Node Smith, ND

From risks of violence and abuse to disrupting their development, humanitarian crises present major threats to the wellbeing of children, and for more than two decades Child Friendly Spaces have been considered one of the best ways to respond.

First study to evaluate whether existing interventions successfully provide a safe environment

A recent study by World Vision and Columbia University Mailman School of Public Health looked at the impact of Child Friendly Spaces in five countries affected by humanitarian emergencies and found major differences across settings. This is the first study to evaluate whether existing interventions successfully provide a safe environment and opportunities for children to engage in activities. The findings are published in the journal BioMed Central Public Health.

Children living in dangerous places, and those affected by disasters, are extremely vulnerable to violence, exploitation, abuse, and neglect

Now more than ever, children living in dangerous places, and those affected by disasters, are extremely vulnerable to violence, exploitation, abuse, and neglect. We know Child Friendly Spaces have been seen as a key intervention to protect them and promote their well-being, but there has previously been little robust evidence related to their impact,” said Kevin Savage, World Vision’s Humanitarian Research Director.

World Vision and Columbia Mailman School worked with partners from the Global Alliance for Child Protection

World Vision and Columbia Mailman School worked with partners from the Global Alliance for Child Protection to carry out a multi-country evaluation of CFS in humanitarian emergencies over four years. The study, which covered 23 Child Friendly Spaces and included Somali refugees in Ethiopia, South Sudanese refugees in Uganda, Syrian refugees in Iraq and Jordan, and children affected by an earthquake in Nepal, found both encouraging and challenging results. The researchers compared children who attended for several months with children who had not attended at all. They also considered parents’ views of the experience of younger children and interviewed older children themselves.

Perceptions of risk, wellbeing and knowledge of resources were measured

Perceptions of risk, wellbeing and knowledge of resources were measured before children began attending the Child Friendly Spaces, and measured again once they had been operating for several months.

The findings showed younger children who attended consistently showed greater improvements in psychosocial wellbeing than those who did not attend. When activities were implemented with quality, and well suited to the local context, Child Friendly Spaces were effective in reducing protection concerns and promoting development.

Professor Alastair Ager at Columbia Mailman School’s Heilbrunn Department of Population and Family Health, the study’s lead researcher, noted: “Younger children who attended Child Friendly Spaces consistently showed major improvements in well-being compared to those not attending.” However, there was little evidence that the spaces had a positive impact on older children. “Engaging youth is recognized as challenging in humanitarian contexts given pressures on livelihoods, so future interventions need to be more explicitly shaped to their interests and circumstances,” noted Ager.

This research is a timely reminder for all those involved, from aid agencies to government donors

The research is a timely reminder for all those involved, from aid agencies to government donors, to ensure consistent quality regardless of where the spaces are set up, said World Vision.

“It is clear children benefit from Child Friendly Spaces, but this research reminds us how important it is to ensure this intervention always meet quality standards, and that we must continually strive to better meet the needs of vulnerable children and young people,” said Savage.

Organizations are already implementing some of the lessons the research highlighted, with a recent rewrite of guidelines. “But more needs to be done to ensure a sector-wide rethink to ensure children of all ages get the support they need,” said Ager.

Source:

1. Hermosilla, S. et al. (2019) Child friendly spaces impact across five humanitarian settings: a meta-analysis. BMC Public Health. doi.org/10.1186/s12889-019-6939-2.

Node Smith, ND, is a naturopathic physician in Humboldt, Saskatchewan and associate editor and continuing education director for NDNR. His mission is serving relationships that support the process of transformation, and that ultimately lead to healthier people, businesses and communities. His primary therapeutic tools include counselling, homeopathy, diet and the use of cold water combined with exercise. Node considers health to be a reflection of the relationships a person or a business has with themselves, with God and with those around them. In order to cure disease and to heal, these relationships must be specifically considered. Node has worked intimately with many groups and organizations within the naturopathic profession, and helped found the non-profit, Association for Naturopathic Revitalization (ANR), which works to promote and facilitate experiential education in vitalism.

Node Smith graduated from the National University of Natural Medicine (NUNM) in 2017, and is currently licensed as a naturopathic physician in Oregon and working towards becoming licensed in Saskatchewan, Canada as well.