scholarly journals THE IMPACT OF COVID-19 ON RESIDENTIAL CARE SERVICES FOR CHILDREN: A CALL FOR FAMILY-BASED APPROACH IN ALTERNATIVE CARE

2021 ◽  
Author(s):  
Lucia Carriera ◽  
◽  
Chiara Carla Montà ◽  
Daniela Bianchi ◽  
◽  
...  
Keyword(s):  
Residential Care ◽  
School Closures ◽  
Alternative Care ◽  
Left Behind ◽  
Care Services ◽  
Global Pandemic ◽  
Un General Assembly ◽  
Save The Children ◽  
Family Based ◽  
The Impact

Children’s rights and needs are at the center of the United Nations 2030 Agenda for Sustainable Development, where education is viewed as crucial for providing the opportunities for sustainable, peaceful and equitable coexistence in a changing world. Alternative care settings are educational contexts (Tibollo, 2015) that deal with children in vulnerable conditions (UN General Assembly, 2010). For this reason, they can be considered as a sort of “field test” or “magnifying glass” on how the progress in striving to the implementation of the goals is proceeding – no one must be left behind. The 2020 global pandemic provoked an external shock to current socio-economic dimensions of sustainability. Education has been one of the most struck systems – let’s think of the 1,6 billion learners that have been affected by school closures (UNESCO, 2020). With this global framework in mind, the contribution aims at offering a pedagogical reflection on the impact the Covid-19 pandemic is having on children living in residential care centers (RCC). Worldwide, many RCCs, following the ongoing global pandemic, have been closed with the consequent return of children to their families of origin (CRIN, 2020). This process of deinstitutionalization, however, has not been overseen by rigorous monitoring, leading to increased risks of violence for children. This urges authorities to take carefully planned measures with respect to deinstitutionalisation in light of the COVID-19 pandemic (Goldman, et al., 2020). But Covid-19 is not only a health risk for children in RCCs. Because of the complex impact that the pandemic has had on the lives of children, on one side care responses are required, and on the other psycho-social and educational ones are also crucial (SOS Villaggi dei Bambini Onlus Italy; Save The Children, 2020). In Italy, for example, special guidelines have been drawn up to mitigate the spread of the virus within residential structures, that sometimes are overcrowded (Istituto superiore di sanità; SOS Villaggi dei Bambini Onlus Italia, 2020). In addition, tools have been provided to support the mental health of the children and adolescents that are deprived of opportunities for socialization given the closure of schools. In some cases they are isolated within the services themselves to mitigate the risk of the spread, causing a limitation in the possibility of seeing people outside the institution as their parents. Covid-19 underlines the urgency of promoting family-based alternative care for children. In particular, this paper aims to read through a pedagogical lens, the European scenario of residential services for children, to explore the impact of Covid-19 in these services; and to promote a family-based approach in alternative care preventing the risk of institutionalization in children welcomed.

Deinstitutionalisation and the Best Interest of the Child: The Case of Rwanda and Lessons for South Asia

2020 ◽  
Vol 7 (2) ◽  
pp. 148-158
Author(s):  
Shubha Murthi ◽  
Chathuri Jayasooriya
Keyword(s):  
South Asia ◽  
Residential Care ◽  
Large Scale ◽  
Well Being ◽  
National Guidelines ◽  
Best Interest ◽  
Policy Makers ◽  
Alternative Care ◽  
Rights Of The Child ◽  
Family Based

