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Programme
04 Октябрь 2017
Health
https://www.unicef.org/eca/health
Europe and Central Asia has surpassed global progress on child mortality, more than halving the deaths of children under five and infants since 1990. And as progress for the poorest households has accelerated, the health gap between the richest and poorest has narrowed.  However, persistent inequities reflect a continued failure to invest effectively in child-centred health systems for all. In South-East Europe, for example, child mortality among the Roma population is two to three times higher than national averages.    Problems missed at an early age can be more difficult and expensive to address later in life. Such inequities are compounded by a failure to spot problems during pregnancy and during the first 1,000 days of life, when children’s bodies and brains build the foundations for their life-long development. Problems missed at an early age can be far more difficult and expensive to address later in life.  Across the region, more than half of the children who die before their fifth birthday die in their first month of life.These deaths are often the result of conditions that are readily preventable or treatable at low cost through, for example, access to good obstetric, ante-natal and post-natal care, routine immunization and exclusive breastfeeding . The main killers of children under the age of five in the region are also preventable: pneumonia and injuries.  Emergencies have an intense impact on child health and nutrition. The impact of emergencies on children's health and nutrition can be extreme. Children on the move, such as those caught in Europe’s refugee and migrant crisis , for example, often lack adequate clothing, food, shelter or warmth. Access to health services, including immunization, has often been inadequate on their journey. The region’s existing HIV prevalence, coupled with lack of safe water and sanitation, as well as ongoing challenges related to early child development and protection all heighten the vulnerability of children during emergencies.  The region is also experiencing vaccine ‘hesitancy’ – the reluctance of some parents to immunize their children, or parental delays in immunization . This hesitancy, often fuelled by misinformation, puts children at risk of contracting, and even dying from, infectious diseases, including polio and measles.
Blog post
19 Май 2021
Frontline social workers provide vital support to improve health
https://www.unicef.org/eca/stories/frontline-social-workers-provide-vital-support-improve-health
Yura has been a social worker for many years. “When I started working in social services, I was mainly interested in family therapy,” she says . “In time, I found out that supporting communities to become resilient and self-reliant is an extremely rewarding experience.” A year ago, she joined the Council of Refugee Women in Bulgaria (CRWB) – a civil society organization created in 2003 to support the integration of refugees and migrants. “Guiding through people from refugee and migrant backgrounds on health-related procedures in their host country is a way to empower them to find solutions to health issues,” explains Yura. And this is particularly vital for those fleeing from armed conflicts and humanitarian crises. As they search for safety and better life opportunities, both adults and children go through many traumatic experiences as a result of often prolonged stays in refugee camps, limited access to health care, and the dangers they face as they travel through volatile areas. By the time they finally reach a safe destination, they are often in very bad physical and psychological shape. “In Bulgaria, refugee children arrive with their parents or – in some cases – unaccompanied. Psychological problems, infectious diseases, medically unobserved pregnancies and, in particular, a lack of immunization, are common problems that have a negative impact on their health and wellbeing.” Radostina Belcheva, Project Coordinator and Deputy-Chair of CRWB The CRWB partners with UNICEF Bulgaria to provide general health checks and referrals, as well as life-saving vaccines in line with children’s immunization schedules, and equips parents with information on health risks, entitlements and how to access medical services. “As part of the ‘Strengthening Refugee and Migrant Children’s Health Status in Southern and South-Eastern Europe’ (RM Child-Health) project co-funded by the European Union’s Health Programme, we work with our partners to ensure that children can follow immunization plans and that their vaccination status is updated in their immunization documents. These are crucial steps in ensuring good health . ” Diana Yovcheva, Programme Officer with UNICEF Bulgaria Working directly with refugees, Yura consults families that want to access health services. “Some cases are easier than others”, she says, recalling a consultation with Ahmed*, a 45-year-old father of six children, who fled Syria in 2020 and received humanitarian status in Bulgaria. A chef by profession, Ahmed settled quite well in the host country, found a job in a restaurant and, after some time, managed to reunite with his wife, his four sons and two daughters. “Ahmed was referred to the CRWB by friends and he came in for a consultation on the immunization process with his youngest baby girl, Yasmina, only one year old” explains Yura. During