The Characteristics of the Financially Vulnerable Groups Impacted by COVID-19 and Other Factors

Businesses have been exposed to various challenges during the global pandemic. Unfortunately, the financially vulnerable groups in society are disproportionately affected by such a difficult time. Therefore, it is important for businesses to recognise this when creating new business models for sustainable corporate management. This paper attempts to (1) identify the factors that affect individual financial vulnerability, (2) develop survey items to assess financial vulnerability and its factors and (3) provide the characteristics of financially vulnerable groups by presenting a complete set of descriptive statistics. The results can help to create more inclusive business models that are better equipped to address the challenges ahead. A questionnaire-based survey was conducted with collaboration with an NGO that provides a financial counselling service in Hong Kong. In total, 338 valid responses were collected and the data were used to characterise financially vulnerable groups in terms of (1) change in financial conditions due to COVID-19;(2) exposure to digitised financial services and related push marketing;(3) financial management ability;(4) changes in four financial behaviours and (5) financial vulnerability as measured according to the debt/service ratio. Results show that the respondents have a median debt/service ratio of 0.513, which represents an unsustainable level of debt. Around 1/4 of surveyed respondents reported that their debt/service ratio was 1 or even higher, indicating obvious difficulties in meeting financial obligations. A total of 36.7% of the respondents reported worsening financial conditions since the outbreak of COVID-19. The results presented provide a solid empirical set of data that will help future research work to examine and/or develop a heuristic financial vulnerability model that incorporates the key factors leading to it. Businesses can refer to them when creating new business models that are sustainable, able to meet corporate social responsibility goals and can achieve several targets/goals of the United Nations' Sustainable Development Goals.

The Immediate Impacts of COVID-19 on Low-Income Households: Evidence from Malaysia

This study unravelled the economic impacts of the coronavirus disease 2019 (COVID-19) on low-income households. The asymmetric economic impacts of the pandemic that are biased towards the poor, young, and women have been well established. However, micro evidence on the poor is limited, thus demanding detailed understanding to design an effective targeted assistance. In this study, data were gathered from face-to-face interviews using a sampling frame provided by the Department of Statistics Malaysia (DOSM). Online data collection was dismissed to ensure all low-income households had the same chance to participate, as some might have no online access. Logistic regressions were estimated to identify the characteristics of households that suffered job loss and income reduction. The findings revealed that one in ten households experienced job loss during the pandemic, while one third survived with lower income. The extent of income reduction was rather severe, as the pandemic had reduced income generation by more than half among the affected households. The regression outcomes showed that the higher-income households among the low-income households had higher chances of experiencing income reduction. A similar scenario was noted for less-educated households. Notably, the adverse impacts were not biased toward female-headed households, as is widely perceived. There was no evidence that economic sectors explained job losses, but households involved in the agriculture, domestic, and transportation sectors had higher chances of suffering from income reduction. These results suggest that monetary government assistance should not rely on general indicators, such as female-headed households and below-poverty-line income (PLI). Instead, a more effective measure is to look at other characteristics, such as employment type, education level, and job sectors.

Pandemic vulnerability knowledge visualisation for strategic decision-making: A COVID-19 index for government response in Australia

Purpose: First, the key vulnerability factors from the literature are identified. Second, using the vulnerability factors as indicators, a composite index is developed. Last, from the index values, a set of vulnerability knowledge maps, showing the vulnerability hotspots, are prepared. Design/methodology/approach: This study aims to develop a pandemic vulnerability knowledge visualisation index to support the strategic decision-making efforts of authorities. Findings: Ten indicators are identified as vulnerability factors that could significantly impact the virus spread risks. Verifying the identified hotspots against the recorded infected cases and deaths has evidenced the usefulness of the index. Determining and visualising the high-vulnerability locations and communities could help in informed strategic decision-making and responses of the authorities to the pandemic. Originality/value: The study demonstrates that the developed pandemic vulnerability knowledge visualisation index is particularly appropriate in the context of Australia. Nonetheless, by replicating the methodologic steps of the study, customised versions can be developed for other country contexts. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The immediate and long-term consequences of the Covid-19 pandemic on education in Portugal: An empirical exploration

