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Children and COVID-19 Research Library

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

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1 - 15 of 50
Ethical responsibilities of European children’s teams facing the resurgent COVID-19 pandemic

AUTHOR(S)
Anna Zanin; Enrico Furlan; Marek Migdal (et al.)

Published: July 2021   Journal: European Journal of Pediatrics
The COrona VIrus Disease 2019 (COVID-19) pandemic is posing an unprecedented challenge to healthcare systems around the globe. Europe has been struggling for 1 year now, and despite some encouraging progress (above all, the beginning of vaccination), the second wave is ongoing. Even though children are less affected than adults, the COVID-19 pandemic—and in particular the measures to counter it—is having a considerable impact on the paediatric healthcare setting. It is, therefore, the duty of paediatric teams in Europe to prepare for the challenges ahead. We wish to contribute to this necessary preparedness in two ways: firstly, by assessing the direct and indirect impact of the pandemic on children and on the paediatric setting; secondly, and more importantly, by identifying the various responsibilities of paediatric healthcare professionals, in light of established ethical principles.
Healthcare professionals’ experiences of the barriers and facilitators to paediatric pain management in the community at end-of-life: a qualitative interview study

AUTHOR(S)
Katie Greenfield; Bernie Carter; Emily Harrop (et al.)

Published: July 2021   Journal: Journal of Pain and Symptom Management

Inadequate pain management in community paediatric palliative care is common. Evidence to inform improved pain management in this population is limited. To explore the barriers and facilitators to paediatric community-based pain management for infants, children and young people at end-of-life as perceived by healthcare professionals.

Global changes in maternity care provision during the COVID-19 pandemic: a systematic review and meta-analysis

AUTHOR(S)
Rosemary Townsend; Barbara Chmielewska; Imogen Barratt (et al.)

Published: June 2021   Journal: EClinicalMedicine
The COVID-19 pandemic has had a profound impact on healthcare systems globally, with a worrying increase in adverse maternal and foetal outcomes. This study aimed to assess the changes in maternity healthcare provision and healthcare-seeking by pregnant women during the COVID-19 pandemic. It performed a systematic review and meta-analysis of studies of the effects of the pandemic on provision of, access to and attendance at maternity services.
Resilience and vulnerability of maternity services in Zimbabwe: a comparative analysis of the effect of Covid-19 and lockdown control measures on maternal and perinatal outcomes, a single-centre cross-sectional study at Mpilo Central Hospital

AUTHOR(S)
Clare Shakespeare; Handsome Dube; Sikhangezile Moyo (et al.)

Published: June 2021   Journal: BMC Pregnancy and Childbirth

On the 27th of March 2020 the Zimbabwean government declared the Covid-19 pandemic a ‘national disaster’. Travel restrictions and emergency regulations have had significant impacts on maternity services, including resource stock-outs, and closure of antenatal clinics during the lockdown period. Estimates of the indirect impact of Covid-19 on maternal and perinatal mortality was expected it to be considerable, but little data was yet available. This study aimed to examine the impact of Covid-19 and lockdown control measures on non-Covid outcomes in a government tertiary level maternity unit in Bulawayo, Zimbabwe, by comparing maternal and perinatal morbidity and mortality before, and after the lockdown was implemented.

Refugees and migrants in times of COVID-19: mapping trends of public health and migration policies and practices
Institution: World Health Organisation
Published: June 2021
Refugees and migrants have been disproportionately affected by both the direct effects of the COVID-19 pandemic and the restrictive migration measures put in place, which, in turn, have hampered coordinated and consistent public health responses. This report maps how the needs of refugee and migrant have been addressed in COVID-19 responses across countries and how these have varied considerably from inclusive policies to discriminatory practices. Many countries ensured access to health care for refugees and migrants regardless of migration status, and several countries also suspended forced returns and prioritized alternatives to immigration detention. An integrated approach to migration and public health policies covering protection-sensitive access to territories, a flexible approach to migration status and non-discriminatory access to health care is suggested as a policy consideration to uphold international conventions protecting the right to health without discrimination for refugees and migrants.
Parent training intervention for autism symptoms, functional emotional development, and parental stress in children with autism disorder: a randomized clinical trial

AUTHOR(S)
Afsaneh Akhani; Mahmood Dehghani; Banafsheh Gharraee (et al.)

