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Пресс-релиз
16 Апрель 2020
Из-за стремительного роста пандемии COVID-19 существует риск того, что более 117 миллионов детей пропустят вакцинацию против кори
https://www.unicef.org/eca/ru/%D0%9F%D1%80%D0%B5%D1%81%D1%81-%D1%80%D0%B5%D0%BB%D0%B8%D0%B7%D1%8B/%D0%B8%D0%B7-%D0%B7%D0%B0-%D1%81%D1%82%D1%80%D0%B5%D0%BC%D0%B8%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE-%D1%80%D0%BE%D1%81%D1%82%D0%B0-%D0%BF%D0%B0%D0%BD%D0%B4%D0%B5%D0%BC%D0%B8%D0%B8-covid-19-%D1%81%D1%83%D1%89%D0%B5%D1%81%D1%82%D0%B2%D1%83%D0%B5%D1%82-%D1%80%D0%B8%D1%81%D0%BA-%D1%82%D0%BE%D0%B3%D0%BE-%D1%87%D1%82%D0%BE-%D0%B1%D0%BE%D0%BB%D0%B5%D0%B5-117
АТЛАНТА/ЖЕНЕВА/НЬЮ-ЙОРК, 14 апреля 2020 г.: На фоне продолжающегося глобального распространения COVID-19 более 117 миллионов детей в 37 странах могут пропустить жизненно важную прививку против кори. Кампании иммунизации против кори уже приостановлены в 24 странах, и будут отложены в других странах. В этот сложный период Инициатива по борьбе с корью и краснухой выражает солидарность с семьями, местными сообществами, правительствами и группами реагирования на чрезвычайные ситуации и присоединяется к нашим глобальным партнерам в области иммунизации и здравоохранения, включая наших партнеров из ГАВИ (Альянса по вакцинам) и Глобальной инициативы по ликвидации полиомиелита (ГИЛП), в рамках нашей общей целенаправленной работы и борьбы с угрозой COVID-19. Пандемия, охватившая весь мир, требует скоординированных усилий и выделения ресурсов для обеспечения защиты медицинских работников первичного звена во всем мире, которые непосредственно сталкиваются с этой новой угрозой и принимают ответные меры. Одновременно мы должны поддерживать и усилия по защите основных служб иммунизации - сейчас и в будущем. Всемирная организация здравоохранения (ВОЗ) выпустила новые руководящие принципы , одобренные Стратегической консультативной группой экспертов по иммунизации, которые помогут странам в проведении мероприятий по иммунизации во время пандемии COVID-19. В данных руководящих принципах содержится рекомендация правительствам временно приостановить кампании профилактической иммунизации в случае отсутствия активной вспышки болезни, предупреждаемой с помощью вакцины. Партнеры Инициативы по борьбе с корью и краснухой, включая Американский Красный Крест, Центры по контролю и профилактике заболеваний США, ЮНИСЕФ, Фонд ООН и ВОЗ, полностью согласны с этими рекомендациями. Мы также призываем страны продолжать оказание услуг по плановой иммунизации, обеспечивая при этом безопасность местных сообществ и медицинских работников. В рекомендациях также содержится просьба к правительствам провести тщательный анализ рисков и пользы при принятии решения о целесообразности приостановки кампаний вакцинации в ответ на вспышки, с возможностью отложить проведение кампаний, если риск передачи COVID-19 считается недопустимо высоким. В том случае, если из-за распространения COVID-19 будет принято трудное решение о приостановке вакцинации, мы призываем лидеров активизировать усилия по отслеживанию невакцинированных детей, с тем чтобы наиболее уязвимые группы населения смогли получить прививки против кори, как только это станет возможным. Хотя мы и осознаем, что во время угрозы COVID-19 - и после ее устранения - к системам здравоохранения и медицинским работникам первичного звена будут предъявляться многочисленные требования, нужно помнить о том, что предоставление всех услуг по иммунизации, включая вакцинацию против кори, играет ключевую роль для спасения жизней, которые, в противном случае, были бы потеряны из-за болезней, предупреждаемых с помощью вакцин. Инициатива по борьбе с корью и краснухой поддерживает необходимость защитить общины и медицинских работников от COVID-19 посредством приостановки проведения массовых кампаний там, где высоки риски заболевания. Однако это не должно означать постоянный пропуск вакцинации детьми. Сейчас необходимо предпринять неотложные усилия на местном, национальном, региональном и глобальном уровнях, чтобы подготовиться к устранению пробелов в иммунизации, результатом которых может стать инфицирование вирусом кори, путем обеспечения наличия вакцин и их незамедлительного предоставления детям и уязвимым группам населения для их защиты от болезни. Несмотря на то, что безопасная и эффективная вакцина существует уже более 50 лет, число случаев заболевания корью за последние годы стремительно возросло, и в 2018 г. корь унесла более 140 000 жизней, в основном детей и младенцев, причем все эти случаи смерти можно было предотвратить. На этом и без того опасном фоне в настоящий момент в 24 странах были приостановлены или отложены кампании профилактической и ответной вакцинации против кори, с тем чтобы помочь предотвратить дальнейшее распространение COVID-19. Кампании, которые планируется провести позднее в 2020 г. еще в 13 странах, возможно, не будут  проведены. Приостановка запланированных мероприятий по иммунизации может оказать свое воздействие в общей сложности на более чем 117 миллионов детей, многие из которых живут в регионах, где продолжаются вспышки кори, в 37 странах. Эта ошеломляющая цифра не включает в себя число детей, которые не могут быть вакцинированы из-за влияния COVID-19 на услуги по  плановой иммунизации. Дети в возрасте младше 12 месяцев чаще умирают от вызванных корью осложнений, и, если циркуляция вируса кори не будет остановлена, риск заражения этой болезнью будет возрастать с каждым днем. Инициатива по борьбе с корью и краснухой приветствует героизм медицинских работников и работников служб неотложной помощи во всем мире, и мы признаем ту жизненно важную роль, которую они играют в предоставлении четкой и достоверной информации, а также профилактического и поддерживающего лечения в своих сообществах.  