Jörgensen Eva, Wood Laura, Lynch Margaret A, Spencer Nicholas, Gunnlaugsson Geir
Faculty of Sociology, Anthropology and Folkloristics, School of Social Sciences, University of Iceland, Sæmundargata 2-6, 102 Reykjavík, Iceland.
Department of Sociology, Lancaster University, Bailrigg, Lancaster LA1 4YU, UK.
Children (Basel). 2023 Oct 9;10(10):1670. doi: 10.3390/children10101670.
The COVID-19 pandemic underscores the importance of a child rights-based approach to policymaking and crisis management. Anchored in the United Nations Convention on the Rights of the Child, the 3P framework-provision, protection, and participation-forms the foundation for health professionals advocating for children's rights. Expanding it with two additional domains-preparation and power-into a 5P framework has the potential to enhance child rights-based policies in times of crisis and future pandemics. The study aimed to (1) gather perspectives from child health-and-rights specialists on how children's rights were highlighted during the early phase of the pandemic in their respective settings; and (2) evaluate the usefulness of the 5P framework in assessing children's visibility and rights. A qualitative survey was distributed among child health-and-rights professionals; a total of 68 responses were analysed in Atlas.ti 9 from a multi-disciplinary group of policymakers and front-line professionals in eight world regions. As framed by the 5Ps, children's rights were generally not safeguarded in the initial pandemic response and negatively impacted children's health and wellbeing. Further, children lacked meaningful opportunities to raise their concerns to policymakers. The 5P framework holds the potential to shape an ethical child rights-based decision-making framework for future crises, both nationally and globally.
新冠疫情凸显了基于儿童权利的政策制定和危机管理方法的重要性。以《联合国儿童权利公约》为基础，3P框架——提供、保护和参与——构成了卫生专业人员倡导儿童权利的基础。将其扩展为包含另外两个领域——准备和权力——的5P框架，有可能在危机时期和未来大流行中加强基于儿童权利的政策。该研究旨在：（1）收集儿童健康与权利专家对疫情初期各自所在环境中儿童权利如何得到凸显的看法；（2）评估5P框架在评估儿童的可见度和权利方面的有用性。向儿童健康与权利专业人员发放了一份定性调查问卷；在Atlas.ti 9中对来自八个世界区域的多学科政策制定者和一线专业人员的68份回复进行了分析。按照5P框架来看，在疫情初期的应对措施中，儿童权利总体上未得到保障，对儿童的健康和福祉产生了负面影响。此外，儿童缺乏向政策制定者表达关切的有意义的机会。5P框架有潜力为未来国家和全球层面的危机塑造一个基于儿童权利的道德决策框架。
