Children and COVID-19 Research Library

Coronavirus (COVID-19) partly reversed gains made in three decades of sustained decline in poverty and a decade of accelerated reduction in inequality in Philippines. Although the economy is recovering gradually, there are signs that the recovery may be uneven. Income recovery also seems to be slower for the poor. The COVID-19 pandemic may have long-term negative impacts on development of human capital. To manage the pandemic shock, a considerable number of poor households have relied on such adverse coping mechanisms as reducing food consumption, which may aggravate already prevalent child malnutrition and stunting. Policy needs to be directed to support an inclusive recovery and to address enduring medium to long term impacts of the COVID-19 pandemic.

The uptake rate of COVID−19 vaccines among children remains low in the U.S. This study aims to 1) identify sociodemographic and behavioral factors influencing parental refusal of vaccinating children, and 2) quantify the relative importance of vaccine characteristics in parental hesitancy of vaccinating children. An online survey was conducted from October to November 2021 among a probability-based, representative sample of 1456 parents with children under age 18. The survey included a discrete choice experiment asking parents to choose between two hypothetical COVID-19 vaccine alternatives with varying levels of characteristics in 10 hypothetical scenarios. Logistic regressions were used to estimate parental refusal (refused to choose any vaccine alternatives in all hypothetical scenarios) and random parameter logit regressions were used to estimate parental hesitancy (choice of vaccine alternatives depended on vaccine characteristics) of vaccinating children.

Amidst the COVID-19 pandemic and national responses, trust (one’s belief that a system acts in one’s best interest) is important to consider. In community health systems, trust is embedded in relationships between clients, CHWs, and health system stakeholders. This mixed-methods study explores trust through the evolving COVID-19 crisis in Bangladesh, Haiti, and Kenya, where multi-country community health research was underway. It investigates the extent and ways trust between communities, community health workers (CHWs), and health system actors shift, including its relation to community fear and hostility, through self-reported positive and negative experiences of CHWs and policy/program stakeholders on a phone-based survey with 2,025 CHWs and 72 key informant interviews, including CHWs, in late 2020.

Over the past three years, children have suffered immensely from the health and socioeconomic impacts of the COVID-19 pandemic which threatened their rights to survive, thrive, learn and be protected. Many health systems were unable to respond adequately to the increased demand for health care due to the pandemic, nor could they maintain routine health services. With limited health financing, it is critical that we maximise the impact of the investments in the Pandemic Fund. The new fund must focus on the areas which both; strengthen primary health care to boost resilience for health shocks and build core preparedness capacities. By doing so we will make gains in child survival and improve health outcomes for all women, children and adolescents. It is therefore essential that interventions must be equitable, inclusive, integrated and that all stakeholders play an equal part in their design.

The COVID-19 pandemic has exposed fragilities in the global health architecture that contributed to countries being ill-equipped to effectively respond to a global health emergency, which in turn led to devastating consequences for children’s access to essential health services. Increased political awareness and commitment to pandemic Prevention, Preparedness and Response (PPR) efforts offer a pivotal opportunity to make gains in child survival through resilient health systems that are anchored in a primary health care and rights-based approach. Save the Children and UNICEF UK new policy briefing presents a series of measures for the WHO Pandemic Accord as well as recommendations for the broader health emergency PPR architecture.

The 2022 Global Strategy progress report provides an assessment of the situation of women’s, children’s and adolescent’s health in this third year of the COVID-19 pandemic. Section 1 presents abundant evidence showing that inequities persist despite great progress in reducing maternal and child mortality in the two decades leading up to the pandemic. A child’s life trajectory and rights to health, education, opportunities and safety are still largely determined by where that child is born. Data showing stagnation or drops in coverage of lifesaving interventions similarly serve as a reminder of the need to be more vigilant about bridging gaps and placing women, children and adolescents at the centre of development efforts. It also showcases key drivers of women’s, children’s and adolescents’ health and well-being. It emphasizes that women’s empowerment and adolescent participation are pivotal to achieving the 2030 Agenda yet notes that there is a long way to go in reducing gender inequality and increasing young people’s meaningful opportunities to actively engage in community and civic life. Also stressed is the importance of addressing the complex factors underpinning today’s unacceptable levels of malnutrition and developing effective strategies to reach women, children and adolescents affected by conflict, forced migration, poverty and climate change impacts. Section 2 takes stock of the direct and indirect effects of COVID-19 on women, children and adolescents. Although children and adolescents are less likely to experience severe health consequences from SARS-COV-2 infection compared with adults, multiple years of education, health, nutrition and social service disruptions have impacted and will continue to impact their lives.

