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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.
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.”  
Article
31 Август 2021
Students in Armenia explore a healthy lifestyle with Healthy Buddy
https://www.unicef.org/eca/stories/students-armenia-explore-healthy-lifestyle-healthy-buddy
It’s 11 o'clock on a hot summer Sunday morning, but Achajur village school in Tavush marz is full of students. Over 120 children have come to school to take part in UNICEF’s  “Healthy Buddy” session , organized in partnership with the Ministry of Health and Family Academy NGO. Healthy Buddy is a special session about health nutrition and lifestyle designed for each age group that helps children of different ages to understand the importance of proper nutrition for their life and development and to become Healthy Buddy advocates themselves. Vahe, 7, is a new Healthy Buddy advocate, who walked for exactly 40 minutes from home to school today to take part in the session. “I have heard of words like ‘carbohydrates’ or ‘protein’ a lot, but I didn’t know that our immune cells are made up of protein, and carbohydrates are like fuel for people․ They give us energy to move and do other things. I also did not know that sugar is a carbohydrate, but it is a bad fuel.” Boy is listening to the Healthy Buddy session. UNICEF Armenia/2021/Margaryan Vahe prides himself of the little garden that he has at home, full of fruit trees - a big mulberry tree, a pomegranate tree, apple trees. He promised to take care of them and make sure to get his daily intake of fruit during the day. This extraordinarily smart, extremely active and quite mature 7-year-old is very caring for his family members, admires his brother, and dreams of creating a safe and positive environment in his community. “I want to become a lawyer and defend my community from criminals, so that we can all live in a better world.” Vahe glues the HEalthy plate magnet to their refrigerator. Vahe already knows that his health and success in the future depend on him eating healthy every day. Meanwhile, thousands of children in Armenia go through what experts call the triple burden of malnutrition. First, insufficient food intake threatens the survival, growth and development of children. Then there is micronutrient deficiency - a hidden form of malnutrition - in which case children do not get enough vitamins and micronutrients, necessary for a normal immune response, bone growth and brain development. On the other hand, there is also the issue of overweight or obesity due to excess calories and sedentary lifestyle. UNICEF, the Ministry of Health and other partners work to prevent this. “We want to create an environment where all children and young people enjoy their right to a healthy diet. Where children and their parents know exactly what is needed for healthy development and know that it is linked to children’s academic wellbeing at school and in the future. You need to eat healthy not only to have a healthy body, but also to have a healthy mind,”  explains Liana Hovakimyan, UNICEF Health Specialist and shares facts. Liana Hovakimyan, Health Specialist at UNICEF Armenia UNICEF Armenia/2021/Galstyan “In the first two years of life, 75% of each spoon is spent on building the child’s brain. As the child grows, his or her nutritional needs also grow. We all must act urgently to have a healthier generation and society.” At the Achajur school session, we met with three girlfriends - all three honors students, full of dreams, and super excited for the session to start. Three girlfriends - all three honors students, full of dreams, and super excited for the session to start. The girls were most surprised when nutritionist Lidia Ayvazyan listed the ingredients of carbonated drinks, chips, cookies and ice cream, while presenting the repercussions of consuming junk food. “Actually, I used to eat both healthy and junk food, but now I’ve made up my mind. I will definitely eat healthier and do my best to put together a ‘healthy plate’ with the help of veggies and fruits. I will put this ‘healthy plate’ sticker on our fridge, and it will always remind me of the secret to proper nutrition,” shared Anahit, 10, after the session. Nutritionist asks questions to the girl who participates in sessions, UNICEF Armenia/2021/Margaryan Anahit’s friend Narine added that they have already learned about proteins, carbohydrates and fats during their “Me and the environment” course at school. “But I didn’t know that healthy eating is also linked to learning well at school. I love school very much, so I have to eat well in order to study well.” Boy and a girl ate laying chess. Narine, who loves chess and dancing, dreams of becoming a writer. She has already authored her first four fairy tales, one of which is entitled The Chess Queen, where a little boy plays chess with the Queen and mates her in one move. And just like the little boy in Narine’s fairy tale, ever child has the potential to “check” and “mate” to reach their full potential. But first, they must be equipped with the necessary knowledge and opportunities to achieve their dreams. After Achajur, Healthy Buddy team is on the road again, set to reach to over 4200 girls and boys in Shirak, Kotayk, Aragatsotn, Lori, Tavush and Yerevan.
