Use HIV’s lessons to help children orphaned by COVID-19

Kidman, Rachel

doi:10.1038/d41586-021-02155-9

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…Most orphans will and should be taken in by surviving parents or extended family within the community, as in the context of HIV 34 . Strengthening the family’s capacity for caregiving through cash transfers, parenting interventions and psychosocial support are promising support strategies 30 , 35 . For cancer specifically, some cancer foundations such as the Lalla Salma foundation in Morocco also support the education costs of orphans of cancer 36 .…”

Section: Discussionmentioning

confidence: 99%

Global and regional estimates of orphans attributed to maternal cancer mortality in 2020

Guida

Kidman

Ferlay

et al. 2022

Nat Med

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Despite women being disproportionally affected by cancer deaths at young ages, there are no global estimates of the resulting maternal orphans, who experience health and education disadvantages throughout their lives. We estimated the number of children who became maternal orphans in 2020 due to their mother dying from cancer in that year, for 185 countries worldwide and by cause of cancer-related death. Female cancer deaths—by country, cancer type and age (derived from GLOBOCAN estimates)—were multiplied by each woman’s estimated number of children under the age of 18 years at the time of her death (fertility data were derived from United Nations World Population Prospects for birth cohort), accounting for child mortality and parity-cancer risk associations. Globally, there were 1,047,000 such orphans. Over half of these were orphans due to maternal deaths from breast (258,000, 25%), cervix (210,000, 20%) and upper-gastrointestinal cancers (136,000, 13%), and most occurred in Asia (48%: India 15%, China 10%, rest of Asia 23%) and Africa (35%). Globally, there were 40 new maternal orphans due to cancer per 100,000 children, with a declining trend with a higher Human Development Index (range: 121 in Malawi to 15 in Malta). An estimated 7 million children were prevalent maternal orphans due to cancer in mid-2020. Accelerating the implementation of the World Health Organization’s cervical and breast cancer initiatives has the potential to avert not only millions of preventable female cancer deaths but also the associated, often-overlooked, intergenerational consequences of these deaths.

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Section: Discussionmentioning

confidence: 99%

Global and regional estimates of orphans attributed to maternal cancer mortality in 2020

Guida

Kidman

Ferlay

et al. 2022

Nat Med

Self Cite

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“…Data on cases and deaths due to COVID-19 has proved its asymmetry in relation to age. The world has focused primarily on middle-aged and elderly cases and deaths, while interest in children seems to be limited [ 5 ]. According to a study from Hillis et al, more than 1.5 million children under the age of 18 have seen COVID-19 claim the lives of their parents, grandparents, and carers by the end of April 2021 [ 6 ].…”

Section: The Intense Fact Of Orphans Due To Covid-19mentioning

confidence: 99%

“…Therefore, it is necessary to have global policies to ensure the minimum rights for children to live and develop [ 5 ]. Governments of each country need to have policies to ensure social and security conditions for orphans due to the COVID-19 pandemic, such as food support packages and stable accommodation arrangements.…”

Section: The Need For Urgent Actionsmentioning

confidence: 99%

Children orphaned by COVID-19: A grim picture and the need of urgent actions

Chu

Thi²,

Al‐Tawfiq³

et al. 2022

Travel Medicine and Infectious Disease

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The Silent Pandemic: the Impact of COVID-19 on the Mental Health of Adolescents Living with HIV

Anabwani-Richter¹,

Swanson²,

Dlamini

et al. 2022

Curr Trop Med Rep

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Purpose of Review The pandemic caused by the coronavirus disease (COVID-19) has resulted in millions of confirmed cases and likely more than six million deaths globally Worldometer ( 2022 ). We sought to understand secondary mental effects in adolescents living with HIV (ALHIV) on the African continent caused by lockdowns, school closures, and other restriction measures for infection control. We reviewed the broader literature and conducted 86 retrospective chart reviews of mental health disorders of ALHIV and interventions utilized at a pediatric clinic in Eswatini. Recent Findings ALHIVs are disproportionately affected by mental health disorders. The COVID-19 pandemic has exacerbated adverse mental health outcomes of adolescents on the African continent, especially for ALHIV. There have been many calls for researchers, clinicians, and governments to prioritize mental health in adolescents going forward. Summary In pediatric clinics in Eswatini, Malawi, and Uganda, there were psychosocial measures in place prior to the COVID-19 pandemic for ALHIV. After looking closely at a pediatric clinic in Eswatini, we found that many interventions were paused and new psychosocial interventions compatible with social distancing were instead utilized by clinicians. Even so, after multidisciplinary management comprising of interventions such as psychotherapy, pharmacotherapy, referral to psychologists/psychiatrists, and enrollment in peer support groups, the PHQ-9 depressions scores of ALHIV during the COVID-19 significantly improved. We found that there is a need for age-specific standardized tools to measure depression in ALHIV. Furthermore, more research is needed on the effectiveness and scope of psychosocial interventions for ALHIV post-COVID-19 throughout Eswatini and the African continent.

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Use HIV’s lessons to help children orphaned by COVID-19

Cited by 4 publications

References 22 publications

Global and regional estimates of orphans attributed to maternal cancer mortality in 2020

Global and regional estimates of orphans attributed to maternal cancer mortality in 2020

Children orphaned by COVID-19: A grim picture and the need of urgent actions

The Silent Pandemic: the Impact of COVID-19 on the Mental Health of Adolescents Living with HIV

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