Safe havens in health: standards of care for children and young people seeking asylum and refugees Yasmin Moore, Amy Stevens, Allison Ward, Andrew Graeme Rowland, Sarah Eisen Archives of Disease in Childhood, 2025 This review outlines current literature regarding access to and quality of healthcare for children and young people seeking asylum and refugees in the UK. The multiple factors influencing their experiences are explored, alongside the optimal design of services to best address their needs. A consensus view of best practice is described in the form of service delivery standards for care delivered by paediatricians in emergency departments, inpatient, outpatient and other community settings.
Preventing childhood accidental poisoning and chemical burn injury at home through an interactive programme based on GHS hazard warning signs: single-group pretest and post-test intervention study in Jordan Ekhlas Al Gamal, Muayyad Ahmad, Andrew Graeme Rowland, Eman AlHourani, Huda Amre, Tony Long Injury Prevention, 2025 Background Accidental poisoning and chemical burn injury in young children is a worldwide problem. A globally adopted system of labelling hazardous substances is intended to reduce this risk, but the pictograms that are central to this are often misunderstood. We sought to discover children’s interpretation of Globally Harmonised System of Classification and Labelling of Chemicals pictograms, to promote greater awareness and understanding of them, and to inform public health messages and teaching in schools. Methods An in-person, single-group pretest and post-test intervention study was conducted using an electronic self-completed programme. Children reported perceived meaning of 9 pictograms, which were then explained with examples, before immediate post-test of the pictograms’ intended meaning and multiple choice quiz to reinforce learning. An optional family-based activity was included. Results Only 36% understood the sign for ‘toxic’ substances. The ‘corrosive’ pictogram was understood by 53%, but 11% mistook the image to indicate a place or substance for handwashing. The pictogram for ‘gas under pressure’ provoked incorrect responses from 94%. For these three, post-test showed remarkable improvement (87%, 73%, 75%, respectively). There was little understanding of ‘health hazard’, ‘hazardous to the aquatic environment’, ‘harmful irritant’ and ‘oxidising agent’ pictograms. Post-test results remained disappointing. Discussion and conclusions Alternative means of responding such as sorting true/false statements, or drawing lines to connect correct objects with corresponding pictograms could be considered for younger children. There was a need to show the pictograms in context for better understanding. Despite a dangerous lack of understanding initially, the programme achieved short-term retention of knowledge at post-test. Secondary prevention opportunities should also be explored.
The Impact of COVID-19 on Children, Young People, and Families in Sihanoukville, Cambodia: The Mitigating Work of M’Lop Tapang Amanda Kelly, Keeley Guest, Um Chamroeun, Dom Sinat, You Saroeun, Andrew Graeme Rowland Comprehensive Child and Adolescent Nursing, 2024 Globally, children have been adversely affected by the wide variety of impacts of SARS-CoV-2 (Coronavirus | COVID-19). Vulnerable children who depend on the support of education and health and social care systems were left unprotected as these systems were weakened by the pandemic. COVID-19 has exposed the already fragile situations in which many children and young people live and that thousands of children and young people would need ongoing support but remained invisible to statutory authorities. COVID-19 has also been a stark reminder of the vulnerability of individuals and societies and it has exposed deep divisions, inequalities, and injustices between different countries and groups of people. M’Lop Tapang is a local nonprofit organization registered with the Royal Government of Cambodia. This report discusses the efforts of M’Lop Tapang following the declaration of the COVID-19 global pandemic in early 2020, to address the local community needs; to ensure the voices of children remained heard; and to promote children’s rights remaining a priority throughout the remainder of the pandemic. What is already known on this topic Vulnerable children are dependent on remaining visible to education and health and social care systems to ensure they are safeguarded and protected. Poor safety, financial instability, unemployment, challenges to children’s rights and displacement all have the potential to increase vulnerabilities and intensify inequalities. The COVID-19 global pandemic has widened the global lens for the nursing profession and to effect change, children’s nurses need to think globally and act locally. What this study adds This study provides insights into the challenges faced by children and families in Sihanoukville, Cambodia, during the early part of the SARS-CoV-2 (COVID19) pandemic in 2020–2021. The economic impact of COVID-19 on children and families living in Sihanoukville, Cambodia, between 2020 and 2021 is reviewed. The learning from the pragmatic and rapid interventions of M’Lop Tapang, Sihanoukville during the early phase of the SARS-CoV-2 (COVID-19) pandemic, are of use in other countries around the world in future epidemic or pandemic situations.
