COVID-19 impacts on children under 5 in temporary accommodation-co-developing solutions from lockdown to the recovery phase-A mixed-methods study

COVID-19 对临时住宿中 5 岁以下儿童的影响——共同制定从封锁到恢复阶段的解决方案——A 混合方法研究

• 批准号: ES/V016253/1
• 负责人: Monica Lakhanpaul
• 金额: $ 67.26万
• 依托单位: University College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV016253%2F1
• 关键词: COVID; 19; impacts; children; under

Coronavirus disease 2019 (COVID-19) has and will have huge direct health and economic implications as highlighted by the media, but there are and likely will be also a myriad of significant indirect health, social, and educational consequences for children and families. These impacts will likely be most keenly felt on the most vulnerable of CYP - such as those experiencing homelessness while living in temporary or insecure accommodation. Specifically, homeless children under age five (under5s) are not only at greater risk of exposure and transmission of COVID due to overcrowding in substandard housing, but also immediate and long-term impacts on growth, optimal health, and brain development. The COVID-19 pandemic could result in a number of further waves of increased infection incidence and last for 18 months or longer. The longevity and periodicity of the pandemic will therefore not have only short-term impacts but long-term for some children extending across most of their infant life with some children even being born into this pandemic. The Children's Commissioner suggested that there could be more than 210,000 homeless children in temporary accommodation or 'sofa surfing,' and approximately 585,000 who either are homeless or at risk of becoming homeless in England alone.The purpose of this study is to determine the barriers attributed to the COVID-19 pandemic and our associated health services and societal response, experienced by parents of under5s living in temporary accommodation nationally for themselves and their children. First, we will explore perceptions around access to health care services, such as seeking medical review in response to common childhood assessments (e.g. fever, diarrhoea, respiratory symptoms, accidents). Second, we will explore parent/carer perceived ability to support their child in achieving their optimal health outcomes (e.g. nutrition, vaccination uptake, overall wellbeing, growth, reaching full developmental milestones). We will also co-develop an information toolkit with the parents of this vulnerable population and front line (health and social care) workers to address their short-term and long-term needs once the lockdown period ends and there is an effort to return to "normalcy" while at the same time, there is a need to learn from these current experiences in preparation for a possible Winter resurgence of COVID-19, for any future epidemics or pandemics but also to rapidly address the health challenges that these children have encountered during this pandemic.

媒体所强调的那样，2019年冠状病毒疾病（Covid-19）具有巨大的直接健康和经济影响，但可能会有无数的间接健康，社会和教育后果对儿童和家庭造成的重要影响。这些影响可能最敏锐地感受到最脆弱的CYP，例如那些在临时或不安全的住宿中经历无家可归的人。具体而言，由于不合格的住房人满为患，无家可归的儿童（5岁以下）（5岁以下）不仅面临着更大的风险和共证的传播风险，而且对生长，最佳健康和大脑发展的直接和长期影响也有直接和长期的影响。共同的19个大流行可能导致感染发生率增加，持续18个月或更长时间。因此，大流行的寿命和周期性将不仅具有短期影响，但对于某些儿童而言，长期延续了大多数婴儿生活，有些孩子甚至出生于这个大流行。儿童专员建议，在临时住宿或“沙发冲浪”中可能有超过21万个无家可归的儿童，大约有58.5万名无家可归或仅在英格兰单独无家可归的风险，这项研究的目的是确定与临时居民和临时居民相关的卫生服务和社会养育者的障碍。首先，我们将探讨有关获得医疗服务的观念，例如寻求对常见儿童评估的医学审查（例如发烧，腹泻，呼吸症状，事故）。其次，我们将探索父母/护理人员感知的能力，以支持孩子实现最佳健康成果（例如营养，疫苗接种吸收，整体健康，成长，达到充分的发展里程碑）。我们还将与这个脆弱人群的父母共同开发信息工具包（健康和社会护理）工人，一旦锁定期结束，我们就可以满足他们的短期和长期需求，并且有努力恢复“正常状态”，同时需要从当前的冬季挑战或未来的挑战中的挑战，以便从这些季节性的挑战中获得任何挑战，以供任何挑战，以供任何挑战，以便任何挑战persics perfutersics，以供未来的percersics pandersics percersics percandsics，以供您使用。这些孩子在这个大流行期间遇到了。

项目成果

Mitigating the severity of child homelessness in the UK: a global mixed-methods systematic review

减轻英国儿童无家可归的严重程度：全球混合方法系统审查

• DOI: 10.1016/s0140-6736(21)02618-0
• 发表时间: 2021
• 期刊: The Lancet
• 作者: Sarkar K