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1.
Child Abuse Negl ; : 107077, 2024 Oct 14.
Article in English | MEDLINE | ID: mdl-39406667

ABSTRACT

BACKGROUND: Balancing children's right to participate and their need for protection constitutes a core dilemma in child protection. The CRC obligates states to facilitate and ensure participation for all children, regardless of age and maturity. Still, children are repeatedly excluded from child protection proceedings on paternalistic grounds, even in the child-centric and child-rights-oriented Nordic countries. OBJECTIVE: From a policy theory perspective, this study explores the participation-protection dilemma by investigating Nordic citizens' attitudes towards children's participation and need for protection. Specifically, it examines how children's age and type of maltreatment affect these attitudes. PARTICIPANTS AND SETTING: Survey data from a representative sample of the populations in Denmark, Finland, Iceland, Norway and Sweden (N = 5073). METHODS: The study utilises an experimental survey methodology, using a between-subjects factorial vignette design. The child's age (5 or 15 years) and type of maltreatment exposure (sexual violence, physical violence, or emotional neglect) are systematically varied across the vignettes randomly assigned to the population. RESULTS: Nordic citizens support children's participation in child protection, but country differences exist. There is less support for participation for younger children and higher levels of protective attitudes. The type of maltreatment did not matter for citizens' assessment of participation. However, citizens are more protective towards children exposed to emotional neglect, especially younger children. CONCLUSIONS: Children's right to participate is widely accepted in the Nordic population, yet normative barriers persist. The study sheds light on the paradox of persisting violation of children's participatory rights despite supportive national policies and legal structures that facilitate implementation.

2.
Contemp Nurse ; : 1-20, 2024 Oct 09.
Article in English | MEDLINE | ID: mdl-39383324

ABSTRACT

BACKGROUND: Childhood is a time when health behaviours are established and the foundations for health literacy are cemented. In Aotearoa New Zealand nurses are responsible for communicating health messages to children at key stages in children's lives. OBJECTIVES/AIMS: This review explores the ways in which nurses communicate health messages to children and adolescents in Aotearoa New Zealand. It evaluates whether current approaches to health communication are in-line with a child's rights-based approach. DESIGN: An integrative review using a systematic literature search strategy. DATA SOURCES: In July 2022, 9 databases were searched including: Medline (Ovid), Embase (Ovid), Scopus (Elsevier), Cochrane Library, EBSCO (host), Web of Science Core Collection, CINHIAL plus, psychINFO and PsychEXTRA. METHODS: Following title and abstract screening 41 articles went through to full-text screening. These were uploaded into NVivo v.12 for analysis. Results were analysed using content analysis with a deductive coding framework informed by the UN Convention on the Rights of the Child. A total of 20 articles met all inclusion criteria and were assessed of high quality using the Mixed Methods Appraisal Tool. RESULTS: Nurses communicate health messages using a variety of strategies, some of which align with the rights of the child. No evidence was found of nurses communicating health messages through play or creative activities or by adopting principles and practice of continuity of care, including health communication beyond the paediatric context. CONCLUSION: Opportunities exist for improvements to the rights of children and adolescents within nursing practice. Further research about the rights of children in healthcare services including not only identifying the barriers but research that includes interventions and proposes solutions is necessary .