Report
09 Сентябрь 2022
6 months of war in Ukraine
https://www.unicef.org/eca/reports/6-months-war-ukraine
After six months of devastation and displacement for the people of Ukraine, it is children who are suffering the deadly consequence of a brutal war not of their making. In areas across eastern and southern Ukraine, they continue to be caught in the crossfire of ongoing hostilities, while schools, hospitals, and other civilian infrastructure on…, 6 months of war in UkraineEurope and Central Asia (ECA) Regional Office Report https://www.unicef.org/ After six months of devastation and displacement for the people of Ukraine, it is children who are suffering the deadly consequence of a brutal war not of their making. In areas across eastern and southern Ukraine, they continue to be caught in…
Press release
23 Февраль 2022
More than half of parents and pregnant women exposed to aggressive formula milk marketing
https://www.unicef.org/eca/press-releases/more-half-parents-and-pregnant-women-exposed-aggressive-formula-milk-marketing
New report details exploitative practices employed by $55 billion formula industry, compromising child nutrition, violating international commitments GENEVA/NEW YORK, 22 February 2022 – More than half of parents and pregnant women (51 per cent) surveyed for a new WHO/UNICEF report say they have been targeted with marketing from formula milk companies, much of which is in breach of international standards on infant feeding practices.   The report, How marketing of formula milk influences our decisions on infant feeding , draws on interviews with parents, pregnant women and health workers in eight countries. It uncovers systematic and unethical marketing strategies used by the formula milk industry – now worth a staggering US$55 billion – to influence parents’ infant feeding decisions. The report finds that industry marketing techniques include unregulated and invasive online targeting; sponsored advice networks and helplines; promotions and free gifts; and practices to influence training and recommendations among health workers. The messages that parents and health workers receive are often misleading, scientifically unsubstantiated, and violate the International Code of Marketing of Breast-milk Substitutes (the Code) – a landmark public health agreement passed by the World Health Assembly in 1981 to protect mothers from aggressive marketing practices by the baby food industry. “This report shows very clearly that formula milk marketing remains unacceptably pervasive, misleading and aggressive,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. “Regulations on exploitative marketing must be urgently adopted and enforced to protect children’s health.” According to the report – which surveyed 8,500 parents and pregnant women, and 300 health workers in cities across Bangladesh, China, Mexico, Morocco, Nigeria, South Africa, the United Kingdom and Viet Nam – exposure to formula milk marketing reaches 84 per cent of all women surveyed in the United Kingdom; 92 per cent of women surveyed in Viet Nam and 97 per cent of women surveyed in China, increasing their likelihood of choosing formula feeding. “False and misleading messages about formula feeding are a substantial barrier to breastfeeding, which we know is best for babies and mothers,” said UNICEF Executive Director Catherine Russell. “We need robust policies, legislation and investments in breastfeeding to ensure that women are protected from unethical marketing practices -- and have access to the information and support they need to raise their families.” Across all countries included in the survey, women expressed a strong desire to breastfeed exclusively, ranging from 49 per cent of women in Morocco to 98 per cent in Bangladesh. Yet the report details how a sustained flow of misleading marketing messages is reinforcing myths about breastfeeding and breast-milk, and undermining women’s confidence in their ability to breastfeed successfully. These myths include the necessity of formula in the first days after birth, the inadequacy of breast-milk for infant nutrition, that specific infant formula ingredients are proven to improve child development or immunity, the perception that formula keeps infants fuller for longer, and that the quality of breast-milk declines with time. Breastfeeding within the first hour of birth, followed by exclusive breastfeeding for six months and continued breastfeeding for up to two years or beyond, offers a powerful line of defense against all forms of child malnutrition, including wasting and obesity. Breastfeeding also acts as babies’ first vaccine, protecting them against