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Catholic Medical Mission Board Zambia (CMMB), SPOON, and St. Catherine's University conducted a Health Impact Assessment (HIA) in Lusaka Province, Zambia, to understand the disparate impact that COVID-19 and the containment measures had on children with disabilities and their families. This two-phased assessment is designed to gather evidence about the impact through seven domains: COVID-19 knowledge and practices, food consumption, housing and livelihood, child safety and risk of separation, child health and wellness, parental and child stress, and education. The first phase…
This paper assesses the impact of Ethiopia's flagship social protection program, the Productive Safety Net Program on the adverse impacts of the COVID-19 pandemic on the food and nutrition security of households, mothers, and children. The analysis uses pre-pandemic, in-person household survey data and a post-pandemic phone survey. Two-thirds of the respondents reported that their incomes had fallen after the pandemic began, and almost half reported that their ability to satisfy their food needs had worsened. Employing a household fixed effects difference-in-difference approach, the study…
Abstract
The United Nations and WHO have summoned governments from low-income and middle-income countries to institute universal health coverage and thereby improve their population’s healthcare access and outcomes. Until now, few countries responded favourably to this international plea. The HIV/AIDS epidemic, a major global public health challenge, resulted in over 11 million orphans in sub-Saharan Africa. Extended families have taken responsibility for more than 90% of these children. HIV orphans are likely to be poorer and less healthy. Burkitt lymphoma is the most common childhood…
Abstract
Background: Street-connected children and youth (SCY) in Kenya disproportionately experience preventable morbidities and premature mortality. We theorize these health inequities are socially produced and result from systemic discrimination and a lack of human rights attainment. Therefore, we sought to identify and understand how SCY’s social and health inequities in Kenya are produced, maintained, and shaped by structural and social determinants of health using the WHO conceptual framework on social determinants of health (SDH) and the Convention on the Rights of the Child (CRC)…
Background: Although Tanzania experiences a general decline in HIV prevalence, some populations such as caregivers of orphans may be at a higher risk than the general population, suggesting that infection pathways still need further exploration. This study examines how food insufficiency relates to HIV infection among caregivers of orphans and vulnerable children (OVC) in Tanzania.
Data and Methods: Data are from a community-based, USAID-funded Kizazi Kipya project that aims at increasing the uptake of HIV services, as well as other health and social services by OVC and their caregivers in…
This joint note aims to consolidate the current recommendations on Infant and Young Child Feeding in the context of the COVID-19 pandemic in Eastern, Central and Southern Africa. This guidance is not intended to replace national guidance, rather to serve as a resource that is based on the latest evidence. The contents are adapted to the African region from Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected, Interim Guidance, 13 March 2020 WHO.
Abstract: Over 66 per cent of children in sub-Saharan Africa remain affected by poor developmental outcomes, exacerbating early inequalities. UNICEF and WHO evolved the Care for Child Development package (CCD) as a community-based initiative to support caregivers to develop stronger relationships with young children and support nurturing care. The Baby Friendly Community Initiative (BFCI) is a global WHO strategy to promote optimal maternal, infant and young child nutrition at the community level. This paper provides insights into the feasibility and lessons learned from rural Kenya in…
ABSTRACT
This ex-post evaluation examines the sustainability of outcomes from USAID’s Sustainable, Comprehensive Responses for Vulnerable Children and their Families (SCORE) activity. SCORE developed family-specific plans to “graduate” households from activity support. The activity focused on capacity building, improving socioeconomic status, food security, and access to protection and legal services. The evaluation collected qualitative data from beneficiaries and key stakeholders across seven districts in Uganda.
The evaluation found that households learned new skills and knowledge to…
Abstract
Objective
To evaluate the health status and anthropometrical development of adopted children from Ethiopia living in southern Spain. A second objective was to evaluate the association between these parameters and the adherence to the Mediterranean dietary pattern.
Methods
The study sample included 53 adopted children from Ethiopia and a matched sample of 54 native-born children. A physical examination of the children, including height and weight, was conducted in Ethiopia at the time of entry in the adoption process. Height and weight were re-measured at the first day of…
Abstract
ChildFund International (ChildFund) is a child‐focused International Non‐Governmental Organization (INGO) which, since 1938, has worked with local implementing partners (LIPs), government, and other partner organizations to help create the safe environments children need to thrive. The purpose of this commentary is to reflect on the utility and possible application of the suggestions and study designs in this special issue to real‐life intervention studies in dynamic context settings. The commentary provides three regional case examples with evaluation study lessons learned from…