3.
Front Public Health ; 12: 1353867, 2024.
Article in English | MEDLINE | ID: mdl-39086802

ABSTRACT

This article examines the methods and opportunities for SCC's meaningful participation that recognize their agency and are aligned with General Comment No. 21 (GC21) to the United Nations Convention on the Rights of the Child (UNCRC) on Children in Street Situations (UNCRC, 1989). This article explains the application of CINI's core practice models which explains the child centrality in development practices for "turning rights into practice for children" derived from the Sustainable Development Goals, principles of Human Rights, UNCRC, and General Comment No. 20 (2016). The Institutional knowledge was practiced through child-led action research with street- connected children which resulted in the development of agency among SCC, peer researchers, and child advocates for resilience building within their community during COVID-19. Child in Need Institute (CINI) has been working with SCC since 1989 and has derived a rich body of experience from the interventions. CINI applied participatory approaches to practice, research, decision-making, and policy development; thus, facilitating children in the process of systematically gathering information with their peers, identifying key issues and problems faced by SCC, and securing support from duty bearers that were required for the survival within their situations. Drawing on the approach undertaken and the tools used in the participatory research and advocacy, this article reflects upon the processes and strategies that worked out in facilitating SCC's ability to exercise agency and resilience through evidence generation and advocacy during COVID-19 and the associated lockdown and beyond. Through capacity building on research tools, leadership and communication skills, SCC can build concrete evidence of their vulnerabilities and the gaps that pose as barriers to their access to existing support mechanisms. This evidence helps them to prioritize the solutions that are required to bring changes in their lives and that of their peers, with which they can advocate at different platforms that promote dialogs and negotiations between children and duty-bearers. A participatory research project funded by Wellcome Trust focused on the vulnerabilities faced by street-connected young people and the access to services available to them. It revealed the lack of understanding regarding SCC and their invisibility in data and planning of support services, the gaps in access to healthcare services, the social determinants of health including safety, and their exclusion in platforms for dialogs with duty bearers. They took these issues to local government leaders, service providers, and national and international advocacy platforms; and suggested solutions to local and world leaders to bring changes in their situations. This resulted in a marked increase in the responsiveness of service providers toward SCC during the period of COVID-19, and the increased agency and negotiation skills of peer leaders to support their communities and demand solutions during the period of COVID-19 and associated lockdown.


Subject(s)
COVID-19 , Homeless Youth , Resilience, Psychological , Humans , Child , Human Rights , SARS-CoV-2
4.
Indian J Pediatr ; 91(10): 1027-1031, 2024 Oct.
Article in English | MEDLINE | ID: mdl-38782873

ABSTRACT

Medical problems of children and their differences from adults have been mentioned in the ancient texts. Important contributions to medicine, including treatment of diseases of children were made by Greek and many scholars from middle East countries in 10th century. Pediatrics became widely recognized in Europe and USA during early 19th century and a number of children's hospitals were established in major cities. With technological advances, pediatric subspecialties also developed. In India, pediatrics was recognized around 1950s and thereafter, gradually progressed. Pediatric specialties came up in 1970s and became well established during 2020s. Pediatricians are regarded as doctors treating sick children. Pediatric specialists have the responsibility of providing tertiary care to patients with complex systemic diseases and critical care. In our country having a huge underprivileged population, pediatricians need to play a wider role and aim to provide comprehensive care that would lead to optimum development for every child. They should be aware of child rights, widely prevalent child abuse and exploitation and legal protective mechanisms, and attempt to tackle these issues in association with other agencies and organizations working for child welfare.


Subject(s)
Pediatricians , Pediatrics , Child , Humans , Child Abuse/history , Child Care/history , Child Welfare/history , India , Pediatricians/history , Pediatrics/history , History, 19th Century , History, 20th Century , History, 21st Century
5.
West Afr J Med ; 41(3): 265-276, 2024 Mar 29.
Article in English | MEDLINE | ID: mdl-38787763