many common childhood illnesses. It also reduces women’s future risk of diabetes, obesity and some forms of cancer. Yet globally, only 44 per cent of babies less than 6 months old are exclusively breastfed. Global breastfeeding rates have increased very little in the past two decades, while sales of formula milk have more than doubled in roughly the same time. Alarmingly, the report notes that large numbers of health workers in all countries had been approached by the baby feeding industry to influence their recommendations to new mothers through promotional gifts, free samples, funding for research, paid meetings, events and conferences, and even commissions from sales, directly impacting parents’ feeding choices. More than one third of women surveyed said a health worker had recommended a specific brand of formula to them. To address these challenges, WHO, UNICEF and partners are calling on governments, health workers, and the baby food industry to end exploitative formula milk marketing and fully implement and abide by the Code requirements. This includes:  Passing, monitoring and enforcing laws to prevent the promotion of formula milk, in line with the International Code, including prohibiting nutrition and health claims made by the formula milk industry. Investing in policies and programmes to support breastfeeding, including adequate paid parental leave in line with international standards, and ensuring high quality breastfeeding support. Requesting industry to publicly commit to full compliance with the Code and subsequent World Health Assembly resolutions globally. Banning health workers from accepting sponsorship from companies that market foods for infants and young children for scholarships, awards, grants, meetings, or events. breastfeeding UNICEF
Press release
22 Октябрь 2019
Addressing double burden of malnutrition must be prioritized in Eastern Europe and Central Asia – UNICEF
https://www.unicef.org/eca/press-releases/addressing-double-burden-malnutrition-must-be-prioritized-eastern-europe-and-central
Almaty, KAZAKHSTAN, 25 October 2019 – The new State of the World’s Children Report: Children, Food and Nutrition was launched at a special event in Kazakhstan to promote  nutrition and raise awareness about unhealthy diets among children in Central Asia. The event included more than one thousand child participants and was organized by the Foundation of the First President of Kazakhstan.  The new report shows that at least 1 in 3 children under five globally – or over 200 million – is either undernourished or overweight. Almost 2 in 3 children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains. This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death. In Eastern Europe and Central Asia, 18 per cent of the poorest children under 5 years old are stunted, which means they have low height for their age. While at the same time, 15 per cent of children under five years old in the Region are overweight, which is the highest rate globally. “In Central Asia and Eastern Europe children face a double burden of malnutrition – undernutrition found alongside obesity,” said Amirhossein Yarparvar, Health & Nutrition Specialist for UNICEF’s Regional Office for Europe and Central Asia. “Ensuring all children have adequate nutrition must be an urgent priority for policy makers, communities and families.” The report found that the Region has made gains in exclusive breastfeeding, with the percentage of infants breastfed rising from 20 per cent in 2005 to 33 per cent in 2018. But even with this increase, 65 percent of newborns are deprived of the recommended 6 months of exclusive breastfeeding. The report lists several recommendations to improve child nutrition, including: • National food systems must put children’s nutrition at the heart of their work because their nutritional needs are unique and meeting them is critical for sustainable development. • Financial incentives should be used to reward actors who increase the availability of healthy and affordable foods in markets and other points of sale especially in low-income communities. • Financial disincentives on unhealthy foods can improve children’s diets. For example, taxes on sugary foods and beverages can reduce their consumption by children and adolescents. • Fortification of complementary foods and staple foods with micronutrients can be a cost-effective intervention to combat hidden hunger in children, young people and women.  family eating at home in a low-income neighbourhood_Alimzhan Jorobayev Bektur Zhanibekov A family of seven people eats at home in a low-income neighbourhood in rural Kyrgyzstan on 18 March 2012.
