African Children Vulnerabilities in COVID-19 Era: A Review
Abstract
The pandemic of COVID-19 has spread from China to the whole world. Here we address the vulnerability of African children in the context of this health crisis. Based on medical, socio-economic and anthropological studies, we present a thematic review that examines the issue at three levels. Firstly, we address the question of the effect of the virus on children in regard to strategies implemented to limit its spread and the capacity of medical devices in Africa. Second, we address the issue of the additional disruptions that the virus could generate by infecting the parents or guardians of children who often find themselves subject to the disquietudes of an informal economy. Finally, we discuss the long-term effects of the crisis on children about food security issues, particularly in relation to overweight and obesity. Based on studies that have documented the long-term overweight risks that can occur due to school cessation as a result of lockdown measures, we provide strategies to address this emerging public health problem in Africa. We conclude the study by suggesting that all these forms of vulnerabilities remain proactive areas of work to better prepare Africa for future pandemics. (Afr J Reprod Health 2020 (Special Edition); 24[2]: 154-171).
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Maffioli EM. How Is the World Responding to the
Novel Coronavirus Disease (COVID-19) Compared with the 2014 West African Ebola Epidemic? The Importance of China as a Player in the Global Economy. Am J Trop Med Hyg. 2020;102(5):924-925. doi:10.4269/ajtmh.20-0135
Makoni M. Africa prepares for coronavirus. Lancet
(London, England). 2020;395(10223):483. doi:10.1016/S0140-6736(20)30355-X
Wu Z and McGoogan JM. Characteristics of and
Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases from the Chinese Center for Disease Control and Prevention. JAMA - J Am Med Assoc. 2020;323(13):1239-1242. doi:10.1001/jama.2020.2648
Chang TH, Wu JL and Chang LY. Clinical
characteristics and diagnostic challenges of pediatric COVID-19: A systematic review and meta-analysis. J Formos
Med Assoc. 2020;(xxxx). doi:10.1016/j.jfma.2020.04.007
Hopman J, Allegranzi B and Mehtar S. Managing
COVID-19 in Low- and Middle-Income Countries. JAMA. 2020;323(16):1549. doi:10.1001/jama.2020.4169
Touray S, Sanyang B, Zandrow G, Dibba F, Fadera K,
Kanteh E, Danso M, Sanyang LN, Njie M, Johnson G, Sanyang A and Touray A. An assessment of critical care capacity in the Gambia. J Crit Care. 2018;47:245-253. doi:10.1016/j.jcrc.2018.07.022
World Health Organization. Minimum Requirements for
Infection Prevention and Control. Geneva; 2019.
Mukunya D and Tumwine JK. Challenges of tackling
non COVID-19 emergencies during the unprecedent pandemic. 2020;20(1):19-20. doi:10.4314/ahs.v20i1.2
Mustafa F and Green R. The implications of COVID-19
for the children of Africa. South African Med J. 2020;110(6):14824. doi:10.7196/SAMJ.2020v110i6.14824
Rundle AG, Park Y, Herbstman JB, Kinsey EW and
Wang YC. COVID‐19–Related School Closings and Risk of Weight Gain Among Children. Obesity. 2020;28(6):1008-1009. doi:10.1002/oby.22813
Ahmed AE. Limited transmissibility of coronavirus
(SARS-1, MERS, and SARS-2) in certain regions of Africa. J Med Virol. 2020:0-1. doi:10.1002/jmv.25852
Nachega J, Seydi M and Zumla A. The Late Arrival of
Coronavirus Disease 2019 (COVID-19) in Africa: Mitigating Pan-continental Spread. Clin Infect Dis. 2020;2019(Xx):4-7. doi:10.1093/cid/ciaa353
Miller A, Reandelar MJ, Fasciglione K, Roumenova V,
Li Y and Otazu GH. Correlation between universal BCG vaccination policy and reduced morbidity and mortality for COVID-19: an epidemiological study. MedRxiv. 2020;53(9):1689-1699. doi:10.1101/2020.03.24.20042937
Dong E, Du H and Gardner L. An interactive web-based
dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;20(5):533-534. doi:10.1016/S1473-3099(20)30120-1
Okonofua FE, Eimuhi KE and Omonkhua AA. COVID-
: Perspectives and Reflections from Africa. Afr J Reprod Health. 2020;24(1):10-11. doi:10.29063/ajrh2020/v24i1.1
Balogun JA. Lessons from the USA Delayed Response
to the COVID-19 Pandemic. Afr J Reprod Health. 2020;24(1):14-21. doi:10.29063/ajrh2020/v24i1.2
Rothe D. Ebola : beyond the health emergency.
