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Article
27 Сентябрь 2018
Astana Global Conference on Primary Health Care
https://www.unicef.org/eca/stories/astana-global-conference-primary-health-care
What is the Astana Global Conference? On 25-26 October 2018, world leaders, government ministers, development partners, civil society and young people will meet in Astana for the Global Conference on Primary Health Care, jointly hosted by the Government of Kazakhstan, UNICEF and WHO. Participants will renew their commitment to primary health care as the means of achieving universal health coverage, SDG3 and other SDG goals to which health is a contributing factor. The Conference will mark 40 years since the first Global Conference on Primary Health Care, held in 1978 in Almaty (then Alma-Ata), Kazakhstan. The Declaration of Alma-Ata endorsed at that conference was a seminal document that founded a movement and advocacy for primary health care. The 2018 Conference will endorse a new Declaration of Astana which emphasizes the critical role of primary health care in promoting good health, social and economic development and global security. It aims to refocus efforts to ensure that everyone everywhere can enjoy their right to the highest standard of health. What is primary health care? Primary health care is an approach to designing and delivering frontline health services that lays a foundation for achieving universal health coverage. Universal health coverage is one of the targets of the third Sustainable Development Goal (SDG3): Ensure healthy lives and promote well-being for all at all ages. Primary health care includes three core elements: Affordable and accessible health services, including quality primary care, and essential public health functions that promote health and well-being, prevent illness and protect populations against outbreaks of disease. Empowered people and engaged communities, to whom health services are accountable, and who are also responsible for their own health. Inputs (policies, actions, resources) from all sectors that influence health and well-being, ranging from agriculture, manufacturing, education, water, sanitation and hygiene, transport and the media etc. A one-year-old girl is administered her first dose of the mumps, measles and rubella (MMR) vaccine at a clinic in Kyiv, Ukraine. A one-year-old girl is administered her first dose of the mumps, measles and rubella (MMR) vaccine at a clinic in Kyiv, Ukraine. How does primary health care contribute to universal health care? Universal health care is based on the principle that all individuals and communities should have access to quality essential health services without suffering financial hardship. Primary health care contributes to this by ensuring that health services are available, accessible and affordable – including services that prevent illness, cure disease and promote good health. How is UNICEF contributing to the event in Astana and to primary health care? UNICEF is working closely with WHO and the Government of Kazakhstan to support and prepare for the conference. All UNICEF offices are mobilizing government and civil society partners, and making sure the core elements of primary health care are prioritized in the allocation of funding and resources, and in follow up actions. UNICEF is coordinating a Youth Forum that will be held on the day prior to the main event to bring the voices of young people into the conference. UNICEF is also part of a core group of global and regional partners working to support primary health care at country and sub-national levels. The group, which includes UN agencies, donor governments, philanthropic foundations, multilateral agencies like the Global Fund, Gavi and others, is developing a set of operating principles that will prioritize the three core elements described above, and ensure primary health care remains in place after their support has ended. This will be reflected in UNICEF’s own programmes with governments and partners. Ahead of the Global Primary Health Care Conference in Astana, 25-56 October, UNICEF Executive Director Henrietta H. Fore shares the path to achieving “Health for all” – the vision of the SDGs. In her address, UNICEF Executive Director Henrietta H. Fore, highlights the importance of investing in the quality of primary health services and extending their reach to ensure access for the most vulnerable and underprivileged communities. #PrimaryHealthCare #HealthForAll #Astana2018 Success stories: How primary health care helps families and children In remote Kyrgyzstan simple solutions save newborn lives How visiting nurses help prevent child deaths in Kazakhstan Fathers in Turkmenistan carve out their immediate and long-term parenting roles Investing in better care during baby’s first days is saving lives in Kyrgyzstan Saving newborn lives in remote mountainous areas of Kyrgyzstan   “In Focus” reports: A healthy start in life for every child Immunization   More information about the Astana Global Conference WHO Global Conference on Primary Health Care website The Declaration of Alma-Ata Provisional conference programme
Article
03 Август 2021
"During crisis we realized, health is the most important thing."