Report
03 Апрель 2019
In Focus: Working to close nutrition gaps in the Europe and Central Asia Region
https://www.unicef.org/eca/reports/focus-working-close-nutrition-gaps-europe-and-central-asia-region
At first glance, it would seem safe to assume that children living in the Europe and Central Asia Region enjoy good levels of nutrition. Yet this is a Region characterized by nutrition gaps, with some children in some countries missing out on the proper nutrition they need to grow and thrive.  Many of the problems start with the poor nutrition of …, Enhancing child nutrition Working to close nutrition gaps in the Europe and Central Asia RegionAt first glance, it would seem safe to assume that children living in the Europe and Central Asia Region enjoy good levels of nutrition. Yet this is a Region characterized by nutrition gaps, with some children in some countries missing out on the proper…
Article
05 Март 2022
How to support your child if you are concerned about their weight
https://www.unicef.org/eca/stories/how-support-your-child-if-you-are-concerned-about-their-weight
Unless advised by a health professional, focus on “health and a healthy goals” rather than weight loss. Healthy eating and physical activity behaviours do not become routine overnight. It takes time, effort and perseverance from you and your child to make changes that last. Any big, sudden alterations to your child’s diet and lifestyle are unlikely to work and may even be harmful to your child’s health. Changes are more successful when they are small, incremental and involve the entire family.    Be the best example you can. Choose nutritious, whole foods like fresh fruits and vegetables, encourage physical activity, promote sufficient sleep, and refrain from negative talk about your or others’ weight.    No matter your weight, you can help to support your child by leading the way with healthy habits. Explore the different food groups together, learn what nutrients are needed as part of a healthy eating and discuss why certain foods are better options than others.    Do your best to discourage ultra-processed foods and beverages that are high in salt, sugar and fat, but avoid trying to ban certain foods completely as it can backfire and lead to greater cravings. Most grab-and-go snack foods are high in fat, sugar and salt, and do very little to satisfy hunger. Instead, make healthy, satiating snack foods available such as fruit, vegetable sticks and plain yoghurt. Encourage water as the main drink of choice instead of sugary fruit drinks and be mindful of what foods and beverages are available at home. Enjoy mealtimes together As often as possible, prepare and have meals together as a family. This is a great time for talking about and practicing making healthy food choices. Give child-sized portions and let your child ask for more food if they’re still hungry. Having set mealtimes and snack times also helps to teach your child that there are set times for eating rather than encouraging grazing throughout the day. Find joy in movement Encourage outdoor play and being active together as a family. From age 3 years and up, children should be active for at least one hour each day, but this can be broken up into short periods of 15 to 20 minutes. For younger children, try playing chasing games like tag or ball games. For older children, go for family walks or try taking up a new sport together. Where possible, choose walking and cycling over travelling by car or transport. Encourage local or school team sports, which can make physical activity even more fun while building peer-to-peer connections.  Wellness, not weight Avoid making weight the only focus in this process by paying greater attention to the family-wide benefits of healthy eating and active behaviours. These are the ingredients needed to support your child’s growth and development into adulthood, as well as boosting their immunity and emotional well-being. In fact, making the right changes at the family level will help prevent your child from having dieting or eating problems later in life. Remember  The best way to support your child’s happiness and health is for them to know you’re there for them no matter what. Understand that this is difficult for them too, but by enjoying healthy meals and engaging in physical activity together as a family, you can help your child to feel supported in making positive, healthy lifestyle changes that can go far beyond weight loss.
