Children and COVID-19 Research Library

Hurley Children's Clinic's novel fruit and vegetable prescription program aims to improve nutrition intake, household food security, and nutrition access. Children receive $15 prescriptions for fruits and vegetables redeemable at the Flint Farmers’ Market or through the mobile market, Flint Fresh, for a home delivered produce box. The COVID-19 pandemic has spread worldwide, resulting in a national decrease in pediatric visits. Children missed routine well-child and health maintenance visits, including necessary vaccinations and screenings. The aim of this evaluation is to better understand how the pandemic impacted the distribution and redemption of fruit and vegetable prescriptions.

Most undernourished preschool-aged children have low hemoglobin and albumin levels, which leads to a higher risk of infections, including COVID-19. This study was designed to determine whether potato almond orange cookies increase weight, hemoglobin, and albumin) in undernourished preschool-aged children during the COVID-19 pandemic. A pre-post intervention study was conducted with 30 subjects during 8 weeks in which hemoglobin and albumin levels were recorded at the beginning and end. Education on balanced nutrition was provided to mothers using leaflets, flipcharts, and videos.

The closure of schools in response to COVID-19 compromised access to essential meals for many students. The Emergency Meals-to-You program, a public/private partnership, was set up to address this challenge. More than 38.7 million meals were delivered between April and August 2020. This study explores lessons learned and identifies strategies for strengthening food access and security at schools and beyond. Qualitative research methods were used. This included interviews and focus groups with participants involved in setting up and delivering the Emergency Meals-to-You program. Data were thematically analyzed using key phrases, ideas, and concepts, and interpreted.

Myanmar first experienced the COVID-19 crisis as a relatively brief economic shock in early 2020, before the economy was later engulfed by a prolonged surge in COVID-19 cases from September 2020 onwards. To analyze poverty and food security in Myanmar during 2020 we surveyed over 2000 households per month from June–December in urban Yangon and the rural dry zone. By June, households had suffered dramatic increases in poverty, but even steeper increases accompanied the rise in COVID-19 cases from September onwards. Increases in poverty were much larger in urban areas, although poverty was always more prevalent in the rural sample. However, urban households were twice as likely to report food insecurity experiences, suggesting rural populations felt less food insecure throughout the crisis.

Vulnerable populations in urban areas globally have been among the worst hit by the global COVID-19 crisis. In South and South-East Asia, the COVID-19 pandemic has increased levels of vulnerability and food insecurity in cities through disruptions to food supply chains, increased food prices and loss of income. In 2021, the World Food Programme (WFP) Regional Bureau for Asia and the Pacific (RBB) and Dikoda undertook an assessment to understand the impacts of the COVID-19 crisis on food systems in eight selected cities in the Asia/Pacific region. This research assesses the resilience and adaptability of urban food systems by exploring external drivers, food supply chains, food environments, individual factors, consumer behaviour and diet outcomes. The report triangulates findings between qualitative research carried out by Dikoda, WFP assessments and external sources to provide regional insights, as well as eight city-specific briefs on local-level impacts of COVID-19 on vulnerabilities. This report presents recommendations for improving policy-response to external shocks specific to urban South and South-East Asian contexts and methodological recommendations for better tracking of vulnerability in urban contexts.

The news encouraged people to see all the global, regional and national responses by the governments and various organizations. There are local efforts by the agents of change that also deserve the spotlight - young people. Plan International advocates for youth-led movements and seeks to ensure that girls and young women experience significant improvement in their ability to make decisions that concern their lives and engage in collective action to shape the world around them. In two years, the pandemic has negatively affected our progress on gender equality and girls’ rights, but young people decided not to surrender. Plan International is proud to accompany them in the journey supporting community recovery. This report will show the global pandemic through different lenses of young people. There are inevitably various hardships, even loss and pain from the devastating negative effects that COVID-19 brings to the region. But the spirit here is apparent, that youth activists in Asia Pacific won’t wait for the storm to pass, instead they fight the pandemic hard and start to build a better today. Stepping out of the “battle”, young activists in the region are invited to come together, listen to the personal stories and experiences of their peers in a series of Focus Group Discussions, write each other letters that are full of empathy and encouragement and see the world they long to visit through a collection of photo voices.

The COVID-19 pandemic initially doubled the rates of food insecurity across the USA and tripled rates among households with children. Despite the association among food insecurity, chronic disease and psychological distress, narratives depicting the experiences of already food insecure populations are notably underrepresented in the literature. The current study assessed the impact of COVID-19 on clients of a food pantry who were also enrolled in the Supplemental Nutrition Assistance Program (SNAP). This is a qualitative study probing the effects of the pandemic on daily living, food needs, food buying and food insecurity. Interview transcripts were analysed using a combined deductive and inductive approach. Interviews were conducted via telephone between May and June of 2020 among equal numbers of English- and Spanish-speaking clients (n 40 total).

