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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.”  
Page
02 Июль 2020
‘RM Child-Health’: safeguarding the health of refugee and migrant children in Europe
https://www.unicef.org/eca/rm-child-health-safeguarding-health-refugee-and-migrant-children-europe
More than 1.3 million children have made their way to Europe since 2014, fleeing conflict, persecution and poverty in their own countries. They include at least 225,000 children travelling alone – most of them teenage boys – as well as 500,000 children under the age of five. In 2019 alone, almost 32,000 children (8,000 of them unaccompanied or separated) reached Europe via the Mediterranean after perilous journeys from Syria, Afghanistan, Iraq and many parts of Africa – journeys that have threatened their lives and their health. Many have come from countries with broken health systems, travelling for months (even years) with no access to health care and facing the constant risks of violence and exploitation along the way. Many girls and boys arriving in Europe have missed out on life-saving immunization and have experienced serious distress or even mental health problems. They may be carrying the physical and emotional scars of violence, including sexual abuse. The health of infants and mothers who are pregnant or breastfeeding has been put at risk by a lack of pre- and post-natal health services and of support for child nutrition. Two girls wash a pot in the common washing area of the Reception and Identification Centre in Moria, on the island of Lesvos, in Greece. Two girls wash a pot in the common washing area of the Reception and Identification Centre in Moria, on the island of Lesvos, in Greece. Child refugees and migrants also face an increased health risk as a result of crowded and unhygienic living conditions during their journeys and at their destinations. Even upon their arrival in Europe, refugee and migrant children and families often face continued barriers to their health care, such as cultural issues, bureaucracy, and a lack of information in their own language. Southern and South East European countries are at the heart of this challenge, struggling to meet the immediate needs of vulnerable refugee and migrant children. And now, an already serious problem is being exacerbated by the COVID-19 pandemic. Refugee checks on his son
Press release
04 Май 2020
With financial support from the European Union UNICEF launches the ‘RM Child-Health’ project to strengthen vulnerable refugee and migrant children’s health
https://www.unicef.org/eca/press-releases/financial-support-european-union-unicef-launches-rm-child-health-project-strengthen
Logo Logo   BRUSSELS, GENEVA, 5 May 2020 – Under the Health Programme of the European Union, the Directorate General for Health and Food Safety has committed a project grant to  UNICEF to support work ensuring refugee and migrant children and their families have access to quality health care and accurate health information in Bulgaria, Greece, Italy, Spain, Bosnia Herzegovina and Serbia. Refugee and migrant children and their families often have more health-related risks and face a number of barriers accessing quality health care. Many children and families also live with severe emotional distress due to the trauma of fleeing home, undertaking dangerous journeys and experiencing abuse and exploitation, including sexual and gender-based violence. The global COVID19 pandemic further exacerbates these health challenges.  “With the ongoing pandemic, protecting every child and adult’s right to health care and accurate heath information is paramount. This collaboration with the EU Health Programme will help ensure the most vulnerable refugee and migrant children will have better access to primary healthcare services, psychosocial support as well as violence prevention and response services,” said UNICEF Regional Director for Europe and Central Asia and Special Coordinator for the Refuge and Migrant Response in Europe, Ms. Afshan Khan. The project ‘RM Child-Health’ will help improve the health of refugee and migrant children by improving their access to life-saving immunizations, mental health and psychosocial support, gender-based violence prevention and response activities as well as maternal and newborn health care and nutrition support. Information materials on health-related risks and services available for refugee and migrant populations will be created and shared. Medical interpreters and cultural mediators will be deployed to support communication between children and families and health care providers. The project ‘RM Child-Health’ will also support training programmes so frontline health care workers can better respond to the specific needs of refugee and migrant children and their families. In parallel, national health authorities will benefit from technical support to develop, update and improve the implementation of health policies and address bottlenecks in national health systems that currently prevent refugee and migrant children from accessing services. Refugee mother feeding her baby at ADRA community centre in Belgrade. UNICEF/UNI220342/Pancic
News note
31 Июль 2019
Why family-friendly policies are critical to increasing breastfeeding rates worldwide - UNICEF
https://www.unicef.org/eca/press-releases/why-family-friendly-policies-are-critical-increasing-breastfeeding-rates-worldwide
NEW YORK, 1 August 2019 – From supporting healthy brain development in babies and young children, protecting infants against infection, decreasing the risk of obesity and disease, reducing healthcare costs, and protecting nursing mothers against ovarian cancer and breast cancer, the benefits of breastfeeding for children and mothers are wide spread. Yet, policies that support breastfeeding – such as paid parental leave and breastfeeding breaks – are not yet available to most mothers worldwide. “The health, social and economic benefits of breastfeeding – for mother and child – are well-established and accepted throughout the world. Yet, nearly 60 per cent of the world’s infants are missing out on the recommended six months of exclusive breastfeeding,” said UNICEF Executive Director Henrietta Fore. “In spite of the benefits of breastfeeding, workplaces worldwide are denying mothers much needed support. We need to far greater investment in paid parental leave and breastfeeding support across all workplaces to increase breastfeeding rates globally.” Only 4 out of 10 babies are exclusively breastfed: Only 41 per cent of babies were exclusively breastfed in the first six months of life in 2018, as recommended. In comparison, these rates were more than half – 50.8 per cent – in the least developed countries. The highest rates