Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal
Background: Children, especially disadvantaged children in poor countries, were expected to be among the “biggest victims” of the Covid pandemic. Economic burdens, decreased nutritious foods, reduced medical care, school closures, and ill-health or death of family members were predicted to increase...
| Autores principales: | , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Wiley
2023
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| Acceso en línea: | https://hdl.handle.net/10568/140173 |
| _version_ | 1855528429655425024 |
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| author | Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Shrestha, Bhola |
| author_browse | Joshi, Neena Lohani, Mahendra Miller, Laurie C. Neupane, Sumanta Shrestha, Bhola |
| author_facet | Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Shrestha, Bhola |
| author_sort | Miller, Laurie C. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background: Children, especially disadvantaged children in poor countries, were expected to be among the “biggest victims” of the Covid pandemic. Economic burdens, decreased nutritious foods, reduced medical care, school closures, and ill-health or death of family members were predicted to increase child undernutrition and developmental delays, and diminish home child-rearing quality. Methods: A planned nutrition intervention could not be implemented due to Covid restrictions. However, three surveys (pre-Covid [December 2019], July 2021, and September 2021) in 280 Nepali households (309 parent-dyads, 368 children, 6-66 months old) collected demographics, child anthropometry and development (Ages and Stages Questionnaire-3 [ASQ-3]), and home child-rearing quality (caregiver engagement, learning resources, adult supervision [UNICEF’s Multiple Indicator Cluster Survey]). Mixed-effect regression models adjusted for household (wealth, maternal education) and child factors (age, gender) and survey round. Results: Height, mid-upper-arm and head circumference measurements improved over time. Total ASQ-3 score did not change: communication scores increased while fine motor and personal-social scores declined. Girls’ growth and development worsened more than boys. Caregiver engagement (especially mothers’) generally declined, but learning resource availability increased. More children were left unsupervised at Round 2 than Round 1 or 3. Conclusions: In this sample, some aspects of child growth, development, and home child-rearing quality improved while others declined. Better understanding of these changes in child well-being and the family environment during the pandemic could provide insight on how to protect children during future crises. |
| format | Journal Article |
| id | CGSpace140173 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1401732025-10-26T13:01:48Z Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Shrestha, Bhola education death economic situation coronavirus covid-19 families nutrition coronavirinae child care children developing countries coronavirus disease health care Background: Children, especially disadvantaged children in poor countries, were expected to be among the “biggest victims” of the Covid pandemic. Economic burdens, decreased nutritious foods, reduced medical care, school closures, and ill-health or death of family members were predicted to increase child undernutrition and developmental delays, and diminish home child-rearing quality. Methods: A planned nutrition intervention could not be implemented due to Covid restrictions. However, three surveys (pre-Covid [December 2019], July 2021, and September 2021) in 280 Nepali households (309 parent-dyads, 368 children, 6-66 months old) collected demographics, child anthropometry and development (Ages and Stages Questionnaire-3 [ASQ-3]), and home child-rearing quality (caregiver engagement, learning resources, adult supervision [UNICEF’s Multiple Indicator Cluster Survey]). Mixed-effect regression models adjusted for household (wealth, maternal education) and child factors (age, gender) and survey round. Results: Height, mid-upper-arm and head circumference measurements improved over time. Total ASQ-3 score did not change: communication scores increased while fine motor and personal-social scores declined. Girls’ growth and development worsened more than boys. Caregiver engagement (especially mothers’) generally declined, but learning resource availability increased. More children were left unsupervised at Round 2 than Round 1 or 3. Conclusions: In this sample, some aspects of child growth, development, and home child-rearing quality improved while others declined. Better understanding of these changes in child well-being and the family environment during the pandemic could provide insight on how to protect children during future crises. 2023-09 2024-03-14T12:09:01Z 2024-03-14T12:09:01Z Journal Article https://hdl.handle.net/10568/140173 en Limited Access Wiley Miller, Laurie C.; Neupane, Sumanta; Joshi, Neena; Lohani, Mahendra; and Shrestha, Bhola. 2023. Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal. Child: Care Health and Development 49(5):800-810. https://doi.org/10.1111/cch.13078 |
| spellingShingle | education death economic situation coronavirus covid-19 families nutrition coronavirinae child care children developing countries coronavirus disease health care Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Shrestha, Bhola Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal |
| title | Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal |
| title_full | Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal |
| title_fullStr | Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal |
| title_full_unstemmed | Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal |
| title_short | Trajectories of child growth, child development, and home child-rearing quality during the COVID pandemic in rural Nepal |
| title_sort | trajectories of child growth child development and home child rearing quality during the covid pandemic in rural nepal |
| topic | education death economic situation coronavirus covid-19 families nutrition coronavirinae child care children developing countries coronavirus disease health care |
| url | https://hdl.handle.net/10568/140173 |
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