UNICEF to lead procurement and supply of COVID-19 vaccines in world’s largest and fastest ever operation of its kind
– UNICEF is leading efforts to procure and supply COVID-19 vaccines in what could possibly be the world’s largest and fastest ever procurement and supply of vaccines, as part of the global vaccine plan of the COVID-19 Vaccine Global Access Facility (COVAX Facility) led by Gavi, the Vaccine Alliance. With several vaccine candidates showing promise, UNICEF, in collaboration with the PAHO Revolving Fund , will lead efforts to procure and supply doses of COVID-19 vaccines on behalf of the COVAX Facility for 92 low- and lower middle-income countries whose vaccine purchases will be supported by the mechanism through the Gavi COVAX AMC as well as a buffer stockpile for humanitarian emergencies. In addition, UNICEF will also serve as procurement coordinator to support procurement by 80 higher-income economies , which have expressed their intent to participate in the COVAX Facility and would finance the vaccines from their own public finance budgets. UNICEF will undertake these efforts in close collaboration with WHO, Gavi, CEPI, PAHO, World Bank, the Bill and Melinda Gates Foundation and other partners. The COVAX Facility is open to all countries to ensure that no country is left without access to a future COVID-19 vaccine. “This is an all-hands on deck partnership between governments, manufacturers and multilateral partners to continue the high-stakes fight against the COVID-19 pandemic,” said Henrietta Fore, UNICEF Executive Director. “In our collective pursuit of a vaccine, UNICEF is leveraging its unique strengths in vaccine supply to make sure that all countries have safe, fast and equitable access to the initial doses when they are available.” UNICEF is the largest single vaccine buyer in the world, procuring more than 2 billion doses of vaccines annually for routine immunization and outbreak response on behalf of nearly 100 countries. It is the main procurement partner of Gavi, the Vaccine Alliance, which over the last 20 years has reached more than 760 million children with life-saving vaccines, preventing more than 13 million deaths. UNICEF will use its market shaping and procurement expertise to coordinate the procurement and supply of COVID-19 vaccines for the COVAX Facility. This could potentially double the agency’s overall vaccine procurement throughput volume in 2021 alone. In response to an expression of interest that UNICEF issued in June on behalf of the COVAX Facility, 28 manufacturers with production facilities in 10 countries shared their annual production plans for COVID-19 vaccines through 2023. According to the timelines the manufacturers indicated, the span from development to production could be one of the fastest scientific and manufacturing leaps in history. A UNICEF market assessment , developed by compiling information submitted by vaccine manufacturers along with publicly available data, revealed that manufacturers are willing to collectively produce unprecedented quantities of vaccines over the coming 1-2 years. However, manufacturers signaled that investments to support such large-scale production of doses would be highly dependent on, among other things, whether clinical trials are successful, advance purchase agreements are put in place, funding is confirmed, and regulatory and registration pathways are streamlined. This assessment also illustrates, among other things, manufacturers’ responsiveness to the COVAX Facility’s design and objectives—a key pillar of the ACT-Accelerator initiative , which is a new, groundbreaking global collaboration to accelerate the development and equitable distribution of vaccines, diagnostics and therapeutics to address the COVID-19 pandemic across countries of all income levels. A key next step will be ensuring self-financing economies sign up for the COVAX Facility by 18 September, which will allow COVAX to support early, at-risk investments in increasing manufacturing capacity on a broad scale, through advance purchase agreements. Currently under development by WHO, the COVAX allocation framework will guide how and where UNICEF, PAHO and other procurers working on behalf of participating countries supply COVID-19 vaccines that are secured by the Facility. Initial dose allocations are expected to be scaled to enable countries to vaccinate health and social workers, followed by subsequent tranches of vaccine doses that would enable participating countries to vaccinate populations at higher risk of critical COVID-19 disease. “UNICEF has been critical partner in the Alliance’s success over the last two decades – helping us reach more than half the world’s population with life-saving vaccines,” said Dr. Seth Berkley, CEO of Gavi. “This expertise and experience will be important in ensuring that COVAX – as a global effort to procure and deliver safe and effective COVID-19 vaccines, on an accelerated timeframe, and at an unprecedented scale – can protect the most at-risk, wherever they may be in the world. Together we can work to end the acute stage of this pandemic, including its devastating impact on individuals, communities, and economies.” UNICEF, Gavi, WHO, and PAHO have started critical preparatory work for country vaccine readiness in collaboration with partners and national governments including: Working with device manufacturers to plan availability of safe injection equipment and cold chain requirements for the vaccine; Developing guidance with WHO and trainings to support vaccination policies and appropriate handling, store and distribution of the vaccines; Working with manufacturers on freight and logistics solutions to get vaccine doses to countries as quickly and safely as possible once they are allocated; Supporting countries in planning for vaccine delivery, including targeting those most at risk and transport and storage at point of service delivery; Ramping up efforts with civil society and other local partners to ensure that people are well-informed about the COVID-19 vaccination process and putting measures in place to enhance trust and tackle misinformation about COVID-19 vaccines. UNICEF Supply UNICEF/UNI325740/Montico
