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Children and COVID-19 Research Library

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

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151 - 165 of 360
Caregiver experiences managing persistent childhood asthma during the COVID-19 pandemic

AUTHOR(S)
Brennen Caveney; Jill S. Halterman; Maria Fagnano (et al.)

Published: February 2022   Journal: Clinical Pediatrics
COVID-19 has adversely affected child wellness, but it is unclear whether the pandemic led to changes in home management of chronic diseases like asthma. This research surveyed 93 caregivers of children with persistent asthma from 2 ongoing asthma trials to measure changes in home asthma management, stressors, access to health care, and caregivers’ worry about COVID-19 affecting their child’s health. It conducted descriptive analyses, and assessed whether caregiver worry about COVID-19 was associated with asthma management, stressors, health care access, or recent symptoms.
Long-term complications of COVID-19 infection in adolescents and children

AUTHOR(S)
Keerthi Thallapureddy; Khyathi Thallapureddy; Erika Zerda (et al.)

Published: February 2022   Journal: Current Pediatrics Reports

Compared to adults, post-COVID-19 symptoms are uncommon and have not been thoroughly evaluated in children. This review summarizes the literature in terms of persistent symptoms in children and adolescents after SARS-CoV-2 infection. Children were less likely to develop long COVID when compared to adults. Older children (e.g., adolescents) and those who had symptomatic COVID-19 had a higher probability for long COVID. Families and health care providers need to be aware of a new constellation of long COVID symptoms in the pediatric population. More evidence and time are needed to better understand the potential effects of long COVID-19 in children and adolescents. In comparison to adults, children are less likely to have persistent COVID-19 symptoms.

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.
The impact of the COVID-19 pandemic on the provision of assistive technology in the State of Palestine

AUTHOR(S)
Golnaz Whittaker; Gavin Wood

Institution: *UNICEF
Published: February 2022

Official statistics identify 2% to 7% of the population in the State of Palestine as having a disability. Evidence is limited regarding levels of access to assistive technologies (AT) by people with disabilities in the State of Palestine. However, estimates suggest that there are high levels of unmet need. Less than 10% of children with disabilities received assistive devices in the year of one recent survey. The COVID-19 pandemic has had an impact on a range of such services in many countries, but little information is yet available on the impact on AT provision in humanitarian settings.

Evaluating an online self-help intervention for parents of children with food allergies

AUTHOR(S)
Naomi Sugunasingha; Fergal W. Jones; George du Toit (et al.)

Published: February 2022   Journal: Pediatric Allergy and Immunology

Parents of children with food allergies (CwFA) experience reduced quality of life (QoL) and may have reduced access to in-person interventions in the COVID-19 pandemic. This trial developed and evaluated an online, self-help, information provision website, aimed at improving QoL in parents of CwFA. In a single-blinded, randomised controlled trial (RCT), participants were randomised to either receive access to the website or a waiting-list control. At baseline, post-intervention (week 4) and follow-up (week 8), measures of parental food allergy-related QoL, depression, anxiety, stress, intolerance of uncertainty (IU) and self-efficacy were obtained.

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.

Assessment of clinical outcomes among children and adolescents hospitalized with COVID-19 in 6 Sub-Saharan African countries

AUTHOR(S)
Jean B. Nachega; Nadia A. Sam-Agudu; Rhoderick N. Machekano (et al.)

Published: January 2022   Journal: JAMA Pediatrics

What are the clinical outcomes and associated factors among children and adolescents hospitalized with COVID-19 in sub-Saharan Africa?  In this cohort study of 469 children and adolescents hospitalized with COVID-19 in 6 sub-Saharan African countries, morbidity and mortality were substantially higher than reported among those in non-African settings and were independently associated with age younger than 1 year and select noncommunicable disease comorbidities.

Effects of COVID-19 on child health services utilisation and delivery in rural Mozambique: a qualitative study

AUTHOR(S)
Lilia Bliznashka; Marilyn N. Ahun; Daan Velthausz (et al.)

Published: January 2022   Journal: Health Policy and Planning
Little is known about the COVID-19 pandemic-related disruptions in health services and the resilience of the health system response in rural low-resource settings. This study conducted a phenomenological qualitative study (October–November 2020) to understand COVID-19-related influences on the utilization and delivery of child health services in Monapo district, rural Mozambique. 36 caregivers with children <2.5 years, 21 health providers and 4 district health services staff using in-person in-depth interviews were interviewed. Data were analysed using inductive thematic content analysis.
Do not forget the children: a model-based analysis on the potential impact of COVID-19-associated interruptions in paediatric HIV prevention and care

AUTHOR(S)
Clare F. Flanagan; Nicole McCann; John Stover (et al.)

Published: January 2022   Journal: https://doi.org/10.1002/jia2.25864

The COVID-19 pandemic has affected women and children globally, disrupting antiretroviral therapy (ART) services and exacerbating pre-existing barriers to care for both pregnant women and paediatric populations. This study used the Spectrum modelling package and the CEPAC-Pediatric model to project the impact of COVID-19-associated care disruptions on three key populations in the 21 Global Plan priority countries in sub-Saharan Africa: (1) pregnant and breastfeeding women living with HIV and their children, (2) all children (aged 0–14 years) living with HIV (CLWH), regardless of their engagement in care and (3) CLWH who were engaged in care and on ART prior to the start of the pandemic. The study projected clinical outcomes over the 12-month period of 1 March 2020 to 1 March 2021.