Developing rights-based standards for children having tests, treatments, examinations and interventions: using a collaborative, multi-phased, multi-method and multi-stakeholder approach to build consensus Lucy Bray, Bernie Carter, Joann Kiernan, Ed Horowicz, Katie Dixon, James Ridley, Carol Robinson, Anna Simmons, Jennie Craske, Stephanie Sinha, Liza Morton, Begonya Nafria, Maria Forsner, Anna-Clara Rullander, Stefan Nilsson, Laura Darcy, Katarina Karlsson, Cath Hubbuck, Maria Brenner, Sian Spencer-Little, Kath Evans, Andrew Rowland, Carol Hilliard, Jennifer Preston, Piet L. Leroy, Damian Roland, Lisa Booth, Jean Davies, Holly Saron, Marie Edwinson Mansson, Ann Cox, Karen Ford, Steven Campbell, Julie Blamires, Annette Dickinson, Michael Neufeld, Blake Peck, Marla de Avila, Veronica Feeg, Henny Suzana Mediani, Maha Atout, Maureen D. Majamanda, Natasha North, Christine Chambers, Fanny Robichaud European Journal of Pediatrics, 2023 Children continue to experience harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care. The international ISupport collaboration aimed to develop standards to outline and explain good procedural practice and the rights of children within the context of a clinical procedure. The rights-based standards for children undergoing tests, treatments, investigations, examinations and interventions were developed using an iterative, multi-phased, multi-method and multi-stakeholder consensus building approach. This consensus approach used a range of online and face to face methods across three phases to ensure ongoing engagement with multiple stakeholders. The views and perspectives of 203 children and young people, 78 parents and 418 multi-disciplinary professionals gathered over a two year period (2020–2022) informed the development of international rights-based standards for the care of children having tests, treatments, examinations and interventions. The standards are the first to reach international multi-stakeholder consensus on definitions of supportive and restraining holds. Conclusion: This is the first study of its kind which outlines international rights-based procedural care standards from multi-stakeholder perspectives. The standards offer health professionals and educators clear evidence-based tools to support discussions and practice changes to challenge prevailing assumptions about holding or restraining children and instead encourage a focus on the interests and rights of the child. What is Known:• Children continue to experience short and long-term harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care.• Professionals report uncertainty and tensions in applying evidence-based practice to children’s procedural care. What is New:• This is the first study of its kind which has developed international rights-based procedural care standards from multi-stakeholder perspectives.• The standards are the first to reach international multi-stakeholder consensus on definitions of supportive and restraining holds.
Time to change the reference ranges of children's physiological observations in emergency care? A prospective study Louise Brennan, Calvin Heal, Stephen Brown, Damian Roland, Andrew G Rowland Journal of Paediatrics and Child Health, 2023 High heart and respiratory rates are key indicators in many published guidelines to identify and treat serious bacterial infection and sepsis in children, but the credibility of evidence underpinning what is considered abnormal is questionable. This study established the distribution of heart and respiratory rates of children using a large data set to inform debate on what the ‘normal’ range of these should look like. The primary aim was to compare the distribution of heart and respiratory rates measured in children recruited from non‐tertiary emergency care settings with those published by Advanced Paediatric Life Support (APLS). The secondary aim was to compare the distribution of this study's data set to other national guidance on what constitutes a severe (high‐risk) measurement and previously published data sets.