ABSTRACT

BACKGROUND: The Nigerian Convention on the Rights of the Child (CRC) 2008 enacted prohibitive laws against child streetism. However, in metropolises like Ibadan, there is a growing epidemic of street children, particularly the category with existing family ties known as "children on the streets". Children on the street come from home daily to engage in economic-oriented activities on the streets and return home to their families at night time. OBJECTIVE: We focused on perceptions of formal responses to the problem of child streetism in Ibadan. METHODS: This was qualitative research. Participants were selected from each of the five urban LGA of Ibadan, purposively and by snowball technique. In-depth Interviews (IDI) were conducted, audio-recorded and transcribed. Framework analysis of data was supported by ATLASTi version 22. RESULTS: Fifty-three (53) interviews were conducted including IDI with ten (10) child-welfare officers, ten (10) street shop owners, eleven (11) children on the street, and ten (10) pairs of parent-child dyads. Two themes emerged including governmental shortcomings with six subthemes and suboptimal governmental interventions with four subthemes. Child streetism in Ibadan is a consequence of the State's failed education systems, inadequate children's vocational and rehabilitation programs, lax child welfare laws, lack of empowerment of skilled children, and poor implementation of the policy on ideal family size. Interventions that were existing but sub-optimal included communitybased child welfare programs, parental poverty alleviation, public sensitisation and child welfare monitoring programmes. CONCLUSION: There is an urgent need to update, enforce laws, and amalgamate efforts against child streetism in Ibadan.


CONTEXTE: La Convention nigériane relative aux droits de l'enfant (CRC) de 2008 a promulgué des lois interdisant le travail des enfants dans la rue. Cependant, dans des métropoles comme Ibadan, il existe une épidémie croissante d'enfants des rues, en particulier la catégorie ayant des liens familiaux existants connue sous le nom d'"enfants des rues". Les enfants des rues viennent de chez eux tous les jours pour participer à des activités orientées vers l'économie dans les rues et rentrent chez eux auprès de leurs familles le soir. OBJECTIF: Nous nous sommes concentrés sur les perceptions des réponses formelles au problème du travail des enfants dans la rue à Ibadan. MÉTHODES: Il s'agissait d'une recherche qualitative. Les participants ont été sélectionnés dans chacun des cinq LGA urbains d'Ibadan, de manière délibérée et par la technique de la boule de neige. Des entretiens approfondis (IDI) ont été réalisés, enregistrés et retranscrits. L'analyse thématique des données a été soutenue par ATLAS-Ti version 22. RÉSULTATS: Cinquante-trois (53) entretiens ont été menés, comprenant des IDI avec dix (10) agents de protection de l'enfance, dix (10) propriétaires de magasins de rue, onze (11) enfants des rues et dix (10) paires de dyades parent-enfant. Deux thèmes ont émergé, comprenant des lacunes gouvernementales avec six sous-thèmes et des interventions gouvernementales suboptimales avec quatre sous-thèmes. Le travail des enfants dans la rue à Ibadan est une conséquence des systèmes éducatifs défaillants de l'État, des programmes de formation et de réadaptation insuffisants pour les enfants, des lois laxistes sur la protection de l'enfance, du manque d'autonomisation des enfants qualifiés et de la mauvaise mise en œuvre de la politique sur la taille idéale de la famille. Les interventions existantes mais suboptimales comprenaient des programmes communautaires de protection de l'enfance, l'alleviation de la pauvreté des parents, la sensibilisation du public et les programmes de suivi de la protection de l'enfance. CONCLUSION: Il est urgent de mettre à jour, d'appliquer les lois et de regrouper les efforts contre le travail des enfants dans la rue à Ibadan. MOTS-CLÉS: Travail des enfants dans la rue, Protection sociale, Droits de l'enfant, Lois, Famille.


Subject(s)
Child Welfare , Homeless Youth , Qualitative Research , Humans , Nigeria , Child , Female , Male , Child Welfare/legislation & jurisprudence , Homeless Youth/psychology , Interviews as Topic , Adolescent , Adult
6.
J Indian Assoc Pediatr Surg ; 29(2): 93-97, 2024.
Article in English | MEDLINE | ID: mdl-38616841

ABSTRACT

Pediatric surgeons need to learn to give as much importance to the ethical approach as they have been giving to the systemic methodology in their clinical approach all along. The law of the land and the governmental rules also need to be kept in mind before deciding the final solution. They need to always put medical problems in the background of ethical context, reach a few solutions keeping in mind the available resources, and apply the best solution in the interest of their pediatric patients.

