How are
the Girls?

A Study on the Rights of Girls during the COVID-19 Pandemic in six countries, promoted by four International Women Religious Congregations.

BACKGROUND

The impact of COVID-19 on girls and young women

The Covid-19 pandemic that begun at the end of 2019, disrupted every facet of our lives. Many communities, mostly in the South of the world, and among them, children and adolescents, particularly girls, have suffered its impacts more than others.

Upholding the dignity and promoting the well-being of this group of people is at the core of the mission of the four Congregations that promoted the present research.

Based on decades long experience serving the most underserved in our society, the Congregations were aware that the conditions of many girls and children in the poorest countries were already extremely fragile and that measures such as lock-downs, school closure and interruption of protection services could cause enormous harm.

The Project

The four organizations that have coordinated this research are the “development arms” of four of the largest international women religious Congregations: the Good Shepherd International Foundation ONLUS, for the sisters of Our Lady of Charity of the Good Shepherd, VIDES Internazionale, for the Salesian Sisters of Don Bosco, Fondazione Comboniane nel Mondo ONLUS, for the Comboni Missionary Sisters and the International Mission Development Office of the sisters of Notre Dame des Mission

All four Congregations have been working for decades in support of children and girls in the most vulnerable communities in resource-deprived countries.

In the wake of the pandemic’s outburst, they decided to come together to initiate an unprecedented multi-congregational research initiative to better understand whether being in the care of the Congregations’ educational and social programs would have mitigated the negative impacts of the pandemic. Such understanding was key to review programs and to inform new educational, development and advocacy initiatives. 

Given the world-wide presence of the four Congregations, it was agreed to narrow the scope of the research to six countries: South Sudan, Kenya, India, Nepal, Ecuador, Perù.

Country Studies / Congregrations

South Sudan

Salesian Sisters

Combony Sisters

Kenya

Salesian Sisters

Good Shepherd sisters

India

Salesian Sisters

Good Shepherd sisters

Notre Dame
des Mission Sisters

Nepal

Salesian Sisters

Good Shepherd sisters

Ecuador

Salesian Sisters

Good Shepherd sisters

Perù

Combony Sisters

Good Shepherd sisters

The Survey

The project coordinators invited a team of researchers in the fields of economic and social studies, including economists and experts of children and women’s rights, to design and develop a global survey.

The research team proposed to work on a two-levels survey, a quantitative study, to be administered on a larger pool of girls, across the six countries, and a qualitative study, administered to a smaller group of girls, in the same communities.

3,443+

Adolescents girls and Youth woman 

10-20

Participant age range

30

Cities and Communities

6

Countries

Schermata 2022-12-06 alle 18.37.50

Research and key findings

The aim of this empirical study was twofold. On the one hand to provide a detailed and comprehensive description of the general condition of girls in the target communities in the aftermath of the pandemic outbreak. On the other hand, to get some insights on the impact on the current and future outcomes for these girls.

The quantitative research involved 3.443 adolescent girls in six countries, selected among the participants in the Congregations’ programs. The survey included the in-person administration of a questionnaire with the support of enumerators.

The research team initially explored responses to the questions about school participation and school enrolment, which highlighted a slight decrease in school participation for girls over 15 years of age, who have reported to be more likely involved in extra-curricular activities. They also reported difficulty in studying more frequently than girls under 15.

As the research involved girls from both urban, semi-urban and rural areas, the results show that school participation decreased relatively more in rural/remote  areas rather than in urban/semi-urban and even more severely for girls living in informal settlements. This could be a consequence of the different school closure policies implemented during the pandemic. In fact, 22% of schools in urban or semi-urban areas versus 9% of schools in rural or remote areas were still closed at the time of the survey, and more than 55% of schools attended by girls living in informal settlements were still closed at the time of the survey.

Girls reported that face-to-face classes were primarily substituted by online classes and secondarily by the use of educational apps or WhatsApp groups. Therefore, access to technology has been key to ensure the continuity of girls’ education. Even though the larger share of girls who report having attended online classes during the pandemic live in informal settlements, girls living in urban areas more frequently report having used the internet for schoolwork. Despite differences in the availability of material resources and internet access, respondents reported having met with friends with the same frequency.

One significant highlight that emerged from the quantitative analysis, is the significant difference in the incidence of child labor by age group. More than 20% of girls under 15 years of age versus 5% of girls between 15 and 18 report having being engaged in child labor (girls 18 years of age or older have not been included in this study). For girls under 15 years, child labor is defined in this report as working more than 14 hours a week for a paid job or doing household chores for more than 21 hours a week. For girls aged between 15 and 18, child labor is defined as working a paid job for more than 43 hours a week.

