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Blog post
19 Май 2021
Frontline social workers provide vital support to improve health
https://www.unicef.org/eca/stories/frontline-social-workers-provide-vital-support-improve-health
Yura has been a social worker for many years. “When I started working in social services, I was mainly interested in family therapy,” she says . “In time, I found out that supporting communities to become resilient and self-reliant is an extremely rewarding experience.” A year ago, she joined the Council of Refugee Women in Bulgaria (CRWB) – a civil society organization created in 2003 to support the integration of refugees and migrants. “Guiding through people from refugee and migrant backgrounds on health-related procedures in their host country is a way to empower them to find solutions to health issues,” explains Yura. And this is particularly vital for those fleeing from armed conflicts and humanitarian crises. As they search for safety and better life opportunities, both adults and children go through many traumatic experiences as a result of often prolonged stays in refugee camps, limited access to health care, and the dangers they face as they travel through volatile areas. By the time they finally reach a safe destination, they are often in very bad physical and psychological shape. “In Bulgaria, refugee children arrive with their parents or – in some cases – unaccompanied. Psychological problems, infectious diseases, medically unobserved pregnancies and, in particular, a lack of immunization, are common problems that have a negative impact on their health and wellbeing.” Radostina Belcheva, Project Coordinator and Deputy-Chair of CRWB The CRWB partners with UNICEF Bulgaria to provide general health checks and referrals, as well as life-saving vaccines in line with children’s immunization schedules, and equips parents with information on health risks, entitlements and how to access medical services. “As part of the ‘Strengthening Refugee and Migrant Children’s Health Status in Southern and South-Eastern Europe’ (RM Child-Health) project co-funded by the European Union’s Health Programme, we work with our partners to ensure that children can follow immunization plans and that their vaccination status is updated in their immunization documents. These are crucial steps in ensuring good health . ” Diana Yovcheva, Programme Officer with UNICEF Bulgaria Working directly with refugees, Yura consults families that want to access health services. “Some cases are easier than others”, she says, recalling a consultation with Ahmed*, a 45-year-old father of six children, who fled Syria in 2020 and received humanitarian status in Bulgaria. A chef by profession, Ahmed settled quite well in the host country, found a job in a restaurant and, after some time, managed to reunite with his wife, his four sons and two daughters. “Ahmed was referred to the CRWB by friends and he came in for a consultation on the immunization process with his youngest baby girl, Yasmina, only one year old” explains Yura. During their meeting, the social worker provided information about the health system in Bulgaria, the role of a general practitioner, and how people with refugee status can access medical services including vaccinations for their children. Although Ahmed’s baby girl had been vaccinated before her arrival in Bulgaria and had an immunization passport, the father urgently needed to update her vaccination status to synchronize her vaccinations with the recommendations of the national immunization calendar. “I contacted the Regional Health Inspectorate and helped Ahmed to provide the necessary documents and find a translator, as the documents were in Turkish”, says Yura. Subsequently, she helped Ahmed schedule an appointment with a medical doctor and Yasmina received her next vaccine. Parents often lack the necessary vaccination documents. According to Yura, “Sometimes children have not had any vaccinations, or they have been vaccinated in their country of origin, but their immunization cards have been lost or destroyed.”    Such cases require additional consultations, research and coordination, as well as testing for antibodies and immune responses when it is not clear whether the child has been vaccinated. “By empowering parents to familiarize themselves with the immunization plans and procedures we help them become proactive in following up on their children’s health." Yura, Social worker To address the COVID-19 restrictions and keep active communication with refugees and migrants, the CRWB and UNICEF developed leaflets in Bulgarian, Arabic and Farsi with details about the health system in Bulgaria and the importance of vaccinations, and regularly provide health-related information via social media. “The role of communication in immunization is essential.  Our frontline staff interact on a daily basis with beneficiaries, but we have also used other means [such as a Facebook group dedicated to health-related topics] to keep the information flow going, particularly during the COVID-19 pandemic . ” Radostina Belcheva, Project Coordinator and Deputy-Chair of CRWB Logo - Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe 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). The content of this story 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 European Health and Digital 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
13 Май 2021
Mainstreaming what works: EU and UNICEF strengthen health capacity for refugee and migrant children
https://www.unicef.org/eca/stories/mainstreaming-what-works-eu-and-unicef-strengthen-health-capacity-refugee-and-migrant
