'Covid lockdown was very lonely in my care home'
If you visit Pembroke House in Kent, you'll see a lively care home with residents playing games, drinking coffee and chatting.
But Sheila Hayward - the only remaining resident to have lived through the Covid-19 pandemic at the care home - said she will never take this for granted.
Five years on, Ms Hayward remembers how residents in the Gillingham care home were kept isolated from others and even served meals in their room.
She said: "We were not allowed to go out at all - it was very lonely."
Ms Hayward had already been living at the care home for 18 months when the Covid-19 pandemic hit the UK in March 2020.
The strict measures succeeded in keeping Covid infections at bay for several months.
But Ms Hayward said it took a toll on her mental wellbeing.
"I missed my hobbies," she said. "I was very active at that time and I loved walking in the garden."
After several months, she was allowed to spend time outside, supervised from a distance by carers.
Ms Hayward said she and other residents used to stand at the doorway of their rooms, shouting to each other down the corridors.
"It was very difficult," she said.
Kelly Kirtley, Pembroke House residents, events and hospitality officer, said the care home suffered a Covid outbreak in December 2020, with 33 residents and most staff members ill.
She said most residents were terrified when they learned they had the virus.
"You couldn't comfort them, or give them a hug and tell them everything would be okay," Ms Kirtley said.
"There are no visitors so you become the residents' family."
Four residents at the Medway care home lost their lives to COVID.
They are remembered by a memorial statue in the gardens of Pembroke House.
Follow BBC Kent on Facebook, on X, and on Instagram. Send your story ideas to southeasttoday@bbc.co.uk or WhatsApp us on 08081 002250.
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As the report notes: it continues because of cultural norms, fuelled by economic hardships, insurgency, conflict, ambiguous legal provisions, and lack of political will to enforce legal provisions. Beyond adolescent sexual and reproductive health concerns in sub-Saharan Africa, obesity is increasing fastest in the region. This illustrates the vulnerability of adolescents to the power of commercial interests. Since 1990, obesity and overweight has increased by 89% in prevalence among adolescents aged 15–19 years in sub-Saharan Africa. This is the largest regional increase. The absence of data on adolescents is a problem. Adolescents in sub-Saharan Africa are absent in many data systems. For example, data on adolescent mental health in sub-Saharan Africa is virtually absent. Stronger data systems are needed to understand and track progress on the complex set of determinants of adolescent health and wellbeing. Another area of concern is the massive inequities within countries, often gendered or by geography. While female adolescents in Kenya are experiencing substantial declines in the burden of HIV and sexually transmitted infections, adolescent males are experiencing increasing burdens. In South Africa, years of healthy life lost to maternal disorders show more than 10-fold differences between the Western Cape and North West provinces. Where there's been strong political leadership, remarkable changes have been seen. Take the case of Benin Republic. The adolescent fertility rate in the country declined from 26% in 1996 to 20% in 2018 and child marriage from 39% to 31% over the same period. Strong political leadership has also led to substantial reductions in female genital mutilation or cutting. This fell from 12% of girls in Benin in 2001 to 2% in 2011–12 among 15–19-year-old girls in Benin Republic. Political leadership also facilitated the expansion, by the national parliament in 2021, of the grounds under which women, girls, and their families could access safe and legal abortion. But for every country that takes positive steps to protect the health and wellbeing of adolescents, several others regress. The last decade has witnessed regression in several countries. In 2024, The Gambia attempted to repeal a 2015 law criminalising all acts of female genital mutilation or cutting. In 2022, Nigeria's federal government ordered the removal of sex education from the basic education curriculum. The report calls for a multisectoral approach across multiple national ministries and agencies, including the office of the head of state, and within the UN system. Coordination and accountability mechanisms for adolescent health and wellbeing also need to be strengthened. Laws and policies are needed to protect the health and rights of adolescents, reduce the impact of the commercial determinants of health, and promote healthy use of digital and social media spaces and platforms. Strong political leadership at local, national, and global levels is essential. The report also calls for prioritised investments, the creation of enabling environments to transform adolescent health and wellbeing, and the development of innovative approaches to address complex and emerging health threats. It calls for meaningful engagement of adolescents in policy, research, interventions and accountability mechanisms that affect them. Without these concerted actions, we risk failing our young people and losing out on the investments being made in childhood at this second critical period in their development. The current adverse international aid climate is particularly affecting adolescents as much development assistance relates to gender and sexual and reproductive health. Concerted action in addressing adolescent health and wellbeing is an urgent imperative for sub-Saharan Africa. This article is republished from The Conversation, a nonprofit, independent news organization bringing you facts and trustworthy analysis to help you make sense of our complex world. It was written by: Alex Ezeh, Drexel University; Russell Viner, UCL, and Sarah Baird, George Washington University Read more: Canada must take action to prevent climate-related migration We design cities and buildings for earthquakes and floods — we need to do the same for wildfires Eating wild meat carries serious health risks – why it still happens along the Kenya-Tanzania border Alex Ezeh is a fellow at the Stellenbosch Institute for Advanced Study (Stias). Russell Viner and Sarah Baird do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.