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Children and COVID-19 Research Library

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

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Journal article

COVID-19’s impact on HIV vertical transmission services reversed

Institution: UNAIDS - The Joint UN Programme on HIV/AIDS
Published: October 2020

Recent data collection has shown that the COVID-19 pandemic has had a significant impact on HIV testing services but the impact on HIV treatment has been less than originally feared. The impact on services for the prevention of vertical transmission of HIV (from mother to child) is mixed—by April, countries generally saw a decline in the number of women tested for HIV at their first antenatal clinic visit, but by June that decline had been reversed.

Cite this research | Language: English | Topics: Health | Tags: COVID-19 response, disease transmission, health care facilities, health services, HIV and AIDS, maternal and child health services | Publisher: UNAIDS - The Joint UN Programme on HIV/AIDS

Policy brief

UNICEF’s approach to mental health during COVID-19 in East Asia and the Pacific

Institution: *UNICEF
Published: October 2020

This brief presents a snapshot of the multisectoral and adaptive approaches of UNICEF across East Asia and the Pacific to mental health and psycho-social support during the COVID-19 response, that were undertaken in collaboration with government, civil society, development partners and young people’s networks.

Evidence Synthesis and other Reviews

Clinical manifestations and perinatal outcomes of pregnant women with COVID-19: a systematic review and meta-analysis

AUTHOR(S)
Jeong Yee; Woorim Kim; Ji Min Han Han (et al.)

Published: October 2020 Journal: Scientific Reports

This systematic review and meta-analysis aimed to evaluate the impact of COVID-19 on pregnant women. PubMed, Embase, and Web of Science have been searched for qualified studies. The clinical characteristics of pregnant women with COVID-19 and their infants were reported as means and proportions with 95% confidence interval. Eleven studies involving with 9032 pregnant women with COVID-19 and 338 infants were included in the meta-analysis. Pregnant women with COVID-19 have relatively mild symptoms. However, abnormal proportions of laboratory parameters were similar or even increased, compared to general population.

Evidence Synthesis and other Reviews

Management of newborns exposed to mothers with confirmed or suspected COVID-19

AUTHOR(S)
Shaili Amatya Amatya; Tammy E. Corr; Chintan K. Gandhi (et al.)

Published: October 2020 Journal: Journal of Perinatology

There is limited information about newborns with confirmed or suspected COVID-19. Particularly in the hospital after delivery, clinicians have refined practices in order to prevent secondary infection. While guidance from international associations is continuously being updated, all facets of care of neonates born to women with confirmed or suspected COVID-19 are centerspecific, given local customs, building infrastructure constraints, and availability of protective equipment. Based on anecdotal reports from institutions in the epicenter of the COVID-19 pandemic close to our hospital, together with our limited experience, in anticipation of increasing numbers of exposed newborns, this study has developed a triage algorithm at the Penn State Hospital at Milton S. Hershey Medical Center that may be useful for other centers anticipating a similar surge.

Evidence Synthesis and other Reviews

The clinical course of SARS-CoV-2 positive neonates

AUTHOR(S)
Giuseppe De Bernardo; Maurizio Giordano; Giada Zollo (et al.)

Published: October 2020 Journal: Journal of Perinatology

The COVID-19 pneumonia was firstly reported in Wuhan, China, in December 2019. The disease had a rapid spread all over the word becoming an international public health emergency. Limited data were available on COVID-19 positive neonates. We reviewed relevant literature to understand the clinical course of disease and transmission routes in affected neonates. The aim of the study was evaluating the clinical course and prognosis of SARS-CoV-2 positive neonates. Based on current literature, the hypothesis of vertical transmission of SARS-CoV-2, though conceivable, remains unproven. A research conducted on PubMed database from December 2019 to April 27, 2020 revealed that were reported 25 neonates affected by SARS-CoV-2. Main symptoms were fever, cough, or shortness of breath but often these neonates did not show other symptoms during length stay in hospital. No deaths occurred.

Evidence Synthesis and other Reviews

Synthesis and systematic review of reported neonatal SARS-CoV-2 infections

AUTHOR(S)
Roberto Raschetti; Alexandre J. Vivanti ; Christelle Vauloup-Fellous (et al.)