This joint study by the Research, Assessment and Monitoring (RAM) Division and the School–Based Programme (SBP) Service aimed to understand how the COVID-19 pandemic has impacted school–aged children and youth through a global web survey conducted across seven countries Cambodia, Colombia, Ghana, Haiti, Iraq, Kenya and Zimbabwe from May to July 2021.

A  new  social  contract  for  education  in  the  Asia-Pacific  region  paves  the  way  for  building fairer and strengthened education systems in the post-COVID-19 era. It will repair inequalities, while transformingthe future, rebuild relationships with each other, with the planet and with technology and support full realization of   all the inter-connected Sustainable Development Goals (SDGs) (UNESCO, 2022).  In this new social contract, schools must continue to play a vital role in enhancing health, nutrition andthe well-being of   learners, teachers and the community. School Health and Nutrition (SHN) programmesthat  address  the  health,  nutrition  and  well-being  of    learners  and  teachers  are  not  only  essential  for maximizing every child’s life expectancy and potential as a learner; they are cost effective, with benefitsacross multiple sectors and they are a sound economic investment (Oliveira de FPSL et al., 2020).

Kosovo has fully vaccinated 45.5 percent of the population, below what is needed to slow the spread of COVID-19. The Roma, Ashkali, and Egyptian communities, as marginalized ethnic groups, have been identified as high risk for acquiring COVID-19 and for lower acceptance of vaccines. Factors associated with vaccine acceptance are examined in this qualitative study among Roma, Ashkali, and Egyptian community members and representatives from civil society, community leaders, health care providers, and government working directly within these communities. Using a social-ecological model, intrapersonal, interpersonal, community, and structural factors influencing vaccine acceptance were identified. Intrapersonal-level factors centered on fear of side effects and doubt about vaccine safety and effectiveness, and lack of trust of health care providers; at the interpersonal level, male head of households decided for the entire family whether to receive the vaccine; in the social context at the community level, exposure to prolific misinformation on social media, television news, and paper pamphlets distributed in study communities created fear, doubt, and anxiety about vaccines, and stereotypes about the strong immune systems of ethnic minority groups reinforced beliefs about the communities low susceptibility to COVID-19; and structural-level barriers included the requirement for identification documents, and a buildup of doubt about motivations of the vaccinators created by massive vaccine-promotion efforts and police harassment in implementing curfew, and other protective measures targeting ethnic minority communities. Implications of these findings highlight a need for a segmented approach in designing subgroup-specific and multicomponent interventions to promote vaccine acceptance. Strategies include training local opinion leaders in door-to-door awareness raising, directly addressing misinformation, and distributing vouchers to be exchanged for incentives after vaccination; using social media where respected health care providers and community members post videos promoting vaccination; and removing or providing an alternative to identification requirements.

The outbreak of COVID-19, and the national-level lockdown to contain it, were expected to disrupt supply chains, lead to livelihood loss, and reduce household income. Studies anticipated a decline in food security in India, leading to a near famine-like situation. This study examines the change in Dietary Score (number of food groups consumed out of a possible eight) and proportion of respondents complying with Minimum Dietary Diversity norms (consuming at least four food groups) among women aged 15–49 years and their youngest child (aged between 7 and 36 months) during the lockdown. The present study also analyses whether ownership of ration cards and contacts with the party in power locally helped the household to tide over the crisis. The data was collected through a two-phase primary survey undertaken in January-March 2020 (pre-lockdown period) and October-November 2020 (post-lockdown period). It was undertaken in six districts of Bihar, a state with a history of poor maternal and child health outcomes and dysfunctional delivery of health services.

According to data released by the Ministry of Health in 2021 in Italy about three million young people suffer from eating disorders with onset before the age of 13 and the number tends to be increasing. This work aims to understand if and to what extent the areas of family functioning are related to the way of eating of adolescents in the period of restriction due to COVID-19. In particular, which dimensions of family functioning can be correlated with dysfunctional eating habits. The group that took part in the study was composed of 154 non clinical subjects, of which 124 females, 27 males and 3 non-binary gender subjects. The tests used were the McMaster Family Assessment Device and the Binge Eating Scale, in addition a personal data sheet was used containing the details of the subjects who participated anonymously, recruited at the university of Italy. The data have some limitations, first of all the low number of the sample and the online modality in compiling the tests.