their meeting, the social worker provided information about the health system in Bulgaria, the role of a general practitioner, and how people with refugee status can access medical services including vaccinations for their children. Although Ahmed’s baby girl had been vaccinated before her arrival in Bulgaria and had an immunization passport, the father urgently needed to update her vaccination status to synchronize her vaccinations with the recommendations of the national immunization calendar. “I contacted the Regional Health Inspectorate and helped Ahmed to provide the necessary documents and find a translator, as the documents were in Turkish”, says Yura. Subsequently, she helped Ahmed schedule an appointment with a medical doctor and Yasmina received her next vaccine. Parents often lack the necessary vaccination documents. According to Yura, “Sometimes children have not had any vaccinations, or they have been vaccinated in their country of origin, but their immunization cards have been lost or destroyed.”    Such cases require additional consultations, research and coordination, as well as testing for antibodies and immune responses when it is not clear whether the child has been vaccinated. “By empowering parents to familiarize themselves with the immunization plans and procedures we help them become proactive in following up on their children’s health." Yura, Social worker To address the COVID-19 restrictions and keep active communication with refugees and migrants, the CRWB and UNICEF developed leaflets in Bulgarian, Arabic and Farsi with details about the health system in Bulgaria and the importance of vaccinations, and regularly provide health-related information via social media. “The role of communication in immunization is essential.  Our frontline staff interact on a daily basis with beneficiaries, but we have also used other means [such as a Facebook group dedicated to health-related topics] to keep the information flow going, particularly during the COVID-19 pandemic . ” Radostina Belcheva, Project Coordinator and Deputy-Chair of CRWB Logo - Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe This story is part of the Project Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe, co-funded by the Health Programme of the European Union (the ‘RM Child-Health’ initiative). The content of this story represents the views of the author only and is her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the European Health and Digital Executive Agency or any other body of the European Union. The European Commission and the Agency do not accept any responsibility for use that may be made of the information it contains .
Programme
29 Январь 2021
Improving health literacy among refugee and migrant children
https://www.unicef.org/eca/stories-region/improving-health-literacy-among-refugee-and-migrant-children
UNICEF has worked with partners and with young refugees and migrants on the ground to identify information gaps – work that has, in turn, guided the development of health literacy packages across all five countries on a range of crucial health issues, from immunization and nutrition to sexual and reproductive health (SRH) and gender-based violence (GBV). The assessment has shaped the development of detailed plans on how to ensure that health messages reach their audience and have an impact. The health literacy packages have also drawn on existing materials, including Facts for Life , My Safety and Resilience Girls Pocket Guide and an adapted version of the UNFPA curriculum: ‘Boys on the Move’. Refugees and migrants face a chronic lack of health information in their own languages, and a lack of information that reaches them through the channels or people they trust health navigation Some common priorities have been identified by refugees and migrants across all five countries, including access to immunization and other primary health care services, breastfeeding and young child feeding, and the prevention of GBV. They have also flagged up the pressing need for more mental health and psychological services. Other issues have emerged as priorities in specific countries, including cyberbullying and online safety in Italy, and substance abuse among young people In Serbia – the focus of a new in-depth UNICEF study. Not surprisingly, the COVID-19 pandemic is a new and urgent priority for refugee and migrant communities – and one that has heightened the health risks they already face by curtailing their movements and their access to health services. A consultation with refugee and migrant adolescents and young people living in Italy has revealed major gaps in their knowledge about sexual and reproductive health, drawing on an online survey, a U-Report poll and a series of focus group discussions. It has highlighted some common misunderstandings, such as the myth that masturbation causes infertility, and continued perceptions around the importance of a woman’s virginity at marriage, as well as knowledge gaps around menstruation, pregnancy and sexually transmitted infections. The consultation also found, however, that the young participants want to know far more about this crucial area of health. As one young man from Guinea noted during a focus group discussion: “often young people do not want to know if they have an infection, also because they are not aware that these can be treated. It is so critical to raise awareness on STIs tests and treatment options.”  
