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In Pictures | Patience, hunger and faith

The initial Covid-19 lockdown has tentatively eased in South Africa. New Frame photojournalists document the empty streets and desperation that defined this difficult period.

18 April 2020: A man walks past a flooded street after a downpour in Mayfair, Johannesburg, during the initial phase of the South African government’s Covid-19 lockdown. (Photograph by James Oatway)

The lockdown that was meant to last 21 days ended up lasting 35. South Africa has so far fared better than many other countries, even those with more developed healthcare systems. 

But the burden of carrying this sacrifice has been disproportionately placed on our citizens who are most at risk: the homeless and those already afflicted with poverty before Covid-19 came to our shores. 

In the absence of traditional heroes, it has fallen on ordinary South Africans to stay patient, help one another and keep going, with faith and hope for the future.

Left: 15 April 2020: A mural in Lavender Hill, Cape Town, reads, ‘Gee terug ons straat (Give back our street).’ (Photograph by Barry Christianson) Right: 23 April 2020: Instructions on how to comply with the lockdown in Alexandra township, Johannesburg. (Photograph by James Oatway)18 April 2020: Members of the police check shopping bags and question people in the streets of Yeoville, Johannesburg. The police did a walkabout in the area accompanied by the army, making sure people were keeping to lockdown regulations. (Photograph by Madelene Cronjé)18 April 2020: Social distancing in the Joburg suburb of Yeoville. (Photograph by Madelene Cronjé)18 April 2020: The Yeoville market in Johannesburg is open but much quieter than usual, with many stalls closed. (Photograph by Madelene Cronjé)15 April 2020: The police raid a small store in Joburg’s city centre that was allegedly trading in contravention of lockdown regulations. The officers arrested several men. (Photograph by James Oatway)18 April 2020: Members of the police and army check in on homeless people in Yeoville, Joburg. Contrary to some reports, they were friendly and helpful. (Photograph by Madelene Cronjé)26 April 2020: South African National Defence Force soldiers support the police during an operation to enforce the Covid-19 lockdown in Yeoville, Johannesburg. (Photograph by James Oatway)21 April 2020: Victor Ndlovu at the Lyttelton Homeless Shelter in Pretoria. He is 27 and almost blind, able to distinguish only between dark and light. He made a living hustling on the streets of Pretoria prior to the Covid-19 lockdown. He is popular and well loved by the other homeless men at the shelter, but wants to return to his mother Josephine in Mahikeng, where he grew up, when the lockdown ends. (Photograph by James Puttick)21 April 2020: Donald Nyalungu, 34, has stopped using nyaope since attending the methadone clinic at the Lyttelton Homeless Shelter in Pretoria. He made a living washing cars and as a car guard in Pretoria before being moved to the shelter when the Covid-19 lockdown started. He is happy to be free of the heroin-based drug after three weeks on methadone, but says ‘you never know what will happen when we go back to the streets after the lockdown’. (Photograph by James Puttick)29 April 2020: A man passes the Rose Corner Superette in Bo-Kaap, Cape Town. The streets are usually full of life during Ramadan but this year, they are empty. (Photograph by Barry Christianson)22 April 2020: Dillon Lakay delivers a food parcel to a home in Hangberg in Hout Bay, Cape Town. (Photograph by Barry Christianson)
Left: 21 April 2020: A man hangs washing from the window of his room in the Madala men’s hostel in Johannesburg’s Alexandra township. (Photograph by James Oatway) Right: 22 April 2020: A woman exercises on the balcony of her apartment in Melrose, Johannesburg. (Photograph by James Oatway)27 April 2020: The Harvest Time Church in Protea Glen, Soweto, is deserted on Freedom Day during the government’s lockdown to slow the rate of coronavirus infections in South Africa. (Photograph by Oupa Nkosi)8 April 2020: A security guard on duty at deserted North Beach in Durban watches cargo ships on the horizon. (Photograph by Mlungisi Mbele)23 April 2020: A Muslim cleric on the promenade in Three Anchor Bay, Cape Town, undertaking the annual tradition of sighting the moon. Clerics are accompanied by throngs of people, except for when the weather is particularly bad. But people stayed away this year because of the lockdown. (Photograph by Barry Christianson)23 April 2020: Muslim clerics on the promenade in Three Anchor Bay, Cape Town, for the sighting of the the moon. (Photograph by Barry Christianson)29 April 2020: Volunteers at the Bo-Kaap Community Centre in Cape Town wind down as their day comes to an end. (Photograph by Barry Christianson)24 April 2020: President Cyril Ramaphosa at the Johannesburg Expo Centre, which the government has identified as a potential medical quarantine facility for Covid-19 patients. The venue will be able to accommodate large numbers of people should infections rise rapidly in the city. (Photograph by Oupa Nkosi)

