Bhatia Amiya, Fabbri Camilla, Cerna-Turoff Ilan, Turner Ellen, Lokot Michelle, Warria Ajwang, Tuladhar Sumnima, Tanton Clare, Knight Louise, Lees Shelley, Cislaghi Beniamino, Bhabha Jaqueline, Peterman Amber, Guedes Alessandra, Devries Karen
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Pl, London WC1H 9SH, England.
Department of Social Work, University of the Witwatersrand, Johannesburg, South Africa.
Bull World Health Organ. 2021 Oct 1;99(10):730-738. doi: 10.2471/BLT.20.283051. Epub 2021 Aug 13.
The coronavirus disease 2019 (COVID-19) pandemic has affected children's risk of violence in their homes, communities and online, and has compromised the ability of child protection systems to promptly detect and respond to cases of violence. However, the need to strengthen violence prevention and response services has received insufficient attention in national and global pandemic response and mitigation strategies. In this paper, we summarize the growing body of evidence on the links between the pandemic and violence against children. Drawing on the World Health Organization's INSPIRE framework to end violence against children, we illustrate how the pandemic is affecting prevention and response efforts. For each of the seven INSPIRE strategies we identify how responses to the pandemic have changed children's risk of violence. We offer ideas for how governments, policy-makers, and international and civil society organizations can address violence in the context of a protracted COVID-19 crisis. We conclude by highlighting how the current pandemic offers opportunities to improve existing child protection systems to address violence against children. We suggest enhanced multisectoral coordination across the health, education, law enforcement, housing, child and social protection sectors. Actions need to prioritize the primary prevention of violence and promote the central role of children and adolescents in decision-making and programme design processes. Finally, we stress the continued need for better data and evidence to inform violence prevention and response strategies that can be effective during and beyond the COVID-19 pandemic.
2019年冠状病毒病(COVID-19)大流行影响了儿童在家庭、社区和网络上面临暴力的风险,损害了儿童保护系统及时发现和应对暴力案件的能力。然而,加强暴力预防和应对服务的必要性在国家和全球大流行应对及缓解战略中未得到充分关注。在本文中,我们总结了关于大流行与针对儿童暴力之间联系的越来越多的证据。借鉴世界卫生组织的“启发”(INSPIRE)框架以消除针对儿童的暴力行为,我们阐述了大流行如何影响预防和应对工作。对于“启发”框架的七项战略中的每一项,我们都确定了对大流行的应对如何改变了儿童面临暴力的风险。我们就政府、政策制定者以及国际和民间社会组织如何在长期的COVID-19危机背景下应对暴力提供了思路。我们强调当前大流行如何为改进现有的儿童保护系统以应对针对儿童的暴力提供了机会。我们建议加强卫生、教育、执法、住房、儿童和社会保护等部门之间的多部门协调。行动需要优先考虑暴力的初级预防,并促进儿童和青少年在决策和项目设计过程中的核心作用。最后,我们强调持续需要更好的数据和证据,以为在COVID-19大流行期间及之后都有效的暴力预防和应对战略提供信息。