“Very often we have the feeling that this space functions as a container for the absorption of negative emotions of the people who visit us. People who come here often feel safe enough to share their fears, their frustrations and even their darker thoughts. We try to give them space to express their feelings and we always find ways to boost their morale.”  A Coordinator from METAdrasi on the importance of the Mother and Child Space for refugee and migrant At the ADRA community centre for migrant mothers and babies, Belgrade, Serbia At the ADRA community centre for migrant mothers and babies, Belgrade, Serbia The ‘RM Child-Health’ initiative has worked with UNICEF and its partners over the past year to strengthen national health systems in five European countries so they can meet the needs of refugee and migrant children. The initiative recognizes that a strong health system delivers for every vulnerable child. It is also a system that looks beyond physical health care to address mental and emotional wellbeing and wider issues, such as gender-based violence. Strong health systems are vital to ease the bottlenecks that confront refugee and migrant families when they try to access health care. All too often, their attempts to claim their right to health services are hampered by language barriers, bureaucracy and discrimination. In Bulgaria, for example, where national immunization rates are already below the European average, refugee and migrant children are three times less likely to be vaccinated than other children. The challenges  Refugee and migrant children often have complex health needs, which may go far beyond poor physical health. Migration has a negative impact, for example, on their mental health and psychosocial wellbeing. And that impact is intensified by poor living conditions, a lack of supportive social networks and social integration and, all too often, hostility from host communities. Many parents and caregivers, faced with barriers to health care and other basic services, as well as a lack of control over their own destiny, face real distress, and this can undermine their ability to meet the physical and emotional needs of their children at a critical point in their development. Gender-based violence (GBV) is another – and particularly harsh – challenge that affects many refugee and migrant children and young people. A chronic lack of child-friendly health information and durable solutions has heightened the risks of GBV, sexually transmitted diseases and early pregnancies, and the devastating consequences of all three for mental health. The response 
Article
13 Май 2021
Empowering refugee and migrant children to claim their right to health: Improving health literacy
https://www.unicef.org/eca/stories/empowering-refugee-and-migrant-children-claim-their-right-health-improving-health-literacy
“I have always had to behave ‘like a girl’ and I am not used to being asked for my opinion, but you ask me to say what I think during these workshops.”   A 13-year-old girl from Syria describes the impact of empowerment workshops in Serbia  Boy is drawing a picture. UNICEF-supported activities for children on the island of Lesvos, Greece The ‘RM Child-Health’ initiative has supported work across five European countries to improve health literacy among refugee and migrant children over the past year. As a result, they and their families have learned about key health issues, about the health services available to them, and how to demand health services as their right. Through its support for health literacy – the ability to find, understand and use information to take care of your own health – the initiative has helped to dismantle some key barriers to health services for refugee and migrant children and their families in Bosnia and Herzegovina, Bulgaria, Greece, Italy and Serbia. This 27-month, €4.3 million co-funded initiative, which was launched in January 2020 by the European Union Directorate-General for Health and Food Safety, works alongside young refugees and migrants to ensure that they have accurate health information in their own languages – information that reaches them via the channels they use and the people they trust. Importantly, the initiative makes them more aware of their right to health care in these European countries – welcome news for those who have fled from countries where good quality health care is either unaffordable or unavailable. With support from the initiative, UNICEF and its partners first worked with young refugees and migrants to identify gaps in the information available to them and in their own knowledge. This informed the health literacy packages that have been rolled out in all five countries over the past year, spanning a wide range of topics from immunization and nutrition to sexual and reproductive health (SRH) and gender-based violence (GBV). The packages themselves have been backed by detailed plans to ensure that their messages reach their audiences and gain real traction. Great care has been taken to ensure that information materials are culturally appropriate, gender sensitive and child-friendly, and that they are suitable for the ages and backgrounds of their audiences. Cultural mediators and interpreters have helped to overcome language and cultural barriers, while materials have been made available in, for example, Arabic, Farsi and Pashto. Activities have often been led by trusted professionals, such as nurses, physicians and psychologists who are already familiar with the needs of refugee and migrant children and their families. Materials have been shared through channels and locations that are well-used by refugees and migrants, including asylum offices, temporary reception centres, health centres, Mother and Baby Corners (MBCs), workshops and discussion sessions, during outreach activities and via social media. As a result, health literacy is now embedded into existing activities with refugee and migrant children and parents across all five countries, and is based firmly on their views and needs. In Bosnia and Herzegovina, information workshops have been tailored to the needs of different groups of children, including those who are unaccompanied and separated. Topics over the past year have included personal and oral hygiene, drug and alcohol use and its impact on health, the importance of immunization, early childhood development, medical referrals and the proper use of medicines and the risks of self-medication, as well as COVID-19 risks and prevention and services for those with symptoms. Health literacy on immunization, for example, has been strengthened through close cooperation with the Institutes for Public Health and local primary health centres, helping to ensure that refugees and migrants are aware of the national immunization calendar and protocols.  