Мы должны инвестировать в медицинских работников и обеспечить их защиту от инфицирования, а также расширение их прав и возможностей в рамках устойчивых и функционирующих систем первичной медико-санитарной помощи. Они являются первым рубежом защиты от глобальных эпидемий. Мы также отдаем должное роли родителей и опекунов в обеспечении вакцинации их детей и соблюдении рекомендаций по сохранению физической дистанции в соответствии с национальными руководствами. Наконец, мы призываем государственных и местных лидеров реализовать эффективные стратегии коммуникации для вовлечении местных сообществ, для поддержания высокого спроса и предложения вакцинации и оказания помощи в обеспечении здоровой жизни для каждого ребенка, особенно в это сложное время. ### Примечания для редактора Об Инициативе по борьбе с корью и краснухой: Инициатива по борьбе с корью и краснухой (M&RI) – это глобальное партнерство, созданное Американским Красным Крестом, Центрами по контролю и профилактике заболеваний США, ЮНИСЕФ, Фондом Организации Объединенных Наций и ВОЗ с целью навсегда освободить мир от кори, краснухи и синдрома врожденной краснухи. Со времени своего основания в 2001 г. Инициатива содействовала вакцинации свыше 2,9 миллиарда детей и спасла более 21 миллиона жизней благодаря расширению охвата вакцинацией, повышению эффективности систем мониторинга, оценки и реагирования на болезни, а также укреплению доверия населения к иммунизации и повышению ее востребованности. Для достижения этих целей Инициатива тесно сотрудничает с ГАВИ (Альянсом по вакцинам). Для получения дополнительной информации посетите наш веб-сайт www.measlesrubellainitiative.org и следите за нашими сообщениями в  Twitter . Дополнительная информация о кори: Информационный бюллетень ВОЗ; обновления информации ЦКПЗ о кори ; самые последние данные ВОЗ по эпиднадзору за корью Руководящие принципы ВОЗ по иммунизации во время вспышки COVID-19 приведены по этой ссылке Для получения дополнительной информации о COVID-19 посетите веб-страницу https://www.unicef.org/coronavirus/covid-19 Для получения информации о работе ЮНИСЕФ по иммунизации посетите веб-страницу https://www.unicef.org/immunization Kyrylo UNICEF/UN0201071/Krepkih
Press release
20 Апрель 2023
New data indicates declining confidence in childhood vaccines of up to 44 percentage points in some countries during the COVID-19 pandemic
https://www.unicef.org/eca/press-releases/sowc-2023
NEW YORK, 20 April 2023 – The public perception of the importance of vaccines for children declined during the COVID-19 pandemic in 52 out of 55 countries studied, UNICEF warned today in a new report on immunization. The State of the World’s Children 2023: For Every Child, Vaccination reveals the perception of the importance of vaccines for children declined by more than a third in the Republic of Korea, Papua New Guinea, Ghana, Senegal and Japan after the start of the pandemic. In the new data, collected by The Vaccine Confidence Project and published today by UNICEF, China, India and Mexico were the only countries studied where the data indicates the perception of the importance of vaccines held firm or even improved. In most countries, people under 35 and women were more likely to report less confidence about vaccines for children after the start of the pandemic.* Vaccine confidence is volatile and time specific. Additional data collection and further analysis will be required to determine if the findings are indicative of a longer-term trend. Despite the falls, overall support for vaccines remains relatively strong. In almost half the 55 countries studied more than 80 per cent of respondents perceived vaccines as important for children. However, the report warns the confluence of several factors suggest the threat of vaccine hesitancy may be growing. These factors include uncertainty about the response to the pandemic, growing access to misleading information, declining trust in expertise, and political polarisation. “At the height of the pandemic, scientists rapidly developed vaccines that saved countless lives. But despite this historic achievement, fear and disinformation about all types of vaccines circulated as widely as the virus itself,” said Catherine Russell, UNICEF Executive Director. “This data is a worrying warning signal. We cannot allow confidence in routine immunizations to become another victim of the pandemic. Otherwise, the next wave of deaths could be of more children with measles, diphtheria or other preventable diseases.” “This data is a worrying warning signal. We cannot allow confidence in routine immunizations to become another victim of the pandemic. Otherwise, the next wave of deaths could be of more children with measles, diphtheria or other preventable diseases.” Alarmingly, the decline in confidence comes amid the largest sustained backslide in childhood immunisation in 30 years , fuelled