Following the rapid escalation of the Coronavirus disease (Covid-19) in early 2020, it was declared a public health emergency of international concern at the end of January, and a Pandemic on 11 March, by the WHO. Although global in nature, the pandemic unfolds in different ways in different countries, and it has become quite apparent that adopting a globally standardised set of interventions can have unexpected and disproportionate impacts on the poorest people in the poorest regions. While the immediate health impacts remain the primary focus of attention in many countries, these secondary impacts are becoming increasingly apparent, requiring urgent attention. This piece draws on a series of case studies from four countries where Concern Worldwide works, Bangladesh, Malawi, Somalia and Sierra Leone. The report itself focuses on the secondary impact of Covid-19 and the in-country response on people’s livelihoods, their access to food, changes in prices, and their access to
health care and children’s access to education. It also looks at how people are coping and how they have engaged with formal support programmes that have been provided.