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Children and COVID-19 Research Library

UNDER DEVELOPMENT UNICEF Innocenti's curated library of COVID-19 + Children research

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Journal article

Child vulnerabilities and family-based childcare systems: Covid-19 challenges of foster care and adoption in India

AUTHOR(S)
Ratna Verma; Rinku Verma

Published: December 2020 Journal: Institutionalised Children Explorations and Beyond

This article has been developed based on a systematic review of research studies conducted in the last 10 years on family-based childcare systems and a rapid review of research and assessments conducted in 2020 to explore the implications of the COVID-19 pandemic on adoption and foster care in India. The study explains child vulnerabilities with a focus on challenges to adoption and foster care before and after the COVID-19 pandemic. The findings depict that India is home to a large number of vulnerable children who have been living with hardships, and the COVID-19 pandemic has put them at a higher risk of adversity

Journal article

Restructuring institutional care: challenges and coping measures for children and caregivers in post-COVID-19 era

AUTHOR(S)
Sudeshna Roy

Published: December 2020 Journal: Institutionalised Children Explorations and Beyond

The sudden outbreak of COVID-19 pandemic has rattled the world and has severely compromised not only the public health system but has decelerated the global economy. In this backdrop, the article explores the dynamics of the institutional care of the out-of-home care (OHC) children, adolescents and children who are residing in alternative care homes, childcare institutes (CCIs), foster homes and who are in conflict with law like refugees or in juvenile correctional centres. The article attempts to highlight the risk factors and systematic barriers that CCIs and associated functionaries have been confronting in the aftermath of the COVID-19 pandemic worldwide. It would also catalogue the remedial, preventive and protective initiatives undertaken as best practices.

Cite this research | Open access | No. of pages: 14 | Language: English | Topics: Health, Child Protection | Tags: child care services, detained children, foster care, institutional care, institutionalized children, migrant children, poor children, refugee children, street children, COVID-19 response, lockdown | Countries: India

Research brief

Maternity and child care amidst COVID-19 pandemic: a forgotten agenda

AUTHOR(S)
Navneet Kaur Manchanda

Published: December 2020 Journal: Journal of Global Health

The outbreak of COVID-19 pandemic has put economies across the globe in an unexpected hibernation as governments of many countries have announced weeks-long lockdown to flatten the curve of infection. It cannot be debunked that the lockdown was deemed as ‘the essential vaccine’ in the current times, but unfortunately, it is coming with a critical trade-off . The trade-off, not of economic costs vs human life, which has been much debated and documented but of one human life vs another. Specifically, in case of India, with a population of 1.3 billion, of which more than two-third are situated in rural settlements, this outbreak has become quite intimidating as the already limited health infrastructure has come under severe pressure to cater to the patients with the contagion.

Research Report

Epidemiology and transmission dynamics of COVID-19 in two Indian states

AUTHOR(S)
Ramanan Laxminarayan; Shankar Reddy Dudala Dudala; Brian Wahl (et al.)

Published: November 2020 Journal: Science

Although most cases of coronavirus disease 2019 (COVID-19) have occurred in low-resource countries, little is known about the epidemiology of the disease in such contexts. Data from the Indian states of Tamil Nadu and Andhra Pradesh provide a detailed view into severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission pathways and mortality in a high-incidence setting. Reported cases and deaths have been concentrated in younger cohorts than would be expected from observations in higher-income countries, even after accounting for demographic differences across settings. Among 575,071 individuals exposed to 84,965 confirmed cases, infection probabilities ranged from 4.7 to 10.7% for low-risk and high-risk contact types, respectively. Same-age contacts were associated with the greatest infection risk. Case fatality ratios spanned 0.05% at ages of 5 to 17 years to 16.6% at ages of 85 years or more. Primary data from low-resource countries are urgently needed to guide control measures.

Discussion paper

Strengthening the online education ecosystem in India

AUTHOR(S)
Rammohan Khanapurkar; Shalini Bhorkar; Ketan Dandare (et al.)