by the COVID-19 pandemic. The pandemic interrupted childhood vaccination almost everywhere, especially due to intense demands on health systems, the diversion of immunization resources to COVID-19 vaccination, health worker shortages and stay-at-home measures. Today’s report warns a total of 67 million children missed out on vaccinations between 2019 and 2021, with vaccination coverage levels decreasing in 112 countries. Children born just before or during the pandemic are now moving past the age when they would normally be vaccinated, underscoring the need for urgent action to catch up on those who were missed and prevent deadly disease outbreaks. In 2022, for example, the number of measles cases was more than double the total in the previous year. The number of children paralysed by polio was up 16 per cent year-on-year in 2022. When comparing the 2019 to 2021 period with the previous three-year period, there was an eight-fold increase in the number of children paralysed by polio, highlighting the need to ensure vaccination efforts are sustained. The pandemic also exacerbated existing inequities. For far too many children, especially in the most marginalised communities, vaccination is still not available, accessible or affordable. Even before the pandemic, progress on vaccination had stalled for almost a decade as the world struggled to reach the most marginalised children. Of the 67 million children who missed out on routine vaccination between 2019 and 2021, 48 million didn’t receive a single routine vaccine, also known as “zero-dose”. As of the end of 2021, India and Nigeria (both countries with very large birth cohorts) had the largest numbers of zero-dose children but increases in the numbers of zero-dose children were especially notable in Myanmar and the Philippines. The children who are missing out live in the poorest, most remote and marginalized communities, at times impacted by conflict. New data produced for the report by the International Center for Equity in Health found that in the poorest households, 1 in 5 children are zero-dose while in the wealthiest, it is just 1 in 20. It found unvaccinated children often live in hard-to-reach communities such as rural areas or urban slums. They often have mothers who have not been able to go to school and who are given little say in family decisions. These challenges are greatest in low- and middle-income countries, where about 1 in 10 children in urban areas are zero dose and 1 in 6 in rural areas. In upper-middle-income countries, there is almost no gap between urban and rural children. To vaccinate every child, it is vital to strengthen primary health care and provide its mostly female front-line workers with the resources and support they need. The report finds women are at the front line of delivering vaccinations, but they face low pay, informal employment, lack of formal training and career opportunities and threats to their security. “We know all too well that diseases do not respect borders. Routine immunizations and strong health systems are our best shot at preventing future pandemics, unnecessary deaths and suffering." To address this child survival crisis, UNICEF is calling on governments to double-down on their commitment to increase financing for immunization and to work with stakeholders to unlock available resources, including leftover COVID-19 funds, to urgently implement and accelerate catch-up vaccination efforts to protect children and prevent disease outbreaks. The report is urging governments to: Urgently identify and reach all children, especially those who missed vaccinations during the COVID-19 pandemic Strengthen demand for vaccines, including by building confidence Prioritise funding to immunization services and primary health care Build resilient health systems through investment in female health workers, innovation and local manufacturing “Immunizations have saved millions of lives and protected communities from deadly disease outbreaks,” said Catherine Russell. “We know all too well that diseases do not respect borders. Routine immunizations and strong health systems are our best shot at preventing future pandemics, unnecessary deaths and suffering. With resources still available from the COVID-19 vaccination drive, now is the time to redirect those funds to strengthen immunization services and invest in sustainable systems for every child.” A baby is inoculated against rotavirus in a clinic in Hopital Immaculée Conception, the largest hospital in Les Cayes, Departement du Sud, Haiti. UNICEF/U.S. CDC/UN0695667/Roger LeMoyne
Press release
13 Апрель 2020
More than 117 million children at risk of missing out on measles vaccines, as COVID-19 surges
https://www.unicef.org/eca/press-releases/more-117-million-children-risk-missing-out-measles-vaccines-covid-19-surges
