Collective COVID-19 related restrictions (mobility; stay-at-home orders) |
Food supply |
Increasing acute and chronic malnutrition in children 6-59 months; Aggravated nutritional status for children under 5; Increased risk of under 5 mortality |
Syria[@70369; @70370; @70373; @70375; @70378; @70379]; Pakistan[@70361] |
Projected increase in emergency food insecurity; Reduced quantity of available meals for children |
Afghanistan[@70355; @70357; @70359]; Lebanon[@70366]; Yemen[@70372]; Somalia[@70374] |
Protection and Psychosocial support |
Increasing negative coping mechanisms and gender-based violence; Decreasing identification of children needing psychosocial assistance; |
Afghanistan[@70356; @70358; @70359; @70394; @70395; @70396]; Sudan[@70365; @70368] |
Increasing child labor, forced prostitution, forced abortions and early/forced marriages |
Syria[@70384; @70386] |
Socio-economic status |
Increasing poverty rates; Reduced financial capabilities; Increasing negative coping mechanisms; Increasing number of children in need of assistance |
Afghanistan[@70359]; Iraq[@70360; @70385]; Lebanon[@70366; @70376]; Occupied Palestinian Territories[@70362]; Syria[@70369; @70377; @70390; @70391; @70397]; Yemen[@70371] |
Healthcare access |
Reduction in uptake of healthcare services; Reduction in child health and nutrition services; Decline in access to rehabilitation programs, physiotherapy and psychosocial counselling |
Afghanistan[@70367]; Occupied Palestinian Territories[@70363]; Syria[@70369]; Yemen[@70354] |
Incomplete adherence to anti-retroviral HIV treatment |
Pakistan[@70361] |
Lack of access to water and hygiene facilities |
Afghanistan[@70357; @70393]; Sudan[@70364] |
Missed vaccination opportunities; Increase in the number and geographical spread of poliomyelitis; Continuous spread of Measles and vaccine-derived Poliomyelitis; Threat of water-borne and diarrheal diseases |
Afghanistan[@70349]; Pakistan[@70348]; Somalia[@70399]; Sudan[@70364] |
Schools closure |
Education |
Challenged access to distance learning; Increasing risk of drop-out |
Afghanistan[@70356; @70359; @70367]; Iraq[@70360; @70381; @70383]; Lebanon[@70366]; Libya[@70380]; Occupied Palestinian Territories[@70362]; Syria[@70382] |
Immunization activities |
Delayed or missed vaccinations |
Saudi Arabia[@70343]; Pakistan[@70348] |
Home confinement |
Protection and Psychosocial support |
Changes in sleeping; Psychological changes (Increased anxiety, irritability and aggressiveness; feelings of fear and loneliness); Increased self-perceived health and physical concerns; Conflict with parents |
Egypt[@70344; @70345]; Iran[@70338; @70353]; Qatar[@70346]; Saudi Arabia[@70347]; Pakistan[@70352] |
Diet |
Changes in eating patterns (eating in late hours of the night, overeating or losing appetite; changes in consumed food) |
Egypt[@70344] |
Healthcare access |
Decreased uptake of pediatric dental services; Effect on case management of children with underlying condition |
Egypt[@70351]; Saudi Arabia[@70342]; Pakistan[@70339] |
Delayed vaccination by fear of contracting Sars-CoV-2 |
Saudi Arabia[@70341; @70342; @70350]; Syria[@70370] |