Almost three out of four girls reported being in good or excellent health, and this figure does not change with respect to age or area of residence. This figure is coherent with the data on disability as the same percentage of girls who report being in good or excellent health is the same as the figure reported for not having any disability.

Substantial differences emerge when we consider access to clean water. This  is an essential condition for personal hygiene and maintaining good health status. Girls in urban/semi-urban areas have more frequent access to clean water at home than girls in rural/remote areas and even more than girls living in informal settlements. For girls living in rural or remote areas, the discomfort due to this impediment is exacerbated by the difficulty of buying sanitation pads during the lockdown. Actions by the congregations to mitigate the adverse impact of restrictive measures due to Covid-19 have also concerned this aspect. In rural or remote areas, more than a third of girls engaged in programs run by the congregations received a menstrual hygiene kit on at least some occasions.

The consequences of a family bereavement have been different with regard to age. In fact, almost half of the girls over 15, who have been asked about the impact of the Covid-19 outbreak on their household income, reported that this event had an extremely significant impact.

In general, for one out of six girls, there has been a decrease in the number of daily meals since the beginning of the pandemic. Currently, about 10% of girls live in a situation of food insecurity, i.e., eating less than two meals a day. Food Insecurity also seems to be correlated with other vulnerabilities, such as income loss, bad health status and lack of access to clean water.

Less than 30% of girls report having witnessed at least occasional conflicts at home during the Covid-19 lockdown, and more than half of them say that this has changed with respect to before the pandemic.

Obviously, conflicts at home significantly impacted how the girls felt at home, especially if they are were forced to spend most of their time confined at home. More than 60% of girls reported a sense of worry, and half of them have experienced sadness. The most frequently reported feelings are “negative,” and fewer girls reported “positive” feelings, such as “feeling relaxed, protected and happy”. These emotions have been reported each by 20% of girls. Household income loss and deteriorated living conditions are the most likely explanation for these bad feelings. In fact, there is a significant association between the severity of household-income loss and the most frequently reported feelings. Similarly, bad feelings are associated with the difficulty girls encounter in studying. Indeed, those who have experienced bad feelings at home during the lockdown are more likely to have found difficulties in studying during the school closure.

When asked how they see their future, the girls expressed a willingness to continue their studies, and only 22% of girls want to keep working.  Only 11% expressed the desire to marry.

One of most common ways to measure well-being by measuring  income poverty. The idea behind such a measure is that if one can determine how much money flows into a household, it is possible to assess whether the household is able to meet basic needs.

Researchers commonly use income as a proxy for material well-being when they analyze trends in poverty and inequality and the antipoverty effects of government programs. Families with low income are less able to meet their basic needs and hence are more likely to experience material hardships, defined as demonstrating unfavorable economic circumstances (Ouellette et al., 2004).

An alternative way to evaluate adolescents’ material well-being by assessing their material hardship. First developed by Mayer and Jencks (1989), this approach dispenses with proxies like income and instead seeks to directly measure the material well-being of households. The intuition behind material hardship is straightforward: when demands on a household’s resources (income, savings, credit, favors, social assistance benefits, and so on) exceed available resources, the result is some form of material hardship (Rodems and Shaefer, 2020). Moreover, while income poverty and material hardship are correlated, most of those who report being in material hardship are found above the poverty line (Rodems, 2019).

There are many advantages to using measures of material hardship. First, the idea of material hardship gets to the core of what most people mean by poverty. Second, material hardship analysis gives the opportunities to tailor aid measures, such as food stamps, housing subsidies, and subsidies for heating, in addition to the geographically varying and non-profit-based direct service provisions. In addition to measuring of income poverty, researchers should assess the well-being of the population in the very terms by which it is conceived of by policymakers: material well-being. According to Heflin et al. (2009), four broad categories of hardship have emerged in literature: food hardship, fiscal hardship, health hardship, and housing hardship. Huang et al. (2010) found that food insecurity correlates with less optimal parental health, which in turn can have negative consequences for children. Financial hardship can put a strain on parental relationships, which in turn can lead to antisocial behavior among children (Scaramella et al., 2008). Material hardship is also associated with social problems, at least in children who live in rural areas (Mosley and Miller, 2004; Kainz et al., 2012; Conrad et al., 2019).

The analysis of material hardship conducted among girls in this study aims at understanding these potentially causal relationships. The three dimensions of socio-economic life of girls have been taken into consideration. Within each dimension, the analysis measured the level of hardship experienced by girls during the Covid-19 pandemic: social life, family and physical health.