Press release
22 Сентябрь 2021
Young children’s diets show no improvement in last decade, ‘could get much worse’ under COVID-19 - UNICEF
https://www.unicef.org/eca/press-releases/young-childrens-diets-show-no-improvement-last-decade-could-get-much-worse-under
NEW YORK, 22 September 2021 – Children under the age of 2 are not getting the food or nutrients they need to thrive and grow well, leading to irreversible developmental harm, according to a new report released by UNICEF today. Fed to Fail? The crisis of children’s diets in early life – released ahead of the UN Food Systems Summit this week – warns that rising poverty, inequality, conflict, climate-related disasters, and health emergencies such as the COVID-19 pandemic, are contributing to an ongoing nutrition crisis among the world’s youngest that has shown little sign of improvement in the last ten years. “The report’s findings are clear: When the stakes are highest, millions of young children are being fed to fail,” said UNICEF Executive Director Henrietta Fore. “Poor nutritional intake in the first two years of life can irreversibly harm children’s rapidly growing bodies and brains, impacting their schooling, job prospects, and futures. While we have known this for years, there has been little progress on providing the right kind of nutritious and safe foods for the young. In fact, the ongoing COVID-19 disruptions could make the situation much worse.” In an analysis of 91 countries, the report finds that only half of children aged 6-23 months are being fed the minimum recommended number of meals a day, while just a third consume the minimum number of food groups they need to thrive. Further analysis of 50 countries with available trend data reveals these poor feeding patterns have persisted throughout the last decade. As COVID-19 continues to disrupt essential services and drives more families into poverty, the report finds that the pandemic is affecting how families feed their children. For example, a survey conducted among urban households in Jakarta found that half of the families have been forced to reduce nutritious food purchases. As a result, the percentage of children consuming the minimum recommended a number of food groups fell by a third in 2020, compared to 2018. Children carry the scars of poor diets and feeding practices for life. An insufficient intake of nutrients found in vegetables, fruits, eggs, fish, and meat needed to support growth at an early age puts children at risk of poor brain development, weak learning, low immunity, increased infections, and, potentially, death. Children under the age of two are most vulnerable to all forms of malnutrition – stunting, wasting, micronutrient deficiencies, and overweight and obesity – as a result of poor diets, due to their greater need for essential nutrients per kilogram of body weight than at any other time in life. Globally, UNICEF estimates that more than half of children under the age of 5 with wasting – around 23 million children – are younger than 2 years of age, while the prevalence of stunting increases rapidly between 6 months and two years, as children’s diets fail to keep pace with their growing nutritional needs.  According to the report, children aged 6-23 months living in rural areas or from poorer households are significantly more likely to be fed poor diets compared to their urban or wealthier peers. In 2020, for example, the proportion of children fed the minimum number of recommended food groups was twice as high in urban areas (39 percent) than in rural areas (23 percent). To deliver nutritious, safe, and affordable diets to every child, the report calls for governments, donors, civil society organizations, and development actors to work hand-in-hand to transform food, health, and social protection systems by leading key actions, including: Increasing the availability and affordability of nutritious foods – including fruits, vegetables, eggs, fish meat, and fortified foods – by incentivizing their production, distribution, and retailing. Implementing national standards and legislation to protect young children from unhealthy processed and ultra-processed foods and beverages, and to end harmful marketing practices targeting children and families. Increasing the desirability of nutritious and safe foods through multiple communication channels including digital media to reach parents and children with easy-to-understand, coherent information. The report notes that progress is possible with investment. In Latin America and the Caribbean, for example, almost two thirds (62 percent) of children aged 6–23 months are fed a minimally diverse diet, while in Eastern and Southern Africa (24 percent), West and Central Africa (21 percent) and South Asia (19 percent), less than one in four young children are being fed a minimally diverse diet. In all regions, investments are needed to ensure that all children benefit from the diverse diets they need to prevent all forms of malnutrition, and grow, develop and learn to their full potential. “Children cannot survive or thrive on calories alone,” said Fore. “Only by joining forces with governments, the private sector, civil society, development and humanitarian partners, and families can we transform food systems and unlock nutritious, safe, and affordable diets for every child. The upcoming UN Food Systems Summit is an important opportunity to set the stage for global food systems that meet the needs of all children.” ### Notes to Editors Quantitative data on current status, trends, and inequities of young children’s diets presented in this report are derived from UNICEF’s global databases, which include only data that are internationally comparable and statistically sound. UNICEF global databases comprise data from 607 nationally representative surveys conducted in 135 countries and territories, representing more than 90 percent of all children under the age of 2 globally. nutritious foods for children UNICEF Kyrgyzstan Twin brothers Adil and Alim, 21 months old, eat porridge, one of their favorite foods, at home in Bishkek. From the twins’ first foods, the family has tried to stick to giving them more nutritious foods, and fewer foods that are sweet, fatty and fried.