Published: June 2021   Journal: Asian Journal of Psychiatry

Today, early interventions to treat autistic children through parent training interventions is of outmost importance. Interventions are focused on developmental or behavioral approaches and are mostly individual or group ones. In the present study, both proposed approaches in the form of structured individual and group parent training sessions among Iranian families are investigated. This study was a randomized clinical trial which was performed in 2019–2020 in Tehran.

Improving clinical paediatric research and learning from COVID-19: recommendations by the Conect4Children expert advice group

AUTHOR(S)
Athimalaipet V. Ramanan; Neena Modi; Saskia N. de Wildt (et al.)

Published: June 2021   Journal: Pediatric Research

The COVID-19 pandemic has had a devastating impact on multiple aspects of healthcare, but has also triggered new ways of working, stimulated novel approaches in clinical research and reinforced the value of previous innovations. Conect4children (c4c, www.conect4children.org) is a large collaborative European network to facilitate the development of new medicines for paediatric populations, and is made up of 35 academic and 10 industry partners from 20 European countries, more than 50 third parties, and around 500 affiliated partners. This study summarises aspects of clinical research in paediatrics stimulated and reinforced by COVID-19 that the Conect4children group recommends regulators, sponsors, and investigators retain for the future, to enhance the efficiency, reduce the cost and burden of medicines and non-interventional studies, and deliver research-equity.

Care of pediatric patients with diabetes during the COVID-19 pandemic

AUTHOR(S)
Colleen Buggs-Saxton

Published: May 2021   Journal: Pediatric Clinics of North America
This  article  summarizes  clinical  observations  and  management  strategies  in  pediatric type 1 diabetes (T1D) during the COVID-19 pandemic.  Despite initial fears that children with diabetes would, similar to adults with diabetes, be at risk for severe COVID-19, the majority  of  pediatric  patients  with  a  history  of  type  1  diabetes  (T1D)  who  developed COVID-19 had  mild  disease  or  were  asymptomatic  similar  to  their  peers  without diabetes.  Studies found that pediatric patients with new-onset diabetes often presented with more severe diabetic ketoacidosis (DKA) in part due to both parental anxiety with seeking emergency medical care and systemic barriers to accessing health care during a pandemic.  The article also summarizes the use of telemedicine to provide ongoing care for  pediatric  patients  with  T1D  during  the  COVID-19  pandemic.    Finally,  the  article highlights  important  lessons  learned  about  management  of  pediatric  diabetes  during the COVID-19 pandemic.
Cite this research | Open access | No. of pages: 19 | Language: English | Topics: Health | Tags: child health, COVID-19, diabetes, health care, health services
Impact of COVID-19 on pediatric Immunocompromised patients

AUTHOR(S)
James A. Connelly; Hey Chong; Adam J. Esbenshade (et al.)

Published: May 2021   Journal: Pediatric Clinics of North America
The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has caused critical coronavirus disease (COVID-19) most often in the elderly and individuals with co-morbid medical conditions. Although growing evidence supports the importance of an intact innate immune response at the onset of viral infection, mortality caused by dysregulated immune responses, particularly in adults, has shown a spotlight on the delicate balance of a robust, but coordinated and controlled immune activity against infection.  This complex network of infection, immune response, and inflammation with SARS-CoV-2 has created concerns, questions, and challenges for immunocompromised children beyond fear of death from contracting SARS-CoV-2. This review examines how adaptations by health care systems to reduce SARS-CoV-2 transmission and treat the surge of COVID-19 patients impacted immunocompromised pediatric patients.