Left: 17 April 2020: A resident of the Glen Marikana shack settlement near Kempton Park waits to be tested by Gauteng member of the executive council for health Bandile Masuku and his team during the province’s mass screening and testing to control the spread of the coronavirus. (Photograph by Oupa Nkosi) Right  17 April 2020: Gauteng member of the executive council for health Bandile Masuku and a team of health workers carry out screening and testing for Covid-19 in the Glen Marikana shack settlement near Kempton Park. (Photograph by Oupa Nkosi)26 April 2020: Two Emergency Assistance Volunteer Support personnel take a breather between delivering food parcels in Ocean View, Cape Town. (Photograph by Barry Christianson)11 April 2020: Food parcels donated by local businesses and families who wish, to a large extent, to remain anonymous. The response from the community has been immediate and extremely generous, according to the Bo-Kaap Covid-19 Response Team spokesperson, although in times to come, as the resources of the recently unemployed are reduced, the amount of assistance would have to increase dramatically. (Photograph by Yasser Booley)29 April 2020: Hassane Habib Allah waits patiently to see an official at the Gauteng Department of Social Development in Johannesburg to apply for a permit to distribute food aid to those in need. He and a friend were arrested by the police the day before and fined R1 000 each for distributing food to the needy in Brixton. They were told that the essential service permit they had in their possession was not valid. Being a law-abiding citizen, he paid the fine and now wants to apply for an updated permit so he can continue distributing food. (Photograph by James Puttick)29 April 2020: Lucia Khumalo sews a mask out of traditional cloth. She started making the masks to supply her community at the Bekezela shack settlement in Newtown, Johannesburg. (Photograph by James Puttick)21 April 2020: People gather in the Imizamo Yethu shack settlement in Cape Town as they wait to collect their food parcels. (Photograph by Barry Christianson)28 April 2020: Members of the Mutungwa Service Delivery Task Team sign a list of demands to be delivered to the Department of Social Development. Made up of a coalition of community leaders from various shack settlements, community organisations and dark buildings – those with no electricity or water, named for the isiZulu ‘emnyama indawo’ or dark place – in Joburg’s inner city, they want the government to start distributing food parcels as they are beginning to starve. They warned that if they continue to be ignored, they will be forced to mobilise and march to the Gauteng Legislature in protest. (Photograph by James Puttick)11 April 2020: Cassiem Lucas, a longtime resident of Bo-Kaap and a volunteer for the Bo-Kaap Covid-19 Response Team, in a street that under normal circumstances would be crowded with camera-toting tourists. The response team started when it became evident that visitors from European countries heavily affected by the coronavirus were still visiting Bo-Kaap. Their first response was to galvanise organisations in the area to issue a unanimous ban on international visitors, to limit the largely elderly and vulnerable residents’ exposure to Covid-19. (Photograph by Yasser Booley)11 April 2020: Anees Diedericks, who lives in Bo-Kaap and volunteers for the response team, delivers food parcels in the area. (Photograph by Yasser Booley)29 April 2020: Mbalenhle ‘Flower’ Tshabalala outside the homeless shelter at the Hillbrow Recreation Centre in Johannesburg. The shelter is for men, so the 20-year-old sleeps outside on the street. But she is able to get a meal there during the day. Tshabalala came to Johannesburg two years ago from Piet Retief in Mpumalanga after she matriculated. She lost both her parents shortly after finishing school and was lured to Johannesburg by an aquaintance under the false pretence of work, which turned out to be prostitution in the Hillbrow criminal underworld. She refused and ended up on the streets, addicted to nyaope and crack cocaine. ‘If I could escape this, I would like to follow my dream of studying further … I did well at school,’ she says in her eloquent English. (Photograph by James Puttick)22 April 2020: Dillon Lakay, a Hout Bay United football club player, waits to unload food parcels in Hangberg. (Photograph by Barry Christianson)29 April 2020: A shopper walks past a poster in Sea Point advertising season five of the Lockdown television series. (Photograph by Barry Christianson)

Source: https://www.newframe.com/in-pictures-patience-hunger-and-faith/

23 April 2020
We've updated the Coronavirus in South Africa dashboard to show the latest numbers. Today saw 318 new confirmed Covid-19 cases, the biggest daily increase yet. Two-hundred of those new cases were in the Western Cape, which now has 1,279 confirmed cases, more than Gauteng, which has 1,252. The virus has claimed another 10 lives, bringing the total confirmed Covid-19-related deaths to 75. Six of the deaths were in the Western Cape, two were in KwaZulu-Natal and there was one each in Gauteng and the Eastern Cape. There is some good news, recoveries have increased to 1,473

Scroll down for a quick overview or click here to view the full dashboard.

