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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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The challenges of a children’s hospital during the COVID-19 pandemic: the pediatric surgeon’s point of view

AUTHOR(S)
Gloria Pelizzo; Sara Costanzo; Luciano Maestri (et al.)

Published: November 2020   Journal: Pediatric Reports
During the coronavirus disease of 2019 (COVID-19) emergency, in the pediatric surgical setting, it has been essential to avoid and contain infections as well as to protect both the patients and the surgical team. During this emergency, procedures and workflow were adapted to provide the safest possible environment for both the surgical team and the patients. Pediatric surgical activities were reorganized during the COVID-19 pandemic at the “Vittore Buzzi” Children’s Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), Italy. Resources were optimized in order to maintain high levels of care and quality of assistance. During the COVID-19 emergency, the pediatric surgical department at the “Vittore Buzzi” Children’s Hospital became an acute care surgical service.
When adolescents are in school during COVID-19: coordination between school-based health centers and education is key

AUTHOR(S)
Sara Anderson; Simon Haeder; Kelli Caseman (et al.)

Published: October 2020   Journal: Journal of Adolescent Health
Schools and School-based Health Centers (SBHC) play complementary roles in adolescent’s lives. The intersection between health care, notably SBHCs, and education has never seemed as pronounced as during the COVID-19 pandemic. Amidst the rapidly changing landscapes for both education and healthcare lie ample opportunities for better alignment of strategies to ensure that, once children return to the classroom (whether in person or virtual), all have access to a comprehensive, culturally appropriate, affordable healthcare delivery systems. This study provides recommendations related to SBHCs that could benefit adolescent health during the return to school. 
War on two fronts: experience of children with cancer and their family during COVID-19 pandemic in Iran

AUTHOR(S)
Jila Mirlashari; Fatemeh Ebrahimpour; Waliu Jawula Salisu

Published: October 2020   Journal: Journal of Pediatric Nursing
The COVID-19 pandemic affects all age groups and presents differently in children from adults. Children who contract the virus while suffering from cancer may face unique health challenges than their counterparts. This study aimed to investigate the perspectives of children with cancer and their family in this era of the COVID-19 pandemic. In this qualitative study, a total of 21 participants were interviewed. They include five children, thirteen mothers, a father and three pediatric oncology nurses. The study setting was a Pediatric Hospital in Tehran, Iran.Three main themes were identified through thematic analysis. 1) Swinging on the path of fear to adaptation, 2) Left-alone at emotional distances, 3) Care system confusion, and decreased quality of care.
Evaluating the preparedness of child health facilities and health care providers to COVID 19 pandemic

AUTHOR(S)
Abideen Salako; Oluwatosin Odubela; Tomilola Musari-Martins (et al.)

Published: October 2020   Journal: European Journal of Preventive Medicine
The challenges of diagnosis of SARS-CoV2 infection in the paediatric population includes not only the mild nature of the disease, but the similarity in the symptomatology of the COVID-19 disease to common childhood illness, and the possibility that the infected children could be “silent transmitters” to the family members and health care workers [HCW]. The challenge raises the doubt on the level of preparedness, awareness of the child health facilities [HCF], and HCW in adopting measures at combatting the Coronavirus disease 2019 (COVID-19) pandemic. This study evaluated the preparedness and response of HCF and HCW in paediatric settings to the 2019-novel coronavirus pandemic.
Cite this research | Open access | Vol.: 8 | Issue: 5 | No. of pages: 91-96 | Language: English | Topics: Health | Tags: child care services, child health, health care facilities, health personnel
Embracing telehealth: supporting young children and families through occupational therapy in Singapore during COVID-19