The purpose of this article is to analyze how the Covid-19 pandemic contributed to the increase in the number of people in situations of vulnerability and, consequently, to the increase of social and economic inequalities that, historically, have thriven in Brazil. Therefore, it starts with an analytical reconstruction of the concepts of necropolitics and democratic legitimacy, proposed by Achille Mbembe and Pierre Rosanvallon, respectively. Thus, it seeks to show, preliminarily, how public policies and government management during the crisis contributed to the worsening of the post-pandemic chaotic scenario, with the resulting ratification and, even, resurgence of the invisibility of vulnerable groups, through the implementation of increasingly indifferent policies and, in some cases, refractory to the desires and needs of these groups, which will be considered mainly from the perspective of Achille Mbembe's necropolitics. Then, within the scope of this analysis, the forms of legitimacy (impartiality, proximity and reflexivity). Through this sophisticated conception of the democratic experience, viewed as irreducible to its electoral dimension (delegation democracy), an attempt will be made to explain the extent to which the increased vulnerability of various social groups in the context of the pandemic can be considered as an expression of greater democratic deficit in Brazil. © 2023: Author(s).

Social insecurity and varieties of family resilience strategies during the COVID-19 pandemic

PurposeThis study is aimed at developing an understanding of the consequences of the pandemic on families' socioeconomic resilience, and the strategies adopted by the families in overcoming social vulnerabilities amid uncertainty.Design/methodology/approachThe materials for this study consist of semi-structured interviews with 21 families spread across the South Sumatra Province, Indonesia. Families in the study represent four different income levels, namely very high, high, middle and low, and who also work in the informal sector. Each family has at least 1 or more members who fall into the vulnerable category (children, the elderly, people with disabilities unemployed or having potential economic vulnerability).FindingsTwo main findings are outlined. Regardless of their socioeconomic status, many of the families analyzed adopted similar strategies to remain resilient. Among the strategies are classifying the urgency of purchasing consumer goods based on financial capacity rather than needs, leveraging digital economic opportunities as alternative sources of income, utilizing more extensive informal networks and going into debt. Another interesting finding shows that the pandemic, to some extent, has saved poor families from social insecurity. This is supported by evidence showing that social distancing measures during the pandemic have reduced the intensity of sociocultural activities, which require invited community members to contribute financially. The reduction of sociocultural activities in the community has provided more potential savings for the poor.Research limitations/implicationsIn this study, informants who provided information about their family conditions represent a major segment of the workforce and tend to be technologically savvy and younger, due to the use of Zoom as a platform for conducting interviews. Therefore, there may be a bias in the results. Another limitation is that since the interviewees were recommended by our social network in the fields, there is a risk of a distorted selection of participants.Originality/valueThis study offers insights that are critical in helping to analyze family patterns in developing countries in mitigating the risks and uncertainties caused by COVID-19. In addition, the literature on social policy and development could benefit from further research on COVID-19 as an alternative driver to identify mechanisms that could bring about change that would result in "security.” Critical questions and limitations of this study are presented at the end of the paper to be responded to as future research agenda.

Learning to combat social isolation in senior living communities during COVID-19 and beyond

Social isolation has been a growing concern since the onset of the COVID-19 pandemic, disproportionately impacting older adults. Social isolation can impact the physical, mental, and emotional health of older adults. The purpose of this study was to examine coping strategies of older adults living in senior living communities, as well as the supportive efforts of the team members working in such communities, to determine best practices for combating social isolation for older adults. This qualitative study was guided by the research question: How do older adults perceive loneliness, social isolation, and social connectedness living in senior living communities? Guided by the theoretical frameworks of socioemotional selectivity theory (SST) and strength and vulnerability integration model (SAVI), this study explored how diminished time horizons impact the prioritization of social connections. This qualitative study collected data through semi-structured interviews from older adults living in senior living communities in the United States. Several themes emerged from the data including Parameters of Social Connection, Dining Room as a Hub of Socialization, Time Horizon Awareness and Compensation, Strategies of Connection, and Loss of Spouse. Several implications for best practices are also discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Coping Strategies and Livelihood Sustainability for Rural Women in the Face of COVID-19: The Case of Mutoko District, Zimbabwe