Press release
08 Октябрь 2019
Poor diets damaging children’s health worldwide, warns UNICEF
https://www.unicef.org/eca/press-releases/poor-diets-damaging-childrens-health-worldwide-warns-unicef
1 in 3 children under five is malnourished; 2 in 3 children under two live on poor diets NEW YORK, 15 October 2019 – An alarmingly high number of children are suffering the consequences of poor diets and a food system that is failing them, UNICEF warned today in a new report on children, food and nutrition. The State of the World’s Children 2019: Children, food and nutrition finds that at least 1 in 3 children under five – or over 200 million – is either undernourished or overweight. Almost 2 in 3 children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains. This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death. “Despite all the technological, cultural and social advances of the last few decades, we have lost sight of this most basic fact: If children eat poorly, they live poorly,” said Henrietta Fore, UNICEF Executive Director. “Millions of children subsist on an unhealthy diet because they simply do not have a better choice. The way we understand and respond to malnutrition needs to change: It is not just about getting children enough to eat; it is above all about getting them the right food to eat. That is our common challenge today.” The report provides the most comprehensive assessment yet of 21 st century child malnutrition in all its forms. It describes a triple burden of malnutrition: Undernutrition, hidden hunger caused by a lack of essential nutrients, and overweight among children under the age of five, noting that around the world: 149 million children are stunted, or too short for their age, 50 million children are wasted, or too thin for their height, 340 million children – or 1 in 2 – suffer from deficiencies in essential vitamins and nutrients such as vitamin A and iron, 40 million children are overweight or obese. The report warns that poor eating and feeding practices start from the earliest days of a child’s life. Though breastfeeding can save lives, for example, only 42 per cent of children under six months of age are exclusively breastfed and an increasing number of children are fed infant formula. Sales of milk-based formula grew by 72 per cent between 2008 and 2013 in upper middle-income countries such as Brazil, China and Turkey, largely due to inappropriate marketing and weak policies and programmes to protect, promote and support breastfeeding. As children begin transitioning to soft or solid foods around the six-month mark, too many are introduced to the wrong kind of diet, according to the report. Worldwide, close to 45 per cent of children between six months and two years of age are not fed any fruits or vegetables. Nearly 60 per cent do not eat any eggs, dairy, fish or meat. As children grow older, their exposure to unhealthy food becomes alarming, driven largely by inappropriate marketing and advertising, the abundance of ultra-processed foods in cities but also in remote areas, and increasing access to fast food and highly sweetened beverages. For example, the report shows that 42 per cent of school-going adolescents in low- and middle-income countries consume carbonated sugary soft drinks at least once a day and 46 per cent eat fast food at least once a week. Those rates go up to 62 per cent and 49 per cent, respectively, for adolescents in high-income countries. As a result, overweight and obesity levels in childhood and adolescence are increasing worldwide. From 2000 to 2016, the proportion of overweight children between 5 and 19 years of age doubled from 1 in 10 to almost 1 in 5. Ten times more girls and 12 times more boys in this age group suffer from obesity today than in 1975. The greatest burden of malnutrition in all its forms is shouldered by children and adolescents from the poorest and most marginalized communities, the report notes. Only 1 in 5 children aged six months to two years from the poorest households eats a sufficiently diverse diet for healthy growth. Even in high-income countries such as the UK, the prevalence of overweight is more than twice as high in the poorest areas as in the richest areas. The report also notes that climate-related disasters cause severe food crises. Drought, for example, is responsible for 80 per cent of damage and losses in agriculture, dramatically altering what food is available to children and families, as well as the quality and price of that food. To address this growing malnutrition crisis in all its forms, UNICEF is issuing an urgent appeal to governments, the private sector, donors, parents, families and businesses to help children grow healthy by: Empowering families, children and young people to demand nutritious food, including by improving nutrition education and using proven legislation – such as sugar taxes – to reduce demand for unhealthy foods. Driving food suppliers to do the right thing for children, by incentivizing the provision of healthy, convenient and affordable foods.  