Female Genital Mutilation Peggy Mulongo, Andrew Rowland, Sue McAndrew Gender Based Violence A Comprehensive Guide, 2023
Project AEGIS Report S Esnouf, M Heys, G Hastie, AG Rowland, S Eisen University College London Hospitals NHS Foundation Trust , 2026 2026
Response to Government Consultation on Family Returns: Reforming Asylum Support and Enforcing Family Returns S Eisen, M Heys, A Rowland 2026
Residual lung abnormality following COVID-19 hospitalisation is characterised by biomarkers of epithelial injury I Stewart, J Jacob, JC Porter, B Liu, AL Tatler, N Gomez, MR Pugh, ... EBioMedicine 124 , 2026 2026 Citations: 2
Preventing childhood accidental poisoning and chemical burn injury at home through an interactive programme based on GHS hazard warning signs: single-group pretest and post … E Al Gamal, M Ahmad, AG Rowland, E AlHourani, H Amre, T Long Injury Prevention , 2025 2025 Citations: 1
‘Reasonable punishment’of children defence in England should be consigned to history AG Rowland Archives of Disease in Childhood 110 (11), 930-931 , 2025 2025
Safe havens in health: standards of care for children and young people seeking asylum and refugees Y Moore, A Stevens, A Ward, AG Rowland, S Eisen, ... Archives of disease in childhood 110 (10), 768-772 , 2025 2025 Citations: 1
8347 Managing health needs of unaccompanied asylum seeking children: process and practices in primary care on receipt of initial health assessment N McCallion, A Rowland, J Ravichandran, N Sherwood, J Kidd, E Ross, ... Archives of Disease in Childhood 110 (Suppl 1), A242-A243 , 2025 2025
Thirteen leading public health organisations call on Government to outlaw physical punishment A Rowland 2025
An evaluation of the special needs educational programme for children at M’Lop Tapang in Southwest Cambodia H Flippance, D Pearce, D Shoemaker, S Dom, S Chhim, A Rowland 2025
The time for debate is over: The health, education, and legal case for legislative change to prohibit and eliminate all physical punishment of children and to achieve equal … AG Rowland, E Fussey, F Gerry, B Herbert, O Schaff, D Higgins, ... Children and Youth Services Review 171, 108175 , 2025 2025 Citations: 3
Amend the Children’s Wellbeing and Schools Bill to protect children from assault AG Rowland, G Hastie bmj 388 , 2025 2025
The" reasonable punishment" of children defence in England should be consigned to history Author A Rowland BMJ Publishing Group , 2025 2025
Hearing the voices of children: creating an Advocacy Centre in Gorton, Manchester, UK L Henshaw, C Parker, A Rowland, A Khan, E Waring 2025
Incidence of diabetes mellitus following hospitalisation for COVID‐19 in the United Kingdom: A prospective observational study F Tyrer, S Gharibzadeh, C Gillies, C Lawson, A Routen, N Islam, C Razieh, ... Diabetes, Obesity and Metabolism 27 (2), 767-776 , 2025 2025 Citations: 5
Royal College of Paediatrics and Child Health evidence submission to the Children's Wellbeing and Schools Committee A Rowland 2025
Abolition of the common law defence of reasonable punishment of children in England: evidence to UK Parliament (Children's Wellbeing and Schools Bill Committee) A Rowland, F Gerry, D Higgins, S Havighurst 2025
Putting child health at the centre of the Children’s Wellbeing and Schools Bill A Rowland, G Hastie 2025
Long term health outcomes in people with diabetes 12 months after hospitalisation with COVID-19 in the UK: a prospective cohort study S Gharibzadeh, A Routen, C Razieh, F Zaccardi, C Lawson, C Gillies, ... EClinicalMedicine 79 , 2025 2025 Citations: 4
RCPCH responds to the Children's Wellbeing and Schools Bill A Rowland 2024
PROPOSED Amendment To The Children's Wellbeing And Schools Bill A Rowland 2024
MOST CITED SCHOLAR PUBLICATIONS
Developing rights-based standards for children having tests, treatments, examinations and interventions: using a collaborative, multi-phased, multi-method and multi-stakeholder … L Bray, B Carter, J Kiernan, E Horowicz, K Dixon, J Ridley, C Robinson, ... European journal of pediatrics 182 (10), 4707-4721 , 2023 2023 Citations: 39