7.
J Child Health Care ; : 13674935241248677, 2024 Apr 25.
Article in English | MEDLINE | ID: mdl-38663868

ABSTRACT

Holding and restraining children during non-urgent clinical procedures continues to be surrounded by uncertainty and mired in controversy. This review aimed to locate, appraise and map the evidence related to health professionals reported and observed practice of holding and restraining children, from birth to 16 years, for clinical procedures. This scoping review, conducted in April 2022, was based on the Joanna Briggs Institute protocol. Screening and full text review resulted in the inclusion of 30 papers. In total, 14 different terms were used to refer to the act of holding or restraining a child for a procedure, in many papers the action of holding was not defined. Professionals report the main factors influencing their decisions to use restraint and/or holding were the age of a child, with younger children being restrained or held most frequently; a child's behaviour; and concerns around a child's safety. Professionals also report that they can perceive pressure from parent/carers to hold or restrain their child and describe how holding practices can be influenced by service and organisational pressures. Health professionals, mainly nurses, continue to report ethical and moral tensions linked to their involvement in the restraint or holding of a child against their will for a clinical procedure. Evidence indicates a need to move practice forward as the issues identified in paediatric practice are long-standing and historical.

8.
Child Abuse Negl ; 151: 106642, 2024 May.
Article in English | MEDLINE | ID: mdl-38460273

ABSTRACT

BACKGROUND: Although the harmful effects of honor-based violence (HBV) against women have been well documented, less is known about how HBV affects children and adolescents. AIMS: 1) To describe the contexts, research methods and populations included in research on HBV and children; 2) to outline conceptual and methodological approaches, including definitions of honor; 3) to describe how honor-based practices affect children's experiences of violence. METHODS: We searched seven electronic databases using search terms for honor, violence and children which resulted in 7122 unique records. 468 records were selected for full-text review. Articles reporting findings on the effects of honor-based harm or violence against children were included in the final sample for data extraction. We conducted bibliometric and thematic analyses of extracted data. RESULTS: In total, 101 articles were included. Most studies were published after 2007, conducted in Europe (n = 46) or in North America (n = 21), and most used qualitative methods (n = 58) followed by quantitative methods (n = 32). In most studies (n = 74) children, especially girls, were included as experiencing HBV or being a victim of homicide related to HBV. A smaller sample of studies (n = 24) included children, especially boys, as perpetrators of HBV. Studies documented the following effects of HBV on children: violence; family rejection and control; homicide or honor killing; forced/early marriage; female genital cutting; gang membership/violence; hymen exam or reconstruction; sex work, or suicide. RECOMMENDATIONS: Further research on HBV should be child and youth centered, situated in the Global South, engage with and interview young people directly, and offer recommendations for action.


Subject(s)
Violence , Humans , Child , Adolescent , Female , Male , Violence/psychology , Violence/statistics & numerical data , Child Abuse/statistics & numerical data , Child Abuse/psychology
9.
J Pediatr Nurs ; 77: 1-12, 2024.
Article in English | MEDLINE | ID: mdl-38461775

ABSTRACT

AIM: A critical review examined how childrens participation rights as represented in the United Nations Convention on the Rights of the Child inform the work of pediatric teams in healthcare settings. METHODS: We systematically searched peer-reviewed literature on the enactment of child participation rights, within the context of pediatric teams. Articles were evaluated using the LEGEND (Let Evidence Guide Every New Decision) tool. Data extraction and analysis highlighted themes and disparities between articles, as well as gaps. A total of 25 studies were selected. RESULTS: We reviewed studies from around the globe, with the majority of papers from the UK. Qualitative and mixed methods approaches were administered. The following observations were made: (1) limited language of children's rights exists in the literature, (2) lack of information regarding the composition of pediatric healthcare teams and how they work with children, (3) children's perspectives on what constitutes good interactions with healthcare providers are replicated, (4) minimal references to theory or philosophical underpinnings that can guide practice. CONCLUSION: Explicit references to children's participation rights are lacking in the literature which may reflect the absence of rights language that could inform pediatric practice. Descriptive understandings of the tenets of pediatric interprofessional team composition and collaboration are necessary if we are to imagine the child as part of the team along with their family. Despite these shortcomings, the literature alludes to children's ability to discern desirable interactions with healthcare providers.