Building healthy food environments for children and adolescents by using proven approaches, such as accurate and easy-to-understand labelling and stronger controls on the marketing of unhealthy foods. Mobilizing supportive systems – health, water and sanitation, education and social protection – to scale up nutrition results for all children. Collecting, analyzing and using good-quality data and evidence to guide action and track progress. “We are losing ground in the fight for healthy diets,” said Fore. “This is not a battle we can win on our own. We need governments, the private sector and civil society to prioritize child nutrition and work together to address the causes of unhealthy eating in all its forms.” Children eating UNICEF/UN0339621/Darkhan Zhagiparov
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.
Article
29 Январь 2021
Strengthening national health capacity for refugee and migrant children
https://www.unicef.org/eca/stories/strengthening-national-health-capacity-refugee-and-migrant-children
“This collaboration is helping to stimulate public demand for strong national health systems that work for everybody and that rise to new challenges, such as disease outbreaks.” Afshan Khan, UNICEF Regional Director The ‘RM Child-Health’ initiative has supported work across five European countries to enhance and strengthen the capacity of national health systems to meet the health needs of refugee and migrant children. This work recognizes that a health system that works for such vulnerable children is a health system that works for every child. At first glance, helping a 10-year girl from Iran, now living in Bosnia and Herzegovina, get a new pair of glasses might seem a simple thing. For Maisa, however, this is the end result of a continuum of intensive support, from identifying a girl who struggles with an eye condition, to connecting her to a skilled ophthalmologist. And now Maisa stands in front of a mirror, trying on the glasses that will enhance her life, learning and play. Such a momentous day is only possible when an established health system is equipped to accommodate and respond to the complex needs of refugee and migrant children. Support from the ‘RM Child-Health’ initiative aims to reinforce and enhance health systems across five European countries (Bosnia and Herzegovina, Bulgaria, Greece, Italy and Serbia) so that these systems can deliver the high-quality services that are the right of every child – and that every child needs, regardless of their origins. The aim: to ensure that health systems catch every refugee and migrant child who is in danger of slipping through the gaps. And there are additional benefits: a health system that works for these vulnerable and excluded children is a health system that works for every child, and that can reach those who are so often the very hardest to reach. This 24-month, €4.3 million initiative, which was launched in January 2020 by the European Union Directorate-General for Health and Food Safety, aims to strengthen the capacity of health systems to deliver health care to refugee and migrant children. That means ensuring access to life-saving immunization, to mental health and psycho-social support, and services to prevent and respond to gender-based violence, as well as maternal and new-born health care and nutrition. Stronger health systems are needed to overcome the bottlenecks that confront so many refugee and migrant families when they try to access health care. “ The profound challenges that often confront populations – especially children – on the move can include cultural and language barriers, stigma and discrimination on the part of health providers, and a lack of detailed medical records or paperwork,” says Dr. Basil Rodriques, UNICEF Regional Health Advisor. “They may also have their own reasons to distrust state-provided services, including fears of deportation.”
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