This paper examines the coping mechanisms, levels of livelihood sustainability and diversification for rural farmers in Mutoko district, an area in Mashonaland East province, about 148 km from Harare. Despite the rural farmers being well known for being the best fruit and vegetable suppliers to Harare (tomatoes and mangoes), the farmers appear to remain subsistence, living from hand to mouth because of the nature of their farming practices. The normal operations of the farmers were interrupted by the COVID-19 movement restrictions effected by the Zimbabwean Government from March 2020, since their main livelihoods depend on daily or weekly trips to Harare's Mbare Musika to sell fresh fruits and vegetables. The study interviewed 10 women purposively selected, and an additional 20 respondents who participated in 5 focus groups comprising of 4 people each. The respondents indicated that they had challenges during COVID-19 movement restrictions in 2020 and 2021, and these included loss of revenue, reduction in production, lack of storage and preservation strategies for their agricultural produce and inability to provide family needs like online lessons for school children among other things. The paper recommends that processing plants be installed in the district and rural industrialisation be intensified to enable other sources of income, besides agricultural activities. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.

Did virtual consultations during Covid-19 improve diabetes transition clinic attendance compared to face to face clinic attendance

We have an established transition clinic for the patients with diabetes aged 16 to 19. Our Transition clinic covers a vast area including deprived areas such as Ellesmereport. We do have 3 monthly follow up in addition to the home visits by paedatric diabetes specialist nurses. The team involves paediatric consultants, pdsn and dietcician from adult and paedatrics departments. Virtual consultation were the main mode of consultations during covid. We used Accu Rx, Attendanywhere and telephone consultations. We compared the clinic attendance pre and post covid. We compared clinic attendance for 9 months from March 2019 to December 2019 which were pre Covid to March 2020 to December 2020 during Covid. We had 150 appointments in 2019 and 112 appointments in 2020. The DNAs were 21 during covid with virtual consultations and 28 pre Covid with face to face appointments. The DNA rates were 18.6% in 2019 as face to face review and 18.75% during covid as virtual consultations. Surprisingly, the DNA rates did not improve when the clinics were virtual as we expected. In Conclusion, the virtual consultations did not improve the attendance in this vulnerable age group. Due to vulnerability of this age group, we felt that the face to face consultations were more appropriate. All of our appointments for the diabetes transition clinics are face to face in person due to above findings.

Introduction

Two hundred seventy-four million people-one in thirty people on the planet-are in humanitarian need as of September 2022.1 More than one hundred million of these individuals are displaced, usually as a result of crisis: conflict, political upheaval, economic meltdown, or climate shocks.2 In a humanitarian crisis, health is the most urgent and paramount need. But today the system for preventing and addressing humanitarian crisis is failing, and with it, the health needs of millions of vulnerable people are under threat. From treating childhood acute malnutrition to delivering COVID-19 vaccines to ensuring access to sexual, reproductive, maternal, and newborn health, health care in humanitarian contexts requires a dramatic rethink amid growing challenges to access and service delivery.

Refugee women in Africa, COVID-19 and multisystem violence: when it rains it pours

The first wave of the COVID-19 pandemic to hit Africa (February–September 2020) was not particularly virulent either in terms of cases detected or lethality. However, the presence of the virus and the subsequent restrictions exacerbated pre-existing inequalities based on ethnicity, class and gender. This paper analyses the impacts of the pandemic on refugee women, who are subject to "structural vulnerability” and "multisystemic violence” in Africa. After analysing the ten African countries with the largest refugee populations, the different forms and levels of these impacts are systematised, along with the consequences and implications for refugee women in the long term, highlighting the need for strategies to be adopted towards this group at various levels © 2023, Revista CIDOB d'Afers Internacionals.All Rights Reserved.