ATLANTA/GENEVA/NEW YORK, 14 April 2020: “As COVID-19 continues to spread globally, over 117 million children in 37 countries may miss out on receiving life-saving measles vaccine. Measles immunization campaigns in 24 countries have already been delayed; more will be postponed. “During this challenging period, the Measles & Rubella Initiative (M&RI) expresses solidarity with families, communities, governments and emergency responders and joins our global immunization and health partners, including those within Gavi, the Vaccine Alliance and the Global Polio Eradication Initiative (GPEI) in our collective focus and fight against the threat of COVID-19. The pandemic sweeping the globe requires a coordinated effort and commitment of resources to ensure frontline health workers around the world are protected, as they face and respond to this new threat. At the same time, we must also champion efforts to protect essential immunization services, now and for the future. “The World Health Organization (WHO) has issued new  guidelines  endorsed by the Strategic Advisory Group of Experts on Immunization -- to help countries to sustain immunization activities during the COVID-19 pandemic. The guidelines recommend that governments temporarily pause preventive immunization campaigns where there is no active outbreak of a vaccine-preventable disease. M&RI partners, which include the American Red Cross, the U.S. Centers for Disease Control and Prevention, UNICEF, the United Nations Foundation and WHO, strongly agree with these recommendations. We also urge countries to continue routine immunization services, while ensuring the safety of communities and health workers. The recommendations also ask governments to undertake a careful risk-benefit analysis when deciding whether to delay vaccination campaigns in response to outbreaks, with the possibility of postponement where risks of COVID-19 transmission are deemed unacceptably high. “If the difficult choice to pause vaccination is made due to the spread of COVID-19, we urge leaders to intensify efforts to track unvaccinated children, so that the most vulnerable populations can be provided with measles vaccines as soon as it becomes possible to do so. While we know there will be many demands on health systems and frontline workers during and beyond the threat of COVID-19, delivering all immunization services, including measles vaccines, is essential to saving lives that would otherwise be lost to vaccine-preventable diseases. “The M&RI supports the need to protect communities and health workers from COVID-19 through a pause of mass campaigns, where risks of the disease are high. However, this should not mean that children permanently miss out. Urgent efforts must be taken now at local, national, regional and global levels to prepare to close the immunity gaps that the measles virus will exploit, by ensuring that vaccines are available and that they reach children and vulnerable populations, as quickly as possible, to keep them safe. “Despite having a safe and effective vaccine for over 50 years, measles cases surged over recent years and claimed more than 140,000 lives in 2018, mostly of children and babies – all of which were preventable. Against this already dangerous backdrop, preventive and responsive measles vaccination campaigns have now been paused or postponed in 24 countries to help avert further spread of COVID-19. Campaigns expected to take place later in 2020 in an additional 13 countries may not be implemented. Together, more than 117 million children in 37 countries, many of whom live in regions with ongoing measles outbreaks, could be impacted by the suspension of scheduled immunization activities. This staggering number does not include the number of infants that may not be vaccinated because of the effect of COVID-19 on routine immunization services.  Children younger than 12 months of age are more likely to die from measles complications, and if the circulation of measles virus is not stopped, their risk of exposure to measles will increase daily.   “The M&RI salutes the heroism of health and emergency workers across the globe, and we recognize the vital role they play in delivering clear, trusted information, as well as preventive and supportive care within their communities. We must invest in health workers and ensure they are protected from infection and empowered as part of sustainable and functioning primary health systems. They are the first line of defense against global epidemics. We also recognize the role of parents and caregivers in ensuring their children are vaccinated by following physical distancing recommendations in line with national guidance. Finally, we call on countries and local leaders to implement effective communication strategies to engage communities, ensure supply and demand for vaccination remains strong, and help assure a healthy life for every child especially in this challenging time.” #####   Notes to Editor   About Measles & Rubella Initiative: The Measles & Rubella Initiative (M&RI) is a global partnership, founded by the American Red Cross, the U.S. Centers for Disease Control and Protection, UNICEF, the United Nations Foundation and WHO, that is committed to achieving and maintaining a world without measles, rubella and congenital rubella syndrome. Founded in 2001, the Initiative has helped vaccinate over 2.9 billion children and save over 21 million lives by increasing vaccination coverage, improving disease response, monitoring and evaluation, and building public confidence and demand for immunization. The Initiative works closely with Gavi, the Vaccine Alliance to achieve these goals. For more information, visit us at  www.measlesrubellainitiative.org  and follow  us on Twitter . More information on measles: WHO  factsheet ; CDC  measles  updates; Latest  WHO measles surveillance data For WHO guidelines for immunization during COVID-19,  click here For more information about COVID-19, visit  https://www.unicef.org/coronavirus/covid-19 For UNICEF’s work immunization, visit  https://www.unicef.org/immunization   Kyrylo UNICEF/UN0201071/Krepkih