Quick overview

Total infections: 3,953
New infections since last update: 318
Total deaths: 75 
Total people recovered: 1,473
Province with the most reported infections: Western Cape has 1,279 infections
Total number of tests done: 143,570
• Information on locally transmitted and external infections has not been made public since 22 March.

You can view the full, updated dashboard here: https://mediahack.co.za/datastories/coronavirus

We have made a chart comparing the confirmed and active cases in each province using data made public this evening by the department of health. 843 people have recovered from Covid-19 in Gauteng, which means that at present it has fewer active cases than the Western Cape and KwaZulu-Natal. The Western Cape and KwaZulu-Natal have recorded the most Covid-19 deaths, with 28 and 27 respectively.

Stay informed

The lockdown women planning their escape from abusive homes
When her husband threatened to kill her, this woman told her children to pack their bags. And then she left. Read the harrowing account of one woman’s plan to get her family out of a dangerous household during lockdown, by Bhekisisa's Joan van Dyk. 
Click here for the full story

The Coronavirus in South Africa dashboard and newsletter is a partnership between Media Hack Collective and Bhekisisa. Together we aim to keep you informed with quality news and information about the COVID-19 pandemic in South Africa.



Previous outbreaks have demonstrated that when health systems are overwhelmed, mortality from vaccine-preventable and other treatable conditions can also increase dramatically. During the 2014-2015 Ebola outbreak, the increased number of deaths caused by measles, malaria, HIV/AIDS, and tuberculosis attributable to health system failures exceeded deaths from Ebola [1,2]

“The best defense against any outbreak is a strong health system,” stressed WHO Director-General Tedros Adhanom Ghebreyesus. “COVID-19 is revealing how fragile many of the world’s health systems and services are, forcing countries to make difficult choices on how to best meet the needs of their people.”

To help countries navigate through these challenges, the World Health Organization (WHO) has updated operational planning guidelines in balancing the demands of responding directly to COVID-19 while maintaining essential health service delivery, and mitigating the risk of system collapse. This includes a set of targeted immediate actions that countries should consider at national, regional, and local level to reorganize and maintain access to high-quality essential health services for all.

Countries should identify essential services that will be prioritized in their efforts to maintain continuity of service delivery and make strategic shifts to ensure that increasingly limited resources provide maximum benefit for the population. They also need to comply with the highest standard in precautions, especially in hygiene practices, and the provision of adequate supplies including personal protective equipment This requires robust planning and coordinated actions between governments and health facilities and their managers.

Some examples of essential services include: routine vaccination; reproductive health services including care during pregnancy and childbirth; care of young infants and older adults; management of mental health conditions as well as noncommunicable diseases and infectious diseases like HIV, malaria and TB; critical inpatient therapies; management of emergency health conditions; auxiliary services like basic diagnostic imaging, laboratory services, and blood bank services, among others.

Well-organized and prepared health systems can continue to provide equitable access to essential service delivery throughout an emergency, limiting direct mortality and avoiding increased indirect mortality.   

The guidelines stress the importance of keeping up-to-date information. This requires frequent transparent communications with the public, and strong community engagements so the public   can maintain trust in the system to safely meet their essential needs and to control infection risk in health facilities. This will help ensure that people continue to seek care when appropriate, and adhere to public health advice.


ICN highlights top priorities to beat COVID-19

9 April 2020


The International Council of Nurses (ICN) today published its COVID-19 list of top priorities based on the information and feedback received from its National Nursing Associations and their nurses on the frontline fighting the coronavirus.

These top priorities collectively form a call to action demanding that every part of society including governments, healthcare organisations and businesses pull together to beat the virus. These are practical steps that every country should include in their preparedness and response plans. ICN believes that only by working together will humanity be able to achieve what is necessary to mitigate the effects of the pandemic and eventually defeat it, while maintaining the best interests and wellbeing of our nursing workforce.

With more than one million cases of COVID-19 recorded around the world, nurses and other healthcare workers have stood firm against the onslaught of the virus and saved many thousands of lives. But they have been cruelly exposed to danger because of a lack of sufficient appropriate and high-quality personal protective equipment (PPE). Nurses’ lives are being put at risk, and some have been lost, because of failures in the supply chain of essential equipment that can stop the spread of this terrible disease.

ICN calls on all governments to show leadership and coordinate the PPE supply system across all sectors. They must safeguard cooperation across borders to ensure that equipment goes to where the need is greatest in a timely manner.