:211.
Ahonsi B. A Research Agenda on the Sexual and
Reproductive Health Dimensions of the COVID-19 Pandemic in Africa. Afr J Reprod Health. 2020;24(1):22-25. doi:10.29063/ajrh2020/v24i1.3
Sahu KK, Lal A and Mishra AK. Latest updates on
COVID‐2019: A changing paradigm shift. J Med Virol. 2020;92(6):533-535. doi:10.1002/jmv.25760
Bhagwanjee S. Critical Care in Africa. Crit Care Clin.
;22(3):433-438. doi:10.1016/j.ccc.2006.03.008
Marshall JC, Bosco L, Adhikari NK, Connolly B, Diaz
JV, Dorman T, Fowler RA, Meyfroidt G, Nakagawa S, Pelosi P, Vincent J-L, Vollman K and Zimmerman J. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2017;37:270-276. doi:10.1016/j.jcrc.2016.07.015
Baker T, Khalid K, Acicbe O, McGloughlin S and Amin
P. Critical care of tropical disease in low income countries: Report from the Task Force on Tropical Diseases by the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2017;42:351-354. doi:10.1016/j.jcrc.2017.11.028
Murthy S, Leligdowicz A and Adhikari NKJ. Intensive
Care Unit Capacity in Low-Income Countries: A Systematic Review. Azevedo LCP, ed. PLoS One. 2015;10(1):e0116949. doi:10.1371/journal.pone.0116949
Agyeman AA, Laar A and Ofori-Asenso R. Will
COVID-19 be a litmus test for post-Ebola sub-Saharan Africa? J Med Virol. March 2020:0-2. doi:10.1002/jmv.25780
Okech UK and Chokwe T. The operational setup of
intensive care units in a low income country in East Africa. East Afr Med J. 2015;92(2):72-80.
Wallace DJ, Angus DC, Seymour CW, Barnato AE and
Kahn JM. Critical care bed growth in the United States: A comparison of regional and national trends. Am J Respir Crit Care Med. 2015;191(4):410-416. doi:10.1164/rccm.201409-1746OC
Gooch RA and Kahn JM. ICU Bed Supply, Utilization,
and Health Care Spending. JAMA. 2014;311(6):567. doi:10.1001/jama.2013.283800
Tabor SR. Community-Based Health Insurance and
Social Protection Policy. 2005;(0503):1-64. http://tric.ru/files/2006/01/18/CD-Rom Content/pdfs/Papers/English/0503.pdf.
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z and Tong
S. Epidemiology of COVID-19 Among Children in China. Pediatrics. March 2020:e20200702. doi:10.1542/peds.2020-0702
Ludvigsson JF. Systematic review of COVID-19 in
children shows milder cases and a better prognosis than adults. Acta Paediatr Int J Paediatr. 2020:0-3. doi:10.1111/apa.15270
Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J, Zhang W,
Wang Y, Bao S, Li Y, Wu C, Liu H, Liu D, Shao J, Peng X, Yang Y, Liu Z, Xiang Y, Zhang F, Silva RM, Pinkerton KE, Shen K, Xiao H, Xu S and Wong GWK. SARS-CoV-2 Infection in Children. N Engl J Med. 2020;382(17):1663-1665. doi:10.1056/NEJMc2005073
Levin M. Childhood Multisystem Inflammatory
Syndrome — A New Challenge in the Pandemic. N Engl J Med. June 2020:NEJMe2023158. doi:10.1056/NEJMe2023158
WHO. Multisystem inflammatory syndrome in children
and adolescents with COVID-19. 2020;(May):1-3.
