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Children and COVID-19 Research Library

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

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Epidemiological analysis of burn injuries in children during the first COVID-19 lockdown, and a comparison with the previous five years

AUTHOR(S)
O. Charvillat; M.-C. Plancq; E. Haraux (et al.)

Published: July 2021   Journal: Annales de Chirurgie Plastique Esthétique

Child burns rank among the most frequent domestic accidents in France. COVID-19 lockdown between March 16th and May 11th of 2020 increased time spent at home by children. This retrospective, observational study described the epidemiological impact of COVID-19 lockdown on child burns in a pediatric surgery department compared with previous five years. Child burns in the previous five years constituted the “before COVID-19 group” as the reference group. Child burns during the first lockdown formed the “COVID-19 group”. Demographics characteristics, the delay before first attendance at the surgery department, burns characteristics, the place of the incident, need of skin graft, and child reactions to trauma or isolation were recorded for these two groups.

Effect of the COVID-19 pandemic on presentation and severity of traumatic injury due to physical child abuse across US children's hospitals

AUTHOR(S)
Christopher De Boer; Hassan Ghomrawi; Megan E. Bouchard (et al.)

Published: July 2021   Journal: Journal of Pediatric Surgery

Physical child abuse affects 9 in every 1,000 children in the United States and associated traumatic injuries are often identified by the healthcare system. The COVID-19 pandemic has intensified risk factors for physical child abuse and increased avoidance of the healthcare system. This study examined the effect of the COVID-19 pandemic on presentation and severity of physical child abuse. A retrospective, cross-sectional study utilizing the Pediatric Health Information System was performed. An interrupted time series analysis estimated the effect of the COVID-19 pandemic on the number of children <15 years old presenting with physical child abuse to children's hospitals from March 1st to June 30th of 2020 by comparing to those presenting during the same period for years 2016-2019. Hierarchical regression models estimated the effect of the pandemic on likelihood of operative intervention, ICU admission, traumatic brain injury, and mortality.

Evaluation of changes in pediatric healthcare activity during the Covid-19 state of alarm in the Canary Islands

AUTHOR(S)
Valewska G. Wallis Gómez; María Hernández Apolinario; Pedro Saavedra Santana (et al.)

Published: July 2021   Journal: Public Health in Practice

During the SARS-CoV-2 state of alarm (SoA), a 30–70% reduction was observed in the number of visits to Pediatric Emergency Departments (ED), as well as frequent delay in diagnosis or difficulty accessing healthcare services. This study evaluates modifications observed in pediatric healthcare activity during the SoA. This is a descriptive retrospective observational study of the hospital pediatric activity.

The impact of the COVID-19 pandemic on pediatric emergency service

AUTHOR(S)
İlknur Fidancı; Medine Ayşin Taşar; Bahar Akıntuğ (et al.)

Published: May 2021   Journal: The International Journal of Clinical Practice

The aims of this research were to review patients visiting the paediatric emergency department over a 6-month period 1 year before and during the pandemic, to review paediatric emergency department referral ratios and to determine whether there were any significant decreases in mortality and morbidity. All patients from the ages of 0 to 18 years visiting the University of Health Sciences, Ankara Research and Training Hospital, paediatric emergency service from April-October 2019 to April-October 2020 with no missing information in their records were involved in this retrospective cross-sectional study.

Management of acute fever in children: Consensus recommendations for community and primary healthcare providers in sub-Saharan Africa

AUTHOR(S)
Robin Green; David Webb; Prakash Mohan Jeena (et al.)

Published: April 2021   Journal: African Journal of Emergency Medicine
Fever is one of the most common reasons for unwell children presenting to pharmacists and primary healthcare practitioners. Currently there are no guidelines for assessment and management of fever specifically for community and primary healthcare workers in the sub-Saharan Africa region. This multidisciplinary consensus guide was developed to assist pharmacists and primary healthcare workers in sub-Saharan Africa to risk stratify and manage children who present with fever, decide when to refer, and how to advise parents and caregivers.
Cite this research | Open access | Vol.: 11 | Issue: 2 | No. of pages: 283-296 | Language: English | Topics: Health | Tags: child health, COVID-19, infectious disease, multi-country, primary health care services
Direct and indirect effects of COVID-19 pandemic and response in South Asia

Over recent decades, South Asia has made remarkable progress in improving the health of mothers and children. But the year 2020 brought a great shock to South Asia, as it did to the whole world. The COVID-19 pandemic has had major and multiple impacts – both direct and indirect. One of the critical indirect impacts has been severe disruptions to the delivery and use of routine services, including essential health and nutrition services. The region saw significant drops in the use of both preventive and curative services. Direct and Indirect Effects of COVID-19 Pandemic and Response in South Asia uses a series of exercises based on actual observed changes in services and intervention coverage to model impacts on mortality, hospitalizations, and ICU admissions due to COVID-19. It also models the impact of nationwide stay-at-home orders to curb the spread of COVID-19 on maternal and child mortality, educational attainment of children, and the region’s economy. The study focuses on South Asia’s six most populous countries: Afghanistan, Bangladesh, Nepal, India, Pakistan and Sri Lanka and makes the case for interventions and strategies to minimise these indirect consequences.

Digital health literacy intervention to support maternal, child and family health in primary healthcare settings of Pakistan during the age of coronavirus: study protocol for a randomised controlled trialhttps://bmjopen.bmj.com/content/11/3/e045163

AUTHOR(S)
Sara Rizvi Jafree; Nadia Bukhari; Anam Muzamill (et al.)

Published: March 2021   Journal: BMJ Open
There is a need to continue primary healthcare services through digital communication for disadvantaged women living in underdeveloped areas of Pakistan, especially in the age of the coronavirus pandemic, social distancing and lockdown of communities. This project will be the first of its kind in aiming to implement a digital health literacy intervention, using smartphone and internet, to disadvantaged women through female community healthcare workers. Improved health literacy in women of reproductive years is known to promote maternal, child and family health overall. Methods and analysis The study will include a baseline survey, a pre- and post-test survey and a 3-month lasting intervention on (1) hygiene and prevention and (2) coronavirus awareness and prevention.
The hidden impact of COVID-19 on children's health and nutrition

AUTHOR(S)
Adetayo Omoni; Paul Rees-Thomas; Shahab Ali Siddiqu (et al.)

Institution: Save the Children
Published: September 2020
This report is one in a series presenting findings from the Global COVID-19 Research Study. The study focuses on implications  of COVID 19 for children’s health and nutrition, drawing on data from our representative sample of 17,565 parents/caregivers and 8,069 children in our programme participants group. The research presents differences in impacts on and needs of children by region, age, gender, disability, minority group, indicators of poverty and more. This study research was implemented in 46 countries and resulted in the largest and most comprehensive survey of children and families during the COVID-19 crisis to date, with 31,683 parents and caregivers and 13,477 children aged between 11 and 17 participating in the research.
Promoting and supporting children’s health and healthcare during COVID-19 – International Paediatric Association Position Statement

AUTHOR(S)
Jonathan D. Klein; Berthold Koletzko; Mortada H El-Shabrawi (et al.)

Published: June 2020   Journal: BMJ
This paper provides recommendations from the International Pediatric Association for children’s health and healthcare during COVID-19. The IPA highlights the health needs of children and outlines priorities for preserving newborn, child and adolescent health during the COVID-19 crisis and beyond, where social distancing and lockdowns threaten access to routine care and preventive services.
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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.