Health care providers’ perspectives on COVID-19 and medical neglect in children with life-threatening complex chronic conditions

AUTHOR(S)
Ross W. Cleveland; Rachel S. Deming; Gabriel Helton (et al.)

Published: January 2022   Journal: Journal of Child & Adolescent Trauma

Little is known regarding medical neglect in children with Life-Threatening Complex Chronic Conditions (LT-CCCs). This study examined the impact of COVID-19 on concern for medical neglect in this population. Qualitative interview study of multi-disciplinary health care providers (HCPs) from critical care, palliative care, and complex care services on the topic of medical neglect in children with LT-CCCs. It used inductive thematic analysis to generate themes. Findings presented herein are derived from a sub-analysis of the larger study that focused specifically on discussion of COVID-19 by HCPs.

Exploring the effects of the COVID-19 pandemic on the children and families cared for by pediatric-focused advanced practice registered nurses

AUTHOR(S)
Daniel Crawford; Susan Van Cleve; Ann Marie McCarthy (et al.)

Published: January 2022   Journal: Journal of Pediatric Health Care

The COVID-19 pandemic has significantly affected children and families. The purpose of this study is to better understand the perceptions of pediatric-focused Advanced Practice Registered Nurses (P-APRNs) on the impact of COVID-19 on patients and practice. A 25-item electronic survey including a mixture of Likert scales, multiple choice and open-ended questions was sent via email to NAPNAP listserv.

COVID-19 infections in day care centres in Germany: social and organisational determinants of infections in children and staff in the second and third wave of the pandemic

AUTHOR(S)
Franz Neuberger; Mariana Grgic; Svenja Diefenbacher (et al.)

Published: January 2022   Journal: BMC Public Health volume
During the SARS-CoV-2 pandemic, German early childhood education and care (ECEC) centres organised children’s attendance in different ways, they reduced opening hours, provided emergency support for a few children, or closed completely. Further, protection and hygiene measures like fixed children-staff groups, ventilation and surface disinfection were introduced in ECEC centres. To inform or modify public health measures in ECEC, we investigate the occurrence of SARS-CoV-2 infections among children and staff in ECEC centres in light of social determinants (i.e. the socioeconomic status of the children) and recommended structural and hygiene measures. We focus on the question if the relevant factors differ between the 2nd (when no variant of concern (VOC) circulated) and the 3rd wave (when VOC B.1.1.7 (Alpha) predominated).
Severe COVID-19 and MIS-C in children & adolescents

AUTHOR(S)
Allison M. Blatz; Adrienne G. Randolph

Published: January 2022   Journal: Critical Care Clinics
Severe complications related to COVID-19 occur infrequently in children and adolescents. The two major types of life-threatening complications are acute respiratory failure from acute COVID-19 and Multisystem Inflammatory Syndrome in Children (MIS-C). MIS-C is a post-infectious complication occurring approximately 3-6 weeks after an asymptomatic or mild SARS-CoV-2 infection. For both types of complications, supportive ICU care is provided. For MIS-C critical illness, immunomodulation is prescribed to reverse hyperinflammation and its cardiac and other sequelae
Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus

AUTHOR(S)
J. J. Ashton; R. M. Beattie; S. Cader (et al.)

Published: January 2022   Journal: Clinical Nutrition

The Remote Malnutrition Application (R-MAPP) was developed during the COVID-19 pandemic to provide support for health care professionals (HCPs) working in the community to complete remote nutritional assessments, and provide practical guidance for nutritional care. The aim of this study was to modify the R-MAPP into a version suitable for children, Pediatric Remote Malnutrition Application (Pedi-R-MAPP), and provide a structured approach to completing a nutrition focused assessment as part of a technology enabled care service (TECS) consultation. A ten-step process was completed: 1) permission to modify adult R-MAPP, 2) literature search to inform the Pedi-R-MAPP content, 3) Pedi-R-MAPP draft, 4) international survey of HCP practice using TECS, 5) nutrition experts invited to participate in a modified Delphi process, 6) first stakeholder meeting to agree purpose/draft of the tool, 7) round-one online survey, 8) statements with consensus removed from survey, 9) round-two online survey for statements with no consensus and 10) second stakeholder meeting with finalisation of the Pedi-R-MAPP nutrition awareness tool.

The visual consequences of virtual school: acute eye symptoms in healthy children

AUTHOR(S)
Jordan L. Hamburger; Judith B. Lavrich; Alexander M. Rusakevich (et al.)

Published: January 2022   Journal: Journal of American Association for Pediatric Ophthalmology and Strabismus

To investigate acute eye symptoms in healthy children after a typical day of virtual school during the COVID-19 pandemic. The study population included 110 healthy children 10-17 years of age who were enrolled in full-time or hybrid virtual school. Children with a history of central nervous system or ocular pathology, recent concussions, reported poor vision, convergence insufficiency, history of orthoptic therapy, strabismus, amblyopia, or learning disorders were excluded. Background information was collected, including demographics, family and personal ocular history, and virtual school specifications. Eligible children completed a modified convergence insufficiency symptom survey (CISS) and an asthenopia survey before and after a virtual school session. CISS and asthenopia survey symptoms were scored, and the differences in symptomatology before and after school were calculated.

151 - 165 of 360

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.