leading to malnutrition, with the decrease in import of goods due to economic lockdowns, households are more likely to prioritise calorie intake over nutritional values. gender inequality women in the workforce are substantially affected, gender-based violence may be increased due to confinement measures as a result of the covid-19 pandemic. women are greatly employed in informal wage activities such as preparing food in restaurants, trading or selling fish, fruit or other foods. these implemented lockdowns and restrictions could potentially lead to the increase risk of domestic violence due to an increase in stress levels. women are the most vulnerable to the pandemic, such as early marriages, trafficking and female health workers and are largely subjected to covid-19 than men. travel a reduction of tourism has affected the guinea-bissau economy, as profit made by tourism activities are limited and for people to enter and exit guinea-bissau's borders a negative covid-19 test result must be presented. travelers travelling to guinea-bissau have a reduced dependence on medical facilities and some prescription medication needs to be legalised in the country, which further impacts guinea-bissau's economy. government response restrictions guinea-bissau's frontline healthcare workers a state of emergency was declared to reduce the spread of the covid-19 virus by the government and announced for the closing of sea and air transportation and borders by land. the government also implemented guidelines and laws to prevent the spread of the covid-19 virus within the community. these laws limited social gatherings and screenings were made available to detect the covid-19 virus. the prevention of covid-19 was led by religious leaders and public figures, as well as traditional power entities and social collectives during communication and social mobilisation. guinean families were supported through awareness and prevention information against covid-19 which were provided through networks, associations and most importantly radio stations, which reduces socio-cultural barriers such as attitudes, cultural differences, ethnicity and status to access information about covid-19. both guinea-bissau's government and the united nations children's emergency fund (unicef) have helped in preparing guinea-bissau for the pandemic. the unicef and the secretary of state for social communication embedded preventative measures and techniques to the bissau-guinean public through social media and on national television to prevent the spread of covid-19. public sanitations across 960 communities were provided by the unicef (wash program) around the country to avoid spreading the virus. the world health organization recommends practicing hand hygiene and physical distancing which could allow for the best protection of oneself and others. health workers in guinea-bissau have also received training in preventative practices and in identifying cases by the u.n. financial support guinea-bissau was supported by many organisations including global partnership for education (gpe), mptf and gavi, as well as the government of guinea-bissau who has provided $200, 000 for the country to help detain the covid-19 virus. the ministries of finance and health financially supported hospitals in guinea- bissau on march 27, 2020. the fiscal policy supported and improved hospitals, doctors and nurses received pay benefits of $55,000 monthly, $50,000 for medicine and $100,000 for meals for patients and staff. an official of the who in guinea-bissau has reported that cuba has sent a medical team consisting doctors and nurses to assist in fighting the pandemic during the outbreak. unicef response reports on the covid-19 pandemic in guinea-bissau revealed that the unicef supported the national contingency plan in response to covid-19 through strategies and interventions focusing on: wash and infection prevention and control (ipc) measures: communities have been informed on proper covid-19 prevention behaviours with hand washing stations installed throughout the country. health services: unicef and the ministry of health have worked together to assure communities have access to essential health services. medical equipment: the unicef have ordered medical supplies and equipment to the national hospital simao mendes. education response and recovery: the global partnership for education covid-19 fund was endorsed. child protection: the unicef have continued to support children without family or parental care by supporting the emergency response project. support services for child protection: the health ministry has provided social service assistants and psychologist to support people affected and infected by covid-19. online platforms against gender-based violence were placed by unicef, undp, undpa, wfp, iom and other national partners to provide support through social media, audios and videos amid the outbreak. adaptations to unicef development programmes the unicef have adjusted development programmes to the covid-19 context to improve interventions and prevention of covid-19 shown in the reports "guinea-bissau: covid-19 situation report - #05, 2–8 may 2020" and "guinea-bissau: covid-19 situation report - #07, 16–22 may 2020", which reveals adaptations to ongoing unicef development programmes in guinea-bissau to enhance the current covid-19 interventions and prevention programmes. these unicef development programmes adapted to the covid-19 context includes: community health programme: as a result of the covid-19 outbreak, malnutrition is likely to occur for children. the unicef have provided funds to purchase nutritional material for acute malnutrition screening. additional training and protective equipment (masks, gloves and gowns) have been provided to community health workers (chws) for covid-19 prevention. ensuring access to vaccination: the unicef supported the moh on the finalisation of plans, budgets and men-a campaign plan for the introduction of men-a and mcv-2 vaccines during the covid-19 pandemic period. supplies: nutrition and hiv programmes are continuously being supplied and reached despite the restrictions. nutrition: sam and breastfeeding services have continued in the covid-19 context and are supported by the unicef. non-governmental organisations (ngo) and community health worker's (chw) have continued to deliver regular therapeutic foods to the nutrition direction at central level. joint programme on female genital mutilation: the national committee for the abandonment of harmful practices redesigned and implemented set planned activities for covid-19 prevention and adaptation of continued interventions and fortifying domestic and children violence prevention within the covid-19 context. bcg vaccine a study in guinea-bissau showed that the bcg vaccine could decrease respiratory tract infections in children. bacillus calmette-guerin (bcg) is a vaccination developed to fight against tuberculosis and has been widely used around the world. however, the bcg vaccine was reported to reduce 50% of mortality rates in infants. recent studies have also shown a decrease of respiratory tract infections in adolescents by using bcg vaccination in south africa.