Subject(s)
Patient Care Team , Humans , Child , Patient Care Team/organization & administration , Child Advocacy/legislation & jurisprudence , Pediatrics , Female , Patient Participation , Male
10.
Eval Program Plann ; 103: 102416, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38452409

ABSTRACT

Child marriage has continued to rear its ugly head in Nigerian society. This study aimed to evaluate the impact of storytelling and multimedia music interventions in improving knowledge of the Child Rights Act and reducing the propensity to engage in child marriage. The researchers applied a quasi-experimental design and collected data using a structured questionnaire. The children were assigned into three groups (control, storytelling and multimedia music) of 173 participants. It was found that the interventions were effective. In particular, while storytelling contributed more to reducing the propensity to engage in child marriage, multimedia music contributed more to improving knowledge of the Child Rights Act. These results suggest that storytelling and multimedia music interventions can be effective approaches for addressing the lingering problem of child marriage in Nigeria.


Subject(s)
Music Therapy , Music , Child , Humans , Multimedia , Marriage , Program Evaluation
11.
BMC Public Health ; 23(1): 2255, 2023 11 16.
Article in English | MEDLINE | ID: mdl-37974100

ABSTRACT

BACKGROUND: Nearly all countries have ratified the United Nations Convention on the Rights of the Child and, therefore, support children having access to their rights. However, only a small minority of children worldwide have access to their environmental, economic, and social rights. The most recent global effort to address these deficits came in 2015, when the United Nations General Assembly agreed to a plan for a fairer and more sustainable future by 2030 and outlined the Sustainable Development Goals (SDGs). One remediable cause is the lack of revenue in many countries, which affects all SDGs. However, illicit financial flows from low-income to high-income countries, including international tax abuse, continue unabated. METHODS: Using the most recent estimates of tax abuse perpetuated by multinational companies and tax evasion through offshore wealth, and precise econometric modelling, we illustrate the potential regarding child rights (or progress towards the SDGs) if there was an increase in revenue equivalent to tax abuse in Malawi, a low-income country particularly vulnerable to climate change. The Government Revenue and Development Estimations model provides realistic estimates of government revenue changes in developmental outcomes. Using panel data on government revenue per capita, it models the impact of increased revenue on governance and SDG progress. RESULTS: If cross-border tax abuse and tax evasion were curtailed, the equivalent increase in government revenue in one country, Malawi, would be associated with 12,000 and 20,000 people having access to basic water and sanitation respectively each year. Each year, an additional 5000 children would attend school, 150 additional children would survive, and 10 mothers would survive childbirth. CONCLUSIONS: More children would access their economic and social rights if actions were taken to close the gap in global governance regarding taxation. We discuss the responsibility of duty bearers, the need for a global body to arbitrate and monitor international tax matters, and how the Government of Malawi could take further domestic action to mitigate the gaps in global governance and protect itself against illicit financial flows, including tax abuse.


Subject(s)
Income , Poverty , Humans , Child , Malawi , United Nations , Government , Taxes
12.
Inj Epidemiol ; 10(Suppl 1): 60, 2023 Nov 21.
Article in English | MEDLINE | ID: mdl-37990236

ABSTRACT

BACKGROUND: The aim of the study was to have youth participate in the design and implementation of a research project set within a child rights framework to better understand high schoolers' perceptions of safety in their school and community. RESULTS: Between June 2020 and March 2021, a team of East Harlem, New York high school students, participated as co-researchers to modify the United Nations Children's Fund Child Friendly Cities Initiative Survey to suit their needs. Due to the COVID-19 pandemic, the final survey was conducted through an online remote classes system during advisory school classes, accompanied by brief focused group discussions. The novel process of conducting an interactive qualitative and quantitative virtual survey during a pandemic via youth participatory action research is outlined in this paper. CONCLUSIONS: Our results demonstrate that youth participatory action research can be utilized as part of a child rights framework approach to assess the views of youth regarding community safety and violence prevention.

