| dc.description.abstract | COVID-19 was declared a global pandemic by the WHO in March 2020. At the same time, many 
African countries started to report their first COVID-19 cases, and by end of August 2021, there were 
215 million confirmed COVID-19 cases and close to 4.5 million deaths globally. Africa has recorded 
at least 6 million confirmed cases and 140,000 deaths so far. These numbers do not tell the full story 
of COVID-19’s disruption of health services delivery, economic growth prospects and general livelihood. 
According to the Economic Commission for Africa, between five million and 29 million people in Africa are 
predicted to be pushed into extreme poverty due to the impact of COVID-19. If the impact of the pandemic 
is not limited by 2021, an additional 59 million people could suffer the same fate.
Guided by three principal objectives, Amref’s response focused on preventing transmission, preventing 
death, and preventing social harm. Under these pillars, Amref’s approach has been rooted firmly in 
community engagement and awareness-raising, delivered through an extensive network of Community 
Health Workers (CHWs). In addition, long-established, robust relationships have enabled Amref to advise 
on policy and strategic directions at the global, regional and national levels. Amref has addressed both the 
immediate and the longer term impacts of COVID-19, considering the potential long-term effects on other 
structural health system concerns, as well as the wider social and psychological impacts, stifled youth 
opportunities, and increased rates of gender-based violence (GBV). 
Amref’s COVID-19 response started in mid-March 2020, four days after the first case was detected in 
Kenya and on the same day as Tanzania’s first case. The response in 10 East, Southern and Western Africa 
countries has delivered significant results. Almost 30 COVID-19 specific projects have been rolled out in 
communities and reprogramming has enabled another 45 ongoing projects to incorporate COVID-19 into 
their routine implementation plans. 10 million young people have been reached with demand creation 
messages. 5.4 million people1 in Africa have been reached with infection prevention and control measures 
and 250,000 health workers have been trained in COVID-19 response interventions across the continent. 
Digital technology has enabled Amref to reach beneficiaries on a significant scale across multiple 
locations. Carrying out many multi-media, and Behaviour Change Communication (BCC) campaigns, 
Amref has reached more than 15 million people, including young people. Critical interventions such as the 
development of communications in sign language and braille, and support to ensure good mental health, 
have helped to ensure that no one has been left behind. Amref contributed to strengthening the overall 
resilience of health systems through laboratory testing and diagnostic systems, and has continued to deliver 
essential health services to women and children through ongoing programmes. Amref’s involvement in the 
response included medical evacuations during emergencies. Amref Flying Doctors has provided critical 
medical transfers for more than 400 patients to Nairobi, including those from as far away as Afghanistan, 
Senegal and Yemen
Throughout the pandemic, Amref conducted extensive research and analysis on the changing dynamics of 
the disease in communities, including recent developments such as vaccine hesitancy in Kenya. Building 
on this experience and knowledge, Amref was recognised as a thought leader and added its voice to 
meaningful advocacy – whether on global media outlets such as CNN or in advocating internationally for 
vaccine equity and increased vaccine supply. 
All of Amref’s COVID-19 responses and results would not of course have been possible without the support 
of many highly-valued partners and collaborators, as well as the tireless efforts and determination of 
Amref’s staff around the world who helped enhance capacities in the response and continue to provide 
essential support millions of people across Africa. | en_US |