Article
30 Апрель 2020
Through pandemics and epidemics, hope stays alive
https://www.unicef.org/eca/stories/through-pandemics-and-epidemics-hope-stays-alive
For more than 70 years, we have been working to improve the lives of children and their families. Our mission is made possible by a strong network of talented and dedicated staff that includes physicians, clinicians, logistics experts and communication specialists. As the global COVID-19 pandemic unfolds, we look back at UNICEF's history of responding to health crises the world over, and look ahead to recovering from this one. Филиппины UNICEF/UN03784 Индия, 1961 год. Медицинский работник делает девочке прививку против оспы. UNICEF/UNI41906 Disease prevention Since its beginnings, UNICEF has been at the forefront of disease prevention and revolutionizing children’s health. Working closely with partners like the World Health Organization (WHO), we have seen the eradication of smallpox and the near eradication of polio. Since 1988, the number of children affected by polio has reduced by 99 per cent. Today, some of the same lessons we’ve learned in contact tracing in communities are being applied to reach vulnerable children and their families in some of the remotest parts of the world.  Бангладеш, 1989 год. Посол доброй воли ЮНИСЕФ Одри Хепбёрн делает прививку от полиомиелита ребёнку в клинике. In the 1980s UNICEF led the child survival revolution — a shift from treating health issues to preventing them — helping to reduce child deaths by up to nearly 80 per cent in some countries. Our worldwide distribution of oral rehydration solution has helped reduce the number of deaths from diarrhoea — a leading killer of young children — by 60 per cent between 2000 and 2007. Mass immunization campaigns have also played a huge role in protecting children against preventable diseases. For measles alone, about 20 million young people’s lives were saved between 2000 and 2015 thanks to such efforts by UNICEF and partners. HIV and AIDS In 1987, AIDS became the first disease to be debated on the floor of the UN General Assembly. As Member States convened, UNICEF and WHO were already monitoring possible interactions between the disease and immunization and breastfeeding. As infections spread, UNICEF geared its research, policy, planning and fundraising to better understand how to prevent mother-to-child transmission. To equip the public with facts, we supported health education around the world, particularly in sub-Saharan Africa, working tirelessly to inform, educate and protect against stigma and discrimination around HIV and AIDS. Медицинский работник берёт кровь для исследования на ВИЧ Since 2010, 1.4 million HIV infections among children have been averted. The reduction in mother-to-child transmission is viewed as a public health success story. Jointly with partners, UNICEF has set ambitious targets for ending AIDS by 2030. Малыши обнимаются в приюте Swine flu In 2009, the swine flu pandemic swept across the world primarily affecting children and young adults who were otherwise in good health. UNICEF put measures in place to prepare for possible local outbreaks in 90 countries. These measures remained in place after the pandemic with an eye on future outbreaks. Mедицинские работники посещают дома Ebola Within two and a half years of the 2014 outbreak of Ebola in West Africa, more than 28,616 cases and 11,310 deaths had been recorded. During the crisis, UNICEF helped in providing care for ostracized children suspected of being infected, children who lost parents and guardians to Ebola, and the millions who were out of school. Since 2018, with the start of the second-biggest Ebola epidemic ever recorded, we have been working with partners across the region to prevent transmission and protect affected children. Within a year, UNICEF and partners had trained more than 32,400 teachers on how to teach children about Ebola prevention and how to make schools a protective environment. Медицинский работник измеряет температуру Coronavirus (COVID-19) The ongoing COVID-19 pandemic has upended family life around the world. Economic shutdowns, school closures and confinement measures are all having a heavy impact on children now and the longer-term repercussions risk their safety, their well-being and their future. UNICEF is calling for  swift global action  without which, this health crisis risks becoming a child-rights crisis. ЮНИСЕФ Южный Судан, 2020 год. ЮНИСЕФ располагает сетью, состоящей из 2500 социальных активистов, работающих в течение года для повышения осведомлённости людей о важности соблюдения правил гигиены, иммунизации, питания, защиты детей и образования. UNICEF is on the ground in more than 190 countries, partnering with governments, health workers and other front-line responders to keep children healthy, safe and learning, no matter who they are or where they live. COVID-19 is one of the biggest fights in our history, yet, it is a fight that together we can win. Are you with us? 