Published: November 2020

The COVID-19 pandemic has disrupted the formal schooling system in India, as it has across the globe, causing massive pressure on the online education sector. This paper analyses the state of digitalised education in India. It outlines current government guidelines on digital-mode schooling, and uses the case of Maharashtra’s five-year-old efforts at digitalising government schools to gauge preparedness for implementing the guidelines. It highlights systemic weaknesses in educators’ pedagogical capacities, critiques the assumption that the availability of digital tools is sufficient to cater to the requirements of online education, and calls for the creation of policies on online education that are context-specific.

Journal article

Building on an ad hoc Covid-19 response to enhance community-based care for vulnerable children in Kerala, India

AUTHOR(S)
Geeta Madathil Govindaraj; Padinharath Krishnakumar; Vinod Scaria (et al.)

Published: November 2020 Journal: NEJM Catalyst Innovations in Care Delivery

The Covid-19–related lockdowns resulted in disruptions of care for children with inborn errors of immunity, who, without access to travel, would be unable to continue immunoglobulin replacement. A community-based care program through pediatricians in state-run peripheral hospitals has been initiated. The police network, which was already actively involved in Covid-19 prevention, helped transport essential medicines from the tertiary care center. Two months later, a virtual focus group discussions with the mothers was conducted to understand their experiences, identify possible gaps in care, and explore suggestions for improvement. Although the community-based care and subsequent virtual focus group discussions were instituted as a temporary measure to ensure continuity of care, it has been found that it is effective, feasible, and acceptable. Hence, it has been decided to continue the program even beyond the pandemic. This model of care can be extended to other chronic illnesses as well as to rare diseases in resource-constrained settings.

Research Report

Children on the brink: risks for child protection, sexual abuse, and related mental health problems in the COVID-19 pandemic

AUTHOR(S)
Sheila Ramaswamy; Shekhar Seshadri

Published: November 2020 Journal: Indian Journal of Psychiatry

In developing contexts such as India, children in adversity form a high-risk group, one that cannot be subsumed under the general category of children, who are generally considered as a vulnerable group in disaster and crisis situations. Child mental health issues in contexts of protection risks and childhood adversity tend to be over-looked in such crises. This article focuses on examining the impact of the COVID-19 pandemic and its socio-economic consequences on children in adversity, describing the increased child protection and psychosocial risks they are placed at, during and in the immediate aftermath of the COVID-19 crisis and its lockdown situation. It specifically links the lockdown and the ensuing economic issues to sexuality and abuse-related risks, as occur in contexts of child labour, child sex work and trafficking, child marriage and child sexual abuse, and that result in immediate and long-term mental health problems in children.

Commentaries and Think Pieces

COVID-19 and adolescent mental health in India

AUTHOR(S)
Suravi Patra; Binod Kumar Patro

Published: November 2020 Journal: The Lancet Psychiatry

COVID-19 might not be as lethal in children and adolescents as it is in adults, but it does cause a lot of psychological distress in this age group. Adolescents are experiencing acute and chronic stress because of parental anxiety, disruption of daily routines, increased family violence, and home confinement with little or no access to peers, teachers, or physical activity.

Research Report

A generation at stake: protecting India's children from the impact of COVID-19

AUTHOR(S)
Farrukh Shah; Deepika Luthra; Namrata Jaitli (et al.)

Institution: Save the Children
Published: November 2020

The world is facing an ongoing crisis with the COVID-19 pandemic. The first COVID-19 case in India was reported the 30th of January 2020, since then the numbers of cases has continued to rise. India has currently the second-highest number of confirmed cases in the world after the United States of America. Children are facing considerable challenges due to the COVID-19 pandemic, such as the impact on their health and the health of their caregivers, as well as severe economic and social consequences. However, there’s a lack of data with focus on COVID-19 and its effects on children. This study focuses on how the COVID-19 pandemic affects children aged 11-17 in India.

