Working With Religious Leaders To Support Public-Health Measures

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Covid-19: Guide for GovernmentsWorking with Religious Leaders to SupportPublic-Health Measures

Data current as of 16 April 2020Governments can leverage the trust, reach and practical supportof religious leaders to deliver effective public-health responsesLeadership and coordination: National, regional and local religious leaders have high levels ofinfluence and community-organising capabilities. They can help frame approaches that will makethem more likely to succeed. Governments should build trust with faith-based organisations (FBOs)and integrate them into planning, decision making and implementation at every level of theirCovid-19 response.Public-health measures: Religious leaders can lend their reputation and communications reachto governments to support behaviour change and compliance with social distancing and othermitigating measures. Governments should enable this through the provision of factually accuratecommunications.Counter-messaging: A minority of religious leaders may promulgate religiously groundedmisinformation that promotes practices that put their communities at risk. Governments shouldeducate and encourage influential religious leaders to actively counter these narratives.Welfare provision: Religious communities are the dominant provider of non-state welfareprovision, including nutrition and Water, Sanitation and Hygiene (WASH). Governments, FBOs andhumanitarian organisations should coordinate with religious leaders to provide practical, spiritualand psychosocial support to communities in crisis, and especially to the vulnerable.1

Data current as of 16 April 2020Where confidence in and reach of government is fragile, trustedinterlocutors are vital to the success of public-health responsesExamples from Tony Blair Institute responsesEbola in LiberiaMalaria in Sierra LeoneProblem: In 2014, Liberians didn’t trusttheir government, causing the Ebolamedia campaign to fail.Problem: In 2010, Sierra Leone lacked thereach to disseminate essential equipmentand messaging.Establish trustMobilise religiousleadersSolution: Community and religiousleaders were mobilised to recruitcommunity volunteers to disseminateinformation, answer questions and engagecitizens.Solution: Seven hundred religiousleaders and 20,000 volunteers weremobilised to distribute nets andmalaria-prevention messaging to3 million beneficiaries.Public Health and Religious Leaders“Religious leaders and faith organisationshave the potential to influence healtheducation, health promotion and positivehealth outcomes amongst members of theirfaith community. They also provide potentialaccess to at-risk populations encouraginghealth service utilization.”US National Center for BiotechnologyInformation“As custodians of the day-to-day culturalvalues, traditional and religious leaderscommand more respect and authority intheir communities than unfamiliar trainedhealth personnel, who can easily beviewed as having suspicious agendas.”US National Library of MedicineNational Institutes of HealthSources: US National Center for Biotechnology Information, US National Library of Medicine National Institutes of Health, It Took Spirit and Resilience to Defeat Ebola in Liberia,Lessons Learned from Faiths Act in Sierra Leone2

Data current as of 16 April 2020Build trust to effectively engage religious leaders throughthese six approachesSensitise government, healthCollaborate for mutual benefit withand security actors to implementgovernment policy in a way thatreflects an understanding of, andsensitivity to, religious practices andteaching with respect to all religiousand minority groups.religious leaders able to represent theinterests of all religious and minoritygroups by integrating them into crisismanagement structures and planningprocesses from national to localcommunity level.Empower FBOs and religiousleaders to be autonomous butconstructive in helping governmentpolicy to suppress the spread ofCovid-19. Avoid criminalisingdissident religious leaders; instead,integrate them into the national effort.Amplify key health messagesthat are appropriate to localreligious teaching and practices,drawing on the expertise and reachof religious leaders.Counter misinformation andResource FBOs and religiousconspiracy theories about thepandemic, particularly those that arereligiously motivated, that wouldrisk the spread of Covid-19 byworking closely with religiousleaders.leaders with the health knowledge toeducate their congregations on thereasons behind government policy witha focus on social distancing and, whenavailable, the importance of accessingtreatment. Support with technologicalsolutions where possible.3