https://www.unicef.org/eca/stories/during-crisis-we-realized-health-most-important-thing
For thousands of pregnant women in Kazakhstan, pregnancy coincided with the pandemic and the introduction of quarantine measures, which can vary from week to week. UNICEF estimates that around 116,000,000 children will be born worldwide during the pandemic.1 During the pandemic, 498,367 children were born in Kazakhstan (March 2020 - April 2021)2. From the very first months of pregnancy, a woman's life changes dramatically, and quarantine, self-isolation and additional precautions can limit access to medical services or add stress to women in labor. Aigerim is 40 years old; during the pandemic she was pregnant with her fifth child. Aigerim wanted to plan the birth the following year, but in early September 2020, she found out that she was expecting a baby. From the first days of pregnancy, Aigerim was registered at the district polyclinic at her place of residence in Nur-Sultan. 2021_Newborn_Family_Karaganda Aigerim with her newborn son ”I had constant access and contact with gynecologists and midwives. I got all my tests on time and I went to my routine check-ups," she says. Until the seventh month of pregnancy, Aigerim and her family lived in Nur-Sultan, and then moved to Karaganda, where she was transferred to the city polyclinic No. 1. Aigerim planned to give birth at her place of residence in the Karaganda Regional Perinatal Center. She didn't need to take a PCR test before giving birth. When frequent contractions occur or amniotic fluid is released, the woman in labour will have to call an ambulance or go to the hospital on her own. The PCR test will already be taken at perinatal centers. ”I was told that if a woman has any symptoms, she is taken to a separate quarantine zone. If not, then she gives birth and waits for the test results, " says Aigerim. The quarantine zone is a separate ward where a woman will give birth alone and will not have contact with other women in labor. If doctors do not detect COVID-19, then the woman in labor goes to the general ward. According to UNFPA Kazakhstan , in the event of a confirmed infection or suspected infection with COVID-19, health care workers should take appropriate precautions to reduce the risk of their own infection and that of others, including by wearing protective clothing. Aigerim herself had COVID-19 in June 2020, three months before the start of pregnancy, but did not feel any significant changes in her health or the possibility of becoming pregnant. According to Aigerim, this pregnancy went the same way as the previous ones, and she hardly noticed any changes in the situation and the new reality of quarantine measures. 2021_Newborn_Family_Karaganda Aigerim with her children The only difference Aigerim observed is in the work schedule and the timetable of the clinics. In the past, pregnant women had to wait 2-3 hours in a queue at the polyclinics; now, the reception is conducted strictly by appointment and there are no queues in the corridors. “I guess I was doing so well because I was prioritizing my health. It is very important for a woman," she says. "In the current time of crisis, we all realized that the most important thing is health and only a strong immune system can cope with the virus." Aigerim, being a nutritionist, always carefully monitors her well-being, so she did not worry about the upcoming birth. ”I had no concerns about my health, " says Aigerim. "I’m constantly checking my thyroid, haemoglobin, taking vitamins and eating right". In addition to maintaining immune function, Aigerim followed the necessary precautions to avoid contracting the virus. She avoided public places, shopping centres and other crowded places, and washed her hands frequently and thoroughly throughout the day. 2021_Newborn_Family_Karaganda Aigerim and her children reading a book Due to the pandemic, she was forced to go for walks only on the streets or in parks, in order to have minimal contact with passers-by. And masks and sanitizers have already become essential items when leaving the house. Aigerim already had four children. Her fifth pregnancy was going well, and in April she gave birth to a baby boy. "The birth went well. I am very happy and glad that my child was born healthy. I finally have him in my arms” " says Aigerim. Aigerim was discharged two days later, and her recovery is proceeding calmly and with her family. “I would also like to thank the doctors in the polyclinics. Despite the introduction of quarantine measures, they handled stressful situations perfectly and dealt with issues quickly, correctly and in a timely manner,” says Aigerim. Cooperation with the European Union allowed UNICEF to support the healthcare system of Kazakhstan during the COVID-19 pandemic by equipping it with the medicines and diagnostic devices necessary to effectively combat the coronavirus.   Funded by the European Union Humanitarian Aid. Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union. European Union cannot be held responsible for them.

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