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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.

AUTHOR(S)

Jane Lewis; Robyn Mildon; Tom Steele
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Even before the onset of the COVID-19 pandemic, there were serious questions about whether children were actually learning. With widespread school closures and other disruptions to the education system brought about by the pandemic, the learning crisis has escalated to new heights. As the pandemic enters its third year, 23 countries – home to around 405 million schoolchildren – are yet to fully open schools, with many schoolchildren at risk of dropping out. Over the past two years nearly 147 million children missed more than half of their in-person schooling, amounting to 2 trillion hours of lost learning. Children have to get back to the classroom, but changes are needed to ensure that they really learn, starting with the foundational basics of reading and numeracy. This report offers unique insight into the extent of the learning crisis by providing an in-depth picture of which children are most at risk of not acquiring foundational learning skills. The analysis of 32 low- and middle-income countries and territories uses newly released data to examine the equity perspectives of the crisis, exploring learning outcomes among different subgroups of children, with a focus on the most vulnerable.

AUTHOR(S)

Vidhya Ganesh; Robert Jenkins; Mark Hereward; Yanhong Zhang; Suguru Mizunoya; Peggy Kelly; Diogo Amaro; Sakshi Mishra; Garen Avanesian; Yixin Wang; Michelle Kaffenberger; Jason Silberstein; Silvia Beatriz Montoya; Mathieu Brossard
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Two years into the COVID-19 global pandemic, education has been seriously disrupted. In response to this crisis, the global priority remains to ensure every child is supported so they can return to school and catch up on lost learning. Recognizing the need to accelerate education recovery with urgent, at-scale action, this joint report by UNICEF in partnership with UNESCO and the World Bank highlights staggering levels of learning loss globally and takes stock of the measures being taken by countries to mitigate learning losses as schools reopen. Based on a survey of 122 UNICEF country and fundraising offices administered in early March 2022, the report presents the importance of and progress made in five key actions for education recovery, the RAPID: Reach every child and retain them in school; Assess learning levels; Prioritize teaching the fundamentals; Increase catch-up learning and progress beyond what was lost; and Develop psychosocial health and well-being so every child is ready to learn.

AUTHOR(S)

Jaime Saavedra Chanduvi; Robert Jenkins; Pragya Dewan; Nicolas Reuge; Haogen Yao; Anna Alejo; Aisling Falconer; Borhene Chakroun; Gwang-Chol Chang; João Pedro Azevedo; Alonso Sánchez; Stefania Giannini; Mathieu Brossard; Thomas Dreesen; Jessica Bergmann
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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.

AUTHOR(S)

John O'Rourke; Andrea Yearwood; Greg Sheaf; Sergiu Tomsa; Viviane Bianco; Mario Mosquera; Shivit Bakrania; Benjamin Hickler
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Of the nearly 1 billion people with a disability, 80% live in low- and middle-income countries (LMICs) and 240 million are children. Children with disabilities remain one of the most marginalized and excluded groups in society. This protocol to the Evidence and Gap Map on the Effectiveness of Inclusive Interventions for Children with Disabilities Living in LMICs aims to identify the available evidence on inclusive interventions to improve access to health, education and social services for these children, and enable them to participate fully in society by addressing discrimination, improving living conditions, incorporating mainstreaming approaches and promoting empowerment. It highlights gaps in the evidence to prioritize future research and evaluation agendas; identifies contextual factors related to various populations and settings; and provides a database of peer-reviewed and grey literature in this area.

AUTHOR(S)

Anil Thota; Ebele Mogo; Dominic Igbelina; Greg Sheaf; Rahma Mustafa; Shivit Bakrania; Alberto Vásquez Encalada; Gavin Wood
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Mental health conditions affect about 1 in 7 adolescents globally. In the context of COVID-19, the importance of mental health and psychosocial support for all has been undoubtedly confirmed. Despite the increased attention to mental health issues, there is a dearth of evidence on what determines child and adolescent mental health, who is most at risk, and what works to foster mental health across contexts, cultures and distinct population groups. This conceptual framework aims to inform research on child and adolescent mental health. It incorporates children’s developmental stages and the dynamic environment in which they live and grow. Informed by a review of existing theoretical frameworks on mental health and child development, this framework integrates elements of the socio-ecological model; the life course approach; the social determinants of health approach; and Innocenti Report Card’s Worlds of Influence Framework. Combining diverse aspects of these frameworks and approaches, we propose an integrated model to guide UNICEF’s research in this area.

AUTHOR(S)

Priscilla Idele; Manasi Sharma; Camila Perera Aladro; Prerna Banati; David Anthony
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Education systems in South Asia are complex and fragmented. Despite high engagement and involvement of Non-State Actors (NSA) in education, there is a lack of comprehensive policy to govern them. Achieving better learning outcomes for children in South Asia requires understanding the wide variety of NSA providers and unpacking how these different actors engage with and influence education provision. Through a meta-analysis of existing evidence, this report presents findings on learning outcomes in public and non-state schools and the implications on quality, equity and safety of education delivery in the region. It also uncovers critical gaps in evidence that need to be addressed to show what is really working, for whom, where and at what cost.

AUTHOR(S)

Artur Borkowski; Bindu Sunny; Juliana Zapata
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There is increasing evidence on the importance of education access and quality for the abolition of child labour. However, to date, only a few evidence assessments have documented the effectiveness of educational policies and programmes with respect to child labour. This Rapid Evidence Assessment (REA) aims to fill this gap by providing a comprehensive review of the effects of educational policies and programmes on child labour. With the objective to provide policy and programmatic recommendations, the review will focus on quantitative and mixed methods studies that identify causal effects. The REA will be complemented by an evidence gap map.

AUTHOR(S)

Chuka Emezue; Cristina Pozneanscaia; Greg Sheaf; Valeria Groppo; Shivit Bakrania; Josiah Kaplan
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There is no question that the COVID-19 pandemic is disrupting the lives and rights of children. Early on, the pandemic rapidly sparked research on child protection across the globe. In the barrage of information on COVID-19, evidence is key to understanding children’s situations and to developing the best solutions. This review takes stock of UNICEF’s rapidly evolving evidence base on COVID-19 and child protection and describes what has been learned so far from this evidence base on the impacts of COVID-19 on child protection and the response measures put in place since the pandemic.

Evidence on interventions for reducing violence against children (VAC) has steadily increased over the years. Yet, gaps remain when it comes to research investment priorities and future studies. This brief summarizes the key findings from the Evidence Gap Map on interventions to reduce violence against children in low- and middle-income countries. It includes findings from Phase 1 (English-language publications) and Phase 2 (Arabic, Chinese, French, Portuguese and Spanish publications). All technical details can be reviewed in the main report.

AUTHOR(S)

Ashrita Saran; Manahil Siddiqi; Ramya Subrahmanian; Howard White
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195 items found