Blog post
23 Март 2022
Inside the journey of Ukrainian refugee children and families
https://www.unicef.org/eca/stories/inside-journey-ukrainian-refugee-children-and-families
In the past three weeks Moldova’s southern border has seen crowds that one could hardly imagine here even several weeks ago. With thousands waiting to flee war-torn Ukraine, the life of both communities has changed irremediably. Armed violence has not spared civilians for weeks and millions of Ukrainian families were forced to leave their homes in a matter of days or, in some instances, hours. Now they are arriving in Moldova and neighbouring countries in pursuit of safety.  Since the first day of the war waged against Ukraine, UNICEF's teams have been on the ground, providing life-saving aid to the most vulnerable children both in Ukraine and outside of its borders. Together with a group of first-responders in Moldova, I arrived at the border crossing point of Palanca that has already seen thousands of Ukrainians seeking refuge in the past weeks. The first thing that catches your eye as you look at the people traveling through Palanca is that there are almost no men among them. The vast majority of those fleeing the hostilities in Ukraine are women and children as men between 18 to 60 are banned from leaving the country. According to UNICEF’s estimates, at least one child is crossing Ukraine’s border every single minute. The total number of children seeking asylum in Moldova and the European Union has already gone beyond 1.5 million. As for those children who have been displaced within Ukraine, a comprehensive count could not be done yet due to the rapidly changing situation. The second observation that you can hardly miss at Palanca is the profound exhaustion on the faces of those who walk across the border. Many women and children we meet started traveling days ago. Roads, trains, buses, queues, shelters – families lost the count of those on the way to Palanca. The journey’s logistical hardships are coupled with many dangers, ranging from gunfire to air strikes. Ukrainian refugees, some with children, arrive at the Palanca border crossing in Moldova Ukrainian refugees, some with children, arrive on March 08, 2022 at the Palanca border crossing in Moldova, on the Moldova-Ukraine border after they fled war in their country. Once they reach the crossing point, families have yet to face another challenge. In the bitter cold, children and their mothers form lines stretching many kilometres away from the border. There are two separate queues. The first one, for cars, is so long that some mistakenly confuse it for a traffic jam on the way. The second one, for pedestrians, is somewhat shorter, although probably more exhausting. Mothers are clutching their children and hurriedly packed suitcases – the only remnants of their safe, pre-war lives. Some are trundling pushchairs or prams; others have three or even four children to look after. After crossing the border, Ukrainian mothers and children receive, along with long-awaited safety, an immediate aid from the Moldovan government, working together with UNICEF. Welcomed at Blue Dots placed by UNICEF along the road, families get what some of them described as “a much-needed moment to breathe”. Designed to provide a safe space for children and their families, the Blue Dots offer mothers and children vital services, play, protection and counselling in a single location. As mothers crossed the border, I could hear them say: “Hold my hand, hold my hand. Whatever you do, do not let go of my hand!”. What would seem a generic comment in any other circumstances was truly essential in this context. In the past three weeks, UNICEF has received many reports about missing or unaccompanied children traveling through Ukraine and across its western borders. We now work with the Moldovan government to increase the capacity of their social protection systems to screen, track and account for unaccompanied children. They then attempt reuniting the children with their families or provide temporary protection to shield them from risks of trafficking and abuse. The Blue Dots serve as a platform to identify unaccompanied children, as trained workers activate a screening mechanism during the art programme held at these safe spaces. In less than three weeks, Moldova has welcomed 200,000 refugees. It is at least half the size of the population of the country’s capital, Chisinau.The others opt to continue traveling to Romania or further into the European Union. Regardless of their choice, asylum seekers can receive immediate support from the local authorities in Moldova, including food, lodging and transportation. A child therapist and social worker assists families at a UNICEF-UNHCR Blue Dot centre A child therapist and social worker (right) assists families on March 16, 2022 at a UNICEF-UNHCR Blue Dot centre at a refugee reception centre close to the Palanca border crossing in Moldova, near the Moldova-Ukraine border. The Moldovan government has built more than one effective partnership to house Ukrainian mothers and children: both local hotels and university dorms have opened their doors. Many others are hosted in temporary shelters: theatres, gyms, sports stadiums, basketball courts and many other premises have been rapidly turned into accommodation. MoldExpo Exhibition Center, a location for trade fairs, has also found a new purpose. Structured cubicles used for commercial events have become tiny homes with beds, mattresses and pillows for the centre’s new residents. As our team arrived at the MoldExpo Exhibition Center, we immediately noticed the difference between the atmosphere here and at Palanca. Most of the families seemed calm and rested. They now had access to hot meals, electricity and running water. With a variety of food available in the centre’s kitchen areas, one would also assume that nutrition is no longer a concern. However, for many mothers with small children, finding the right nutrients, continuing breastfeeding or preventing infants’ diarrhoea remains a challenge. Another invisible danger that looms in almost every collective centre these days is a high risk of an infectious disease outbreak. In the past five years, Ukraine has faced more than one outbreak of vaccine-preventable diseases. In fact, a polio outbreak continues in the country to this day, and the latest case of polio-induced paralysis was confirmed in February. As this crippling disease recognises no borders, it now threatens every unvaccinated child in the region. With many Ukrainian children missing their compulsory vaccination doses due the war-related disruption of the healthcare system, we must ensure they have access to immunization as soon as they arrive in the host countries. UNICEF is already working with the Moldovan government to roll-out immunization services for the youngest refugees and their families. Having spent some time at the MoldExpo Exhibition Center, we had a chance to observe how it is being transformed from empty premises with beds and pillows into a structured child-friendly space. Blue Dots have been set up and first children joined the art programme. Moldova has already opened their educational and day-care centres to Ukrainian asylum seekers, and, as of today, 191 children have enrolled. Access to quality pre-school and school education marks the start of a new beginning both for them and their parents. Meanwhile, there are thousands of children back in Ukraine who are robbed of the chance to learn, as their families are still trapped on the roads or bomb shelters. We are still far from understanding every layer of the unprecedented influence that the war in Ukraine has on our communities. Although, something has become clear to me after visiting Moldova last week. The war in Ukraine is not just any crisis. It is, first and foremost, a child protection crisis. A child protection crisis that will have an impact on the entire region. Afshan Khan is a UNICEF Regional Director Europe and Central Asia, UNICEF Representative to the UN in Geneva, Special Coordinator, Refugee and Migrant Response in Europe. She has spent 25 years in the United Nations, primarily with UNICEF, responding to some of the biggest humanitarian crises of our time, from the Indian Ocean earthquake and tsunami to war and conflict affected countries.