The ‘deinstitutionalisation’ (DI) movement, also known as ‘care reforms’, is spreading rapidly across the globe, gaining momentum with the growing understanding among both practitioners and policy makers of the harmful effects of institutionalisation on the development and well-being of children as well as the strengthening of the child rights discourse. This has led to a growing international trend towards the development of, and a strong belief in, family-based care options for children deprived of parental care, away from large-scale institutions. This trend is reflected in and supported by international frameworks guiding the care of children, including the United Nations Convention on the Rights of the Child and in particular the United National Guidelines for the Alternative Care of Children, which was hailed in 2009. These instruments recognise that a caring and protective family is central to a child’s development, that governments should fulfil children’s right to quality care in families of origin and in alternative care and that institutionalisation of a child should be discouraged. DI processes are, however, not simple and straightforward as there are many challenges and complexities in their cross-cultural implementation. Even though unequivocally agreed by all stakeholders that the ‘best interest of the child’ should be at the heart of such care reform processes, its actual practice can often contradict such understandings as it gets submerged in numerous other considerations, constraints and challenges. This article analyses some of the dominant DI trends prevailing at present, in particular the primacy of family-based care and the misconceptions associated with the suitability of residential care, illustrated by the experience of SOS Children’s Villages in the DI process and its outcomes in Rwanda. The analysis is premised on the framework of the UN guidelines for the alternative care of children and strives to understand whether DI as it is practiced in Rwanda is aligned with the principles of ‘necessity’, ‘suitability’ and the ‘best interest of the child’ as stipulated in the Guidelines. The attempt is to draw lessons for South Asia from the success as well as the challenges faced in Rwanda, as many governments in South Asia progressively join the DI movement. It is critical for all child-focused international non-governmental organization/ non-governmental organizations (INGOs/NGOs) in Asia to understand the UNGL, learn from different experiences about the challenges of DI and prepare to engage with policy makers. One of the most important lessons from the Rwanda experience is that the ‘quality’ of care should take precedence over the ‘form’ of care, and that quality is not always guaranteed in family-based care. The shift in the positionality of the government of Rwanda and their willingness to rethink their approach to DI particularly in terms of recognising quality residential care is commendable. This needs to be taken as a precedence by other governments across the world including in South Asia—especially by those who are truly interested in ensuring the best interest of children who have lost the care of their parents.

scholarly journals Children’s participation and agency in Italian residential care for children: Adult-child interactions at dinnertime

2021 ◽  
Author(s):  
Marzia Saglietti ◽  
Cristina Zucchermaglio
Keyword(s):  
Residential Care ◽  
Adult Child ◽  
Routine Activity ◽  
Alternative Care ◽  
Residential Care Facilities ◽  
Vulnerable Families ◽  
Care Facilities ◽  
Children’S Participation ◽  
Children's Participation ◽  
The Impact

AbstractThis paper analyzes the impact of adults’ interactive moves and strategies on children’s participation and agency at dinnertime in two Italian residential care facilities, one of the most widely used alternative care life-context for children and youth coming from vulnerable families. Participants are 14 children and 11 educators living in two residential care facilities in Rome (Italy). Adopting an interactional and multimodal analytic approach, this paper focuses on two dinnertime activities: the routine activity of praying before eating and the very frequent one of talking about rules and transgressions. The comparative analysis of the two facilities shows how, in stable patterns of adult-child interactions recurring across different activities in the same facility, adults’ strategies and interactive maneuvers differently impact on children’s participation and agency and consequent socialization practices. In the conclusion, we emphasize the relevance and implications of this study for either research in educational sciences and for professionals operating in alternative care and related fields.

scholarly journals The Impact of the First Wave of Covid 19 on Orthopaedic Surgeries in a Tertiary Care Teaching Hospital

2021 ◽  
pp. 95-100
Author(s):  
B. Jagadeesh ◽  
N. Adhishwar Kumaran ◽  
K. Gunalan ◽  
K. Midhuna ◽  
S. Natarajan
Keyword(s):  
Hospital Stay ◽  
Health Care Services ◽  
Tertiary Care ◽  
Healthcare Personnel ◽  
Orthopaedic Department ◽  
Duration Of Hospital Stay ◽  
Care Services ◽  
Global Pandemic ◽  
The Cost ◽  
The Impact

Background: The Covid 19 was declared a global pandemic that had a sizeable impact on the health care services in the surgical field including the orthopaedic department. There was additionally a decreased accessibility to healthcare personnel and facilities reallocated to manage the Covid patients. The study was mainly conducted to find out the impact of the first wave of COVID-19 on the orthopaedic surgeries. Aim: The main aim of the study is to find out the alteration in the number, type of surgeries, financial implications, duration of hospital stay, delay in surgery during the first wave of the COVID-19 pandemic. Study Design: Retrospective crossectional study. Methods: All the surgeries conducted in the orthopaedic department in the year 2019 and 2020 following first peak in March including pre-op and post-op COVID cases are included in the study. The procedure conducted, date of admission, date of surgery, date of discharge, investigations done and the cost expenses are the various parameters that are taken into consideration. The results are analysed for each year and comparisons are made using statistical methods. Results: The comparative analysis of the data collected from the years 2019 and 2020 showed an increase in the duration of hospital stay, delay in surgery, additional expenditure, back log in the number of elective surgeries done during the Pandemic.