ICN Chief Executive Officer Howard Catton said:

“Unless there is resolute action, more nurses will become infected and unable to work, and sadly, more nurses and patients will die. We must see immediate steps to develop cooperation across borders so that PPE reaches the people who are literally putting their lives on the line to save the rest of us from the coronavirus. There is no time for debate about this – we need immediate action now.”

ICN’s list of COVID-19 top priorities is not only a call to action but also provides a guide to help NNAs and other nursing organisations to focus on some of the important issues nurses are facing as they respond to the current worldwide crisis.

ICN President Annette Kennedy said:

“This call to action is about helping nurses get through this terrible situation as quickly and safely as possible but also acts as blueprint for shaping future global healthcare policies that put nurses front and centre. We can no longer afford to let their knowledge and leadership skills go to waste, otherwise we risk going from one crisis to the next.”

The 12 main priorities in ICN’s COVID-19 Call to Action are:

  1. Urgently prioritise ready access to sufficient quantity of high-quality and appropriate personal protective equipment (PPE) for nurses and other healthcare workers
  2. Ensure all nurses have appropriate evidence-based infection prevention and control training and the latest COVID-19-specific guidance and training
  3. Protect the health and wellbeing of nurses and other healthcare workers
  4. Rapidly implement/scale-up comprehensive surveillance systems to track and investigate healthcare worker infection
  5. Ensure the financial protection and compensation of nurses
  6. Provide a safe and effective Registration and Regulatory response when rapidly expanding the nursing workforce
  7. Ensure a safe and effective deployment of nursing staff to areas of high demand and high complexity as the need arises
  8. Encourage, develop and support new models of care and innovation
  9. Demonstrate public support and recognise the value of nurses to society
  10. Capitalise on nursing leadership
  11. Develop and implement a comprehensive, coordinated COVID-19 public health strategy with active engagement of nurses
  12. Learn from the COVID-19 pandemic to be prepared for the future

Source: https://www.icn.ch/news/icn-highlights-top-priorities-beat-covid-19

Policy Recommendations for Safe & Sustainable Health Workforce Teams to Fight COVID-19

April 2020

The COVID-19 (novel coronavirus) pandemic necessitates governments and donors provide immediate emergency and long-term investments to support sustainable frontline health workforce teams who are educated, recruited, trained, supported, equipped, and protected to prevent, detect, and respond to global health threats. 

Please open link to have access to this document: https://www.frontlinehealthworkers.org/sites/fhw/files/fhwc_covid-19_recommendations.pdf

    Pandemic Emergency Financing Facility


    The Pandemic Emergency Financing Facility (PEF) – a financing mechanism housed at the World Bank  –  is designed to provide an additional source of financing to help the world’s poorest countries respond to cross-border, large-scale outbreaks.  The PEF complements the much larger role that IDA, the World Bank’s fund for the poorest countries, and other international organizations and donors play in financing outbreak response. The PEF’s design is unique in that payments can go directly to governments and pre-approved frontline responder organizations (such as WHO & UNICEF) and it can do so through either its cash window -- or once triggered through its insurance window.

    Resource: https://www.worldbank.org/en/topic/pandemics/brief/pandemic-emergency-financing-facility

    Guidelines for Integrating Gender-Based Violence Interventions in Humanitarian Action

    Reducing risk, promoting resilience and aiding recovery

    Cross-Cutting Topic

    COVID-19: Resources to address gender-based violence risks

    There is already an unsettling amount of information on GBV occurring against the backdrop of the COVID-19 outbreak. It is also becoming increasingly clear that many of the measures deemed necessary to control the spread of the disease are not only increasing GBV-related risks and violence against women and girls, but also limiting survivors’ ability to distance themselves from their abusers as well as reducing their ability to access external support. In addition, it is clear from previous epidemics that during health crises, women typically take on additional physical, psychological and time burdens as caregivers. As such, it is critical that all actors involved in efforts to respond to COVID-19 – across all sectors – take GBV into account within their programme planning and implementation. The majority of the resources contained on this page relate to COVID-19 and GBV risk mitigation across sectors. For additional resources on COVID-19 and GBV specialized services, please visit the GBV AoR website.

    This new addition to the GBV Guidelines Knowledge Hub provides practitioners with key resources to support the integration of GBV risk mitigation into COVID-19 response. It will be frequently updated as the crisis unfolds. Kindly contact gbv.guidelines@gmail.com to submit new resources or should you have any questions.

