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Published on: March 1, 2019
COVID-19 pandemic: The impact on vulnerable children and young people in Australia
Benjamin Jones1,2, Susan Woolfenden1,2, Sandra Pengilly1
1Community Child Health, Sydney Children's Hospital Network (Randwick and Westmead), Sydney, New South Wales, Australia.
Insights
The COVID-19 pandemic disproportionately affects vulnerable children and young people (CYP) in Australia, exacerbating existing inequities. Targeted health and social support interventions are crucial to mitigate these amplified impacts and improve CYP well-being.
Area of Science:
- Public Health
- Health Equity
- Pediatric Health
Background:
- The COVID-19 pandemic has disrupted essential services and social supports for all children and young people (CYP).
- Vulnerable CYP populations, already facing health disparities, experience amplified negative impacts, widening pre-existing inequities.
- Challenges include reduced access to services, financial instability, and unemployment, threatening CYP well-being.
Purpose of the Study:
- To identify reasons for CYP vulnerability during the pandemic.
- To highlight actions by health professionals to mitigate challenges faced by vulnerable CYP.
- To inform policy and practice for improved health outcomes.
Main Methods:
- Rapid literature review.
- Team-based discussions.
- Identification of eight vulnerable CYP groups.
Main Results:
- Eight vulnerable groups identified: CYP with disabilities, mental health conditions, chronic diseases; those facing financial hardship; in the child protection system; Aboriginal, migrant, and refugee CYP; those in residential care; and rural and isolated CYP.
- Pre-existing inequities are exacerbated by the pandemic's systemic disruptions.
- Urgent need for enhanced access to health and social supports for vulnerable CYP.
Conclusions:
- The pandemic presents an opportunity to address and reduce inequities affecting CYP.
- Governments, health professionals, and researchers must prioritize vulnerable CYP in health system recovery and policy.
- Elevating the voices of CYP is essential in designing effective pandemic response strategies and ensuring improved health outcomes during and beyond the pandemic.
Abstract:
The COVID-19 pandemic and associated system disruptions are impacting all children and young people (CYP) in Australia. For vulnerable groups of CYP, who already experience poorer health and well-being, these impacts are amplified. Challenges include reduced access to usual services, reduced community supports, financial instability, unemployment and other life circumstances that threaten to widen pre-existing inequities. This article aims to present the reasons for vulnerability of CYP during the pandemic, and to focus on actions by health professionals that mitigate additional challenges to their health and well-being. Using a rapid review of the literature and team-based discussions, eight vulnerable groups were identified: CYP with disabilities, mental health conditions and chronic diseases; CYP facing financial hardship; within the child protection system; Aboriginal; migrant and refugee; in residential care; rural; and isolated CYP. Recommendations for action are required at the level of governments, health professionals and researchers and include enhancing access to health and social supports, prioritising vulnerable CYP in resuming health activity and elevating the voice of CYP in designing the response. The pandemic can be conceptualised as an opportunity to create a more equitable society as we document the inequities that have been exacerbated. Vulnerable groups of CYP must be recognised and heard, and targeted actions must focus on improving their health outcomes during the pandemic and beyond.
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