scholarly journals Impact of COVID-19 pandemic on Radiation Oncology Residency- Experience and Perspective from a Tertiary Cancer Centre of Northeast India

2020 ◽  
Vol 5 (S1) ◽  
pp. 209-211
Author(s):  
Biswajit Sarma ◽  
Hima Bora ◽  
Dhiru Talukdar ◽  
Luri Borah ◽  
Moumita Paul ◽  
...  
Keyword(s):  
Radiation Oncology ◽  
Cancer Care ◽  
Virus Disease ◽  
Northeast India ◽  
The Novel ◽  
Cancer Centre ◽  
Care Services ◽  
Global Pandemic ◽  
Precautionary Measures ◽  
The Impact

The novel corona virus disease 2019 has emerged as a global pandemic affecting the healthcare system. It became extremely difficult to carryout comprehensive cancer care services in the midst of this pandemic. As resident trainees in the department of Radiation Oncology, we faced many difficulties during this unprecedented crisis. We the radiation oncology residents from a tertiary cancer centre of northeast India want to highlight our preparedness and precautionary measures taken to ensure uninterrupted patient services and the impact of this crisis on our academics.

The Impact of War on Population Health

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Turkan Ahmet
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Negative Effects ◽  
The Past ◽  
Care Services ◽  
Physical Environments ◽  
The Social ◽  
Personal Experiences ◽  
The Impact

The past few decades of ongoing war in Iraq has had a dramatic impact on the health of Iraq’s population. Wars are known to have negative effects on the social and physical environments of individuals, as well as limit their access to the available health care services. This paper explores the personal experiences of my family members, who were exposed to war, as well as includes information that has been reviewed form many academic sources. The data aided in providing recommendations and developing strategies, on both local and international levels, to improve the health status of the populations exposed to war.

A Study on the Impact of Demonetization on Utilisation of Private Health Care Services in a South Indian City

2020 ◽  
Vol 11 (2) ◽  
pp. 485
Author(s):  
Vijay K. Yalanchmanchili ◽  
N. Partha Sarathy ◽  
U. Vijaya Kumar ◽  
M. Ravi Kiran ◽  
Kalapala Abhilash
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Private Health Care ◽  
Care Services ◽  
South Indian ◽  
Indian City ◽  
The Impact

Navigating the New Retail Landscape

2020 ◽  
Author(s):  
Alan Treadgold ◽  
Jonathan Reynolds
Keyword(s):  
Case Studies ◽  
Business Models ◽  
Retail Industry ◽  
Drivers Of Change ◽  
Economic Crises ◽  
Global Pandemic ◽  
Personal Leadership ◽  
Practical Guidance ◽  
The Impact ◽  
Rapid Emergence

The retail industry globally is in an era of profound, perhaps unprecedented, change, change which has been further accelerated for many by the impact of the COVID-19 global pandemic and its attendant health and economic crises. This book is intended to serve as a wide-ranging, robust, practical guide to leaders of enterprises tasked with understanding and delivering success in the new landscape of retailing. Part 1 describes the major directions and drivers of change that define the new global landscape of retailing. Accelerating changes in technology, the rise to prominence globally of internet enabled shoppers and the rapid emergence of entirely new retail enterprises and business models are combining to re-shape the very fundamentals of the retail industry. The new landscape of retailing is unforgiving: success can be achieved more quickly than ever before but failure is equally rapid. Opportunities in the new landscape of retailing are profound, but so too are the challenges. Part 2 discusses the structures, skills and capabilities that retail enterprises will need to be successful in this new landscape and the skills and capabilities required of the leaders of retail enterprises. More than 25 detailed case studies of innovative, successful enterprises internationally and more than one hundred smaller examples, all updated and many new since the first edition, are used to illustrate the themes discussed. Frameworks are presented to provide practical guidance for enterprise leaders to understand and contextualize the nature of change re-shaping retail landscapes globally. Clear guidance is given of the capabilities, skills and perspectives needed at both an enterprise and personal leadership level to deliver success in the new landscape of retailing.

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