Published: October 2020 Journal: Nature Communications

A number of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infections have been reported in neonates. This survey aims to clarify the transmission route, clinical features and outcomes of these infections. It presents a meta-analysis of 176 published cases of neonatal SARS-CoV-2 infections that were defined by at least one positive nasopharyngeal swab and/or the presence of specific IgM. This report shows that 70% and 30% of infections are due to environmental and vertical transmission, respectively.

Journal article

Systematic analysis of infectious disease outcomes by age shows lowest severity in school-age children

AUTHOR(S)
Judith R. Glynn; Paul A. H. Moss

Published: October 2020 Journal: Scientific Data

The COVID-19 pandemic has ignited interest in age-specific manifestations of infection but surprisingly little is known about relative severity of infectious disease between the extremes of age. In a systematic analysis, this study identifies 142 datasets with information on severity of disease by age for 32 different infectious diseases, 19 viral and 13 bacterial. For almost all infections, school-age children have the least severe disease, and severity starts to rise long before old age. Indeed, for many infections even young adults have more severe disease than children, and dengue was the only infection that was most severe in school-age children. Together with data on vaccine response in children and young adults, the findings suggest peak immune function is reached around 5–14 years of age. Relative immune senescence may begin much earlier than assumed, before accelerating in older age groups. This has major implications for understanding resilience to infection, optimal vaccine scheduling, and appropriate health protection policies across the life course.

Journal article

The right to education and ICT during COVID-19: an international perspective

AUTHOR(S)
Luis Miguel Lázaro Lorente; Ana Ancheta Arrabal; Cristina Pulido-Montes

Published: October 2020 Journal: Sustainability

There is a lack of concluding evidence among epidemiologists and public health specialists about how school closures reduce the spread of COVID-19. Herein, we attend to the generalization of this action throughout the world, specifically in its quest to reduce mortality and avoid infections. Considering the impact on the right to education from a global perspective, this article discusses how COVID-19 has exacerbated inequalities and pre-existing problems in education systems around the world. Therefore, the institutional responses to guaranteeing remote continuity of the teaching–learning process during this educational crisis was compared regionally through international databases.

Journal article

Impact of the COVID-19 pandemic on routine childhood immunization in Saudi Arabia

AUTHOR(S)
Mohammed Alsuhaibani; Aqeel Alaqeel

Published: October 2020 Journal: Vaccines

The COVID-19 pandemic is impacting national and international public health. Routine childhood immunization may be adversely affected by COVID-19 mitigation measures. This study aims to identify the prevalence of delayed immunization and explore the reasons and barriers for delayed immunization during the COVID-19 pandemic in the Qassim region, Saudi Arabia.

Journal article

Sustainability analysis of the e-learning education system during pandemic period—COVID-19 in Romania

AUTHOR(S)
Constantin Aurelian Ionescu; Liliana Paschia; Nicoleta Luminita Gudanescu Nicolau (et al.)

Published: October 2020 Journal: Sustainability

The unprecedented situation of the COVID-19 pandemic has generated radical transformations of the Romanian education system, forcing teachers as well as students to adapt in a short time to new social conditions and to the online learning process. The paper analyzes the sustainability of the e-learning system implemented in Romania during the pandemic, and it is based on an opinion poll based on a questionnaire developed on three levels of schooling (middle school, high school, and university), analyzed from three perspectives, teachers–students–parents, and identifying the possible psychological effects on students, resulting from the corroboration of social isolation with the online continuation of the educational process. Although before the pandemic the e-learning system was rarely used by both students and teachers, the research results indicate that students have accepted online learning, even if they find it less attractive than the traditional education system.

Journal article

Family coping strategies during Finland’s COVID-19 lockdown

AUTHOR(S)
Milla Salin; Anniina Kaittila; Mia Hakovirta (et al.)

