Children in Bulgaria

Child-related Policies in the First Year of the COVID-19 Pandemic in 40 Countries uses evidence to present a broad-ranging analysis of the child-related policies and activities undertaken by the 40 European Union (EU) and Organisation for Economic Co-operation and Development (OECD) countries. This working paper focuses on six policy fields: education, early childhood education and care (ECEC), parental leave, income support, food support and health-related provision. It concludes that: Child and family policy was active during the COVID-19 pandemic Developments tended to focus on protecting adults from risks rather than children. Child-related measures took time to evolve and were, as a result, reactive in manner There was a wide variety of measures adopted across countries. This working paper was partially funded by the University of Oxford and UNICEF Innocenti – Global Office of Research and Foresight.

Mental Health in Displaced Child and Youth Populations: A Developmental and Family Systems Lens addresses the mental health of children who are displaced due to crises. Children who are displaced experience an array of adverse situations prior to, during and after their displacement that impact their well-being, health, adjustment and developmental trajectories. However, research remains limited with respect to understanding the impact of displacement on mental health and addressing the roles of children’s ecological contexts (in particular the family). In this working paper, the authors summarize the knowledge base of mental health in displaced populations from peer-reviewed journal articles with a focus on the last 10 years and using meta-analyses of mental health research. Based on this evidence (as well as gaps and limitations), we present a framework and recommendations for guiding future research.

By illuminating why and how interventions work in real world settings, Implementation Research (IR) is a powerful tool for increasing the likelihood that evidence-based interventions, programmes and policies are successfully implemented. The insights that IR generates help bridge the 'know-do gap' – the gap between what we know works and what actually happens on the ground when we try to put a policy or intervention into place. IR is a means for increasing the likelihood of successful outcomes, reducing the risk of wastage and failure and accelerating programme and system improvements to reduce inequities and achieve desired results. This paper, prepared by the Centre for Evidence and Implementation in collaboration with UNICEF, aims to promote a shared understanding of IR and its relevance to UNICEF's work.

Vaccination is one of the most effective measures for preventing illness, disability and death. In Europe and Central Asia, routine immunization rates vary between countries and over time. Behavioural determinants of vaccine hesitancy in the region include diminished trust among caregivers and health professionals; knowledge and awareness of vaccination; perceptions of risk; and health professionals’ skills, knowledge and attitudes. This rapid evidence assessment aims to summarize the impact of interventions targeting caregivers, healthcare workers and the community to improve intention and motivation to vaccinate and vaccination rates of children under 5 years old. The evidence will inform policy and programmatic recommendations.