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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 245
Women at the last mile: how investments in gender equality have kept health systems running during COVID-19

AUTHOR(S)
Anushka Kalyanpur; Ihlas Altinci; Emmanuel Ojwang (et al.)

Institution: CARE
Published: May 2022
Even before COVID-19, investments in health systems—and especially female health workers—were too low. In 2019 the world had a gap of 18 million health workers. Two years and fifteen million deaths later, we have at least 26 million fewer health workers than we need. , This leaves us severely underprepared for future pandemics and other major shocks to the health system, including conflict and climate change. We must invest in health systems that don’t just meet the needs of today, but that are also resilient in the face of future shocks. Pandemic preparedness requires gender equality: equal recognition, support, and fair pay for ALL health workers. Globally, 70% of health workers are women, but half of their work is unpaid. We must do more to support these health workers. The glimmers of success in COVID-19 built on previous investments in women health workers, their skills, and equality in health systems. Pre-existing investments in equality helped systems respond to COVID-19. Increased investments will build better resilience for the crises that come next. This report highlights case studies and lessons learned from 20 countries during COVID-19.
Strengths, weaknesses, threats, and opportunities a pediatric home care program in Covid 19 virus pandemic: a qualitative study

AUTHOR(S)
Faramarzeh Kalhor; Marzieh Adel Mehraban; Majied Keyvanfar (et al.)

Published: April 2022   Journal: Home Health Care Management & Practice
Covid 19 has made a huge difference in all aspects of life, especially in care and treatment. Hospitalization is limited because of infected family members and fear of getting Covid 19 has limited. The purpose of this study is to analyze the existing conditions based on the SWOT analysis for the home care program for children in Coronavirus crisis. This study is a qualitative study with a conventional content analysis approach. Participants were 18 nurses, physicians, and faculty members, selected based on their willingness to participate in the study and through purposeful sampling. Two specialized panels and 10 presence and in-presence interview sessions were held to collect data. Then, the data were analyzed using SWOT analysis.
Impact of covid-19 on primary care contacts with children and young people aged 0-24 years in England; longitudinal trends study 2015-2020

AUTHOR(S)
Kimberley Foley; Edward Maile; Alex Bottle (et al.)

Published: April 2022   Journal: British Journal of General Practice
The NHS response to covid-19 altered provision and access to primary care. This study aims to examine the impact of covid-19 on general practitioner (GP) contacts with children and young people in England. Longitudinal trends analysis using electronic health records from the Clinical Practice Research Datalink Aurum database.
Methodology and experiences of rapid advice guideline development for children with COVID-19: responding to the COVID-19 outbreak quickly and efficiently.

AUTHOR(S)
Qi Zhou; Qinyuan Li; Janne Estill (et al.)

Published: April 2022   Journal: BMC Medical Research Methodology
Rapid Advice Guidelines (RAG) provide decision makers with guidance to respond to public health emergencies by developing evidence-based recommendations in a short period of time with a scientific and standardized approach. However, the experience from the development process of a RAG has so far not been systematically summarized. Therefore, this working group will take the experience of the development of the RAG for children with COVID-19 as an example to systematically explore the methodology, advantages, and challenges in the development of the RAG. It shall propose suggestions and reflections for future research, in order to provide a more detailed reference for future development of RAGs.
Clinical characteristics, activity levels and mental health problems in children with long coronavirus disease: a survey of 510 children.

AUTHOR(S)
Danilo Buonsenso; Ferran Espun Pujol; Daniel Munblit (et al.)

Published: April 2022   Journal: Future Microbiology
Whether long coronavirus disease pertains to children as well is not yet clear. The authors performed a survey in children suffering from persistent symptoms since initial infection. A total of 510 children infected between January 2020 and January 2021 were included.
Cite this research | Open access | Vol.: 17 | Issue: 8 | No. of pages: 577-588 | Language: English | Topics: Health | Tags: child health, COVID-19, health services, infectious disease, pandemic, respiratory diseases
Pediatric COVID-19 risk factors in Southeast Asia-Singapore and Malaysia: a test-negative case–control study

AUTHOR(S)
Judith Ju Ming Wong; Chin Seng Gan; Sanghvi Heli Kaushal (et al.)