were found in Rwanda (86.9 per cent), Burundi (82.3 per cent), Sri Lanka (82 percent), Solomon Islands (76.2 percent) and Vanuatu (72.6 percent). Research also shows that infants in rural areas have higher levels of exclusive breastfeeding than urban babies. Upper-middle-income countries have the lowest breastfeeding rates: In upper-middle-income countries, exclusive breastfeeding rates were the lowest at 23.9 per cent, having decreased from 28.7 per cent in 2012. Breastfeeding at work works: Regular lactation breaks during working hours to accommodate breastfeeding or the expression of breastmilk, and a supportive breastfeeding environment including adequate facilities enable mothers to continue exclusive breastfeeding for six months, followed by age-appropriate complementary breastfeeding. Working women do not get enough support to continue breastfeeding: Worldwide, only 40 per cent of women with newborns have even the most basic maternity benefits at their workplace. This disparity widens among countries in Africa, where only 15 per cent of women with newborns have any benefits at all to support the continuation of breastfeeding. Too few countries provide paid parental leave: The International Labour Organization (ILO) Maternity Protection Convention 2000 (no. 183) standards include at least 14 weeks of paid maternity leave, and countries are recommended to provide at least 18 weeks as well as workplace support for breastfeeding families. Yet, only 12 per cent of countries worldwide provide adequate paid maternity leave. UNICEF’s latest policy brief on family-friendly policy brief recommends at least six months of paid leave for all parents combined, of which 18 weeks of paid leave should be reserved for mothers. Governments and businesses should strive for at least 9 months of combined paid leave. Availability of longer maternity leave means higher chances of breastfeeding: A recent study found that women with six months or more maternity leave were at least 30 per cent more likely to maintain any breastfeeding for at least the first six months. Breastfeeding makes sense for both babies and their mothers: Increasing breastfeeding could prevent 823,000 annual deaths in children under five and 20,000 annual deaths from breast cancer. Not enough babies breastfed in the first hour: In 2018, less than half of babies worldwide – 43 per cent – were breastfed within the first hour of life. Immediate skin-to skin contact and starting breastfeeding early keeps a baby warm, builds his or her immune system, promotes bonding, boosts a mother’s milk supply and increases the chances that she will be able to continue exclusive breastfeeding. Breastmilk is more than just food for babies – it is also a potent medicine for disease prevention that is tailored to the needs of each child. The ‘first milk’ – or colostrum – is rich in antibodies to protect babies from disease and death. The investment case for breastfeeding: If optimal breastfeeding is achieved, there would be an estimated reduction in global healthcare costs of USD 300 billion. ### Notes to Editors: About World Breastfeeding Week World Breastfeeding Week is marked annually from 1 to 7 August to highlight the critical importance of breastfeeding for children across the globe. Breastfeeding gives children the healthiest start in life and is one of the simplest, smartest and most cost-effective ways we have of ensuring that all children survive and thrive. This fact sheet – marking World Breastfeeding Week – features new data from the 2019 Global Breastfeeding Scorecard, and the latest available evidence on coverage, access to family-friendly policies, and the health and economic benefits of breastfeeding. Mother and father with new born baby UNICEF/UN0206267/Pirozzi
Article
01 Февраль 2021
Strengthening the implementation of health policies
https://www.unicef.org/eca/stories/strengthening-implementation-health-policies
The initiative also promotes and supports multi-disciplinary approaches and teams to address the complex causes of health problems among refugee and migrant children – from trauma, anxiety and over-crowded conditions, to lack of hygiene facilities and immunization. As a result, support from the ‘RM Child-health’ initiative builds trust between refugee and migrant families and health providers. At the Centre for refugees and migrants near Bela Palanka in south-eastern Serbia, for example, the needs of refugee and migrant women have shaped the development of the Community Centre run by ADRA, with its Mother and Baby Corner for women with infants. Here, women can take part in language classes, sports activities and, crucially, in workshops about their own health and rights. “ The most important thing is that all the advice from our doctor is in line with their economic circumstances and current living situation [in Reception centres],” explains social worker Andja Petrovic. “The advice is tailored to their life and I think they particularly like that, because they can see that their situation is acknowledged. Because when they go to a doctor [in other facilities], they get advice that they can’t follow because they don’t have the living conditions for it.” Also in Serbia, funding from the ‘RM Child-health Initiative’ supports work by UNICEF and the Institute of Mental Health that looks beyond the provision of basic health care to assess the scale and nature of substance abuse among refugee and migrant communities. This cutting-edge field research will guide the development of materials and capacity building specifically for health and community workers who are in regular contact with young refugees and migrants, helping these workers to identify and tackle substance abuse by connecting children and youth to support services. As one researcher involved in the research commented: “Most of those children have spent several years without a home or any sense of stability. They can't make a single plan about the future since everything in their life is so uncertain. I can't begin to imagine how frightening that is.” By building greater rapport between frontline workers and children, and by equipping those workers with the support, skills and resources they need, the ‘RM Child-health’ initiative is helping to transform health policies into health practice. This vital work has been particularly crucial in 2020, as frontline workers have had to confront – and adapt to – the greatest public health crisis in living memory: the COVID-19 pandemic. Logo 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).It 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 Consumers, Health, Agriculture and Food 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.

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