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Children and COVID-19 Research Library

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

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3031 - 3045 of 6640
Lived experiences of frontline healthcare providers offering maternal and newborn services amidst the novel corona virus disease 19 pandemic in Uganda: a qualitative study

AUTHOR(S)
Herbert Kayiga; Diane Achanda Genevive; Pauline Mary Amuge (et al.)

Published: December 2021   Journal: Plos One

The COVID-19 pandemic has brought many health systems in low resource settings to their knees. The pandemic has had crippling effects on the already strained health systems in provision of maternal and newborn healthcare. With the travel restrictions, social distancing associated with the containment of theCOVID-19 pandemic, healthcare providers could be faced with challenges of accessing their work stations, and risked burnout as they offered maternal and newborn services. This study sought to understand the experiences and perceptions of healthcare providers at the frontline during the first phase of the lockdown as they offered maternal and newborn health care services in both public and private health facilities in Uganda with the aim of streamlining patient care in face of the current COVID-19 pandemic and in future disasters. Between June 2020 and December 2020, 25 in-depth interviews were conducted among healthcare providers of different cadres in eight Public, Private-Not-for Profit and Private Health facilities in Kampala, Uganda. The interview guide primarily explored the lived experiences of healthcare providers as they offered maternal and newborn healthcare services during the COVID-19 pandemic. All of the in depth interviews were audio recorded and transcribed verbatim. Themes and subthemes were identified using both inductive thematic and phenomenological approaches.

Health care providers’ awareness of breastfeeding practice recommendations during COVID-19 pandemic and associated factors in Northwest Ethiopia, 2021: a multicenter study

AUTHOR(S)
Azmeraw Ambachew Kebede; Birhan Tsegaw Taye; Kindu Yinges Wondie (et al.)

Published: December 2021   Journal: Plos One

Prevention of coronavirus disease 2019 (COVID-19) transmission to newborns is one of the basic components of perinatal care in the era of the COVID-19 pandemic. As such, scientific evidence is compulsory for evidence-based practices. However, there was a scarcity of evidence on health care providers’ awareness of breastfeeding practice recommendations during the COVID-19 pandemic in Ethiopia, particularly in the study setting. The study aimed at assessing healthcare providers’ awareness of breastfeeding practice recommendations during the COVID-19 pandemic and associated factors among healthcare providers in northwest Ethiopia, 2021.

Preparing for the impact of COVID-19 on the mental health of youth

AUTHOR(S)
Eileen R. O’Shea; Kathryn E. Phillips; Kathleen N. O’Shea (et al.)

Published: December 2021   Journal: NASN School Nurse
The COVID-19 pandemic is continuing to have long-term and global effects that the vaccine may not ease. Children and adolescents endured unprecedented periods of loneliness, social isolation, financial stressors, in-home conflicts, changes in living circumstances, and variable access to healthcare, resulting in increased mental health sequelae. Timely recognition of students’ anxiety, depression, and disruptive behaviors will allow appropriate interventions to de-escalate these feelings and prevent suicidal ideations and attempts. As youth return to school, their mental health needs will not subside. School nurses and the multidisciplinary team have a vital role in impacting this population’s already surging increase of mental and behavioral health disorders.
When a child is hospitalized in a Covid-19 ward: an emotional roller coaster for parents

AUTHOR(S)
Michal Shteinbuk; Anat Moskovich; Vardit Shemesh-Mileguir (et al.)

Published: December 2021   Journal: Journal of Pediatric Nursing
This study aims to examine the emotions demonstrated by parents of children hospitalized in a pediatric Covid-19 ward. Although Covid-19 is mostly a mild disease in children, a small proportion develop severe disease requiring prolonged intensive care support. On October 1st, 2020, a unique ward for children with Covid-19 was established in a large hospital in Israel. Interviews were conducted with parents of children who had been hospitalized in a pediatric Covid-19 ward.
Impact of COVID-19 on maternal healthcare in Africa and the way forward

AUTHOR(S)
Edward Kwabena Ameyaw; Bright Opoku Ahinkorah; Abdul-Aziz Seidu (et al.)