    Resource: https://gbvguidelines.org/cctopic/covid-19/

    Programmatic Guidance for Sexual and Reproductive Health in Humanitarian and Fragile Settings During COVID-19 Pandemic


    This document provides programmatic guidance to help maintain essential preventative, promotive, and curative sexual and reproductive health (SRH) services in fragile and humanitarian settings during the COVID-19 epidemic threat and outbreak period; including general guidance, the continuation of sexual and reproductive health services, information and communication, and infection prevention and control.


    Resource: https://www.worldbank.org/en/topic/pandemics/brief/pandemic-emergency-financing-facility



    Resource: https://www.care.org/sites/default/files/global_rga_covid_rdm_3.31.20_final.pdf


    In Practice

    Rapid gender analysis

    Gender analysis is the systematic attempt to identify key issues contributing to gender inequalities, many of which also contribute to poor development outcomes. This process explores how gendered power relations give rise to discrimination, subordination and exclusion in society, particularly when overlaid across other areas of marginalization due to class, ethnicity, caste, age, disability status, sexuality, etc.

    The gender analysis process seeks to collect, identify, examine and analyze information on the different roles of people across genders. Gender analysis primarily seeks to understand these three questions:

    1. What are gendered-related rights denials in a given context? How do unequal gender relations, gendered discrimination, subordination and exclusion influence rights denials? How do these rights abuses intersect with other areas of discrimination – based on ethnicity, culture, class, age, disability, etc.?
    2. How will gender relations affect the achievement of sustainable results? For example, if the project’s sustainable result is increased productivity among female smallholder farmers, then gendered norms in household divisions of labor and workloads may greatly influence production outcomes,
    3. How will proposed results affect the relative status of men and women? Will it exacerbate or reduce inequalities?

    Rapid Gender Analysis in 5 Steps

    The Rapid Gender Analysis provides essential information about gender roles and responsibilities, capacities and vulnerabilities, together with programming recommendations. It is used in situations where time is of the essence and resources are scarce.

    The Rapid Gender Analysis is built up progressively, using a range of primary and secondary information to understand gender roles and relations and how these may change during a crisis. It will assist in providing practical programming and operational recommendations to meet the different needs of women, men, boys and girls, and in ensuring we ‘do no harm’. 5 steps to prepare a rapid gender analysis:


    1. Find existing analysis and data on gender relations 

    Gender in Briefs (GiB) are a key part of producing CARE's Rapid Gender Analysis in an emergency. A Gender in Brief compiles and analyses existing secondary gender information and presents this information in a two-page document, which contains sex and age disaggregated statistics and gender analysis from before the crisis. It makes links to key reference documents and existing CARE programmes.

    2. Collect additional data through gender assessments

    RGA Assessment Tools are used to gather information from women, men, boys and girls about the impact of a crisis. CARE uses different tools to collect information from women, men, boys and girls. Select at least two tools from the tools listed below and then adapt the tool to the context.

    Example RGA assessment tools

    3. Analyse the results and compare to pre-crisis data

    Gender data that has been collected is useless without analysis. The analysis of gender data is important for a number of reasons, including the following: to provide practitioners with an understanding of changes to gender relations and how they affect programming; to use the data and information generated form the date collection process to form recommendations; to find and understand gaps in programming and make adjustments.

    4. Write practical recommendations

    Perhaps the most important step to completing a Rapid Gender Analysis is to provide clear recommendations to improve or address some of the problems or gaps identified in the analysis of the different needs, capacities and contributions of women, men, boys and girls. Remember that the purpose of collecting this information is to improve your response effort (and potentially those of your partners as well). Ask yourself, how can you use the information you now have to make targeted and practical recommendations to people within and beyond your organisation in order to improve the response effort?

    5. Share with other actors

    CARE’s Rapid Gender Analysis relies on gender sensitive assessment information becoming available during a crisis. In order to ensure this happens, CARE’s gender in emergency assessment and analysis work needs to be aligned to the timeframe and processes of the OCHA-led assessments. The diagram in the Guidance Note explains when to share different RGA Reports with other actors.

    Resource: https://insights.careinternational.org.uk/in-practice/rapid-gender-analysis



    Resource: https://www.care.org/sites/default/files/gendered_implications_of_covid-19_-_full_paper.pdf

    About the association

    Committed women and men from diverse

    professions: academics, community

    organizers and activists from over 22

    countries who educate, advocate and

    implement programs to improve women’s

    health around the globe.

    Address of association

    Women and Health Together for the Future (WHTF)

    Global Health Education, Training and Service (GHETS)

    8 North Main Street, Suite 404

    A leboro MA 02703 United States



    Dr. Hester Julie

    Executive Director, WHTF


    Dr. Judy Lewis

    Chair, WHTF 


    Micarla Abrahams

    Administrative Staff, WHTF


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