Data current as of 16 April 2020Religious leaders can support behavioural change and publichealth messaging and provide facilities and community servicesCoordination Support implementation of health policies through the existing organised structures of faithcommunities to mobilise community action. Provide points of contact with each layer of government (national, regional, local).Behaviour Change Disseminate scripturally contextualised communications in support of public-health efforts. De-stigmatise contraction of the disease and reduce social pressure to engage in socio-religiouspractices that undermine suppression efforts (e.g. to not attend services).Social Distancing Adapt and pause services and religious gatherings in line with government suppression policy. Ensure faith-based welfare services are provided in compliance with social-distancing requirements.Counter-narratives Leverage influence and communications networks to proactively counter religiously grounded andharmful misinformation that is in the public domain.Welfare Provision FBOs pivot their welfare service, nutrition and WASH provision to help support Covid-19 responseswhere practicable to do so and to mitigate vulnerabilities arising from social distancing, such as foodpoverty.Facilities Make places of worship and other owned facilities available for public-health responses includingtraining and storage and distribution of essential supplies and consumables.4

Data current as of 16 April 2020Faith Based Organisations can coordinate from national tocommunity levels to help deliver effective public-health outcomesFaith Based Organisations (FBOs) operate as registered or unregistered non-profit institutions whose structures are oftencomplementary to national governance structuresReligious Authorities:Examples include: The Pope, The Grand Imam, The Chief RabbiAssociations and Federations:Examples include: the Christian Association of Nigeria, the Supreme Council of KenyanMuslims, the South African Jewish Board of DeputiesHumanitarian Organisations:Examples include: Catholic Relief Services, Islamic Relief, World JewishReliefCongregations:Examples include: members of churches, mosques and synagogues led by pastors, imamsand rabbis mples of FBO Support to Public istry of IslamicAffairs & Endowments,Senior ReligiousCouncil, Associationsand FederationsBeit Din, ChiefRabbinate Advise national governmentEndorse government health policiesRule on adaptation to religious practiceCounty, State,GovernorateDioceses,Cathedrals, ChaptersMosques, Associationsand FederationsBeit Din,Synagogues Promulgate religious-practice adaptation; implement and monitorProvide welfareDistrict, LocalGovernment AreaParishes, ChurchesMosquesBeit Din,Synagogues Implement adapted religious practiceProvide welfare and facilitiesWard,CommunityParishes, ChurchesMosquesSynagogues Implement adapted religious practiceReinforce public-health messagingProvide practical and psychosocial supportAdvocate for families in needProvide advice to policymakers on local contextThe term “Religious Leader” includes men, women and youth who hold formal or informal positions of spiritual andorganisational authority. They may also be Traditional Leaders in their own right (such as Sultans, Emirs, Kings and Princes).5

Data current as of 16 April 2020Religious leaders can conduct a wide range of supportingactivities appropriate to national guidelines and local conditionsCoordination Advise on policyand publicmessaging Make contingencyplans for:(1) social distancing(2) humanitariancoordination(3) community welfaresupport(4) fundraising(5) easing ofrestrictions Implementcontingency plansBehaviourChange Communicate andmodel governmentguidelines andscripturalimperativesand precedents Empower womenand youth Sensitise localservice providers Resolve disputes Model responsiblebehaviour byreceiving treatmentpublicly and withpublicitySocialDistancing Communicate andmodel socialdistancing Change religiouspractices Close selectedplaces of worship Providealternative formsof worship (online) Mobilise mutualcommunity support Manage saferesumption ofgroup religiouspractices whenrestrictions areeasedCounternarratives Counter narrativesthat:(1) stigmatiseinfection(2) riskmarginalisationexclusion,domestic orcommunityviolence(3) risk spreadingcontagionWelfareProvision Provide supportto the mostvulnerable in thelocal community Mobilise thecommunity Raise funds for thelocal community Coordinatewith humanitarianorganisations Supportreintegrationof post-treatmentindividuals intothe communityFacilities Provide facilities fortreatmentor storage purposessuch as:(1) church, mosqueor synagoguehalls and kitchens(2) car parks(3) unusedresidential orother accommodation Raise funds forprovision ofessential equipmentand supplies forlocal health service6

