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Children and COVID-19 Research Library

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

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Home Thrive ScaleTM: case management tool towards preventing family separation and ensuring children thrive in family-based and alternative care options

AUTHOR(S)
Audria Choudhury

Published: September 2021   Journal: Institutionalised Children Explorations and Beyond
Case management can be a complex process where multiple factors must be considered for the safety and well-being of a child in any care option. Miracle Foundation’s proprietary Home Thrive ScaleTM is a strengths-based assessment tool that makes it easier to identify strengths, risks and address areas of support within a family home over time. A home’s safety is measured based on five well-being domains—family and social relations, health and mental health, education, living conditions and household economy—with the child and family’s thoughts at the core. Intervention options are then offered to put assessments into action. The tool serves to both prevent family breakdowns and reintegrate children from institutions back into families (or other family-based or alternative care options). This study provides an overview of the tool, including its purpose, set-up and functionality within a case management system. The use of the tool is illustrated with the COVID-19 situation in India where masses of children were rapidly placed from institutions back into families without preparation.
Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study

AUTHOR(S)
Susan D. Hillis; H. Juliette T. Unwin; Yu Chen (et al.)

Published: July 2021   Journal: The Lancet Journal
The COVID-19 pandemic priorities have focused on prevention, detection, and response. Beyond morbidity and mortality, pandemics carry secondary impacts, such as children orphaned or bereft of their caregivers. Such children often face adverse consequences, including poverty, abuse, and institutionalisation. This study provides estimates for the magnitude of this problem resulting from COVID-19 and describes the need for resource allocation. It used mortality and fertility data to model minimum estimates and rates of COVID-19-associated deaths of primary or secondary caregivers for children younger than 18 years in 21 countries. It considered parents and custodial grandparents as primary caregivers, and co-residing grandparents or older kin (aged 60–84 years) as secondary caregivers. To avoid overcounting, it adjusted for possible clustering of deaths using an estimated secondary attack rate and age-specific infection–fatality ratios for SARS-CoV-2. It used these estimates to model global extrapolations for the number of children who have experienced COVID-19-associated deaths of primary and secondary caregivers.
It’s time for care, prioritizing quality care for children - Challenges, opportunities and an agenda for action

AUTHOR(S)
Gillian Huebner

Institution: *UNICEF, Better Care Network
Published: December 2020
COVID-19 is having unprecedented impacts on children and families across the globe; however, these are not being evenly experienced. While the challenges of caregiving are increasing for most families, the effects are particularly acute for those already engaged in low-wage or in-kind work, often in the informal economy where there are few safeguards. Caregivers are stretched, and there is a lack of quality, affordable childcare, with limited access to social protection, services and support to address the multiple and cumulative risks associated with the pandemic, as well as persistent poverty, systemic inequality and discrimination.
Child vulnerabilities and family-based childcare systems: Covid-19 challenges of foster care and adoption in India

AUTHOR(S)
Ratna Verma; Rinku Verma

Published: December 2020   Journal: Institutionalised Children Explorations and Beyond
This article has been developed based on a systematic review of research studies conducted in the last 10 years on family-based childcare systems and a rapid review of research and assessments conducted in 2020 to explore the implications of the COVID-19 pandemic on adoption and foster care in India. The study explains child vulnerabilities with a focus on challenges to adoption and foster care before and after the COVID-19 pandemic. The findings depict that India is home to a large number of vulnerable children who have been living with hardships, and the COVID-19 pandemic has put them at a higher risk of adversity
Restructuring institutional care: challenges and coping measures for children and caregivers in post-COVID-19 era

AUTHOR(S)
Sudeshna Roy

Published: December 2020   Journal: Institutionalised Children Explorations and Beyond

The sudden outbreak of COVID-19 pandemic has rattled the world and has severely compromised not only the public health system but has decelerated the global economy. In this backdrop, the article explores the dynamics of the institutional care of the out-of-home care (OHC) children, adolescents and children who are residing in alternative care homes, childcare institutes (CCIs), foster homes and who are in conflict with law like refugees or in juvenile correctional centres. The article attempts to highlight the risk factors and systematic barriers that CCIs and associated functionaries have been confronting in the aftermath of the COVID-19 pandemic worldwide. It would also catalogue the remedial, preventive and protective initiatives undertaken as best practices. 


Child maltreatment online education for healthcare and social service providers: implications for the COVID-19 context and beyond

AUTHOR(S)
Melissa Kimber; Jill R. McTavish; Meredith Vanstone (et al.)

Published: September 2020   Journal: Child Abuse & Neglect
Evidence indicates that healthcare and social service providers (HSSPs) receive inadequate education related to recognizing and responding to child maltreatment. This is despite the fact HSSPs are identified as an important factor in the primary, secondary, and tertiary prevention of this childhood exposure. The need for online education for HSSPs’ is highlighted during the COVID-19 pandemic restrictions and will continue to be relevant afterward. The objective of this commentary is to provide an overview of: (a) educational interventions for HSSPs’ related to recognizing and responding to child maltreatment; (b) the development of VEGA (Violence, Evidence, Guidance, Action), which is an online platform of educational resources to support HSSPs to recognize and respond to child maltreatment; and (c) the RISE (Researching the Impact of Service provider Education) project, which is an ongoing multi-province evaluation of VEGA in Canada.
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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.