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Children and COVID-19 Research Library

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

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Needs in an era of COVID-19: a preliminary investigation of self-reported needs of families who experienced rapid return as a result of government mandates

AUTHOR(S)
Nicole Gilbertson Wilke; Amanda Hiles Howard; Ian Forber Pratt

Published: May 2022   Journal: Vulnerable Children and Youth Studies
The COVID-19 pandemic has led some governments to mandate the rapid return of children in residential care to families. Constrained timelines and limited support lead to wellbeing risks for children and families in this situation. The goal of the present study was to better stand the needs of the families, as perceived by the children and families themselves. This can inform targeted service provision. Participants were 131 families who had experienced government-mandated rapid return in five nations. Using a qualitative design, results examined child and family perception of needs.
Assessment of the COVID-19 pandemic and its impact on a children's hospital: the point of view of patients and families

AUTHOR(S)
Maria D. Navarro-Rubio; Ana Bosque; Arian Tarbal (et al.)

Published: April 2022   Journal: Patient Experience Journal
The coronavirus pandemic has affected our health, social behavior, and quality of life. In addition to the deaths and morbidity, the crisis also affects all spheres in society. The objective of this study was to assess the perception of hospital patients and families regarding the pandemic. This is a descriptive study conducted May-July 2020 in the Sant Joan de Déu children’s hospital, Barcelona, Spain. We developed a mix-method approach. It included online semi-structured interviews and photo voice. Seventeen patients’ representatives were interviewed.
Cite this research | Open access | Vol.: 9 | Issue: 1 | No. of pages: 26-34 | Language: English | Topics: Health | Tags: child health, COVID-19 response, health care facilities, hospitalization, lockdown, social distance | Countries: Spain
Health service utilisation during the COVID-19 pandemic in sub-Saharan Africa in 2020: a multicountry empirical assessment with a focus on maternal, newborn and child health services

AUTHOR(S)
Agbessi Amouzou; Abdoulaye Maïga; Cheikh Mbacké Faye (et al.)

Published: April 2022   Journal: BMJ Global Health

There are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general. Monthly routine health facility data by district for the period 2017–2020 were compiled by 12 country teams and adjusted after extensive quality assessments. Mixed effects linear regressions were used to estimate the size of any change in service utilisation for each month from March to December 2020 and for the whole COVID-19 period in 2020.

Determinants of poor sleep quality during the COVID-19 pandemic among women attending antenatal care services at the health facilities of Debre Berhan Town, Ethiopia: an institutional-based cross-sectional study

AUTHOR(S)
Nakachew Sewnet Amare; Basazinew Chekol; Agazhe Aemro (et al.)

Published: March 2022   Journal: Frontiers in Psychiatry

Women’s ability to get sleep can be affected by pregnancy-related hormonal changes or other external stressful situations like the coronavirus disease 2019 (COVID-19). The objective of this study was to assess the proportion of poor sleep quality during the COVID-19 pandemic and its determinants among pregnant women attending antenatal care (ANC) services. An institutional-based cross-sectional study was conducted among 423 women attending ANC services at the health facilities in Debre Berhan Town, Ethiopia, from May to June 2020. A systematic random sampling technique was used to select the required samples. The tool consisted of questions that assessed (1) socio-demographic characteristics, obstetric and health care service-related characteristics; and media exposure to get information regarding COVID-19 infection; (2) To assess sleep quality; the Pittsburgh Sleep Quality Index (PSQI) was applied. And a global score of >5 indicates poor sleep quality, and a global score of ≤5 indicates good sleep quality.

Changes in healthcare provision during covid-19 and their impact on children with chronic illness: a scoping review

AUTHOR(S)
Sapfo Lignou; Jenny Greenwood; Mark Sheehan (et al.)

Published: March 2022   Journal: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
This paper provides an overview of the evidence around how the health systems and policy response to the Covid-19 pandemic affected children with long-term conditions in the UK. It conducted a scoping review guided by the PRISMA-ScR Checklist. The PubMed and PsycINFO databases (2019-August 2021) were searched and screened for papers (of any design) by 2 reviewers independently. The electronic database search was supplemented by manual searching. A total of 32 papers were identified, including studies on UK paediatric populations, studies on chronic illness in the UK, and international studies on chronic illness and children (including data from the UK).
Sanitary measures to contain COVID-19 spread decreased pediatric hospitalizations due to other respiratory infections in São Paulo, Brazil

AUTHOR(S)
Gabriela Marengone Altizani; Viviane da Mata Pasti Balbão; Gilberto Gambero Gaspar (et al.)