Published: December 2021   Journal: Archives of Public Health
The impact of COVID-19 is weighing heavily on many African countries. As of November 14th 2021, 6,109,722 cases had been recorded with 151,173 deaths and 2.5% case fatality rate. Studies reveal substantial morbidity and socioeconomic impacts when accessing quality maternal healthcare including fear of infection and the containment measures in place, including social distancing and community containment. The pandemic has put additional strain on healthcare systems that are overburdened and under-resourced even in normal times and has exposed the vulnerabilities of high-risk population groups in addressing critical healthcare concerns. This study presents a mini review of how COVID-19 has disrupted maternal healthcare in Africa, and it further proposes ways to improve the situation.
The effects of school closures on COVID-19: a cross-country panel analysis

AUTHOR(S)
Vincenzo Alfano

Published: December 2021   Journal: Applied Health Economics and Health Policy

There has been much debate about the effects and importance of closing, keeping closed, or not opening schools in order to prevent COVID-19 contagion. This policy has been questioned regarding both its efficacy and the social cost it entails, including the possible asymmetric impact it has on genders in many societies due to traditional childcare roles. To the best of our knowledge no existing contribution has attempted to gauge the effectiveness of such a policy over time, in a longitudinal cross-country perspective. This paper aimed to fill the gap in the literature by assessing, at a European level, the effect of school closures (or the lack of such measures) on the numbers of new COVID-19 infections, in the absence of vaccines. Given this policy’s expected change in effectiveness over time, we also measured the effectiveness of having schools closed after a given number of days (from 7 to 100).

Risk factors for postpartum depression during COVID-19 pandemic: a systematic literature review

AUTHOR(S)
Sadia Usmani; Elona Greca; Sana Javed (et al.)

Published: December 2021   Journal: Journal of Primary Care & Community Health

The COVID-19 pandemic has had a devastating worldwide effect on mental health. Recent studies correlate the spreading of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with symptoms of depression, most prominent in postpartum women. This systematic literature review scope is to identify the risk factors and predictors for postpartum depression (PPD) and describe the steps that should be taken to help postpartum women. This study will help clinicians, researchers, and policymakers to elucidate the predictors of PPD during this pandemic and prevent these adverse outcomes in future crises. It was a systematic search conducted by employing databases PubMed, Google Scholar, Scopus, and Embase to identify articles published before March 2021. About 463 publications were generated during our search process and from those, 36 were reviewed, summarized, and synthesized. Studies qualified the criteria if they (1) utilized qualitative or quantitative design, (2) explored the risk factors for PPD, and (3) were written in English. Quality evaluation of each study was achieved by using criteria set by Lincoln and Guba.

A profile analysis of COVID-19 stress-related reactions: the importance of early childhood abuse, psychopathology, and interpersonal relationships

AUTHOR(S)
Ateret Gewirtz-Meydan; Dana Lassri

Published: December 2021   Journal: Child Abuse & Neglect

There is little argument that COVID-19 is potentially highly stressful for many people, however, little research has broken down COVID-19-related distress into different aspects clustering together, and how these clusters differ in terms of the vulnerability of the individuals. The primary aim of the present study was to identify distinct profiles of individuals' reactions to COVID-19-related stress, and analyze potential differences and risk and protective factors associated with these profiles in relation to childhood abuse, psychopathology, and interpersonal relationships. Data was collected online among a convenience sample of 914 men and women in Israel. A Latent Profile Analysis (LPA) for estimating distinct profiles in people's COVID-19-related distress was applied. Next, profiles were compared in childhood abuse, psychopathology, perceived social support and relationship satisfaction.

Children and parents’ perspectives of the impact of the COVID-19 pandemic on Ontario children’s physical activity, play, and sport behaviours

AUTHOR(S)
Monika Szpunar; Leigh M. Vanderloo; Brianne A. Bruijns (et al.)

Published: December 2021   Journal: BMC Public Health

The COVID-19 pandemic and associated public health measures have resulted in the closure of many physical activity-supporting facilities. This study examined Ontario parents’ and children’s perspectives of COVID-19’s impact on children’s physical activity behaviours, return to play/sport during COVID-19, as well as barriers/facilitators to getting active amid extended closures of physical activity venues. Parents/guardians of children aged 12 years and under living in Ontario, Canada were invited to participate in an interview. 12 parent/guardian and 9 child interviews were conducted via Zoom between December 2020 – January 2021, were audio-recorded, and transcribed verbatim. Thematic content analysis was undertaken to identify pronounced themes.

Associations between postpartum depression and assistance with household tasks and childcare during the COVID-19 pandemic: evidence from American mothers

AUTHOR(S)
Theresa E. Gildner; Glorieuse Uwizeye; Rebecca L. Milner (et al.)

Published: December 2021   Journal: BMC Pregnancy and Childbirth

The early postpartum period is recognized cross-culturally as being important for recovery, with new parents receiving increased levels of community support. However, COVID-19-related lockdown measures may have disrupted these support systems, with possible implications for mental health. This study uses a cross-sectional analysis among individuals who gave birth at different stages of the pandemic to test (i) if instrumental support access in the form of help with household tasks, newborn care, and care for older children has varied temporally across the pandemic, and (ii) whether access to these forms of instrumental support is associated with lower postpartum depression scores. This study used data from the COVID-19 And Reproductive Effects (CARE) study, an online survey of pregnant persons in the United States. Participants completed postnatal surveys between April 30 – November 18, 2020 (n = 971). Logistic regression analysis tested whether birth timing during the pandemic was associated with odds of reported sustained instrumental support. Linear regression analyses assessed whether instrumental support was associated with lower depression scores as measured via the Edinburgh Postnatal Depression survey.