13.
Child Youth Serv Rev ; 1482023 May.
Article in English | MEDLINE | ID: mdl-37736253

ABSTRACT

Despite the growing importance of the multidimensional methods of assessing child poverty, few studies in the U.S. have applied a rights-based approach to examining child deprivation. This study examines multidimensional child deprivation using eight dimensions and twelve indicators based on the Convention on the Rights of the Child (CRC). Using a sample of children at age nine from the fifth wave of the Future of Families and Child Well-being Study, this study applied the multiple overlapping deprivation analysis (MODA), a comprehensive analytic method to assess the multidimensionality of child deprivation and to provide a detailed picture of material and social forms of deprivation among the U.S. children. This study found that the overall child deprivation rate was 8.89%; environmental safety (20.36%), information (15.94%), and housing security (14.23%) dimensions contributed the highest to the overall child deprivation; the overlap between deprivation and income poverty was 12.83%. Results suggest that understanding multifaceted and interrelated contexts of child deprivation is crucial to promote child rights.

14.
Clin Child Fam Psychol Rev ; 26(4): 994-1007, 2023 12.
Article in English | MEDLINE | ID: mdl-37700107

ABSTRACT

A changing view of children, accelerated by the Convention of the Rights of the Child (UN in Convention on the rights of the child, UN Doc. A/RES/44/25, 1989, http://www2.ohchr.org/english/law/pdf/crc.pdf ) has shifted the landscape of child and family research over the last few decades. Once viewed with low credibility and operating outside the interpretive framework of adult researchers, the rights-bearing child is increasingly recognized not only as having the capacity but also the right to participate in research. More recently, this movement has transitioned from the direct engagement of children as research participants-now considered commonplace, although less so for those who are structurally vulnerable-to the involvement of children in research design, review, conduct, and dissemination. Yet, both practical and ethical challenges remain. While children have the right to participation, they also have the right to protection. In this commentary, we set out to: (i) lay forth epistemic, child rights, and child sociology arguments for doing research about, with and by children and youth; (ii) recount our own journey of including children and youth in research to demonstrate the unique knowledge and insights gained through these approaches; and (iii) offer lessons learned on how to engage children and youth in research, including the involvement of structurally vulnerable groups.


Subject(s)
Family , United Nations , Adolescent , Adult , Child , Humans
15.
Eur J Pediatr ; 182(10): 4707-4721, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37566281

ABSTRACT

Children continue to experience harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care. The international ISupport collaboration aimed to develop standards to outline and explain good procedural practice and the rights of children within the context of a clinical procedure. The rights-based standards for children undergoing tests, treatments, investigations, examinations and interventions were developed using an iterative, multi-phased, multi-method and multi-stakeholder consensus building approach. This consensus approach used a range of online and face to face methods across three phases to ensure ongoing engagement with multiple stakeholders. The views and perspectives of 203 children and young people, 78 parents and 418 multi-disciplinary professionals gathered over a two year period (2020-2022) informed the development of international rights-based standards for the care of children having tests, treatments, examinations and interventions. The standards are the first to reach international multi-stakeholder consensus on definitions of supportive and restraining holds.    Conclusion: This is the first study of its kind which outlines international rights-based procedural care standards from multi-stakeholder perspectives. The standards offer health professionals and educators clear evidence-based tools to support discussions and practice changes to challenge prevailing assumptions about holding or restraining children and instead encourage a focus on the interests and rights of the child. What is Known: • Children continue to experience short and long-term harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care. • Professionals report uncertainty and tensions in applying evidence-based practice to children's procedural care. What is New: • This is the first study of its kind which has developed international rights-based procedural care standards from multi-stakeholder perspectives. • The standards are the first to reach international multi-stakeholder consensus on definitions of supportive and restraining holds.