In all, 1,428 refugee and migrant children and their parents have received vital information on immunization, 840 have received information on mental health and psycho-social services, and 580 (nearly double the target) have received information on maternal and child health care and nutrition.  In Bulgaria, the initiative has supported group sessions that have exceeded their targets, with 99 sessions held for refugee children and mothers – more than three times the 28 sessions envisaged. There were more than twice as many information sessions on gender-based violence as originally planned: 107 rather than 48. In all, 600 refugee and migrant children and their parents have received information on immunization, 600 on mental health and psycho-social services, and 600 on maternal and child health, with every target for these areas met or surpassed in terms of the numbers of children reached.   “Guiding people from refugee and migrant backgrounds on health-related procedures in their host country is a way to empower them to find solutions to health issues.”    Yura, a social worker with the Council of Refugee Women in Bulgaria (CRWB) In Greece, support from the initiative has enabled UNICEF and its partners to equip refugee and migrant children with information on health risks, entitlements and services through its non-formal education programme in urban areas and on the islands. In the first full year of the initiative, 1,796 children and 464 parents have received crucial information to help them safeguard their own health.   In addition, information on mental health risks, entitlements and services has been shared with 587 refugee and migrant children on Lesvos through existing psychosocial support activities at the Child and Family Support Hub (CFSH), including counselling, information sessions, parent sessions and more. Refugee and migrant women and children using the UNICEF-supported Safe Space in Athens and the CFSH on Lesvos have had access to information on GBV, with 1,313 women and 687 children reached to date. Another 1,183 mothers and 596 children have received information on maternal and child health via the CFSH on Lesvos and at child-friendly spaces within the Asylum Service Offices in Athens and Thessaloniki.  In Italy, there has been an emphasis on peer-to-peer health literacy over the past year. Young refugees and migrants have shared critical health messages through, for example, the U-Report on the Move platform – a user-friendly, cost-effective and anonymous digital platform with more than 6,000 subscribers, where they speak out on the issues that matter to them. Brochures on immunization, mental health and GBV have been translated into seven languages, and a live chat on reproductive health and the concept of ‘consent’ has been conducted in partnership with the United Nations Population Fund (UNFPA). ‘Q&A’ publications have provided clear answers to burning questions on immunization, mental health and GBV, with short videos explaining, for example, what to do if someone you know has been subjected to violence, and how to protect yourself from online abuse. In the first full year of the ‘RM Child-Health’ initiative, more than 10,887 refugees and migrants in Italy have benefited from critical information on health-related risks and services. The health literacy package supported by the initiative is being shared beyond refugee and migrant communities to reach local communities and key stakeholders, with human interest stories aiming to increase public awareness of the lives of refugees and migrants. The initiative’s targets for health literacy in Serbia have also been exceeded, with 1,094 refugee and migrant children and parents receiving information on mental health (original target: 500) and 722 receiving information on GBV (original target: 600). Looking beyond the sheer numbers of beneficiaries, those taking part in health literacy workshops, in particular, have voiced their appreciation. One woman from Syria who took part in a GBV workshop commented: “I think that women, especially in our culture, do not recognize violence because they think it’s normal for men to be louder, to yell, that they have the right to have all their whims fulfilled even if their wife wants or needs something different. It is a form of inequality we are used to. That is why it is important to talk about it, as you do, to have more workshops on these topics with women from our culture, so that we realize we should not put up with anything that is against our will or that harms us and our health.”   Another woman from Syria, who participated in a workshop on mental health and psychosocial support, said:  “If it weren't for these workshops you’re organizing, our stay in the camp would be so gloomy. I notice that women are in a much better mood and smiling during the workshops, more than in our spare time. You have a positive impact on us.”   Materials have been available in six languages and have covered access to health services, mental health issues, GBV, breastfeeding and infant and young child feeding, breastfeeding during the COVID-19 pandemic, recommendations for parents of children aged 1-6 months, recommendations for children aged 7-24 months, and substance abuse. To reach key stakeholders beyond refugee and migrant communities, a project information sheet and human-interest stories have been widely shared via social media and other well-used channels. Work is now underway in Serbia, with support from the ‘RM Child-Health’ initiative, to develop a new information package and tools to prevent and respond to sexual violence against boys. This will be rolled out in 2021 in close partnership with key actors in child protection, including those who work directly with boys from refugee and migrant communities. The first full year of support from the ‘RM Child-Health’ initiative shows what can be achieved when refugee and migrant children, women and parents are all treated as champions for their own health, rather than the passive recipients of health care. Once equipped with the right information, including the knowledge of their fundamental right to health services, they are more likely to demand the health care to which they are entitled. Logo - Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe 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 European Health and Digital 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. 
