We extracted available excess deaths and COVID-19 deaths from March 1, 2020, to April 30, 2021, using 5-year age bands or the level of disaggregation provided. We then synthesise evidence-based recommendations addressing the needs of these children and families. We model data for 21 countries that accounted for nearly 77% of global COVID-19 deaths as of April 30, 2021, to extrapolate a global minimum estimate for the total number of children experiencing COVID-19-associated deaths in parents or caregivers. Here, we use the strongest available data on excess deaths, COVID-19 deaths, and fertility to estimate the number of children younger than 18 years who have lost mothers, fathers, or co-residing grandparents because of COVID-19-associated deaths. The impact of these deaths on children can be influenced by variations in fertility, delayed childbearing, gendered aspects of parental death, and rates of primary caregiving by co-residing grandparents, alongside the prevalence of multigenerational households, which are often linked to pre-pandemic prevalence of female employment and lone parenthood. The Lancet Regional Health – Western Pacificĭata on the magnitude of COVID-19-associated deaths among caregivers are needed to guide global responses.The Lancet Regional Health – Southeast Asia. The Lancet Gastroenterology & Hepatology.
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