Subject(s)
Consensus , Diagnostic Techniques and Procedures , Pediatrics , Adolescent , Humans , Diagnostic Techniques and Procedures/ethics , Diagnostic Techniques and Procedures/standards , Child , Pediatrics/ethics , Pediatrics/standards
16.
Public Health ; 223: 94-101, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37625273

ABSTRACT

OBJECTIVES: Angola has a high burden of unregistered children and efforts to increase birth-registration coverage have not yielded the desired progress. This study aimed to examine sociodemographic and healthcare-related factors associated with birth registration in Angola. STUDY DESIGN: Secondary data analysis of the Maternal and Child Health (MCH) Handbook randomised controlled trial conducted in Benguela province, Angola and involving 11,006 women. METHODS: For this analysis, we excluded women with missing data on birth registration (n = 1424), multiple gestation (n = 243), and those with infant death (n = 6). The final study population included 9333 women with infants under one year of age. We used multilevel mixed-effects logistic regression analysis to determine sociodemographic and healthcare-related factors associated with the registration of a child's birth. RESULTS: Of the 9333 live births, 25% (95% confidence interval [CI] = 13.4-41.8) were registered, while 21% (95%CI = 11.1-35.7) were registered with certificate. There were higher proportions of registered births among mothers who possessed the MCH Handbook across various demographic and healthcare indicators. Birth registration was most significantly associated with facility-based delivery (odds ratio [OR] = 2.97; 95%CI = 2.45-3.61), possession of MCH Handbook (OR = 2.04; 95%CI = 1.70-2.46), and complete scheduled vaccination visits (OR = 1.69; 95%CI = 1.44-1.97). Higher maternal age and education level, belonging to the highest wealth quintile, beginning antenatal care in the first trimester, attending at least four antenatal care visits, and using postnatal care services were positively associated with registration of birth. CONCLUSION: Maternal healthcare factors showed significant associations with birth registration and integrating birth-registration processes with certain maternal and child health services may further raise awareness and boost registration levels in Angola.


Subject(s)
Maternal Health Services , Infant , Child , Humans , Female , Pregnancy , Angola/epidemiology , Prenatal Care , Mothers , Delivery of Health Care
17.
Inj Epidemiol ; 10(Suppl 1): 34, 2023 Jul 12.
Article in English | MEDLINE | ID: mdl-37438814

ABSTRACT

BACKGROUND: The USA has failed to codify the protection of children from gun violence (GV) as a human right. This study employs a youth participatory action research methodology, within the framework of the United Nations Convention on the Rights of the Child (UNCRC), to investigate the relationships between GV exposure, self-identified gender and perceptions of children's rights and safety. METHODS: An anonymous survey based on UNICEF USA's Child Friendly Cities Initiative interactive survey tool targeting adolescents was modified by East Harlem, New York high school student co-researchers in collaboration with near-peer graduate students. The 61-question survey was administered at an East Harlem high school. Analysis consisted of univariate, bivariate and logistic regression using SPSS®. RESULTS: A total of 153 students completed the survey: 48.4% self-identified as male and 45.8% as female. Thirty-five percent reported witnessing GV. Most (79.1%) were aware of child rights regardless of gender or GV exposure but there were differences in perceptions of safety. Fifteen percent of females reported never feeling safe at school compared to 3% of males (p = 0.01). Females were 2.2 times as likely as males to report transportation waiting areas as never safe (p = 0.008). Almost a third of females reported never feeling safe from sexual harassment in public, compared to 10% of males (p = 0.004). In multivariable logistic regression adjusted for gender, race/ethnicity and grade level, students who witnessed GV were 4.6 times more likely to report never feeling safe from violence (95% CI 1.7-12.4). Thirty percent of students who witnessed GV reported not attending school because of safety concerns. Students who witnessed GV had 2.2 times the odds of carrying a weapon to school (95% CI 1.1-4.5). These patterns continued for other perceptions of safety. CONCLUSIONS: The students in this study affirmed their rights to participate and express their views on matters that may affect them, as articulated in the UNCRC. The study revealed differences in perceptions of safety by self-identified gender and identified gun violence as a major contributor of youth's perception of lack of safety. The study evinces the efficacy of employing YPAR methodology to identify and answer youth concerns of community safety and prioritize honoring child rights.