Annual report
07 Март 2023
Hope amid crisis
https://www.unicef.org/eca/reports/hope-amid-crisis
This report outlines the work of the UNICEF Refugee Response Office in Poland a year on from its formation. The office was established days after the war in Ukraine escalated in February 2022 to respond to the resulting refugee crisis. Our priority is to ensure refugee families are safe and cared for and children can continue learning.     The…, UNICEF/U.S. CDC/UN0705584/Kasia Strek HOPE AMID CRISISOne year of UNICEFs response in Poland for children and families fleeing war in Ukraine UNICEF Refugee Response Office in PolandMarch 2023 1 TABLE OF CONTENTS Introduction Situation and response overview On-the-ground emergency support Keeping children learning and thriving Keeping children…
Page
10 Февраль 2023
UNICEF Emergency Response in Hungary
https://www.unicef.org/eca/unicef-emergency-response-office-hungary
Background Access to primary healthcare remains a challenge for refugees in Hungary due to language barriers and limited capacity of national health systems to absorb increasing numbers of patients. It is therefore important to remove bottlenecks that hinder access for Ukrainian refugees to critical health services, immunization, advice on adequate nutrition and feeding practices for babies and children, as well as mental health and psychosocial support.   UNICEF’s response In December 2022, UNICEF partnered with the Municipality and the University of Debrecen, and the NGO Dorcas Ministries to increase access to health services and promote adequate nutrition and good feeding practices for both refugee and host community families. More than 6,800 children, parents and caregivers are expected to be reached with these services by the end of 2023. Through the collaboration with the University of Debrecen, UNICEF is procuring medical containers in refugee camps. These are staffed with health professionals, including Ukrainian health workers to provide services such as immunization, early childhood development, specialized mental health support, health promotion and health education.
Page
04 Октябрь 2022
UNICEF Refugee Response Office in Poland
https://www.unicef.org/eca/poland
It’s vital those who’ve fled this brutal war have access to health care. Around 90% of the over 1.5 million Ukrainian refugees registered by the Polish government are women and children. This is a mother-and-child displacement crisis that has put much extra pressure on Poland’s public healthcare system. Low immunization rates in Ukraine mean that refugees are also at risk of vaccine-preventable diseases.   UNICEF’s health response in Poland is focused on preventing diseases through vaccines, building healthcare capacity and capability and looking after the specific needs of mothers, children and newborns.   “I believe that vaccination is important for children, for the entire population of the country. I think even during the war, we shouldn’t stop, because dangerous diseases are still nearby.”  — Kateryna, a mother of two from the Kiyv region of Ukraine, now living in Poland. UNICEF/UN0705564/Strek UNICEF/UN0705564/Strek The solution  In partnership with the Ministry of Health and municipalities, we’re reached more than 500,000 refugees with information on essential child vaccinations via national and local campaigns. Our cooperation with the Ministry of Health also ensured the availability of critical supplies for routine childhood vaccinations.   In close cooperation with the World Health Organization (WHO) in Poland and national partners, we provide refugee families with information on access to health services. We have ensured health screening of refugee children and caregivers identified as vulnerable and have worked with municipalities to provide essential health supplies and access to healthcare.   In partnership with the Ministry of Health, we have developed a programme to support the primary health care of up to 200,000 women and children from Ukraine. To achieve this UNICEF has made a commitment to cover 50% of the cost of health care services provided to Ukrainian refugee women and children made by the National Health Funds to health care providers across the country in the period of February 2023 to August 2023. This is a significant investment in the health and wellbeing of the refugee population.  “My toys are back in Ukraine. My bed is there as well. I also miss my friend Danya, we used to play a lot.”  — Mykyta, 6 after receiving his vaccinations at a medical centre in Krakow In the area of infant and young child feeding, we’re working closely with the Ministry of Health and a local NGO, to encourage mothers to exclusively breastfeed and to provide information and support to ensure refugees are able to feed and care for their babies and young children as they adapt to life in a new country. We have established mother support groups consisting of lactation advisors, neurological speech therapists, psychologists, and physiotherapists in 11 maternity wards, out of which 10 have milk banks, which are the first link of assistance in the case of breastfeeding difficulties. In addition to the promotion of infant and young child feeding, we’ve provided warm meals and complementary food to children in youth camps, preschools and primary schools, as well as accommodation centres. 