DEATH LANDSCAPES AND COVID-19 IN THE AMERICAS: NORMATIVE RESPONSES OF THE INTER-AMERICAN COMMISSION OF HUMAN RIGHTS TOWARDS VULNERABILITY-DEATH

The article engages with the death landscapes of the Americas' two largest democracies – Brazil and the United States – during the Covid-19 crisis, offering a conceptual tool entitled vulnerability-death binomial to consider the extent to which a politics of tragedy is a turning point in the ways institutional politics addresses vulnerability and death, emphasizing the work of the Inter-American Commission on Human Rights (IACHR). When analyzing the normative responses of IACHR, no articulation was found between vulnerability and death but, instead, a bifurcation of each. Although it reveals that there is not a normative interplay between vulnerability and death, the bifurcation does not mean a choice between binary paths. While the two democracies have raised institutional challenges, the IACHR deepened certain senses of vulnerability and a normative movement towards death: issues historically absent from the international basic structure and capable of challenging the international justice theory © 2023, Lua Nova.All Rights Reserved.

Towards a classification of vulnerability of small-scale fisheries

Vulnerability of small-scale fisheries (SSF) results from complex interactions amongst various threats and stressors, including biophysical risks, environmental variability, unstable political situations, and weak governance, to name a few. SSF vulnerability has become more evident, with increased severity, during the COVID-19 pandemic. Knowledge about what makes SSF vulnerable is limited, which impedes appropriate policy responses and intervention. As a first step to rectifying the situation, a classification approach is proposed to better describe and differentiate types of vulnerability to SSF and to guide data collection and dissemination about SSF vulnerability. The classification system is developed based on a narrative review of case studies worldwide, published in scientific journals in the past 20 years. The case studies cover SSF in diverse aquatic environments, including river, floodplain, reservoir, river delta, lake, atoll, estuaries, lagoon mangrove, coral reefs, seagrass ecosystem, islands, coastal and marine environment. Similar to the five pillars of sustainability, SSF vulnerability is associated with five main factors, i.e., biophysical, social, economic, technological, and governance. Knowledge about SSF vulnerability helps inform tailored management strategies and policies to reduce SSF marginalization and promote viability, aligning, therefore, with the goal of the Voluntary Guidelines for Securing Sustainable Small-Scale Fisheries.Copyright © 2022 Elsevier Ltd

‘Cocooning' in prison during COVID-19: Findings from recent research in Ireland

The advent of COVID-19 prompted the enforced isolation of elderly and vulnerable populations around the world, for their own safety. For people in prison, these restrictions risked compounding the isolation and harm they experienced. At the same time, the pandemic created barriers to prison oversight when it was most needed to ensure that the state upheld the rights and wellbeing of those in custody. This article reports findings from a unique collaboration in Ireland between the Office of the Inspector of Prisons – a national prison oversight body – and academic criminologists. Early in the pandemic, they cooperated to hear the voices of people ‘cocooning' – isolated because of their advanced age or a medical vulnerability – in Irish prisons by providing journals to this cohort, analysing the data, and encouraging the Irish Prison Service to change practices accordingly. The findings indicated that ‘cocooners' were initially ambivalent about these new restrictions, both experiencing them as a punishment akin to solitary confinement, and understanding the goal of protection. As time passed, however, participants reported a drastic impact on their mental and physical health, and implications for their (already limited) agency and relationships with others, experienced more or less severely depending on staff and management practices. The paper also discusses the implications for prison practices during and following the pandemic, understanding isolation in the penological context, and collaboration between prison oversight bodies and academics.