Physical punishment of children: time to end the defence of reasonable chastisement in the UK, USA and Australia A Rowland, F Gerry, M Stanton The International Journal of Children's Rights 25 (1), 165-195 , 2017 2017 Citations: 34
The association between temperature, heart rate, and respiratory rate in children aged under 16 years attending urgent and emergency care settings C Heal, A Harvey, S Brown, AG Rowland, D Roland European Journal of Emergency Medicine 29 (6), 413-416 , 2022 2022 Citations: 29
Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department S Cotterill, AG Rowland, J Kelly, H Lees, M Kamara Emergency Medicine Journal 33 (11), 756-762 , 2016 2016 Citations: 27
Unlocking children’s voices during SARS-CoV-2 coronavirus (COVID-19) pandemic lockdown A Rowland, DL Cook Archives of Disease in Childhood 106 (3), e13-e13 , 2021 2021 Citations: 23
Review of the efficacy of rectal paraldehyde in the management of acute and prolonged tonic–clonic convulsions AG Rowland, AM Gill, AB Stewart, RE Appleton, A Al Kharusi, C Cramp, ... Archives of disease in childhood 94 (9), 720-723 , 2009 2009 Citations: 23
Safe handover: safe patients E Bywaters, S Calvert, S Eccles, G Eunson, D Macklin, C McCullough, ... 2004 Citations: 16
A review of the law surrounding female genital mutilation protection orders J Home, A Rowland, F Gerry, C Proudman, K Walton British Journal of Midwifery 28 (7), 418-429 , 2020 2020 Citations: 14
Mandatory reporting of female genital mutilation in children in the UK Y Malik, A Rowland, F Gerry, FMV Phipps British Journal of Midwifery 26 (6), 377-386 , 2018 2018 Citations: 14
Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department … S Riaz, A Rowland, S Woby, T Long, J Livesley, S Cotterill, C Heal, ... BMC pediatrics 18 (1), 303 , 2018 2018 Citations: 11
Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study–PHOSP-COVID O Elneima, JR Hurst, C Echevarria, JK Quint, S Walker, S Siddiqui, ... ERJ Open Research 10 (4) , 2024 2024 Citations: 10
Getting it right first time and every time; re-thinking children’s rights when they have a clinical procedure IS Team Journal of Pediatric Nursing 61, A10-A12 , 2021 2021 Citations: 10
Failure to evaluate introduction of female genital mutilation mandatory reporting F Gerry, A Rowland, S Fowles, S Smith, D Hodes, S Creighton Archives of disease in childhood 101 (8), 778-779 , 2016 2016 Citations: 10
Time to change the reference ranges of children's physiological observations in emergency care? A prospective study L Brennan, C Heal, S Brown, D Roland, AG Rowland Journal of Paediatrics and Child Health 59 (3), 480-486 , 2023 2023 Citations: 8
The Paediatric Observation Priority Score (POPS): a useful tool to predict likelihood of admission from the emergency department J Kelly, AG Rowland, S Cotterill, H Lees, M Kamara Emergency Medicine Journal 30 (10), 877-878 , 2013 2013 Citations: 8
Exploring perceptions of parents on the use of emergency department on-site primary care services for the treatment of children with non-urgent conditions M Sam, DL Cook, AG Rowland, J Butler Comprehensive Child and Adolescent Nursing 44 (4), 285-302 , 2021 2021 Citations: 7
Why it is time for an FGM Commissioner–practical responses to feminised issues F Gerry QC, P Charlotte, A Rowland, J Home, K Walton Deakin University , 2020 2020 Citations: 7
Inter-rater reliability of paediatric emergency assessment: physiological and clinical features C Heal, S Cotterill, AG Rowland, N Garratt, T Long, S Brown, G O'Connor, ... Archives of Disease in Childhood 106 (2), 149-153 , 2021 2021 Citations: 6
Defining significant childhood illness and injury in the emergency department: a consensus of UK and ireland expert opinion PJ Lillitos, MD Lyttle, D Roland, CVE Powell, J Sandell, AG Rowland, ... Emergency medicine journal 35 (11), 685-690 , 2018 2018 Citations: 6
G16 The Paediatric Observation Priority Score (POPS): a more accurate predictor of admission risk from the Emergency Department than the Manchester Children’s Early Warning … AG Rowland, S Cotterill, H Lees, J Kelly Archives of Disease in Childhood 99 (Suppl 1), A8-A8 , 2014 2014 Citations: 6
