On March 11, 2020, COVID-19 was declared a pandemic by the World Health Organization. In response to the sudden rise in COVID-19-related mental health and psychosocial impacts, we embarked on a digital training (e-learning) and remote delivery adaptation for Problem Management Plus Training for Helpers (Remote PM+ Training) based in New York City, four European countries and six African countries.

In 2012, BIG FIX Uganda, an American-based animal welfare organisation, began offering veterinary health services and animal welfare education in northern Uganda to improve the wellbeing of animals and their guardians. In 2014, the organisation expanded its inclusive health platform with the creation of the Comfort Dog Project − an animal-assisted psychosocial intervention for survivors of war trauma through the facilitation of human-dog companionship.

Disasters and humanitarian crises threaten the health and wellbeing of people across the world, especially in more vulnerable regions. Many efforts are made to ensure that public health interventions, including mental health and psychosocial support (MHPSS), are based on the best available evidence.

There are a number of challenges in response to the Coronavirus (COVID-19) disease outbreak encountered by many countries in the world. This commentary divides them into those encountered by (health) care delivery systems and those encountered by affected communities and states. There are also a number of stressors experienced by humanitarian field workers during the COVID-19 outbreak.