Published: February 2022   Journal: Jornal de Pediatria

After the Covid-19 pandemics hit Brazil and sanitary measures were adopted to contain its dissemination, pediatric hospital admissions were apparently fewer than usual. The authors aimed to describe the time trends of public hospital admissions of children and adolescents due to respiratory infections (RIs) in São Paulo State, Brazil, before and after the adoption of sanitary measures to contain the dissemination of Covid-19. Ecological, time-series study on the monthly average number of admissions per day of children and adolescents (< 16 years) admitted to public hospitals of São Paulo due to acute RIs between January 2008 and March 2021. Data from 2008 to 2019 were used to adjust the statistical model, while data from 2020 and 2021 were compared to the values predicted by the model.

Paediatric hospitalisations due to COVID-19 during the first SARS-CoV-2 omicron (B.1.1.529) variant wave in South Africa: a multicentre observational study

AUTHOR(S)
Jeané Cloete; Annelet Kruger; Maureen Masha (et al.)

Published: February 2022   Journal: The Lancet Child & Adolescent Health

South Africa reported a notable increase in COVID-19 cases from mid-November, 2021, onwards, starting in Tshwane District, which coincided with the rapid community spread of the SARS-CoV-2 omicron (B.1.1.529) variant. This increased infection rate coincided with a rapid increase in paediatric COVID-19-associated admissions to hospital (hereafter referred to as hospitalisations). The Tshwane Maternal-Child COVID-19 study is a multicentre observational study which investigated the clinical manifestations and outcomes of paediatric patients (aged ≤19 years) who had tested positive for SARS-CoV-2 and were admitted to hospital for any reason in Tshwane District during a 6-week period at the beginning of the fourth wave of the COVID-19 epidemic in South Africa. It used five data sources, which were: (1) COVID-19 line lists; (2) collated SARS-CoV-2 testing data; (3) SARS-CoV-2 genomic sequencing data; (4) COVID-19 hospitalisation surveillance; and (5) clinical data of public sector COVID-19-associated hospitalisations among children aged 13 years and younger.

COVID-19 in children with cancer

AUTHOR(S)
Alissa R. Kahn; Carla M. Schwalm; Julie Ann Wolfson (et al.)

Published: February 2022   Journal: Current Oncology Reports
This study aims to describe what is currently known about how children with cancer have been affected by the COVID-19 pandemic, including morbidity and mortality, interruptions in cancer care and delays in diagnosis, and psychosocial effects. It summarizes the literature on how this patient population has fared during the pandemic, reviewing multiple smaller reports along with two large registries.
Healthcare use in 700 000 children and adolescents for six months after covid-19: before and after register based cohort study

AUTHOR(S)
Karin Magnusson; Katrine Damgaard Skyrud; Pål Suren (et al.)

Published: January 2022   Journal: BMJ

 This study aimed to explore whether and for how long use of healthcare services is increased among children and adolescents after covid-19. Norwegians aged 1-19 years (n=706 885) who were tested for SARS-CoV-2 from 1 August 2020 to 1 February 2021 (n=10 279 positive, n=275 859 negative) or not tested (n=420 747) and were not admitted to hospital, by age groups 1-5, 6-15, and 16-19 years.

Impact of COVID-19 on carers of children with tracheostomies

AUTHOR(S)
Nicola Hall; Nikki Rousseau; David W. Hamilton (et al.)