Data current as of 16 April 2020Large-scale religious festivals carry high risk of transmissionand may need targeted government actionDate(s)* approximateEvent/OccasionFaith Group23 April – 23 May*RamadanMuslimFasting, attend mosque, families and friends breakfast together throughout24 May*Eid-ul-FitrMuslimAttend mosque, celebratory meal with friends and family, distribution of food to others31 MayPentecostChristian28 July – 2 August*HajjMuslimInternational pilgrimage to Mecca30 July – 3 August*Eid al-AdhaMuslimAttend mosque, celebratory meal with friends and family, distribution of food to others19 Sept – 20 SeptRosh HashanahJewishFamily gathering, attend synagogue28 SeptYom KippurJewishAttend synagogue29 Sept*AshuraMuslimSermons, public performances, processions (country/regions specific)3 Oct – 4 OctSukkotJewishCelebratory meals and synagogue services29 Oct*Milad-un-NabiMuslimPublic gatherings and mosque attendance14 NovDiwaliHindu/Sikh25 DecChristmasChristianAttend church, celebratory family /Mitigation Typical ActivitiesAttend churchFamily meals, temple and community gatheringsFully close places of worshipImplement contingency plans foronline worship and support Encourage celebration of religiousfestivals within household groupsMobilise mutual community supportIntercity travel forreligious festivals Prohibit travelCancel large-scale festivals thatattract visitors locally and globally7

Data current as of 16 April 2020Examples of government-FBO coordination mechanismsPolicy AdviceThe Delta State Minister ofInformation: Following ameeting of the State TaskForce, Christian Associationof Nigeria and Muslim groups,State Government andreligious leaders agreed toenforce social distancing inplaces of worship.ConsultationSouth African PresidentCyril Ramaphosa met withfaith leaders to reinforcethe national response tothe coronavirus outbreak.IntegrationSomaliland established aNational Task Force tocoordinate efforts to suppressCovid-19. The president andminister of religious affairsworked together onemergency response toinclude religious authoritiesusing Friday sermons.Sources: COVID-19: Why we are locking down in Delta – Aniagwu, President Cyril Ramaphosa meets religious leaders on Coronavirus Covid-19 outbreak, Coronavirus: Somaliland strivesalone8

Examples of religious leaders supporting behaviour changeReligious EndorsementThe Nigerian SupremeCouncil for Islamic Affairs,under the leadership of HisEminence the Sultan ofSokoto, published nineguidelines online, eachsupported by referencesfrom the Quran or theHadith.Lending InfluenceSpiritual Leader ofOrthodox Christians,Ecumenical PatriarchBartholomew I, urgedChristians to comply withgovernment public-healthinstructions. “What is atstake is not our faith, butour faithful.”De-stigmatisationDuring the Ebola crisis, morethan 70 religious leaders werepublicly vaccinated in the DRCto demonstrate that negativerumours about the vaccinewere false. Catholic bishopsmobilised grassroots groups toaddress misunderstandingssurrounding Ebola, the vaccineand stigma.Sources: NSCIA on COVID-19 and Muslims in Nigeria, Orthodox virus response mixes observance with defiance, Lessons not learnt? Faith leaders and faith-based organisations inthe DRC Ebola response9

Data current as of 16 April 2020Examples of religious leaders supporting social-distancingrequirementsStreamed ServicesPope Francis announcedon 7 March that he wouldnot recite his SundayAngelus with pilgrims inSt Peter’s Square andinstead chose tolivestream across theworld.Religious EndorsementIn Egypt, Al-Azhar and theMinistry of IslamicEndowments publishedguidelines on the closure ofmosques. Al-Azhar issued afatwa that all mosques in thecountry may beclosed during the pandemicdue to the primary Islamicobligation of saving lives.Safe Welfare ProvisionThe Hindu Council UK hasprepared more than ahundred meals to distributeto those isolated and inneed. They have alsorequested all temples toorganise Seva (distributionof free food) in this time ofcrisis.Sources: Pope at Angelus: We become witnesses through gift of the Spirit, Coronavirus: Prayers Stopped at Mosques and Churches in Egypt, and 48 New Cases in Saudi Arabia,Faith Communities and Coronavirus10

