Assessing the prevalence of young children living in households prepared for COVID-19 in 56 low- and middle-income countries

Abstract

Background The COVID-19 pandemic and governments’ attempts to contain it are negatively affecting young children’s health and development in ways we are only beginning to understand and measure. Responses to the pandemic are driven largely by confining children and families to their homes. This study aims to assess the levels of and associated socioeconomic disparities in household preparedness for protecting young children under the age of five from being exposed to communicable diseases, such as COVID-19, in low- and middle-income countries (LMICs). Methods Using data from nationally representative household surveys in 56 LMICs since 2016, we estimated the percentages of young children under the age of five living in households prepared for communicable diseases (e.g., COVID-19) and associated residential and wealth disparities at the country- and aggregate-level. Preparedness was defined on the basis of space for quarantine, adequacy of toilet facilities and hand hygiene, mass media exposure at least once a week, and phone ownership. Disparities within countries were measured as the absolute gap in two domains—household wealth and residential area - and compared across regions and country income groups. Results The final data set included 766,313 children under age five. On average, 19.4% of young children in the 56 countries lived in households prepared for COVID-19, ranging from 0.6% in Ethiopia in 2016 to 70.9% in Tunisia in 2018. In close to 90% of countries (50), fewer than 50% of young children lived in prepared households. Young children in rural areas or in the poorest households were less likely to live in prepared households than their counterparts. Conclusions A large portion of young children under the age of five in LMICs were living in households that did not meet all preparedness guidelines for preventing COVID-19 and caring for patients at home. This study highlights the need to ensure all families in LMICs have the means to prevent the spread of the pandemic or other communicable illnesses to young children during pandemics.

Correction to: Assessing the prevalence of young children living in households prepared for COVID-19 in 56 low- and middle-income countries

“…Following publication of the original article [ 1 ], the authors reported that one reference number needs to be corrected, and the captions listed in the Supplementary Information section need to be updated.…”

Protecting young children from future pandemics: getting the basics right

“…Empirical evidence about young children living in households with preparedness for COVID-19 in LMICs is worrying. In our investigation of 56 LMICs with available nationally representative data,6 on average <20% of young children lived in households that meet five preparedness conditions for preventing COVID-19 or communicable diseases (box 1). Children in low-income countries or sub-Saharan Africa were the most disadvantaged—only 4.4% or 4.6%, respectively, lived in prepared households.…”