Published: December 2021   Journal: Archives of Disease in Childhood
This study aims to explore the impact of the COVID-19 pandemic on the experiences of caregivers of children with tracheostomies. All participants were currently, or had previously cared for, a tracheostomised child who had attended a tertiary care centre in the North of England. Health professionals were purposively sampled to include accounts from a range of professions from primary, community, secondary and tertiary care.
Pain management in children during the COVID-19 pandemic

AUTHOR(S)
Patricia A. Richardson; Anjana Kundu

Published: July 2021   Journal: Current Anesthesiology Reports
For many children, the SARS-CoV-2 pandemic has impacted the experience and treatment of their pain. This narrative review draws from the pain literature and emerging findings from COVID-19 research to highlight potentially meaningful directions for clinical consideration and empirical inquiry in the months and years to come. COVID-19 has been linked to diffuse acute pains as well as chronic pain sequelae. Contextual factors known to increase vulnerability for pain and associated functional disability have been exacerbated during the pandemic. Beyond these salient concerns has been the remarkable resilience demonstrated by patients and providers as healthcare systems have sought to harness creativity and innovative digital solutions to support optimal child wellbeing throughout this crisis.
Prevalence and transmission of SARS-CoV-2 in childcare facilities: a longitudinal study

AUTHOR(S)
Luise Haag; Judith Blankenburg; Manja Unrath (et al.)

Published: July 2021   Journal: The Journal of Pediatrics
This study aims to evaluate the role of childcare facilities in the transmission of SARS-CoV-2, we conducted a longitudinal study to gain further knowledge on SARS-CoV-2 prevalence, transmission and spread among preschool children, their parents and caretakers. Children between 1 and 6 years of age, their parents and caregivers in 14 childcare facilities in Dresden, Saxony/Germany were invited to participate in the KiTaCoviDD19-study between July 2020 and January 2021. Seroprevalence of SARS-CoV-2 antibodies was assessed up to 4 times during the study period in all participating adults and personal characteristics as well as epidemiologic information of personal SARS-CoV-2 history were obtained. Samples for stool virus shedding of SARS-CoV-2 were analyzed by PCR every 2-4 weeks in all participating children.
The ACA, COVID-19 and health care insurance for children

AUTHOR(S)
Eileen K. Fry-Bowers

Published: July 2021   Journal: Journal of Pediatric Health Care
Despite numerous legal and political challenges over the past decade, the Patient Protection and Affordable Care Act (ACA) (2010) has been integrated into the health system of the United States (U.S.) and has played an important role in improving child health in this country by increasing access to health care for millions of children. The ACA has also provided a “healthcare lifeline” to children and families during the COVID-19 pandemic. This policy brief reviews the legal status of the ACA, explores the impact of COVID-19 on children's access to health insurance, discusses recent legislation supporting child health, and considers the future status of child health insurance coverage and access to care.
Impact of nonpharmacological COVID-19 interventions in hospitalizations for childhood pneumonia in Brazil

AUTHOR(S)
Frederico Friedrich; Laura de Castro e Garcia; Lucas Montiel Petry (et al.)

Published: July 2021   Journal: Pediatric Pulmonology

The knowledge about the impact of the nonpharmacological measures to control the COVID-19 pandemic can give insight into ways in which they can also be applied for other respiratory diseases. To assess the impact of containment measures of the COVID-19 pandemic on pneumonia hospitalizations in children from 0 to 14 years of age in Brazil. Data from hospital admissions for pneumonia were obtained from the Department of Informatics of Brazilian Public Health System database in the period of 2015–2020 and analyzed by macroregions and age groups. To evaluate the effect of containment measures, on the incidence of pneumonia, the absolute reduction and relative reduction were calculated by analyzing the subsets 2015-2019 vs. 2020.

Assessment of SARS-CoV-2 testing in children during a low prevalence period (VIGIL study 1)

AUTHOR(S)
Eleonore Eskander; Camille Jung; Corinne Levy (et al.)

Published: July 2021   Journal: Infectious Diseases Now

SARS-CoV-2 induces a broad spectrum of clinical manifestations, which overlap with other viral infections very common in children. This study aimed to describe the percentage of positive SARS-CoV-2 RT-PCR tests in symptomatic and asymptomatic ambulatory children and to determine the predictive factors for positivity. From June 1 to July 31, 2020,  a cross-sectional prospective, multicenter study (13 hospital emergency units and 59 ambulatory pediatricians) was conducted throughout France. Children under 15 years of age with a prescription of nasopharyngeal SARS-CoV-2 RT-PCR test were enrolled.

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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.