ABSTRACT
Amid the COVID-19 pandemic, women in medicine, including faculty, residents, medical students, and other health care workers (HCWs), are facing unparalleled challenges. The burdens of pandemic-associated increases in domestic and caregiving responsibilities, professional demands, health risks associated with contracting COVID-19, and the resulting psychosocial distress have exacerbated existing gender disparities at home, at work, and in academia. School and day care closures have created additional childcare needs, primarily for women, yet little support exists for parents and families. These increased childcare and domestic responsibilities have forced women HCWs, who make up the overwhelming majority of the workforce, to adapt their schedules and, in some cases, leave their jobs entirely. In this article, the authors detail how COVID-19 has exacerbated existing childcare accessibility and affordability issues as well as gender disparities. They argue that unless government and health care organization support for childcare increases, families, specifically women and children, will continue to suffer. Lack of access to affordable childcare can prevent HCWs from doing their jobs, including conducting and publishing academic scholarship. This poses incalculable risks to families, science, and society. COVID-19 should serve as a call to action to all sectors, including the government and health care organizations, to prioritize childcare provision and increase support for women HCWs, both now during the pandemic and going forward.
Subject(s)
COVID-19 , Child Care/trends , Family , Health Personnel , Sexism/trends , COVID-19/prevention & control , Child , Child Care/economics , Child Care/organization & administration , Child Day Care Centers/economics , Child Day Care Centers/trends , Child Health/trends , Child Welfare/economics , Child Welfare/psychology , Child Welfare/trends , Child, Preschool , Female , Health Personnel/psychology , Health Personnel/trends , Humans , Infant , Mental Health/trends , Physicians, Women/psychology , Physicians, Women/supply & distribution , Physicians, Women/trends , United States , Women's Health/trendsABSTRACT
We examined levels of very low food security (VLFS) among low-income households with children in California before and shortly after the economic downturn from coronavirus disease 2019 (COVID-19). Households were randomly sampled in 2018, 2019, and 2020; 11,653 mothers were administered the US Department of Agriculture 6-item Food Security Survey Module. Post-COVID-19 (April 27 to July 21, 2020, a period when stay-at-home restrictions were eased in the state), 14.0% of mothers reported VLFS versus 19.3% pre-COVID-19 (November 21, 2019, to March 14, 2020) (P = .003), 22.2% in 2019 (P < .001), and 19.0% in 2018 (P = .004). Existing systems to quickly obtain food assistance benefits in California and new federal benefits available in response to COVID-19 may have reduced VLFS.
Subject(s)
COVID-19 , Child Welfare , Chronic Disease , Food Security , Poverty/statistics & numerical data , COVID-19/epidemiology , COVID-19/prevention & control , California/epidemiology , Child , Child Welfare/economics , Child Welfare/ethnology , Child Welfare/statistics & numerical data , Chronic Disease/epidemiology , Chronic Disease/prevention & control , Communicable Disease Control/organization & administration , Family Characteristics , Female , Food Security/methods , Food Security/standards , Food Security/statistics & numerical data , Humans , Male , Mothers , SARS-CoV-2 , Self ReportABSTRACT
BACKGROUND: COVID-19 has highlighted and amplified structural inequalities; drawing attention to issues of racism, poverty, xenophobia as well as arguably ineffective government policies and procedures. In South Africa, the pandemic and the resultant national lockdown have highlighted the shortcomings in the protection and care of children. Children in alternative care are particularly at risk as a result of disrupted and uncoordinated service delivery. OBJECTIVE: The aim of this study was to explore the experiences and impact of the pandemic and the resulting social isolation on the wellbeing and protection of children living in a residential care facility. METHODS AND PARTICIPANTS: We used qualitative, participatory approaches - specifically draw-and-write methods - to engage with 32 children (average age = 13.5 years) living in a residential care facility in Gauteng. FINDINGS: Children in care demonstrated an awareness of the socio-economic difficulties facing communities in South Africa, and shared deep concerns about the safety, well-being and welfare of parents and siblings. Although they expressed frustration at the lack of contact with family members, they acknowledged the resources they had access to in a residential care facility, which enabled them to cope and which ensured their safety. DISCUSSION AND CONCLUSION: We focus our discussion on the necessity of a systemic response to child welfare, including a coordinated approach by policy makers, government departments and child welfare systems to address the structural factors at the root of inequality and inadequate, unacceptable care. This response is essential not only during COVID-19 but also in pre- and post-pandemic context.