmacher.org/report/early-i…
The result of all of this - is that during lockdown women experience greater anxiety and mental health concerns -

What can we do now to minimise these?

kcl.ac.uk/news/why-has-c…
And finally, whilst the pandemic impacts are heavily gendered, let's not forget that the frontline healthcare workforce responding to #COVID19 is disproportionately female: 77 per cent of the NHS workforce are women

nhsemployers.org/engagement-and…
We need @10DowningStreet @RishiSunak to recognise this impact on women and take meaningful steps to prevent #lockdown3 impacting them in the same ways when the evidence is out there.

We are researching this @Gender_COVID19 (alongside gendered impacts in many other countries). Some initial findings are here:

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More from @clarewenham

3 Jan
🚨New Year, New Paper 🚨

Remember research before #COVID19 - findings from our 3 year study on access to #abortion during #zika in Brazil, El Salvador and Colombia in press now W/ @socscimed
1/
sciencedirect.com/science/articl…
We found that whilst #zika spurred abortion demand amongst individual womxn and global debate on #reproductiverights - the heath emergency didn’t change national regulation or policy change for abortion access.
2/
This was on account of the narrow policy path dependency in #globalhealthsecurity focused on epidemiology which did not consider gendered needs or the broader social effects of epidemics, combined with deeply conservative context + recent political history
3/
Read 7 tweets
27 Aug 20
The thing that makes me the most frustrated about #COVID19 (and has for many months) is the failure to learn lessons from previous outbreaks, particularly about the downstream effects of #pandemic response policy. A thread 1/
This morning @BBCr4today @TheCrick discussed disruption to non-covid #clinicaltrials ; also have seen depressing delays to #cancer detection and treatment ; and changes to routine SRH, maternity, NCD, mental health services.

This is well documented impact during #Ebola 2/
Economic disaster at macro + micro levels follow outbreaks - look at economic impact SE Asia post #SARS and W-Africa post #Ebola ... and to look at individual narratives of household financial hardships & increases in poverty (w/associated disease, kids out of school to work) 3/
Read 9 tweets
13 Jun 20
As #Brazil becomes the new epicentre of #COVID19 these are my must reads to understand the political context in which the outbreak emerged and the impact of this (a thread)
This piece by @Deisy_Ventura early on in the outbreak captures a lot of the anticipated tensions within the SUS (unified health system); between Bolsonaro, science and populism (similar in many ways to US, UK etc) - which unfortunately have become real!

americas.chathamhouse.org/article/betwee…
Equally great background to #Bolsonaro role in driving the #COVID19 spread in #Brazil - and how much of this is down to politics over public health:

@Deisy_Ventura @gabilotta

theconversation.com/brazil-jair-bo…
Read 13 tweets
5 Mar 20
A thread of thoughts about why #COVID19 is so remarkable having studied #globalhealthsecurity and politics of health emergencies for several years - almost every element could and has been predicted #COVID #covid19UK (1/11) :
Academics have thought that a major outbreak would emerge in China, and this would be challenged by tensions over veracity of Chinese data (the memory of #SARS not easily forgotten) tandfonline.com/doi/full/10.10… (2/11)
The declaration of #PHEIC by @WHO is always constrained by politics - this time, delay, and #PHEIC absolutely not about Chinese response (hello member state politics) - read @adamkams tandfonline.com/doi/full/10.10… or @MarkRTurner gh.bmj.com/content/4/2/e0… (3/11)
Read 11 tweets

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