Data current as of 16 April 2020Examples of narratives with harmful consequencesDivine PunishmentConspiracy TheoriesIn Tanzania, churchesremain open because“Corona is the devil thatcannot survive in thebody of Jesus.”Priests, imams and rabbisfrom Brazil, Nigeria,Kenya, Pakistan, Israel,Iran, Arab states andelsewhere have declaredthat Covid-19 is a divinepunishment upon nonbelievers and that peopleof their own faith areimmune to thedisease.During a protest againstthe closure of a religiousshrine in the city of Qom,a hardline cleric stated theWorld HealthOrganisation’s directivesrelated to the virus shouldbe ignored because “theyare a bunch of infidelsand Jews.”Consequence:Measures will not be followed,leading to the further spreadof Covid-19 through religiousinstitutions.Consequence:Measures will not be followed,leading to the further spreadof Covid-19 through religiousgatherings.Consequence:Measures will not be followed,due to mistrust ofinternational bodies, leadingto further spread of Covid-19.ImmunityIn Jerusalem, yeshivasrefused to close on thejustification that the“Torah protects andsaves.”Sources: Israeli Charedim on coronavirus: ‘We’re not scared, God will protect us’, Churches defy coronavirus restrictions in Brazil and Africa, Twitter: We are not followers of theWorld Health Organization11

Data current as of 16 April 2020Examples of religious communities pivoting welfareprovision to meet specific public-health needsSupporting the FrontlineSamaritan’s Purse has builttwo emergency fieldhospitals equipped withrespiratory units in New Yorkand Lombardy. It has staffedthe hospitals with disasterresponse specialists,working as contractors forthe organisation.Care for High-Risk PeopleTraditional chiefs and faithleaders in Liberia galvanisedcommunity task forces toidentify high-risk individualsand organise quarantineduring the Ebola pandemic.This approach was moreeffective than efforts toenforce segregation bysecurity forces.Wider HarmsThe DfID funded “WhatWorks” programme in theDRC found that religiousleaders’ (Christian andMuslim) messaging on antidomestic violence resultedin changing communityattitudes and a reduction inviolence. Over just twoyears, rates of domesticviolence in participatingcommunities fell from 69per cent to 29 per cent.This was despite ongoingconflicts and the activeEbola crisis.Sources: Samaritan’s Purse Deploys Emergency Field Hospital to New York City, Keeping the Faith: The role of faith leaders in the Ebola response, UK aid project helps cutviolence against women by more than half in Democratic Republic of Congo12

Data current as of 16 April 2020Examples of facilities that Faith Based Organisationsmight be able to provideReligious BuildingsDuring the Ebola crisis inSierra Leone, mosques wereused as venues to train faithleaders in how to providepsychosocial support tocommunity.Other Religious PropertiesAnglican churches in theDemocratic Republic of Congoworked alongsidehumanitarian agencies duringthe Ebola crisis to tacklemisinformation and establishchlorinated water points andtemperature-check facilities intheir parishes.Technical EquipmentIn Nigeria, Pastor EnochAdeboye of the RedeemedChristian Church of God hasdonated 11 ICU beds/ventilators, 8,000 handsanitisers and surgical facemasks, and 200,000 glovesto support governmentefforts to contain Covid-19.Sources: Keeping the Faith: The role of faith leaders in the Ebola response, Churches key responders in battle against latest Ebola outbreak, COVID -19: Adeboye DonatesMedical Supplies to Lagos13

Additional Reading

Data current as of 16 April 2020Additional Reading “Guidance on Community Social Distancing During COVID-19 Outbreak”, Africa Centre for DiseaseControl and Prevention. Link. “Six Ways Religious and Traditional Actors Can Take Action to Prevent the Spread of Covid-19 Virusin Their Communities”, Network of Religious and Traditional Peacemakers. Link. “Social Distancing in African Contexts”, Tony Blair Institute for Global Change. Link. “Guidelines for Community Faith Organisations”, US Centre for Disease Control. Link. “Practical Considerations and Recommendations for Religious Leaders and Faith-BasedCommunities in the Context of Covid-19”, World Health Organisation. Link. “Safe Ramadan Practices in the Context of the Covid-19”, World Health Organisation. Link. “Covid-19 Guidance for Faith Communities”, World Vision. Link.15

Religious leaders can support behavioural change and public-health messaging and provide facilities and community services 4 Disseminate scripturally contextualised communications in support of public-health efforts. De-stigmatise contraction of the disease and reduce social pressure to engage in socio-religious

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