The results show that, in total, more than 35% of girls experienced serious or very serious hardship during the pandemic. This was due mainly to a decrease in well-being in the social dimension. Furthermore, 100% of girls who have experienced a serious or very serious hardship are 15 years or older. Among those who experienced very serious hardship, 80% live in Africa (Kenya or South Sudan), and 64% live in rural or remote areas. Among those who experienced serious hardship, 43% live in Africa, 39% live in Asia, and 18% live in South America. Across all the countries, the concentration of girls suffering from serious hardship is the highest in rural and remote areas.

The congregations’ school programs might have the most evident beneficial effect on the level of the girls’ participation at school. In fact, 99% of girls involved in school programs are currently enrolled in school, while 91% of girls not involved in school programs are currently enrolled in school.

In order to evaluate the mitigating impact of the congregations’ school programs, we considered the same index of hardship introduced in the previous section. The (inverse) hardship index percentages by involvement in school programs. Again, we notice that higher percentages of girls not involved in school programs have suffered serious or very serious hardship. In contrast, girls involved in school programs reported a relatively higher probability of the absence of hardship during the pandemic.

Research and key findings

In the qualitative phase of the research project, 314 adolescent girls aged 10-20 years participated into the study from Peru, Ecuador, South Sudan, Kenya, India and Nepal. The objective was to complement the findings to the quantitative study that was carried out as the first phase (December 2021-February 2022). It aimed at illustrating quantitative findings and providing a space for girls to voice out their experience and their concerns in their own words.  The aim of the research was to find what was the unique experience of girls during and after the pandemic and how have they adapted to new challenges brought by the subsequent waves of the pandemic and the restart of services after two years.

For the qualitative phase, the research team developed three tools: one Focus Group Discussion (FGD) topic guide for girls of both age groups (10 to 14 years and 15 to 20 years), one topic guide for individual interviews (girls aged 10 to 20 years) and one topic guide for service providers (key informant interviews).

All three tools explored the impact of the pandemic on several dimensions including girls schooling, girls’ health including reproductive and sexual health as well as mental health, relationships, decision-making and aspirations.

All participating countries led Focus group with girls following the above inclusion criteria (age and school status), totaling 34 Focus Group Discussions overall.

In addition, country teams were provided the opportunity to carry out individual interviews with girls and key informant interviews with service providers (8 individual interviews and 10 KII have been included in this analysis from both India and Nepal) – to enrich and add to the existing data.

Data collection was led by a team of thirty qualitative researchers in June 2022 and lasted about 3 weeks.

Education

As adolescent girls from around the world experienced important disruptions in their education during the pandemic period, the learning loss has been huge for girls living in LMICs. Not only have they had to face exceptional circumstances but their access to learning was seriously compromised by the lack of access to online education services and technology. This has resulted in an acute sense of learning loss, a declining self-esteem and sense of self-worth, general disillusion and missed opportunities. Inequalities during COVID were considered particularly harsh as girls shared a lot of concern for their peers living in families and communities with less access to services including online schooling.

As a result of household poverty and sudden unemployment resulting from government restriction measures, girls have had to take charge of parental duties including increased work, household chores and care (taking care of older and sick parents, siblings) which has further compromised the continuity of their education. This shows how gendered are the effects of the crisis on adolescent girls worldwide, especially in the poorest and most vulnerable areas.

Health

The pandemic had important negative consequences on girls’ health including mental health and reproductive health. The prolonged lock down led to acute sense of loneliness, increased stress because of survival needs and intense social isolation.

Many girls from impoverished families and communities experienced menstruation poverty and didn’t have access to the essential reproductive information and services that would have helped them go through this transition. Many girls shared stories of feeling helpless and unable to care about themselves in that crucial phase of adolescence, many girls told us that they missed on sexual education too.

A lack of parental supervision and access to these essential adolescent focused services meant that many girls fell into the trap of teenage pregnancy. Others felt compelled to engage in sexual and commercial exploitation in order to  meet their basic needs, exchanging sex against food, menstruation pads and other basic hygiene items such as soap.

 

Violence and gender discrimination

Commonly reported forms of violence that were most cited during and after COVID were online abuse and harassment, domestic violence (including experiencing violence at home and witnessing violence). This was called on international media as “the shadow pandemic” and received a lot of attention worldwide. Girls told us stories of parental disputes, conflict between siblings as well as children witnessing parental fighting. They also reported an increased use of physical punishment as a means of discipline. They narrated sexual violence and incest within families and online (as girls were more exposed to social media, they became a prey to online predators).

