Children and COVID-19 Research Library

The eradication of poverty and hunger are the top sustainable development goals, adopted by UN Member States in 2015. Yet the World Food Programme estimates that, in the wake of the COVID-19 pandemic, acute food insecurity could double from 135 to 265 million people worldwide. In the absence of mitigating policies, poverty leading to food insecurity will damage the respiratory health of a generation of children.

When a mother's own milk is not available, WHO recommends pasteurised donor human milk as the first alternative.  Human milk banks screen and recruit donors, and have wide-ranging precautions to ensure the safety of donor milk. Screened donor milk principally feeds babies of very low birthweight, protecting them from a range of complications, as well as babies with congenital anomalies or neurological conditions. The benefits of a human milk diet highlight the importance of providing these infants with donor milk for short periods—with appropriate use in the context of optimal support for lactation, such provision can support mothers to establish their milk supply without the need for supplementation with infant formula milk. The coronavirus disease 2019 (COVID-19) pandemic is presenting many challenges to human milk banks worldwide and highlights a range of vulnerabilities in service provision and emergency preparedness. 

The COVID-19 pandemic has created supply and demand shocks in the food systems, disproportionately affecting the poor and nutritionally vulnerable groups. A possible economic slowdown further compounds challenges faced by governments in tackling malnutrition in all its forms.This brief presents policy and programmatic actions adopted by countries and development partners to ensure that food and agriculture responses promote healthy diets and improve nutrition. Furthermore, this brief explains supply and demand measures, taken from recent worldwide good practices.

At the beginning of April, the 2020 edition of the Global Report on Food Crises was issued, presenting a stark warning for the future. In 2019 – prior to the COVID-19 pandemic – 135 million people experienced crisis and worse levels of acute food insecurity. A further 183 million were on the edge in stressed food security conditions – in other words, just one shock away from severe acute food insecurity. COVID-19-related restrictions risk pushing many more into crisis. As the pandemic progresses in food crisis contexts, food availability as well as food access could emerge as a serious concern – in both rural and urban areas.The Global COVID-19 Humanitarian Response Plan has been revised significantly upwards to reflect the increasingly urgent need to address non-health impacts of COVID-19. Of these needs, the food security sector represents the largest component, for a total of USD 1.6 billion. As part of this, the Food and Agriculture Organization of the United Nations is seeking USD 350 million to ensure the provision of critical assistance where there are already high levels of need, while meeting new needs emerging from the effects of COVID-19.

This brief compiles evidence from current and previous epidemics to explore the socio-economic implications of the impact of the pandemic on food systems and rural economies, and how a gender-sensitive approach can help address key policy issues related to the functioning of food and agricultural systems and the special circumstances of rural women. It also provides concrete policy recommendations to mitigate the impacts of the pandemic on rural women and girls.

In December 2019, a pneumonia caused by a previously unknown coronavirus emerged in Wuhan, Hubei Province, China. During the subsequent weeks and months, the disease, later named COVID-19, spread rapidly nationwide and globally, and was declared a global pandemic by the World Health Organization. Existing studies have confirmed that all people are susceptible to this novel coronavirus (SARS-CoV-2). Cases of COVID-19 among pregnant and lactating women have also been confirmed. Chinese guidelines recommend suspending breastfeeding if the mother is suspected or confirmed with COVID-19. The Centers for Disease Control and Prevention of the USA have published recommendations for mothers with COVID-19 and their family members and healthcare providers on whether and how to start or continue breastfeeding. However, none of the above recommendations provide relevant supporting evidence. As existing recommendations on whether mothers with COVID-19 should continue breastfeeding are still conflicting. We aimed to conduct a rapid review of the mother-to-child transmission of COVID-19 during breastfeeding.

The COVID-19 pandemic is putting millions of children at heightened risk, and jeopardising their immediate and long-term health and well-being. As countries around the world battle to prevent, contain and respond to COVID-19, it is critical that their efforts reach those most vulnerable and ensure primary health care  is continued and accessible to all. All stakeholders must take proactive measures to mitigate the impacts of COVID-19 on children’s health and nutrition, and response efforts should consider vulnerable children’s needs and rights. Based on extensive experience working with children, families and communities in emergencies, including epidemics, World Vision outlines a number of recommendations for Governments, UN Agencies, Donors, NGOS, Private Sector, and Faith Leaders. 

Coronavirus (COVID-19) pandemic spread in India is steeply rising. A 21-day lockdown has been imposed by the Government of India, to curtail its spread. This has impacted all walks of life, including the availability of food, and nutrition related services. This will impact nutritional status of children throughout India. The two major schemes, i.e. the Integrated Child Development Scheme and the Mid-day meal services scheme have also been affected leading to a risk of worsening of child nutrition. Some states have evolved their own strategies to mitigate the effect of lockdown during this crisis period. Here we discuss the challenges and way forward related to ensuring availability of food for child nutrition during this health crisis.

Young children need comprehensive nurturing care which includes good health, adequate nutrition, early learning opportunities, responsive caregiving, and safety and security. Severe, lifelong impacts can result from deprivations during the early years if children do not have these critical inputs to ensure optimal child development. The World Bank’s Investing in the Early Years framework lays out three pillars to ensure children reach their full potential: i. Children are healthy and well-nourished, especially in the first 1,000 days ii. Children receive early stimulation and learning opportunities and iii. Children are nurtured and protected from stress. In the following three pages, we set out specific risks that children face under each of these pillars due to the COVID-19 (Coronavirus) crisis, together with response options, potential platforms and country examples. While health and nutrition are key elements of the COVID-19 (Coronavirus) emergency response and are more likely to be addressed immediately, empowering parents to provide warm and responsive caregiving and ensuring safety and security of young children and early learning opportunities for young children is essential and risks falling through the cracks.

This brief is meant to provide information specific to infant and young child feeding (IYCF)in the context of COVID-19. This Brief does not cover wider mitigation and response measures available in other guidance. As a nutrition community, we will continue to develop our understanding on practical solutions to deliver programming in the context of COVID-19. Documenting and disseminating these lessons and emerging evidence will be key to implementing the most appropriate and effective responses in the face of this pandemic.

The COVID-19 pandemic points out some changes in the consumption patterns of the population. It appears that consumers have tended to prefer less nutritious, less fresh and more economical diets. Such a decision could be explained by a significant decrease in household income and the mobility restrictions imposed to prevent the spread of the novel coronavirus. Healthy eating minimises the risk of disease. That hasn't changed during the pandemic. Governments' initiatives must, therefore, aim at a healthier diet, ensuring access to fresh and nutritious products for people, promoting communication campaigns that value healthy eating and, finally, facilitating the marketing of fresh and quality products produced locally by small and medium producers