Published: April 2022   Journal: The American Journal of Tropical Medicine and Hygiene,

There is a scarcity of population-level data of pediatric COVID-19 infection from Southeast Asia. This study aims to describe and compare epidemiological, clinical, laboratory and outcome data among pediatric COVID-19 cases versus controls in two neighboring countries, Singapore and Malaysia. It used a test-negative case–control study design recruiting all suspected COVID-19 cases (defined by either clinical or epidemiological criteria) from January 2020to March 2021 admitted to two main pediatric centers in Singapore and Malaysia. Data were collected using a standardized registry (Pediatric Acute and Critical Care COVID-19 Registry of Asia).

Cite this research | Open access | Vol.: 106 | Issue: 4 | No. of pages: 1113–1120 | Language: English | Topics: Health | Tags: child health, COVID-19, disease control, health services, infectious disease, pandemic, respiratory diseases | Countries: Malaysia, Singapore
Factors associated with hospitalization or intensive care admission in children with COVID-19 in Latin America

AUTHOR(S)
Eduardo López-Medina; German Camacho-Moreno; Martin E. Brizuela (et al.)

Published: April 2022   Journal: Frontiers in Pediatrics

Limited data is available from low-middle and upper-middle income countries of the factors associated with hospitalization or admission to pediatric intensive care unit (PICU) for children with COVID-19. This study aims to describe the factors associated with hospitalization or PICU admission of children with COVID-19 in Latin America. Multicenter, analytical, retrospective study of children reported from 10 different Latin American countries to the Latin-American Society of Pediatric Infectious Diseases (SLIPE-COVID) research network from June 1, 2020, and February 28, 2021. Outpatient or hospitalized children <18 years of age with COVID-19 confirmed by polymerase chain reaction or antigen detection from the nasopharynx were included. Children with multisystem inflammatory syndrome in children (MIS-C) were excluded. Associations were assessed using univariate and multivariable logistic regression models.

Long COVID (post-COVID-19 condition) in children: a modified Delphi process.

AUTHOR(S)
Terence Stephenson; Benjamin Allin; Manjula D. Nugawela (et al.)

Published: April 2022   Journal: Archives of Disease in Childhood

The aim of this study was to derive a research definition for ‘Long COVID (post-COVID-19 condition)’ in children and young people (CYP) to allow comparisons between research studies. A three-phase online Delphi process was used, followed by a consensus meeting. Participants were presented with 49 statements in each phase and scored them from 1 to 9 based on how important they were for inclusion in the research definition of Long COVID in CYP. The consensus meeting was held to achieve representation across the stakeholder groups. Statements agreed at the consensus meeting were reviewed by participants in the Patient and Public Involvement (PPI) Research Advisory Group.

Covid-19 related factors associated with antenatal care in rural Bangladesh: a qualitative study

AUTHOR(S)
Mostafa Kamal; Anisur Rahman; Sonia Singh

Published: April 2022   Journal: The Asia Pacific Journal of Health Management
Available literature reveals that usage of Maternal Health Care Services (MHCSs), including antenatal care (ANC), has been decreased significantly in the developing countries due to Corona Virus Disease (COVID-19) pandemic. However, the COVID-19 related factors on the MHCSs utilization in Bangladeshi women are yet to be examined. Therefore, this study examines the effect of COVID-19 on the use of ANC services among rural communities in Bangladesh.
Changes in type 2 diabetes trends in children and adolescents during the COVID-19 pandemic

AUTHOR(S)
Jessica A. Schmitt; Ambika P. Ashraf; David J. Becker (et al.)

Published: April 2022   Journal: The Journal of Clinical Endocrinology & Metabolism

There is concern that the growing incidence of pediatric type 2 diabetes (T2D) may have been further exacerbated by the COVID-19 pandemic. To examine whether trends in new-onset pediatric T2D—inclusive of patients requiring hospitalization and patients managed as outpatients—were impacted during the COVID-19 pandemic, and to compare patient characteristics prior to and during COVID-19. A retrospective single-center medical record review was conducted in a hospital which cares for 90% of Alabama’s pediatric T2D patients. Patients with new-onset T2D referred from March 2017 to March 2021 were included. Counts of patients presenting per month (“monthly rates”) were computed. Linear regression models were estimated for the full sample and stratified by Medicaid and non-Medicaid insurance status. Patient characteristics prior to vs during COVID-19 were compared.