Published: October 2020

The COVID-19 pandemic and global lockdowns fundamentally changed families’ everyday lives. This study aims to examine how families with children coped during the COVID-19 lockdown in Finland and what kind of coping strategies they developed. An online survey including both qualitative and quantitative questions was conducted between April and May 2020 to gather Finnish families’ experiences during the COVID-19 lockdown. Huston’s social-ecological theory was used as an analytical framework.

Journal article

Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic

AUTHOR(S)
Maria Cusinato; Sara Iannattone; Andrea Spoto (et al.)

Published: October 2020 Journal: International Journal of Environmental Research and Public Health

The novel coronavirus (COVID-19) outbreak has forced parents and children to adopt significant changes in their daily routine, which has been a big challenge for families, with important implications for family stress. This study aims to analyze the potential risk and protective factors for parents’ and children’s well-being during a potentially traumatic event such as the COVID-19 quarantine. Specifically, it investigates parents’ and children’s well-being, parental stress, and children’s resilience. The study involved 463 Italian parents of children aged 5–17.

Cite this research | Open access | No. of pages: 17 | Language: English | Topics: Social Protection, Well-being and Equity, Mental Health | Tags: child abuse and neglect, COVID-19 response, family health, lockdown, parent-child relationship, parents, psychological distress, resiliency, social distance, social inequality | Countries: Italy

Miscellanea

A Lifeline at Risk: COVID-19, Remittances and Children

AUTHOR(S)
Gilmar Zambrana Cruz; Gwyther Rees

Institution: UNICEF Office of Research - Innocenti
Published: October 2020 UNICEF Innocenti Publication

Millions of children around the world, particularly in low- and middle-income countries, live in households that receive money and other forms of support from a family member who has moved abroad, or to another part of the same country, to work. This form of assistance, or ‘remittances’, can alleviate household poverty and is often a key support for children’s development. In times of global economic uncertainty, however, remittances can be an unstable source of income for families. The COVID-19 pandemic is disproportionately affecting migrant workers’ job security, making it more difficult to send remittances. At the same time, families receiving remittances are facing their own economic and health challenges, meaning that the continuation of remittances is vital to keep them from slipping into poverty. This briefing paper outlines the potential risks of reduction in remittances due to the pandemic for children in households receiving remittances and what can be done to minimize these risks.

Commentaries and Think Pieces

Does the pandemic help us make education more equitable?

AUTHOR(S)
Pasi Sahlberg

Published: October 2020 Journal: Educational Research for Policy and Practice

Everybody agrees that the COVID-19 pandemic is a big disruption in education. It questions many traditional rules and structures that have organised the work of schools in the past. But not everyone agrees that the pandemic will eventually change schools. This article tries to determine whether the pandemic will help us fix some of the preexisting inequalities that we were unable, and often unwilling, to improve. It also argues that as we think about how education should be reimagined, it is paramount to continue efforts to make education more inclusive, fairer and equitable for all. Two examples from two distinct education systems, Australia and Finland, are used to highlight how disrupted teaching caused by school closures has had different impacts on schools and teachers.

Cite this research | No. of pages: 8 | Language: English | Topics: Education, Social Protection, Well-being and Equity | Tags: child education, COVID-19 response, educational policy, educational reforms, lockdown, school attendance, social distance, social inequality | Countries: Australia, Finland

Evidence Synthesis and other Reviews

Pandemics, epidemics and inequities in routine childhood vaccination coverage: a rapid review

AUTHOR(S)
Nick Spencer; Rita Nathawad; Emmanuele Arpin (et al.)

Published: October 2020

Inequity in routine childhood vaccination coverage is well researched. Pandemics disrupt infrastructure and divert health resources from preventive care, including vaccination programmes, leading to increased vaccine preventable morbidity and mortality. COVID-19 control measures have resulted in coverage reductions. We conducted a rapid review of the impact of pandemics on existing inequities in routine vaccination coverage. PICO search framework: Population: children 0–18 years; Intervention/exposure: pandemic/epidemic; Comparison: inequality; Outcome: routine vaccination coverage. The review demonstrates a gap in the literature as none of the 29 papers selected for full-paper review from 1973 abstracts identified from searches met the inclusion criteria.

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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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The first digest covers children and youth mental health under COVID-19.

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