AUTHOR(S)
Hepsi Priyadharsini ; Jing Jing Chiang

Published: September 2020   Journal: World Federation of Occupational Therapists Bulletin
COVID-19 has significantly changed the way we work, play, and lead our everyday lives. It has caused serious public health, economic and social challenges, impacting individuals’ health and well-being. Our Occupational Therapy (OT) services at Child Development Unit (CDU), which is a hospital-based outpatient paediatric clinic, had to adapt to pandemic-related national policies to provide ongoing support and care for our patients and families. Healthcare services were required to leverage on teleconsultations and suspend physical consultations during the national ‘Circuit Breaker’ period. This disruption made us review our clinic workflows and service delivery options to comply with pandemic-related national measures. Our service continuity was maintained through teleconsultations, online parent workshops and developing online resources for community outreach. Though challenging, online platforms have continued to create new opportunities in providing care to our families, and supporting
Cite this research | Open access | Vol.: 76 | Issue: 2 | No. of pages: 90-93 | Language: English | Topics: Health | Tags: child care services, family assistance, health care facilities, COVID-19 response, lockdown, social distance | Countries: Singapore
Things must not fall apart: the ripple effects of the COVID-19 pandemic on children in sub-Saharan Africa

AUTHOR(S)
Modupe Coker; Morenike O. Folayan; Ian C. Michelow (et al.)

Published: September 2020   Journal: Pediatric Research
This article focuses on the impact of the COVID-19 pandemic on child health in sub-Saharan Africa. It reviews the epidemiology of major pediatric diseases and, referencing modeling projections, discuss the short- and long-term impact of the pandemic on major disease control. It also deliberates on potential complications of SARS-CoV-2 co-infections/co-morbidities and identify critical social and ethical issues. Furthermore, this article aims to highlight the paucity of COVID-19 data and clinical trials in this region and the lack of child participants in ongoing studies. Lastly, approaches and interventions to mitigate the pandemic’s impact on child health outcomes are discussed.
COVID-19 pandemic: the impact on vulnerable children and young people in Australia

AUTHOR(S)
Benjamin Jones; Susan Woolfenden; Sandra Pengilly (et al.)

Published: September 2020   Journal: Journal of Paediatrics and Child Health
This article aims to present the reasons for vulnerability of children and young people (CYP) during the pandemic, and to focus on actions by health professionals that mitigate additional challenges to their health and well-being. Using a rapid review of the literature and team-based discussions, eight vulnerable groups were identified: CYP with disabilities, mental health conditions and chronic diseases; CYP facing financial hardship; within the child protection system; Aboriginal; migrant and refugee; in residential care; rural; and isolated CYP. Recommendations for action are required at the level of governments, health professionals and researchers and include enhancing access to health and social supports, prioritising vulnerable CYP in resuming health activity and elevating the voice of CYP in designing the response.
This
article aims to present the reasons for vulnerability of CYP during the pandemic, and to focus on actions by health professionals that mitigate
additional challenges to their health and well-being. Using a rapid review of the literature and team-based discussions, eight vulnerable groups
were identied: CYP with disabilities, mental health conditions and chronic diseases; CYP facing nancial hardship; within the child protection sys-
tem; Aboriginal; migrant and refugee; in residential care; rural; and isolated CYP.
Covid-19 and the world of work: Rapid assessment of the employment impacts and policy responses Serbia
Institution: International Labour Organisation
Published: September 2020
This rapid country assessments launched by the Employment, LabourMarkets and Youth Branch (EMPLAB) of the ILO in around 14 countries aims to provide constituents and other policy-makers with a practical tool for the real-time diagnosis of the employment impacts of the COVID-19 pandemic to inform policy responses. Serbia adopted the most generous and comprehensive economic package among the Western Balkan economies, providing near universal support to both firms and citizens during the COVID-19 pandemic.
Hospital-based home care for children with cancer during the COVID-19 pandemic in northeastern Italy

AUTHOR(S)
Davide Massano; Laura Cosma; Martina Garolla (et al.)

Published: September 2020   Journal: Pediatric Blood & Cancer
This study describes the experience of an integrated project of telehealth and hospital-based home care (HBHC) for noncritical patients in active anticancer treatment in a tertiary care pediatric oncohematology center.
Cite this research | Open access | No. of pages: 1 | Language: English | Topics: Health | Tags: child health, health care facilities, health services | Countries: Italy
Children's emergency presentations during the COVID-19 pandemic

AUTHOR(S)
Damian Roland; Rachel Harwood; Nick Bishop (et al.)