Article
13 Май 2021
Safeguarding the health of refugee and migrant children during COVID-19
https://www.unicef.org/eca/stories/safeguarding-health-refugee-and-migrant-children-during-covid-19
"When COVID arrived here, I thought: ‘It's over, it will spread throughout the building’. I didn't think it was possible to avoid the spread of the outbreak. Instead, we have had very few cases and we owe this, above all, to the support we received from INTERSOS and UNICEF."  Josehaly (Josy), a refugee living in Rome A field worker from Intersos fastens a mask for a young refugee girl in Rome. A field worker from Intersos fastens a mask for a young refugee girl in Rome. The ‘RM Child-Health’ initiative is funding work across five European countries to keep refugee and migrant children connected to health services. While the COVID-19 pandemic was not foreseen when the initiative was first launched, the strategic principles underpinning the ‘RM Child-Health’ initiative – flexibility, responsiveness to real needs, and building on what works – meant that UNICEF and partners could swing into action to safeguard the health and wellbeing of refugee and migrant children and overcome intensified and unprecedented challenges. Since the launch of the 27-month ‘RM Child-Health’ initiative in January 2020, activities were adapted quickly to address access to health services during the COVID-19 crisis in Bosnia and Herzegovina, Bulgaria, Greece, Italy and Serbia. This €4.3 million initiative, co-funded by the European Union Directorate-General for Health and Food Safety, has shown refugee and migrant children and families how to protect themselves and others, and that they have every right to health care – even in a pandemic. The rapid escalation of the COVID-19 pandemic in Europe in 2020 exacerbated the already worrying state of health and wellbeing of the region’s most vulnerable people, including refugee and migrant children, and has had a protracted impact on their access to health and other vital services. The situation has been particularly dire for refugees and migrants who are not in formal reception sites, and who are, therefore, harder to reach and monitor. Refugee and migrant families living in over-crowded conditions with limited access to sanitation are at high risk of infection. These communities have often had to face a ‘double lockdown’, confined to their settlements and camps and having little or no access to accurate information on protecting themselves and others.  The additional pressures have been severe. UNICEF and its partners in Bulgaria have seen appeals for support double from 30 to 60 cases per day. Far more refugees and asylum-seekers have been in urgent need of financial and material support, having lost their incomes because of the pandemic. There have been increased requests for support to meet the cost of medical care for children, which is not covered by the state budget, and more requests for psychosocial support. This increase in demand has, of course, coincided with serious challenges for service delivery. Restrictions on movement have curtailed in-person services, and partners have had to adapt the way in which they connect with refugees and migrants. The pandemic has had a direct impact on the provision of group sessions to share health-related information, as well as on the timely identification of children and women suffering from or at risk of health-related issues. The impact on vital services for timely and quality maternal and child health care, psychosocial support, recreational and non-formal services, and on services to prevent and respond to gender-based violence (GBV) has been profound. In Bulgaria, UNICEF and its partners were able to take immediate measures with support from the ‘RM Child-Health’ initiative to alleviate the impact, including online awareness raising and information sessions and the use of different channels for communication, including social media. UNICEF’s partners, the Council of Refugee Women in Bulgaria (CRWB) and the Mission Wings Foundation (MWF) adapted service delivery to allow both face-to-face interaction (while maintaining social distancing for safety) as well as assistance online and by telephone. Partners were able to continue to provide direct social services support while also delivering online consultations to refugees and migrants on cases of violence, as well as referral to specialized services. In Greece, the initiative supported the development of child-friendly information posters and stickers for refugee and migrant children and their families on critical preventive measures and on what to do and where to go if they experience any COVID-19 symptoms. In Italy, the initiative has supported outreach teams and community mobilization, providing refugee and migrant families with the information and resources they need to keep the pandemic at bay. In Rome, for example, health promoters from Intersos continued to work directly with refugee and migrant communities in informal settlements, not only to prevent infection but also to keep their spirits high, as one health promoter explained: "We have organized housing modules that are not only designed to keep the community safe, but also to stop loneliness overwhelming the people forced into isolation. The entire community has assisted people affected by the virus by cooking, washing clothes and offering all possible support, particularly to the children."  UNICEF and its partners in Italy, as in other countries, have aimed to maintain continuity and unimpeded access to key services. Child protection, for example, has been mainstreamed into all project activities, and additional measures have been introduced, with a ramping up of activities to raise awareness and share information. UNICEF partners adapted quickly to the pandemic, with Médecins du Monde (MdM) activating a hotline number to provide remote counselling and psychological first aid (PFA). Centro Penc shifted to remote case management and individual psychological support, strengthening the capacity of cultural mediators to support GBV survivors, with UNICEF’s support. Young people were consulted and engaged through UNICEF’s online platform U-Report on the Move, with young U-reporters sharing information on the increased risks of GBV, as well as on available services. In Serbia, the initiative has supported UNICEF’s efforts to improve the immunization process for refugee children and migrants by strengthening the assessment and monitoring process. As a result of such efforts, refugees and migrants have been included in the national COVID-19 Immunization Plan.  