Vulnerability and Democracy: social vulnerability as a factor in increasing the democratic deficit in the context of the Covid-19 pandemic in Brazil

The purpose of this article is to analyze how the Covid-19 pandemic contributed to the increase in the number of people in situations of vulnerability and, consequently, to the increase of social and economic inequalities that, historically, have thriven in Brazil. Therefore, it starts with an analytical reconstruction of the concepts of necropolitics and democratic legitimacy, proposed by Achille Mbembe and Pierre Rosanvallon, respectively. Thus, it seeks to show, preliminarily, how public policies and government management during the crisis contributed to the worsening of the post-pandemic chaotic scenario, with the resulting ratification and, even, resurgence of the invisibility of vulnerable groups, through the implementation of increasingly indifferent policies and, in some cases, refractory to the desires and needs of these groups, which will be considered mainly from the perspective of Achille Mbembe's necropolitics. Then, within the scope of this analysis, the forms of legitimacy (impartiality, proximity and reflexivity). Through this sophisticated conception of the democratic experience, viewed as irreducible to its electoral dimension (delegation democracy), an attempt will be made to explain the extent to which the increased vulnerability of various social groups in the context of the pandemic can be considered as an expression of greater democratic deficit in Brazil. © 2023: Author(s).

Ecoprogramming the Vulnerable Bodies

This chapter argues that discourses on human vulnerability embedded in the extreme living conditions, such as the one that the world witnessed in the wake of the COVID-19 crisis, can recalibrate the social semiotics of ecology, bringing as they do environmental awareness as a condition of planetary habitability. This chapter suggests that extreme conditions require transformative measures for healing and survival of humans and the ecology. The chapter goes on to show that such transformations can revive and position interconnectedness as a new way of life, resulting in the creation of an "ecotopian world”-a term used by Mayerson and Bellamy (An Ecotopian Lexicon. University of Minnesota Press, Minnesota, 2019). It will use the theoretical framework of vulnerability to examine the crisis of human civilization and, in so doing, it will draw from literary readings from different cultures and knowledge traditions to reflect on a possible ecotopian world. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Trends in Postpartum Depression before and during the COVID-19 Pandemic and Correlates of Treatment Choices: A Population-Based Retrospective Cohort Study

Objectives: COVID-19-related stressors - including social distancing, material hardship, increased intimate partner violence, and loss of childcare, among others - may result in a higher prevalence of depression among postpartum individuals. This study examines trends in postpartum depression in the US from 2018 to 2022, as well as correlates of treatment choices among women with postpartum depression. Method(s): 1,108,874 women aged 14-64 in the Komodo Healthcare Map with 1+ live birth between April 2018 and December 2021 and had continuous enrollment 2+ years before and 4+ months after the delivery date were included. Prevalence of depression during postpartum (within 3 months after delivery) was calculated before (April 2018-March 2020) and during (April 2020-March 2022) COVID-19. Multinomial logistic regression was used to investigate correlates of treatment choices (no treatment, medication-only, psychotherapy-only, or both). Result(s): The prevalence of postpartum depression increased from 9.7% pre-pandemic to 12.0% during the pandemic (p < 0.001). Among 119,788 women with postpartum depression in 2018-2022, 47.0% received no treatment, 35.0% received medication-only, 10.0% received psychotherapy-only, and 7.4% received both within one month following their first depression diagnosis. Factors associated with an increase in the odds of receiving medication-psychotherapy treatment (vs. no treatment) included older ages;commercial insurance coverage;lower social vulnerability index;history of anxiety or mood disorder during and before pregnancy;and being diagnosed by a nurse practitioner, physician assistant, or behavioral care practitioner (vs. physician). Similar patterns were observed for medication-only and psychotherapy-only treatments. Conclusion(s): In this large, nationally representative sample of US insured population, the prevalence of postpartum depression increased significantly by 2.3 percentage-points during the pandemic (or a relative increase of 23.7%). Nonetheless, almost half of women with postpartum depression received no treatment, and only 7.5% received both medication and psychotherapy. The study highlighted potential socioeconomic and provider variation in postpartum depression treatment.Copyright © 2023

Savings groups and the COVID-19 pandemic in Zimbabwe: Critical assessment of the informal social protection scheme