Published: August 2020   Journal: The Lancet Child & Adolescent Health

The COVID-19 pandemic has resulted in large-scale changes to the National Health Service (NHS) systems in the UK to accommodate a predicted surge in acutely unwell adults presenting to emergency and critical care departments. This article describes a rapid, multicentre surveillance project with three main aims: (1) to identify the number of children with delayed presentations to hospital in large emergency departments; (2) to find out what proportion of these delays was due to hesitance of parents in attending versus the proportion that was due to advice from primary care staff or NHS 111 referrals; and (3) to find out whether these delays might have resulted in harm to children (using admission to hospital as a proxy).

Cite this research | Open access | Vol.: 4 | Issue: 8 | No. of pages: e32-e33 | Language: English | Topics: Health | Tags: child health, emergency aid, health care facilities, health services, hospitalization | Countries: United Kingdom
School-based health centers during academic disruption: Challenges and opportunity in urban mental health

AUTHOR(S)
Leonell Torres-Pagán; Angelica Terepka

Published: August 2020   Journal: Psychological Trauma : Theory, Research, Practice, and Policy
School based health centers (SBHC) provide healthcare services to youth and their families. In response to the global health crisis from COVID-19, schools’ closures have impacted the access to vital services during times of increased need for physical and mental healthcare. Youth of minority racial and ethnic backgrounds living in urban settings face compounding factors including adverse childhood events, economic disadvantages, and barriers to healthcare. The mental health response of SBHCs in New York City as it relates to population specific factors such as family supports, economic considerations, and healthcare correlates is explored. The role of school based health centers and recommendations for interventions addressing mental health concerns in youth during COVID-19 are discussed.
Cite this research | Open access | Vol.: 12 | Issue: 1 | No. of pages: 276-278 | Language: English | Topics: Health, Mental Health | Tags: health care facilities, mental health services, schools, COVID-19 response | Countries: United States
Not just little adults: preparing a children's emergency department for COVID-19

AUTHOR(S)
Jonathan Adamson; Chris Bird; Kate Edgworth (et al.)

Published: August 2020   Journal: Emergency Medicine Journal

This paper tries to put up guidelines in preparing a stand-alone children’s emergency department. It takes into account triage, personal protective equipment, clinical guidelines, information sharing and personnel training.

Cite this research | Open access | Vol.: 37 | Issue: 8 | No. of pages: 460-462 | Language: English | Topics: Health | Tags: child health, health care facilities, health personnel | Countries: United Kingdom
Child health and delivery of care during the COVID-19 pandemic and beyond

AUTHOR(S)
Joseph L. Mathew

Published: June 2020   Journal: The Indian Journal of Pediatrics

This paper examines how the pandemic and mitigation efforts affected the physical and emotional well-being of parents and children in India. Although pediatric cases are fewer and milder, pediatric health care services are severely affected in the country and restarting these services is necessary. Several additional issues merit consideration, both with respect to COVID, as well as other child health needs affected by COVID.

Cite this research | Vol.: 87 | No. of pages: 579-582 | Language: English | Topics: Health, Education | Tags: child care services, child education, child health, health care facilities | Countries: India
Portugal: Rapid assessment of the impact of COVID-19 on the economy and labour market

AUTHOR(S)
Ricardo Paes Mamede; Mariana Pereira ; António Simões

Institution: International Labour Organisation
Published: June 2020
The objective of the rapid country assessments launched by the Employment, LabourMarkets and Youth Branch (EMPLAB) of the ILO in around 14 countries at different levels of development is to provide constituents and other policy-makers with a practical tool for the real-time diagnosis of the employment impacts of the COVID-19 pandemic to inform policy responses. The assessments examine the dramatic effects of the pandemic on economic growth and employment and how it has exacerbated labour market vulnerabilities and inequalities. They also show the importance of a prompt and targeted policy response and the value of social dialogue.
Community-based health care, including outreach and campaigns, in the context of the COVID-19 pandemic
Community-based health care is an essential part of primary care at all times; in the context of the COVID-19 pandemic, the distinct capacity of trusted community members for social engagement and delivering care where it is needed is ever more critical. This joint WHO, UNICEF and IFRC guidance addresses the role of community-based health care in the pandemic context. It includes practical recommendations for decision makers to help keep communities and health workers safe, to sustain essential services at the community level, and to ensure an effective response to COVID-19. Using this comprehensive and coordinated approach will help countries strengthen the resilience of community-based health services throughout the pandemic, into early recovery and beyond.
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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.