Other harmful consequences of the pandemic that has been widely reported was the surge in child marriages, exploitation and discrimination against girls which brought significant harm in the lives of adolescent girls worldwide. Girls provided examples of parents marrying of their daughters for economic reasons, or friends who were married off to their boyfriends after getting pregnant. Girls themselves sometimes highlighted that marriage was a way of escaping either a violent or conflicting home as well as poverty – and sometimes a better short-term alternative to school which was unaffordable.

Survival and work

A number of girls stressed that the government-imposed restrictions and the following loss of jobs led to decreasing food availability at the household level. In India and Nepal, girls mentioned that although the food was not as diverse and the diet as rich as before COVID-19 which resulted in a lack of vitamin intake. In Kenya and Ecuador, girls revealed acute need for food that created high tensions and conflict in families. Many girls entered informal employment at the expense of their own education and long-term prospects.

Relationships

One of the highest impacts on girls’ sense of connection to others was the loss of friends during COVID due to school closure. The reality that many girls found themselves in was that they couldn’t rely anymore on the practical and everyday support of their peers and that brought them down and contributed significantly to decreasing morale. They also mentioned deteriorating family relationships as a source of stress and pain.

Agency and decision-making

Progress towards girls’ rights including decision making and agency have been seriously altered as many girls felt they had to give up their education or they had to give up some dreams. The pandemic has significantly reduced girls access to opportunities. However, it has also led way to other ideas.

 

Services

Many girls were deprived of services vital to their health and development, such as reproductive, food and education and social services. However, many also survived on outside support, including community support but also government and NGOs aid. In Congregations’ operational areas, the support that Congregation’s programs provided was highlighted as being extremely helpful and contributed to many families to cope and survive despite the extreme hardship.

 

Positive insights

However, the pandemic was not only negative for girls. Among the secondary positive benefits that some girls have highlighted was an increased knowledge of online tools and platforms, a closer relationship to families and loved ones, news interests and new ideas.

Conclusions and Policy Recommendations

Based on the insights drawn from the qualitative and quantitative components, it may be concluded that this study can be of guidance for developing an aid guide aimed at preventing negative impacts on young girls in the event of future pandemics or large-scale health crises. What emerged from the report, is that the lockdown caused by the pandemic has had major physical as well as psychological impacts persisting over the medium and long term, such as early pregnancy, early marriages and sometimes physical and psychological violence.

1.

Lockdown caused emotional distress on girls and adolescents. Uncertainty about the future, not being able to see their friends, and intra-household violence are common consequences they experienced. Students from vulnerable families may have suffered more loss and uncertainty during the pandemic. Adolescent girls are more vulnerable to mental health issues because they found themselves unable to comprehend the entirety of a situation nor fully communicate their feelings to adults, in fact many of them suffered anxiety and depression during the pandemic period. Recovery efforts must prioritize a new era of investment in robust health systems supporting a family-centered model of healthcare and child health programs. It is important that young girls who have experienced high distress during the pandemic, receive counselling from psychologists and other mental health professionals. Their doubts need to be clarified; they deserve social and psychological support, counseling, compassion and kindness in such a distressful situation.

2.

Although progress has been made in reducing the prevalence of early marriages, it still remains a pervasive problem in several countries. The COVID-19 pandemic has greatly influenced and amplified this problem because of the scarcity of aid to young girls and families, especially in remote and rural areas. The development of additional protection, awareness and development programs involving not only young girls, but parents and relatives close to the girls, is extremely important to provide young girls with opportunities for better peer interaction, for support, for participation in various youth engagement activities, for developing new skills and for building their social networks enabling freedom of expression and movement. Congregations’ programs are particularly well placed to offer age-appropriate and culturally acceptable education about reproductive health and sexuality to young girls. The disruption in the provision of such programs affected negatively the girls, who felt disoriented and more vulnerable to exploitation. Resuming and further developing this educational work is of paramount importance to empower girls and prevent early marriages, early pregnancies and sexual exploitation.

3.

During the COVID‐19 lockdown, girls struggled to meet their hygiene and reproductive health needs in all the countries covered by the study. Low‐income families are reluctant to spend on sanitary pads, which is why few girls resumed their previous practice of managing their periods using cloth pieces or rags. This study’s findings may be used to plan and implement interventions during a future pandemic or such crises to maintain the supply chain of sanitary pad and basic hygiene kits for girls, creating a widespread network of primary health care aid, available especially in the most remote and rural regions.

4.