UNICEF appeals for $3.9 billion in emergency assistance for 41 million children affected by conflict or disaster
Millions of children living in countries affected by conflict and disaster lack access to vital child protection services, putting their safety, well-being and futures at risk, UNICEF warned today as it appealed for $3.9 billion to support its work for children in humanitarian crises . UNICEF’s Humanitarian Action for Children sets out the agency’s 2019 appeal and its efforts to provide 41 million children with access to safe water, nutrition, education, health and protection in 59 countries across the globe. Funding for child protection programmes accounts for $385 million of the overall appeal, including almost $121 million for protection services for children affected by the Syria crisis. “Today millions of children living through conflict or disaster are suffering horrific levels of violence, distress and trauma,” said UNICEF Executive Director Henrietta Fore. “The impact of our child protection work cannot be overstated. When children do not have safe places to play, when they cannot be reunited with their families, when they do not receive psychosocial support, they will not heal from the unseen scars of war.” UNICEF estimates that more than 34 million children living through conflict and disaster lack access to child protection services, including 6.6 million children in Yemen, 5.5 million children in Syria and 4 million children in the Democratic Republic of the Congo (DRC ). Child protection services include all efforts to prevent and respond to abuse, neglect, exploitation, trauma and violence. UNICEF also works to ensure that the protection of children is central to all other areas of the organisation’s humanitarian programmes, including water, sanitation and hygiene, education and other areas of work by identifying, mitigating and responding to potential dangers to children’s safety and wellbeing. However, funding constraints, as well as other challenges including warring parties’ growing disregard for international humanitarian law and the denial of humanitarian access, mean that aid agencies’ capacity to protect children is severely limited. In the DRC, for example, UNICEF received just a third of the $21 million required for child protection programmes in 2018, while around one-fifth of child protection funding for Syrian children remained unmet. “Providing these children with the support they need is critical, but without significant and sustained international action, many will continue to fall through the cracks,” said Manuel Fontaine, UNICEF Director of Emergency Programmes. “The international community should commit to supporting the protection of children in emergencies.” 2019 marks the 30th anniversary of the landmark Convention on the Rights of the Child and the 70th anniversary of the Geneva Conventions, yet today, more countries are embroiled in internal or international conflict than at any other time in the past three decades, threatening the safety and wellbeing of millions of children. UNICEF’s appeal comes one month after the children’s agency said that the world is failing to protect children living in conflict around the world, with catastrophic consequences. Children who are continuously exposed to violence or conflict, especially at a young age, are at risk of living in a state of toxic stress – a condition that, without the right support can lead to negative life-long consequences for their cognitive, social and emotional development. Some children impacted by war, displacement and other traumatic events – such as sexual and gender-based violence – require specialized care to help them cope and recover. The five largest individual appeals are for Syrian refugees and host communities in Egypt, Jordan, Lebanon, Iraq and Turkey (US$ 904 million); Yemen (US$ 542.3 million); The Democratic Republic of the Congo (US$ 326.1 million); Syria (US$ 319.8 million) and South Sudan (US$ 179.2 million). ### Notes to editors: In total, working alongside its partners, UNICEF aims to: Provide 4 million children and caregivers with access to psychosocial support; Provide almost 43 million people with access to safe water; Reach 10.1 million children with formal or non-formal basic education; Immunize 10.3 million children against measles; Treat 4.2 million children with severe acute malnutrition. In the first 10 months of 2018, as a result of UNICEF’s support: 3.1 million children and caregivers received psychosocial support; 35.3 million people had access to safe water; 5.9 million children accessed some form of education; 4.7 million children were vaccinated against measles; 2.6 million children were treated for severe acute malnutrition. Photos and multimedia materials are available for download here: https://weshare.unicef.org/Package/2AMZIFI7QW8B Humanitarian Action for Children 2019 and individual appeals can be found here: https://uni.cf/HAC_2019 On 23 September 2018 in Ukraine, Masha Khromchenko, 11, stands in the kindergarten class room that took a direct hit from a shell Novotoshkivske in the Luhansk region. The shell caused massive damage to the facility and surrounding residential area. UNICEF/UN0243152/Morris VII Photo On 23 September 2018 in Ukraine, Masha Khromchenko, 11, stands in the kindergarten class room that took a direct hit from a shell Novotoshkivske in the Luhansk region. The shell caused massive damage to the facility and surrounding residential area.
COVID-19 could reverse decades of progress toward eliminating preventable child deaths, agencies warn
– 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