Publications

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.

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.

South Sudan is in a protracted crisis. Four million people have been displaced and many have been left living with high levels of injury, poverty and food insecurity. The impact of the crisis on children – who make up over 29% of the population – is particularly high, and a large number are at risk of being born with or acquiring a disability.

Assistive technologies (AT) – the systems, services and products that enhance the functioning of people with impairments – are likely to be required by many children in South Sudan with disabilities. There is no reliable data available on disability prevalence or AT needs in South Sudan, though estimates suggest a range between 10% and 15% of the population. This work aims to understand the landscape of AT provision and the barriers and facilitators to provision and provides recommendations for priority actions.

Official statistics identify 2% to 7% of the population in the State of Palestine as having a disability. Evidence is limited regarding levels of access to assistive technologies (AT) by people with disabilities in the State of Palestine. However, estimates suggest that there are high levels of unmet need. Less than 10% of children with disabilities received assistive devices in the year of one recent survey. The COVID-19 pandemic has had an impact on a range of such services in many countries, but little information is yet available on the impact on AT provision in humanitarian settings.

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. 

Due to the impacts of the ongoing conflict, Afghanistan’s child population is at high risk of being born with or acquiring a primary or secondary disability.

According to a recent estimate, up to 17% of Afghanistan’s children live with some form of disability. Assistive Technologies – the systems, services and products that enhance the functioning of people with impairments – are likely to be required by a large proportion of children with disabilities in Afghanistan. Afghanistan has signed and ratified the United Nations Convention on the Rights of Persons with Disabilities, which includes a commitment to provide assistive technologies equitably to all who need it. However, little action has been taken to meet this commitment, and there continues to be a vast gap between need and provision. This work presents the the barriers and facilitators to provision and provides recommendations to begin to close the gap.

One billion people in the world live with a disability; 240 million are children. The majority of the world’s children with disabilities live in low- and middle-income countries, where humanitarian crises are most likely to occur. Humanitarian crises increase the prevalence of child disability and the need for assistive technologies as children sustain new disabling injuries, children with disabilities lose their assistive devices, or access to limited existing health services is worsened by crisis. In addition, there are likely to be many more children with disabilities in humanitarian settings whose need for assistive technologies has never been identified.

This literature review discusses the barriers to assistive technologies provision in humanitarian settings and considers possible entry points for provision in the future. Recommendations include: coordination platforms for provision; gathering evidence on existing in-country provision and strengthening those systems; designing programmes for provision that account for pre-existing barriers, within-crises barriers including those internal to humanitarian organizations like UNICEF.

From a developmental perspective, skills or capacities, such as ‘relaxing’, are commonly considered necessary for children to achieve optimal development and reach their full
potential. From this perspective ‘relaxing’ can be considered a capacity that could help children to cope with emotional and behavioural problems and lower their levels of stress and anxiety.

To the best of our knowledge, this is the first attempt to map the existing evidence of cultivating ‘relaxing’ as a key core capacity with an explicit focus on children, and understand age-related development, links to wellbeing and other core capacities, and the levels and application of ‘relaxing’ among significant adults in children’s lives. These contributions will help inform real, positive and efficient changes in general policies and practices for child development.

Drawing from a multidisciplinary evidence base, what is the empirical and theoretical knowledge of children’s listening and how does it interact with overall well-being throughout childhood?

This review study is a first attempt to map the existing theoretical and empirical literature about a possible core capacity for well-being: listening.

It focuses on the development of listening throughout childhood, listening in formal and informal learning, listening in family and community settings, and possible links between listening and well-being. Relevant empirical studies were identified that further explain the development of listening comprehension throughout childhood. Relevant streams of literature identified included listening to music and positive effects on child wellbeing, children’s extensive listening in schools, and the effects of undesirable listening environments.

This study maps map the empirical and theoretical evidence of children’s ability for ‘observing’ or ‘noticing’ as a core capacity for life within the Learning for Well-Being Foundation’s theoretical framework, and how it interacts with overall child development.

More specifically, this review aims to contribute to existing knowledge in three ways: (i) it adds to the evidence of ‘observing’ as a core capacity for children from a childhood development perspective, (ii) it assesses the interaction of ‘observing’ with other core capacities and with overall child well-being, and (iii) it looks at the development of ‘observing’ as a core capacity among significant adults in children’s lives (e.g., teachers, educators, parents). 

Although the available evidence is limited, results show a significant link between children’s levels of observation or attention and cognitive skills in general, such as working memory and executive attention.

Reflecting, or thinking about one’s own thinking, is understood by the Learning for Well-Being Foundation as one of the possible core capacities which may influence well-being in children. This study explores the academic literature for theoretical and empirical evidence in support of this conceptualization.

Drawing from a multidisciplinary evidence base, what is the empirical and theoretical evidence of children’s reflecting and how does it interact with overall well-being throughout childhood?

The objectives of the review are to map the evidence of the development of reflecting in children, describe possible gaps in the literature and search whether any studies explore reflecting as a core capacity, or study the relationship between reflecting and child well-being. In doing so this paper focuses on the possibly diverse development of the core capacity in children, on the capacity in parents, teachers and other caregivers and the role they play in the development of the core capacity, and on the evidence from the academic literature.