18.
Health Place ; 83: 103081, 2023 09.
Article in English | MEDLINE | ID: mdl-37506630

ABSTRACT

Urban environments influence child behaviours, exposures and experiences and may affect health, development, achievement and realization of fundamental human rights. We examined the status of eleven UN Convention on the Rights of the Child articles, in a multi-case study across four global cities. Within all study cities, children experienced unequal exposure to urban environmental risks and amenities. Many violations of child rights are related to car-based transportation systems and further challenged by pressures on urban systems from rapid population increases in the context of climate change. A child rights framework provides principles for a collective, multi-sectoral re-imagination of urban environments that support the human rights of all citizens.


Subject(s)
Climate Change , Child , Humans , Cities
19.
J Family Med Prim Care ; 12(5): 856-862, 2023 May.
Article in English | MEDLINE | ID: mdl-37448912

ABSTRACT

Child abuse is harm or neglect toward a child by another person, whether an adult or child. It is common in all cultural, ethnic, and income groups. It can be physical, emotional-verbal, sexual, or even neglect. Abuse may cause serious injury and may even result in the death of the child. The aim of the paper is to review the child abuse laws prevalent in our country. Literatures were collected from the Google Scholar and E-Journals of legal services to get a sight of the child protection laws and to enlighten indigent children. Even though our country has different sections in the Indian penal code and many laws for the protection of children, still at the zeroth hour many corrupt rises.

20.
Global Health ; 19(1): 45, 2023 Jun 30.
Article in English | MEDLINE | ID: mdl-37391743

ABSTRACT

INTRODUCTION: United Nations (UN) agencies are influential global health actors that can introduce legal instruments to call on Member States to act on pressing issues. This paper examines the deployment and strength of global health law instruments used by UN actors to call on Member States to restrict the exposure of children to unhealthy food and beverage marketing. METHODS: Global health law instruments were identified from a review of four UN agencies that have a mandate over children's exposure to marketing of unhealthy food and beverage products namely: the World Health Organization (WHO); the Food and Agriculture Organization (FAO); the United Nations General Assembly (UNGA) and the UN Office of the High Commissioner for Human Rights (OHCHR). Data on marketing restrictions were extracted and coded and descriptive qualitative content analysis was used to assess the strength of the instruments. RESULTS: A wide range of instruments have been used by the four agencies: seven by the WHO; two by the FAO; three by the UNGA; and eight by the UN human rights infrastructure. The UN human rights instruments used strong, consistent language and called for government regulations to be enacted in a directive manner. In contrast, the language calling for action by the WHO, FAO and UNGA was weaker, inconsistent, did not get stronger over time and varied according to the type of instrument used. CONCLUSION: This study suggests that a child rights-based approach to restricting unhealthy food and beverage marketing to children would be supported by strong human rights legal instruments and would allow for more directive recommendations to Member States than is currently provided by WHO, FAO and UNGA. Strengthening the directives in the instruments to clarify Member States' obligations using both WHO and child rights mandates would increase the utility of global health law and UN actors' influence.


Subject(s)
Beverages , Food , Child , Humans , Agriculture , Marketing , World Health Organization
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