The COVID-19 pandemic has ravaged nations and people's lives throughout the globe across multiple dimensions. Measures to curtail the spread of the disease in Zimbabwe have stifled the capacity of the majority of the population, relegated to the informal sector, to source a living. In the absence of robust social protection interventions from the state, these measures pose a more immediate threat to the lives of marginalised and vulnerable communities than the pandemic itself. Savings groups (SGs), which have providedfinancial relief andprotection from economic shocks and stressors to such population groups, have been entrapped by the preventive and containment measures employed by the Zimbabwean authorities. It is unclear how and to what degree such conditions leave underserved populations exposed to socioeconomic shocks as such vital informal social protection alternatives have been rendered ineffectual. Using documentary review, this study examines the fate of SGs in such socially restricted and economically debilitating circumstances. In addition, the authors discuss strategies for improving the sustainability of such grassroots micro-finance initiatives under COVID-19 induced contraptions. Programmatic andpolicy measures necessary for retaining and protecting the viability of (SGs) as alternatives for informal social protection for marginalised and vulnerable groups under COVID-19 are advanced.

Vulnerability and antimicrobial resistance

It is now well-recognised that antimicrobial resistance (AMR), or the ability of organisms to resist currently available antibiotics and other antimicrobial drugs, represents one of the greatest dangers to human health in the 21st Century. As of 2022, AMR is a top-10 global public health threat. Various national and transnational initiatives have been implemented to address accelerating AMR, and the pressure to find local and global solutions is increasing. Despite this urgency, surprisingly limited progress is being made in rolling back or even slowing resistance. A multitude of perspectives exist regarding why this is the case. Key concerns include an enduring dependency on market-driven drug development, the lacklustre governance and habitual over-prescribing of remaining antimicrobial resources, and rampant short-termism across societies. While rarely presented in such terms, these disparate issues all speak to the social production of vulnerability. Yet vulnerability is rarely discussed in the AMR literature, except in terms of 'disproportionate effects' of AMR. In this paper, we offer a reconceptualisation of vulnerability as manifest in the AMR scene, showing that vulnerability is both a predictable consequence of AMR and, critically, productive of AMR to begin with. We underline why comprehending vulnerability as embodied, assembled, multivalent and reproduced through surveillance matters for international efforts to combat resistance.Copyright © 2022 Informa UK Limited, trading as Taylor & Francis Group.

Should population density be used to rank social vulnerability in disaster preparedness planning?

The CDC Social Vulnerability Index (SVI) was developed to help public health officials and policymakers to identify geospatial variations in social vulnerability for each community to better respond to hazardous events, including disease outbreaks. However, the SVI does not include information on population density, which is a significant omission when considering the usefulness of the index in allocating scarce resources such as medical supplies and personnel, bedding, food, and water to locations they are most needed. Using county-level data from the initial U.S. COVID-19 outbreak, we provide empirical evidence that the existing SVI underestimates (overestimates) county-level infection rates in densely (sparsely) populated counties if population density is not accounted for. Population density remains significant even after allowing for spatial spillover effects. Going forward, the inclusion of population density to construct SVI can improve its usefulness in aiding policymakers in allocating scarce resources for future disasters, especially those with spatial dependence. © 2022 Elsevier B.V.

Assessing the Impact of COVID-19 on Urban Socio-economic Vulnerability and Wellbeing for Integrated Planning: A Quantitative Enquiry in the Katwa Municipality, West Bengal

The present study focuses on the quantitative investigation of economic vulnerability and assesses the perception survey carried out among 75 residents of Katwa Municipality, an up-growing urban area in Purba Barddhaman District, West Bengal. To estimate the socio-economic vulnerability during the lockdown, standardised factor scores have been calculated in the analysis of principal components and GIS-based mapping has been employed also. Among the total working population of the surveyed household, about 20% have changed their occupation, wages have been reduced by 35 and 35% have lost their occupation during the lockdown period. The highly socio-economic vulnerability has been observed in the wards where households and population are also high. The regression coefficient shows that the increasing trend of marginal other workers has the significantly (p < 0.1) highest marginal effect on the socio-economic vulnerability. The Likert scale measuring perception indicated that the majority of the respondents agreed with their socio-economic vulnerabilities caused by lockdown during the pandemic situation. The significant outcome of the study indicates the initiation of diversified income generation opportunities and deliberates its contribution to the formation of location-specific planning for the socio-economic development and integrative management of the study area. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.