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

AUTHOR(S)
Mobolanle Balogun; Aduragbemi Banke-Thomas; Adekemi Sekoni (et al.)

Published: May 2021   Journal: Plos One
The presence of COVID-19 has led to the disruption of health systems globally, including essential reproductive, maternal, newborn and child health (RMNCH) services. This study aimed to assess the challenges faced by women who used RMNCH services in Nigeria’s epicentre, their satisfaction with care received during the COVID-19 pandemic and the factors associated with their satisfaction.
The state of neonatal and pediatric interfacility transport during the COVID-19 pandemic

AUTHOR(S)
Michael H. Stroud; Franscesca F. Miquel-Verges; Ranna A. Rozenfeld (et al.)

Published: May 2021   Journal: Air Medical Journal
The COVID-19 pandemic has altered the provision of healthcare, including interfacility transport of critically ill neonatal and pediatrics patients. Transport medicine faces unique challenges in the care of persons infected with the SARS-CoV-2 virus. In particular, the multitude of providers, confined spaces for prolonged time periods, varying modes (ground, rotor wing, fixed wing) of transport, and need for frequent aerosol-generating procedures place transport personnel at high risk. This study describes the clinical practices, personal protective equipment, and potential exposure risks of a large cohort of neonatal and pediatric interfacility transport teams.
Trends in pediatric primary care visits during the COVID-19 pandemic

AUTHOR(S)
Kelsey Schweiberger; Sadiq Y. Patel; Ateev Mehrotra (et al.)

Published: May 2021   Journal: Academic Pediatrics

Months after the declaration of the COVID-19 national emergency, visits among children remained suppressed for unclear reasons, which we sought to understand by examining child visit rates. Using de-identified claims data for children <18 years old from OptumLabs® Data Warehouse, a large commercial claims database, we compared monthly primary care visit and vaccination rates from January-October 2020 to January-October 2018 and 2019. Visit rates were analyzed by visit reason and by the month after (e.g., month +1) the COVID-19 public health emergency declaration using a series of child-level Poisson regression models.

Quality of life changes during the COVID-19 pandemic for caregivers of children with ADHD and/or ASD

AUTHOR(S)
Keith W. Pecor; Georgia Barbyannis; Max Yang (et al.)

Published: April 2021   Journal: International Journal of Environmental Research Public Health
The COVID-19 pandemic has presented many challenges to caregivers of children. Families with children with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorder (ASD) are an understudied but potentially vulnerable population to changes during the outbreak. As such, the aim of this study was to contrast quality of life for caregivers of children with ADHD and/or ASD, before and during the pandemic, compared to caregivers of neurotypical (NT) children.
Education, healthy ageing and vaccine literacy

AUTHOR(S)
J.-P. Michel; J. Goldberg

Published: April 2021   Journal: The journal of nutrition, health & aging
The Covid pandemic is a timely opportunity to try to broaden our understanding of the links between education and health literacy and explore the vaccine-decision process with a view to identifying interventions that will positively influence vaccine uptake.
Supporting parents as essential care partners in neonatal units during the SARS‐CoV‐2 pandemic

AUTHOR(S)
Nicole R. van Veenendaal; Aniko Deierl; Fabiana Bacchini (et al.)

Published: March 2021   Journal: Acta Paediatrica

This study aims to review the evidence on safety of maintaining family integrated care practices and the effects of restricting parental participation in neonatal care during the SARS‐CoV‐2 pandemic. MEDLINE, EMBASE, PsycINFO and CINAHL databases were searched from inception to the 14th of October 2020. Records were included if they reported scientific, empirical research (qualitative, quantitative, or mixed methods) on the effects of restricting or promoting family integrated care practices for parents of hospitalized neonates during the SARS‐CoV‐2 pandemic. Two authors independently screened abstracts, appraised study quality and extracted study and outcome data.

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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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COVID-19 & Children: Rapid Research Response

UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.