In regions where public budgets are extremely limited for investments in public health and youth care centers, community-based activities are an important alternative to provide support for young girls and prevent violence and sexual abuse. Community-based programs designed to bring about more equitable gender norms and decrease tolerance of sexual violence and sexual abuse are the most effective interventions in low-income areas. Popular interventions should include group education, community mobilization, social norm programming, media campaigns, mentorship, and identification of safe spaces. Initiatives targeting both young boys and girls include fatherhood programs that aim to improve gender equality in parenting, build parenting skills, and increase paternal involvement. School-based interventions targeting adolescents could increase evidence for improving gender-equitable attitudes and increasing self-reported likelihood to intervene in situations of abuse and partner violence. A multisectoral response should ensure that the needs of girls and parents/caregivers are addressed holistically and that these interventions lead to better outcomes for children. Actors in the child protection sector should also consider collaborating with religious and traditional leaders who have access to the most deprived and remote communities and can build on the trust and long-term commitment they have established with the people, and specifically with the girls. The Congregation’s approach to care and services, rooted in compassion, love and empowerment, is key to support the holistic development of girls.

5.

Disparities on access to technological resources among young girls increased educational gaps, and school disengagement across cohorts. Take into consideration the interaction of modern information technologies with the technologies of human interaction. For instance, invest on connectivity at communal hot spots, such as recreational centers, tutoring centers, and parks frequented by vulnerable children. The infrastructural facilities should be fulfilled to the education institutions which can regulate the digital learning process during future health emergencies. There is a need to ensure adequate funding for the improvement of the education and technological education system and to provide adequate capacity development training to the stakeholders of education institutions.

The Project

The four organizations that have coordinated this research are the “development arms” of four of the largest international women religious Congregations: the Good Shepherd International Foundation ONLUS, for the sisters of Our Lady of Charity of the Good Shepherd, VIDES Internazionale, for the Salesian Sisters of Don Bosco, Fondazione Comboniane nel Mondo ONLUS, for the Comboni Missionary Sisters and the International Mission Development Office of the sisters of Notre Dame des Mission. All four Congregations have been working for decades in support of children and girls in the most vulnerable communities in resource-deprived countries.

In the wake of the pandemic’s outburst, they decided to come together to initiate an unprecedented multi-congregational research initiative to better understand whether being in the care of the Congregations’ educational and social programs would have mitigated the negative impacts of the pandemic. Such understanding was key to review programs and to inform new educational, development and advocacy initiatives. Given the world-wide presence of the four Congregations, it was agreed to narrow the scope of the research to six countries: South Sudan, Kenya, India, Nepal, Ecuador, Perù.

The Survey

This study aims at exploring the complex and long-lasting effects of the global pandemic amongst girls living in the most deprived areas within the Majority South served by the Congregations. It shows how measures and restrictions trying to deal with the epidemic have increased and exacerbated vulnerability amongst the people most in need, particularly in the lives of adolescent girls.

The project coordinators invited a team of researchers in the fields of economic and social studies, including economists and experts of children and women’s rights, to design and develop a global survey

 

The study was conducted from November 2021 to June 2022. 

The quantitative and qualitative research

The research team proposed to work on a two-levels survey, a quantitative study, to be administered on a larger pool of girls, across the six countries, and a qualitative survey, administered to a smaller group of girls, in the same communities. 

Quantitative 

The aim of Quantitative empirical study was twofold. On the one hand to provide a detailed and comprehensive description of the general condition of girls in the target communities in the aftermath of the pandemic outbreak. On the other hand, to get some insights on the impact on the current and future outcomes for these girls.

The quantitative research involved 3.443 adolescent girls in six countries, selected among the participants in the Congregations’ programs. The survey included the in-person administration of a questionnaire with the support of enumerators.

 

Qualitative

In the qualitative phase of the research project, 314 adolescent girls aged 10-20 years participated into the study from Peru, Ecuador, South Sudan, Kenya, India and Nepal. The objective was to complement the findings to the quantitative study that was carried out as the first phase (December 2021-February 2022). It aimed at illustrating quantitative findings and providing a space for girls to voice out their experience and their concerns in their own words.  The aim of the research was to find what was the unique experience of girls during and after the pandemic and how have they adapted to new challenges brought by the subsequent waves of the pandemic and the restart of services after two years.

For the qualitative phase, the research team developed three tools: one Focus Group Discussion (FGD) topic guide for girls of both age groups (10 to 14 years and 15 to 20 years), one topic guide for individual interviews (girls aged 10 to 20 years) and one topic guide for service providers (key informant interviews).

This research project has been designed and coordinated by the development offices of four international women religious congregations: 

Good Shepherd International Foundation ONLUS, for the Sisters of Our Lady of Charity of the Good Shepherd; VIDES Internazionale, for the Salesian Sisters of Don Bosco; Fondazione Comboniane nel Mondo ONLUS, for the Comboni Missionary Sisters; International Mission Development Office of the Sisters of Notre Dame des Mission.

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