Feldstein LR, Rose EB, Horwitz SM, Collins JP,
Newhams MM, Son MBF, Newburger JW, Kleinman LC, Heidemann SM, Martin AA, Singh AR, Li S, Tarquinio KM, Jaggi P, Oster ME, Zackai SP, Gillen J, Ratner AJ, Walsh RF, Fitzgerald JC, Keenaghan MA, Alharash H, Doymaz S, Clouser KN, Giuliano JS, Gupta A, Parker RM, Maddux AB, Havalad V, Ramsingh S, Bukulmez H, Bradford TT, Smith LS, Tenforde MW, Carroll CL, Riggs BJ, Gertz SJ, Daube A, Lansell A, Coronado Munoz A, Hobbs CV, Marohn KL, Halasa NB, Patel MM and Randolph AG. Multisystem Inflammatory Syndrome in U.S. Children and Adolescents. N Engl J Med. June 2020:NEJMoa2021680. doi:10.1056/NEJMoa2021680
Dufort EM, Koumans EH, Chow EJ, Rosenthal EM,
Muse A, Rowlands J, Barranco MA, Maxted AM, Rosenberg ES, Easton D, Udo T, Kumar J, Pulver W, Smith L, Hutton B, Blog D and Zucker H. Multisystem Inflammatory Syndrome in Children in New York State. N Engl J Med. June 2020:NEJMoa2021756. doi:10.1056/NEJMoa2021756
Barral C, Bonnet D. Maladie de Kawasaki et
coronavirus : en moyenne “trois enfants par jour” hospitalisés à Necker. 05/05/2020. https://www.marianne.net/societe/maladie-de-kawasaki-et-coronavirus-en-moyenne-trois-enfants-par-jour-hospitalises-necker. Published 2020. Accessed May 5, 2020.
Jones VG, Mills M, Suarez D, Hogan CA, Yeh D, Segal
JB, Nguyen EL, Barsh GR, Maskatia S and Mathew R. COVID-19 and Kawasaki Disease: Novel Virus and Novel Case. Hosp Pediatr. 2020;10(6):537-540. doi:10.1542/hpeds.2020-0123
Rowley AH and Shulman ST. The Epidemiology and
Pathogenesis of Kawasaki Disease. Front Pediatr. 2018;6(December):1-4. doi:10.3389/fped.2018.00374
Rohner RP. Worldwide Tests of Parental Acceptance-
Rejection Theory: An Overview. Behav Sci Res. 1980;15(1):1-21. doi:10.1177/106939718001500102
Khaleque A and Rohner RP. Perceived Parental
Acceptance-Rejection and Psychological Adjustment: A Meta-Analysis of Cross-Cultural and Intracultural Studies. J Marriage Fam. 2002;64(1):54-64. doi:10.1111/j.1741-3737.2002.00054.x
McSherry D. Understanding and addressing the “neglect
of neglect”: Why are we making a mole-hill out of a mountain? Child Abuse Negl. 2007;31(6):607-614. doi:10.1016/j.chiabu.2006.08.011
Dubowitz H. Neglecting the Neglect of Neglect. J
Interpers Violence. 1994;9(4):556-560. doi:10.1177/088626094009004010
Dubowitz H. Understanding and addressing the “neglect
of neglect:” Digging into the molehill. Child Abuse Negl. 2007;31(6):603-606. doi:10.1016/j.chiabu.2007.04.002
Sullivan S. Child Neglect: Current Definitions and
Models A Review off Child Neglect Research, 1993–1998.; 2000.
Gaudin JM, Polansky NA, Kilpatrick AC and Shilton P.
Loneliness, depression, stress, and social supports in neglectful families. Am J Orthopsychiatry. 1993;63(4):597-605. doi:10.1037/h0079475
Rose SJ and Meezan W. Variations in Perceptions of
Child Neglect. Child Welfare. 1996;75(2):139-160.
Bronfenbrenner U. Making Human Beings Human:
Bioecological Perspectives on Human Development. Thousand Oaks,CA: Sage.; 2005.