Press release
10 Сентябрь 2020
COVID-19 could reverse decades of progress toward eliminating preventable child deaths, agencies warn
https://www.unicef.org/eca/press-releases/covid-19-could-reverse-decades-progress-toward-eliminating-preventable-child-deaths
NEW YORK/ GENEVA, 9 September 2020– The number of global under-five deaths dropped to its lowest point on record in 2019 – down to 5.2 million from 12.5 million in 1990,  according to new mortality estimates  released by UNICEF, the World Health Organization (WHO), the Population Division of the United Nations Department of Economic and Social Affairs and the World Bank Group. Since then, however, surveys by UNICEF and WHO reveal that the COVID-19 pandemic has resulted in major disruptions to health services that threaten to undo decades of hard-won progress. “The global community has come too far towards eliminating preventable child deaths to allow the COVID-19 pandemic to stop us in our tracks,” said Henrietta Fore, UNICEF Executive Director. “When children are denied access to health services because the system is overrun, and when women are afraid to give birth at the hospital for fear of infection, they, too, may become casualties of COVID-19. Without urgent investments to re-start disrupted health systems and services, millions of children under five, especially newborns, could die.” Over the past 30 years, health services to prevent or treat causes of child death such as preterm, low birthweight, complications during birth, neonatal sepsis, pneumonia, diarrhea and malaria, as well as vaccination, have played a large role in saving millions of lives. Now countries worldwide are experiencing disruptions in child and maternal health services, such as health checkups, vaccinations and prenatal and post-natal care, due to resource constraints and a general uneasiness with using health services due to a fear of getting COVID-19. A  UNICEF survey  conducted over the summer across 77 countries found that almost 68 per cent of countries reported at least some disruption in health checks for children and immunization services. In addition, 63 per cent of countries reported disruptions in antenatal checkups and 59 per cent in post-natal care. A  recent WHO survey  based on responses from 105 countries revealed that 52 per cent of countries reported disruptions in health services for sick children and 51 per cent in services for management of malnutrition. Health interventions such as these are critical for stopping preventable newborn and child deaths. For example, women who receive care by professional midwives trained according  to internationals standards are 16 per cent less likely to lose their baby and 24 per cent less likely to experience pre-term birth,  according to WHO . "The fact that today more children live to see their first birthday than any time in history is a true mark of what can be achieved when the world puts health and well-being at the centre of our response,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. “Now, we must not let the COVID-19 pandemic turn back remarkable progress for our children and future generations. Rather, it’s time to use what we know works to save lives, and keep investing in stronger, resilient health systems.” Based on the responses from countries that participated in the UNICEF and WHO surveys, the most commonly cited reasons for health service disruptions included parents avoiding health centers for fear of infection; transport restrictions; suspension or closure of services and facilities; fewer healthcare workers due to diversions or fear of infection due to shortages in personal protective equipment such as masks and gloves; and greater financial difficulties. Afghanistan, Bolivia, Cameroon, the Central African Republic, Libya, Madagascar, Pakistan, Sudan and Yemen are among the hardest hit countries. Seven of the nine countries had high child mortality rates of more than 50 deaths per 1000 live births among children under five in 2019. In Afghanistan, where 1 in 17 children died before reaching age 5 in 2019, the Ministry of Health reported a significant reduction in visits to health facilities. Out of fear of contracting the COVID-19 virus, families are de-prioritizing pre- and post-natal care, adding to the risk faced by pregnant women and newborn babies. Even before COVID-19, newborns were at highest risk of death. In 2019, a newborn baby died every 13 seconds. Moreover, 47 per cent of all under-five deaths occurred in the neonatal period, up from 40 per cent in 1990. With severe disruptions in essential health services, newborn babies could be at much higher risk of dying. For example, in Cameroon, where 1 out of every 38 newborns died in 2019, the UNICEF survey reported an estimated 75 per cent disruptions in services for essential newborn care, antenatal check-ups, obstetric care and post-natal care. In May, initial modelling by Johns Hopkins University showed that  almost 6,000 additional children  could die per day due to disruptions due to COVID-19. These reports and surveys highlight the need for urgent action to restore and improve childbirth services and antenatal and postnatal care for mothers and babies, including having skilled health workers to care for them at birth. Working with parents to assuage their fears and reassure them is also important. “The COVID-19 pandemic has put years of global progress to end preventable child deaths in serious jeopardy,” said Muhammad Ali Pate, Global Director for Health, Nutrition and Population at the World Bank. “It is essential to protect life-saving services which have been key to reducing child mortality. We will continue to work with governments and partners to reinforce healthcare systems to ensure mothers and children get the services they need.” "The new report demonstrates the ongoing progress worldwide in reducing child mortality,” said John Wilmoth, Director of the Population Division of the United Nations Department of Economic and Social Affairs. “While the report highlights the negative effects of the COVID-19 pandemic on interventions that are critical for children’s health, it also draws attention to the need to redress the vast inequities in a child's prospects for survival and good health.” ###### A child and his mother while waiting to receive medical care UNICEF/UNI347480/Poveda
Press release
03 Сентябрь 2020