Decline in uptake of childhood vaccinations in a tertiary hospital in Northern Ghana during the COVID-19 pandemic

AUTHOR(S)
Kingsley Appiah Bimpong; Benjamin Demah Nuertey; Anwar Sadat Seidu (et al.)

Published: December 2021   Journal: BioMed Research International
At the beginning of the COVID-19 pandemic, early modelling studies estimated a reduction in childhood vaccinations in low- and middle-income countries. Regular provision of both curative and preventive services such as antenatal care and childhood immunizations has been negatively affected since the onset of the pandemic. This study was aimed at examining the impact that the pandemic had on childhood vaccination services at the Tamale Teaching Hospital (TTH). A mixed methods study design was employed for the study, which was conducted at the Child Welfare Clinic (CWC) of the TTH.
Factors influencing wellbeing in young people during COVID-19: a survey with 6291 young people in Wales

AUTHOR(S)
Michaela James; Hope Jones; Amana Baig (et al.)

Published: December 2021   Journal: Plos One
COVID-19 infection and the resultant restrictions has impacted all aspects of life across the world. This study explores factors that promote or support wellbeing for young people during the pandemic, how they differ by age, using a self-reported online survey with those aged 8–25 in Wales between September 2020 and February 2021. Open-ended responses were analysed via thematic analysis to provide further context. A total of 6,291 responses were obtained from 81 education settings across Wales (including primary and secondary schools as well as sixth form, colleges and universities).
Rapid health impact assessment of COVID-19 on families with children with disabilities living in low-income communities in Lusaka, Zambia

AUTHOR(S)
Mary O. Hearst; Lauren Hughey; Jamie Magoon (et al.)

Published: December 2021   Journal: Plos One

Worldwide, children with disabilities are a vulnerable population and at high risk for COVID-19 morbidity and mortality. There is little information on the impact that COVID-19 had on children with disabilities and their families, particularly in low-income settings. This assessment describes the extent to which the pandemic impacted seven indicators of well-being in three low-income communities in Lusaka, Zambia. Interviews were conducted with a random selection of families participating in an existing program (n = 39), community health workers (n = 6), healthcare workers (n = 7) and government officials (n = 2). Descriptive data was summarized and qualitative responses reviewed for themes.

Impact of the COVID-19 pandemic on the mental health and wellbeing of parents with young children: a qualitative interview study

AUTHOR(S)
Jo Dawes; Tom May; Alison McKinlay (et al.)

Published: December 2021   Journal: BMC Psychology volume

Parents have faced unique challenges during the coronavirus disease 2019 (COVID-19) pandemic, including mobility constraints, isolation measures, working from home, and the closure of schools and childcare facilities. There is presently a lack of in-depth qualitative research exploring how these changes have affected parents’ mental health and wellbeing. Semi-structured qualitative interviews with 29 parents of young children. Interviews were analysed using reflexive thematic analysis.

Systems thinking in COVID-19 recovery is urgently needed to deliver sustainable development for women and girls

AUTHOR(S)
Jessica Omukuti; Matt Barlow; Maria Eugenia Giraudo (et al.)

Published: December 2021   Journal: The Lancet Planetary Health
In low-income and middle-income countries, such as those in sub-Saharan Africa and Latin America, the COVID-19 pandemic has had substantial implications for women's wellbeing. Policy responses to the COVID-19 pandemic have highlighted the gendered aspect of pandemics; however, addressing the gendered implications of the COVID-19 pandemic comprehensively and effectively requires a planetary health perspective that embraces systems thinking to inequalities. This Viewpoint is based on collective reflections from research done by the authors on COVID-19 responses by international and regional organisations, and national governments, in Latin America and sub-Saharan Africa between June, 2020, and June, 2021. A range of international and regional actors have made important policy recommendations to address the gendered implications of the COVID-19 pandemic on women's health and wellbeing since the start of the pandemic. However, national-level policy responses to the COVID-19 pandemic have been partial and inconsistent with regards to gender in both sub-Saharan Africa and Latin America, largely failing to recognise the multiple drivers of gendered health inequalities.
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Check our quarterly thematic digests on children and COVID-19

Each quarterly thematic digest features the latest evidence drawn from the Children and COVID-19 Research Library on a particular topic of interest.
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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.