Save the Children’s South Sudan country office held consultations with children to explore the impact of hunger, flooding, and the COVID-19 pandemic on their lives. Throughout 2020 and 2021, Save the Children has been providing humanitarian assistance to children and communities affected by these disasters, striving to support them through extremely challenging times. Our children’s consultations were aimed at exploring children’s views of Save the Children’s response so far, and the wider humanitarian response in the region. Their answers, detailing how they deal with hunger and its effects on them, their families, and communities, will help us to understand and document how children’s voices, needs, priorities, and recommendations should be included in the local humanitarian response. This assessment also gives us an overview of how children are involved in decision-making processes, and to what extent we are addressing their needs.

Prior to COVID-19, close to 129 million children in the Asia and the Pacific region received school meals, primarily through government-led, national school feeding programmes. Due to COVID-19 school closures, many of these children stopped receiving on-site school meals. Although some countries introduced alternative solutions, school-age children are expected to have been negatively affected by this disruption. Against this backdrop, the World Food Programme (WFP) Regional Bureau for Asia and the Pacific (RBB) commissioned Oxford Policy Management to undertake a review of adaptations to on-site SF in order to inform policymaking and programming in the context of the new reality. This research sought to answer the key research question through an emphasis on gathering data primarily from six countries in the region where WFP supports SF programmes in different capacities: Bangladesh, Cambodia, India, Nepal, Philippines and Sri Lanka.

Since the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that caused the coronavirus disease-19 (COVID-19), in December 2019, the infection has spread around the globe. Some of the risk factors include social distancing, mask wearing, hand washing with soap, obesity, diabetes, hypertension, asthma, cardiovascular disease, and dysbiosis. Evidence has shown the incidence of total infection and death rates to be lower in sub-Saharan Africa when compared with North Africa, Europe and North America and many other parts of the world. The higher the metabolic syndrome rate, the higher the risk of SARS-CoV-2 infection. Africa has a lower rate of metabolic syndrome risk than many other continents. This paradox has puzzled several in the biomedical and scientific communities. Published results of research have demonstrated the exciting correlation that the combination of young age of the population coupled with their native plant-based diet has lowered their risk factors. The plant-based diet include whole grains (millet, sorghum), legumes (black-eye peas, dry beans, soybean), vegetables, potato, sweet potato, yams, squash, banana, pumpkin seeds, and moringa leaves, and lower consumption of meat. The plant-based diet results in a different gut microbiota than of most of the rest of the world. This has a significant impact on the survival rate of other populations. The “plant-based diet” results in lower rates of obesity, diabetes and dysbiosis, which could contribute to lower and less severe infections. However, these hypotheses need to be supported by more clinical and biostatistics data.

13 years after the first Lancet Series on maternal and child undernutrition, we reviewed the progress achieved on the basis of global estimates and new analyses of 50 low-income and middle-income countries with national surveys from around 2000 and 2015. The prevalence of childhood stunting has fallen, and linear growth faltering in early life has become less pronounced over time, markedly in middle-income countries but less so in low-income countries. Stunting and wasting remain public health problems in low-income countries, where 4·7% of children are simultaneously affected by both, a condition associated with a 4·8-times increase in mortality. New evidence shows that stunting and wasting might already be present at birth, and that the incidence of both conditions peaks in the first 6 months of life. Global low birthweight prevalence declined slowly at about 1·0% a year. Knowledge has accumulated on the short-term and long-term consequences of child undernutrition and on its adverse effect on adult human capital. Existing data on vitamin A deficiency among children suggest persisting high prevalence in Africa and south Asia. Zinc deficiency affects close to half of all children in the few countries with data. New evidence on the causes of poor growth points towards subclinical inflammation and environmental enteric dysfunction. Among women of reproductive age, the prevalence of low body-mass index has been reduced by half in middle-income countries, but trends in short stature prevalence are less evident. Both conditions are associated with poor outcomes for mothers and their children, whereas data on gestational weight gain are scarce. Data on the micronutrient status of women are conspicuously scarce, which constitutes an unacceptable data gap. Prevalence of anaemia in women remains high and unabated in many countries. Social inequalities are evident for many forms of undernutrition in women and children, suggesting a key role for poverty and low education, and reinforcing the need for multisectoral actions to accelerate progress. Despite little progress in some areas, maternal and child undernutrition remains a major global health concern, particularly as improvements since 2000 might be offset by the COVID-19 pandemic.

This publication by the United Nations World Food Programme (WFP) provides an analysis of the State of School Feeding Worldwide in 2020. A report on the State of School Feeding Worldwide was first published by WFP in 2013. This 2020 version follows a similar format and uses the best available data sources to describe key aspects of coverage, implementation practices and costs of school-based health and nutrition programmes worldwide. In addition, the 2020 version seeks to analyse the direction and scale of change between 2013 and 2020, and to provide an update on advances in evidence and understanding of school feeding programmes.

If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight babies, reducing the risk of complications and supporting maternal breastfeeding where used alongside optimal lactation support. The COVID‐19 pandemic has presented a range of challenges to HMBs worldwide. This study aimed to understand the impacts of the pandemic on HMB services and develop initial guidance regarding risk limitation.