Belsky J. Child maltreatment: An ecological integration.
Am Psychol. 1980;35(4):320-335. doi:10.1037/0003-066X.35.4.320
Garbarino J. The Human Ecology of Child
Maltreatment: A Conceptual Model for Research. J Marriage Fam. 1977;39(4):721. doi:10.2307/350477
Rose SJ and Meezan W. Defining Child Neglect:
Evolution, Influences, and Issues Social Service Review Defining Child Neglect: Evolution, Influences, and Issues. Source Soc Serv Rev. 1993;67(2):279-293. https://www.jstor.org/stable/30012201.
Wolock I and Horowitz B. Child maltreatment as a
social problem: The neglect of neglect. Am J Orthopsychiatry. 1984;54(4):530-543. doi:10.1111/j.1939-0025.1984.tb01524.x
Tang CM. Working toward a conceptual definition of
child neglect. J Health Hum Serv Adm. 2008;31(3):356-384. doi:10.2307/41288094
Dubowitz H, Black M, Starr RH and Zuravin S. A
Conceptual Definition of Child Neglect. Crim Justice Behav. 1993;20(1):8-26. doi:10.1177/0093854893020001003
Polansky NA, Chalmos MA, Buttenweiser E and
Williams DP. Damaged Parents, Damaged Children: An Anatomy of Child Neglect. Univ Of Chicago Press; 1981.
Straus MA and Kantor GK. Definition and measurement
of neglectful behavior: Some principles and guidelines. Child Abus Negl. 2005;29(1):19-29. doi:10.1016/j.chiabu.2004.08.005
Korbin JE. Culture and Child Maltreatment. Child Abus
Negl. 2002;26:637-644. doi:10.1160/TH13-07-0566
De Bellis MD. The psychobiology of neglect. Child
Maltreat. 2005;10(2):150-172. doi:10.1177/1077559505275116
Barros M, Casimiro A, Cassamá AS, Mané C, Jau F and
Jorge Semedo R. State of “Emergency” for health but State of “Exception” for people: Guinea‐Bissau’s paradox in the battle against Covid‐19. City Soc. 2020;32(1):ciso.12262. doi:10.1111/ciso.12262
Rajaonah V. Réflexion sur I’éducation en Afrique.
Présence Africaine. 1979;111(3):19. doi:10.3917/presa.111.0019
Moumouni A. L’éducation En Afrique. Présence
africaine; 1998.
Winston CA. Self-Help for Grandmothers Parenting
Again. J Soc Distress Homeless. 1999;8(3):157-165. doi:10.1023/A:1021364625882
Foster G. The capacity of the extended family safety net
for orphans in Africa. Psychol Health Med. 2000;5(1):55-62. doi:10.1080/135485000106007
Chirwa WC. Social Exclusion and Inclusion: Challenges
to Orphan Care in Malawi. In: Nordic Journal of African Studies. Vol 11. New York, NY: Springer New York; 2002:93-113. http://link.springer.com/10.1007/978-1-4614-5283-6_64.
Meintjes H and Giese S. Spinning the Epidemic.
Childhood. 2006;13(3):407-430. doi:10.1177/0907568206066359
Oburu PO and Palmérus K. Parenting stress and self-
reported discipline strategies of Kenyan caregiving grandmothers. Int J Behav Dev. 2003;27(6):505-512. doi:10.1080/01650250344000127
Abebe T. Geographical dimensions of AIDS orphanhood
in sub-Saharan Africa. Nor Geogr Tidsskr - Nor J Geogr. 2005;59(1):37-47. doi:10.1080/00291950510020547
Abebe T and Skovdal M. Livelihoods, care and the
familial relations of orphans in eastern Africa. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2010;22(5):570-576. doi:10.1080/09540120903311474
Foster G. Supporting Community Efforts to Assist
Orphans in Africa. N Engl J Med. 2002;346(24):1907-1910. doi:10.1056/NEJMsb020718
Skovdal M and Campbell C. Orphan competent
communities: A framework for community analysis and action. Vulnerable Child Youth Stud. 2010;5(sup1):19-30. doi:10.1080/17450120903281173
World Vision. Violence against Children Affected by
HIV/AIDS: A Case Study of Uganda. 2005;(June). http://www.bettercarenetwork.org/sites/default/files/attachments/Violence Against Children Affected by HIV-AIDS Uganda.pdf.