Cite this research | No. of pages: 63 | Language: English | Topics: Health, Child Protection, Social Protection, Well-being and Equity | Tags: adolescent health, child health, economic crisis, psychological distress, social services, adolescent well-being, COVID-19 response, lockdown | Countries: India | Publisher: Save the Children

Journal article

Implications of COVID‐19‐induced nationwide lockdown on children's behaviour in Punjab, India

AUTHOR(S)
Bhupinder Kaur Sama ; Palakpreet Kaur; Parteek Singh Thind (et al.)

Published: October 2020 Journal: Child: Care, Health and Development

Lockdown is one of the prevalent tools that are used to control the spread of COVID‐19 virus in India. Under the circumstances created during lockdown period, children are deprived from the social interaction and companionship; because of which, they are susceptible to psychiatric disorders. Therefore, in this study, efforts were to understand the impacts of lockdown on the mental status of the children of India and their specific causes. It is a questionnaire‐based study.

Commentaries and Think Pieces

A survey of parents of children attending the online classes during the ongoing COVID-19 pandemic

AUTHOR(S)
Sandeep Grover; Sandeep Kumar Goyal; Aseem Mehra (et al.)

Published: October 2020 Journal: The Indian Journal of Pediatrics

This cross-sectional survey, conducted in India, aims to assess the impact of online classes on the children and parents/guardians. It was conducted during the period of 21st June 2020 to 17th July 2020 among the guardians of children attending the online classes,

Journal article

Feasibility and effectiveness of teleconsultation in children with epilepsy amidst the ongoing COVID-19 pandemic in a resource-limited country

AUTHOR(S)
Prateek Kumar Panda; Lesa Dawman; Pragnya Panda (et al.)

Published: October 2020 Journal: Seizure

The ongoing COVID-19 pandemic and the lockdown measures employed by the government have forced neurologists across the world to look upon telemedicine as the only feasible and practical option to continue providing health care towards children with epilepsy in home isolation. Children with epilepsy are challenging for teleconsultation as direct information from the patient is missing, regarding seizures and adverse effects, especially behavioral and psychological side effects.

Research Report

Minding our minds during COVID-19: helping school going children manage their mental health

Institution: UNESCO - New Delhi Office
Published: October 2020

In India, due to the closure of all schools, colleges and other learning institutions, more than 320 million students have been affected1. Out of these students, 247 million are enrolled in elementary and secondary education, while 28 million had been attending pre-school education. In addition to these numbers, more than 6 million girls and boys were already out of school before the advent of COVID-19. This guide is designed for principals, head teachers, teachers and parents to help school-going children maintain their mental health and wellness during these difficult times.

Journal article

Implications of COVID19-induced nation-wide lockdown on children's behavior in Punjab, India

AUTHOR(S)
Bhupinder Kaur Sama; Palakpreet Kaur; Parteek Singh Thind (et al.)

Published: October 2020 Journal: Child: care, health and development

Lockdown is one of the prevalent tools that are used to control the spread of COVID-19 virus in India. Under the circumstances created during lockdown period, children are deprived from the social interaction and companionship; because of which, they are susceptible to psychiatric disorders. Therefore, in this questionnaire-based study, efforts were to understand the impacts of lockdown on the mental status of the children of India and their specific causes.

Journal article

Management of children and adolescents having type 1 diabetes during COVID-19 pandemic in India: challenges and solutions

AUTHOR(S)
Pratap Jethwani; B. Saboo; L. Jethwani (et al.)

Published: September 2020 Journal: International Journal of Diabetes in Developing Countries

Type 1 diabetes (T1D) requires a holistic approach and continuous care. The current COVID-19 pandemic has made the health care professionals realise its challenges even more ardently than in the normal times. In a country like India with its huge population burden and a significant number of people having T1D, the risk of COVID-19 in people having T1DM is considerably high. In this article, practical experiences of problems faced by children and adolescents having T1DM during the past 2 months of lockdown are shared.

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