Programme
02 Октябрь 2017
Roma children
https://www.unicef.org/eca/what-we-do/ending-child-poverty/roma-children
The Roma are one of Europe’s largest and most disadvantaged minority groups. Of the 10 to 12 million Roma people in Europe, around two-thirds live in central and eastern European countries. While some have escaped from poverty, millions live in slums and lack the basic services they need, from healthcare and education to electricity and clean water.  Discrimination against Roma communities is commonplace, fuelling their exclusion. Far from spurring support for their social inclusion, their poverty and poor living conditions often reinforce the stereotyped views of policymakers and the public. And far from receiving the support that is their right, Roma children face discrimination that denies them the essentials for a safe, healthy and educated childhood.   Discrimination against Roma children can start early, and have a life-long impact. The problems facing Roma children can start early in life. In Bosnia and Herzegovina, for example, Roma infants are four times more likely than others to be born underweight. They are also less likely to be registered at birth, and many lack the birth certificate that signals their right to a whole range of services.   As they grow, Roma children are more likely to be underweight than non-Roma children and less likely to be fully immunized. Few participate in early childhood education. They are less likely than non-Roma children to start or complete primary school, and Roma girls, in particular, are far less likely to attend secondary school. Only 19 per cent of Roma children make it this far in Serbia, compared to 89 per cent of non-Roma children.  There are also disparities in literacy rates across 10 countries in the region, with rates of 80 per cent for Roma boys and just under 75 per cent for Roma girls, compared to near universal literacy rates at national level.    Roma children are too often segregated into ‘remedial’ classes within regular schools, and are more likely to be in ‘special’ schools – a reflection of schools that are failing to meet their needs, rather than any failure on their part.   In Roma communities, child marriage may be perceived as a ‘valid’ way to protect young girls, and as a valued tradition. In reality, such marriages deepen the disparities experienced by girls, and narrow their opportunities in life.  In many Balkan countries, half of all Roma women aged 20-24 were married before the age of 18, compared to around 10 per cent nationally. Child marriage and school drop-out are closely linked, particularly for girls, and such marriages also expose girls to the dangers of early pregnancy and childbirth, as well as a high risk of domestic violence. 
Programme
18 Октябрь 2017
Refugee and migrant children in Europe
https://www.unicef.org/eca/emergencies/refugee-and-migrant-children-europe
People have always migrated to flee from trouble or to find better opportunities. Today, more people are on the move than ever, trying to escape from climate change, poverty and conflict, and aided as never before by digital technologies. Children make up one-third of the world’s population, but almost half of the world’s refugees: nearly 50 million children have migrated or been displaced across borders.   We work to prevent the causes that uproot children from their homes While working to safeguard refugee and migrant children in Europe, UNICEF is also working on the ground in their countries of origin to ease the impact of the poverty, lack of education, conflict and insecurity that fuel global refugee and migrant movements. In every country, from Morocco to Afghanistan, and from Nigeria to Iraq, we strive to ensure all children are safe, healthy, educated and protected.  This work accelerates and expands when countries descend into crisis. In Syria, for example, UNICEF has been working to ease the impact of the country’s conflict on children since it began in 2011. We are committed to delivering essential services for Syrian families and to prevent Syria's children from becoming a ‘ lost generation ’. We support life-saving areas of health , nutrition , immunization , water and sanitation, as well as education and child protection . We also work in neighbouring countries to support Syrian refugee families and the host communities in which they have settled.   

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