Foster G, Makufa C, Drew R, Mashumba S and Kambeu
S. Perceptions of children and community members concerning the circumstances of orphans in rural Zimbabwe. AIDS Care. 1997;9(4):391-405. doi:10.1080/713613166
Abebe T. Beyond the ‘Orphan Burden’: Understanding
Care for and by AIDS-affected Children in Africa. Geogr Compass. 2010;4(5):460-474. doi:10.1111/j.1749-8198.2009.00301.x
Hejoaka F. La concurrence des souffrances. Genèse et
usages électifs de la catégorie des orphelins et enfants vulnérables au temps du sida. Autrepart. 2014;72(4):59. doi:10.3917/autr.072.0059
Rodgers-Farmer AY. Parenting stress, depression, and
parenting in grandmothers raising their grandchildren. Child Youth Serv Rev. 1999;21(5):377-388. doi:10.1016/S0190-7409(99)00027-4
Kihato CW and Landau LB. Coercion or the social
contract? COVID 19 and spatial (in)justice in African cities. City Soc. 2020;n/a(n/a):ciso.12265. doi:10.1111/ciso.12265
Security N. Zimbabwe: Coronavirus Lockdown. Africa
Res Bull Polit Soc Cult Ser. 2020;57(3):22672A-22674C. doi:10.1111/j.1467-825X.2020.09393.x
Wang YC, Vine S, Hsiao A, Rundle A and Goldsmith J.
Weight-Related Behaviors When Children Are in School Versus on Summer Breaks: Does Income Matter? J Sch Health. 2015;85(7):458-466. doi:10.1111/josh.12274
Franckle R, Adler R and Davison K. Accelerated Weight
Gain Among Children During Summer Versus School Year and Related Racial/Ethnic Disparities: A Systematic Review. Prev Chronic Dis. 2014;11(12):130355. doi:10.5888/pcd11.130355
Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M,
Zoller T, Antoniazzi F, Piacentini G, Fearnbach SN and Heymsfield SB. Effects of COVID‐19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity. April 2020:oby.22861. doi:10.1002/oby.22861
Onywera VO. Childhood obesity and physical inactivity
threat in Africa: strategies for a healthy future. Glob Health Promot. 2010;17(2_suppl):45-46. doi:10.1177/1757975910363937
Akowuah PK and Kobia-Acquah E. Childhood Obesity
and Overweight in Ghana: A Systematic Review and Meta-Analysis. J Nutr Metab. 2020;2020. doi:10.1155/2020/1907416
von Hippel PT and Workman J. From Kindergarten
Through Second Grade, U.S. Children’s Obesity Prevalence Grows Only During Summer Vacations. Obesity. 2016;24(11):2296-2300. doi:10.1002/oby.21613
Rundle AG, Factor-Litvak P, Suglia SF, Susser ES,
Kezios KL, Lovasi GS, Cirillo PM, Cohn BA and Link BG. Tracking of Obesity in Childhood into Adulthood: Effects on Body Mass Index and Fat Mass Index at Age 50. Child Obes. 2020;16(3):226-233. doi:10.1089/chi.2019.0185
Comité de la Sécurité Alimentaire Mondiale. S’entendre
Sur La Terminologie : Sécurité Alimentaire, Sécurité Nutritionnelle, Sécurité Alimentaire et Nutrition, Sécurité Alimentaire et Nutritionnelle.; 2012. http://www.fao.org/docrep/meeting/026/MD776F.pdf.
Tougan UP and Théwis A. COVID‐19 et Sécurité
Alimentaire en Afrique Subsaharienne : Implications et Mesures Proactives d ’ Atténuation des Risques de Malnutrition et de Famine [ COVID‐19 and Food Security in Sub-Saharan Africa : Implications and Proactive Measures to Mitigate th. 2020.
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