People in crisis circumstances due to disasters and conflicts deserve particular attention. There are about a billion people worldwide who are marooned in chronic crises or going-into or recovering-from them. They include some 90 million people who are forcibly displaced within national boundaries or are refugees and stateless. Climate change and other environmental factors, as well as changing patterns of violence mean that crisis risk factors are on the increase. As various types of risk factors collide, they potentiate each other and the consequent impacts are disproportionately greater for poorer populations.
Crises from any cause inevitably result in the disruption of health and social protection systems. This is particularly serious for those with NCDs that require long-term therapy in an un-interrupted manner. Meanwhile, although traditional humanitarian relief providers prioritise immediately life-threatening conditions, they do not recognise NCDs as part of them, and do not generally provide NCD supplies and services. In addition, as the vast majority of forcibly displaced populations are hosted by resource-poor countries, the usual humanitarian relief models can create inequities and tensions between the equally poor host and hosted group.
NCD provision during emergency humanitarian crises needs special rapid-response operational modalities in partnership with specialised humanitarian agencies. At the same time, and to reduce dissonance within the relief-development nexus, The Partnership’s humanitarian assistance seeks, wherever feasible, to use the same country mechanisms as established for development programming.
NCD provision for specific populations of humanitarian concern, once embarked upon, is a long-term obligation until durable solutions for the underlying causes of crises have been instituted. Accordingly, the Partnership seeks to find innovative approaches to ensure continuity of provision for populations in flux, regardless of where they are forced to repeatedly re-locate by the compulsions of forced displacement.