World's richest countries grappling with children’s reading and math skills, mental well-being and obesity
https://www.unicef.org/eca/press-releases/worlds-richest-countries-grappling-childrens-reading-and-math-skills-mental-well
Mental health: In most countries, less than four-fifths of children report being satisfied with their lives. Turkey has the lowest rate of life satisfaction at 53 per cent, followed by Japan and the United Kingdom. Children who have less supportive families and those who are bullied have significantly poorer mental health. Lithuania has the highest rate of adolescent suicide – a leading cause of death among 15-19-year olds in rich countries – followed by New Zealand and Estonia. Physical health: Obesity and overweight rates among children have increased in recent years. Around 1 in 3 children across all countries are either obese or overweight, with rates in Southern Europe also sharply increasing. In more than a quarter of rich countries child mortality is still above 1 per 1,000. Skills: On average 40 per cent of children across all OECD and EU countries do not have basic reading and mathematics skills by age 15. Children in Bulgaria, Romania and Chile are the least proficient in these skills. Estonia, Ireland and Finland the most proficient. In most countries, at least 1 in 5 children lack confidence in their social skills to make new friends. Children in Chile, Japan and Iceland are the least confident in this area.   The report also contains data on clear areas of progress in child well-being. On average, 95 per cent of pre-school aged children are now enrolled in organized learning programmes, and the number of young people aged 15-19 not in education, employment or training has declined in 30 out of 37 countries. Yet, these important gains are at risk of falling back due to the impact of COVID-19. Countries are also ranked based on their policies that support child well-being and other factors including the economy, society and environment. Norway, Iceland and Finland have the highest-ranking policies and context to support child well-being. On average, countries spend less than 3 per cent of their GDP on family and child policies. “In times of crisis and calm, families need supportive governments and workplaces in order to raise the next generation of happy and healthy citizens,” said Fayaz King, Deputy Executive Director at UNICEF. “An investment in children is a direct investment in our future.” Due to the COVID-19 outbreak, in the first half of 2020 most of the countries covered in the report kept schools closed for more than 100 days while strict stay-at-home policies were also implemented. The report notes that loss of family members and friends, anxiety, stay-at-home restrictions, lack of support, school closures, the balancing of work and family life, poor access to healthcare, combined with the economic loss caused by the pandemic are catastrophic for children’s wellbeing, affecting their mental and physical health, and their development. Before the COVID-19 outbreak the average relative child poverty rate across the 41 countries was 20 per cent. With GDP expected to fall over a two-year period in almost all of these countries, unless governments take immediate remedial actions child poverty will rise. “As the economic, educational and social fallout of the pandemic continues to take hold, without concerted effort, there will be a worsening, devastating impact on the well-being of today’s children, their families and the societies they live in,” said Olsson. “But these risks do not have to become the reality, if governments take decisive action now to protect children’s well-being.” On the basis of the report and these recent developments UNICEF is calling for the following steps to protect and improve child wellbeing: Take decisive action to reduce income inequality and poverty and ensure that all children have access to the resources they need. Rapidly address the serious gap in mental health services for children and adolescents. Expand family-friendly policies to improve work-family balance, especially access to high-quality, flexible and affordable early-years childcare. Strengthen efforts to protect children from preventable diseases, including reversing recent falls in measles immunization. Improve COVID-19 policies that support families with children and ensure budgets that support child well-being are protected entirely from austerity measures.   ### Notes to editors: Worlds of Influence builds on previous rankings of child well-being in Report Cards 11 ( 2013 ) and 7 ( 2007 ) to provide a more comprehensive view of well-being that assesses children’s own actions and relationships, the networks and resources available to their caregivers as well as national policies and context. Visit the report microsite and download the full report: http://www.unicef-irc.org/child-well-being-report-card-16 Worlds of Influence UNICEF/UNI360129/
Article
31 Май 2021
Making the European Child Guarantee a Reality. Insights from testing the European Child Guarantee
https://www.unicef.org/eca/stories/making-european-child-guarantee-reality-insights-testing-european-child-guarantee
MARGARETA MADERIC State Secretary, Ministry of Labour, the Pension System, the Family and Social Policy European Union Margareta Mađerić was born on 2 July 1977 in Zagreb. After finishing high school, she enrolled in Zagreb School of Business where she obtained her bachelor’s degree in Marketing and Communication and worked as a marketing and communications manager before entering into politics. In 2005, as a member of Croatian Democratic Union (HDZ), Mađerić was elected to the Zagreb City Assembly, where she served three consecutive terms and served as president of the Deputy Club of the Croatian Democratic Union. In the 2013 local elections in Zagreb, she ran as the HDZ candidate for mayor, and in the 2015 Croatian parliamentary elections, Mađerić ran as a candidate for the Patriotic Coalition, led by the HDZ. She was a member of the Croatian Parliament and was named president of the Parliamentary committee for mandates and immunity, before she assumed the position of State Secretary in the Ministry for Demography, Family, Youth and Social policy. Following the 2020 parliamentary elections she continued to serve as State Secretary in the new Ministry of Labour, Pension system, Family and Social Policy. SAILA RUUTH Personal archive

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