COVID-19 infection in children: diagnosis and management

AUTHOR(S)
Frank Zhu; Jocelyn Y. Ang

Published: April 2022   Journal: Current Infectious Disease Reports

Due to the rapidly changing landscape of COVID-19, the purpose of this review is to provide a concise and updated summary of pediatric COVID-19 diagnosis and management. The relative proportion of pediatric cases have significantly increased following the emergence of the Omicron variant (from < 2% in the early pandemic to 25% from 1/27 to 2/3/22). While children present with milder symptoms than adults, severe disease can still occur, particularly in children with comorbidities. There is a relative paucity of pediatric data in the management of COVID-19 and the majority of recommendations remain based on adult data.

Impact of the COVID-19 pandemic on intimate partner violence during pregnancy: evidence from a multimethods study of recently pregnant women in Ethiopia

AUTHOR(S)
Shannon N. Wood; Robel Yirgu; Abigiya Wondimagegnehu (et al.)

Published: April 2022   Journal: BMJ Open

This multimethods study aimed to: (1) compare the prevalence of intimate partner violence (IPV) during pregnancy pre-COVID-19 and during the COVID-19 pandemic using quantitative data and (2) contextualise pregnant women’s IPV experiences during the COVID-19 pandemic through supplemental interviews. Quantitative analyses use data from Performance Monitoring for Action-Ethiopia, a cohort of 2868 pregnant women that collects data at pregnancy, 6 weeks, 6 months and 1-year postpartum. Following 6-week postpartum survey, in-depth semistructured interviews contextualised experiences of IPV during pregnancy with a subset of participants (n=24).

Voices of teens and young adults on the subject of teleconsultation in the COVID-19 context

AUTHOR(S)
Melissa Ziani; Emmanuelle Trépanier; Martin Goyette (et al.)

Published: April 2022   Journal: Journal of Patient Experience
This article describes the perceptions of adolescents and young adults aged 14 to 25 years who live in Québec (Canada) and obtained health services via teleconsultation for the first time, owing to the COVID-19 pandemic. Eleven young people who had received physical health services (medicine, physiotherapy, speech therapy, or nutritionist) participated in virtual semi-structured interviews. These interviews shed light on how these adolescents and young adults experienced the adaptation of the intervention and how effective they perceived the intervention to be. The article concludes with some thoughts for practitioners.
Intimate partner violence during pregnancy and maternal and child health outcomes: a scoping review of the literature from low-and-middle income countries from 2016 - 2021

AUTHOR(S)
Thao Da Thi Tran; Linda Murray; Thang Van Vo

Published: April 2022   Journal: BMC Pregnancy and Childbirth

Intimate partner violence (IPV) during pregnancy is significantly associated with negative outcomes for both mother and child. Current evidence indicates an association between low levels of social support and IPV, however there is less evidence from low-and-middle income countries (LMIC) than high-income countries. Globally, the COVID-19 pandemic has radically altered how women can access social support. Hence since 2020, studies investigating IPV and pregnancy have occurred within the changing social context of the pandemic. This scoping review summarizes the evidence from LMICs about the effects of IPV during pregnancy on maternal and child health. The review includes the impact of the COVID-19 pandemic on social support as mentioned in studies conducted since 2020.

Adapting community-based sexual and reproductive health services for adolescents and young people aged 15-24 years in response to COVID-19 in Lusaka, Zambia: the implications on the uptake of HIV testing services

AUTHOR(S)
Mwelwa Muleba Phiri; Bernadette Hensen; Ab Schaap (et al.)

Published: April 2022   Journal: BMC Health Services Research
Across Sub-Saharan Africa, adolescents and young people (AYP) aged 15-24 have limited access to sexual and reproductive health (SRH) services, including HIV testing services (HTS). In response, the Yathu Yathu study was implemented in two high-density communities in Lusaka, Zambia. Yathu Yathu provides comprehensive, community-based, peer-led SRH services, including differentiated HTS (finger-prick and HIV self-testing) and comprehensive sexuality education (CSE). It describes adaptations to the Yathu Yathu intervention in response to the COVID-19 epidemic, and implications on uptake of HTS among AYP.
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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.