Blog post
23 Март 2022
Inside the journey of Ukrainian refugee children and families
https://www.unicef.org/eca/stories/inside-journey-ukrainian-refugee-children-and-families
In the past three weeks Moldova’s southern border has seen crowds that one could hardly imagine here even several weeks ago. With thousands waiting to flee war-torn Ukraine, the life of both communities has changed irremediably. Armed violence has not spared civilians for weeks and millions of Ukrainian families were forced to leave their homes in a matter of days or, in some instances, hours. Now they are arriving in Moldova and neighbouring countries in pursuit of safety.  Since the first day of the war waged against Ukraine, UNICEF's teams have been on the ground, providing life-saving aid to the most vulnerable children both in Ukraine and outside of its borders. Together with a group of first-responders in Moldova, I arrived at the border crossing point of Palanca that has already seen thousands of Ukrainians seeking refuge in the past weeks. The first thing that catches your eye as you look at the people traveling through Palanca is that there are almost no men among them. The vast majority of those fleeing the hostilities in Ukraine are women and children as men between 18 to 60 are banned from leaving the country. According to UNICEF’s estimates, at least one child is crossing Ukraine’s border every single minute. The total number of children seeking asylum in Moldova and the European Union has already gone beyond 1.5 million. As for those children who have been displaced within Ukraine, a comprehensive count could not be done yet due to the rapidly changing situation. The second observation that you can hardly miss at Palanca is the profound exhaustion on the faces of those who walk across the border. Many women and children we meet started traveling days ago. Roads, trains, buses, queues, shelters – families lost the count of those on the way to Palanca. The journey’s logistical hardships are coupled with many dangers, ranging from gunfire to air strikes. Ukrainian refugees, some with children, arrive at the Palanca border crossing in Moldova Ukrainian refugees, some with children, arrive on March 08, 2022 at the Palanca border crossing in Moldova, on the Moldova-Ukraine border after they fled war in their country. Once they reach the crossing point, families have yet to face another challenge. In the bitter cold, children and their mothers form lines stretching many kilometres away from the border. There are two separate queues. The first one, for cars, is so long that some mistakenly confuse it for a traffic jam on the way. The second one, for pedestrians, is somewhat shorter, although probably more exhausting. Mothers are clutching their children and hurriedly packed suitcases – the only remnants of their safe, pre-war lives. Some are trundling pushchairs or prams; others have three or even four children to look after. After crossing the border, Ukrainian mothers and children receive, along with long-awaited safety, an immediate aid from the Moldovan government, working together with UNICEF. Welcomed at Blue Dots placed by UNICEF along the road, families get what some of them described as “a much-needed moment to breathe”. Designed to provide a safe space for children and their families, the Blue Dots offer mothers and children vital services, play, protection and counselling in a single location. As mothers crossed the border, I could hear them say: “Hold my hand, hold my hand. Whatever you do, do not let go of my hand!”. What would seem a generic comment in any other circumstances was truly essential in this context. In the past three weeks, UNICEF has received many reports about missing or unaccompanied children traveling through Ukraine and across its western borders. We now work with the Moldovan government to increase the capacity of their social protection systems to screen, track and account for unaccompanied children. They then attempt reuniting the children with their families or provide temporary protection to shield them from risks of trafficking and abuse. The Blue Dots serve as a platform to identify unaccompanied children, as trained workers activate a screening mechanism during the art programme held at these safe spaces. In less than three weeks, Moldova has welcomed 200,000 refugees. It is at least half the size of the population of the country’s capital, Chisinau.The others opt to continue traveling to Romania or further into the European Union. Regardless of their choice, asylum seekers can receive immediate support from the local authorities in Moldova, including food, lodging and transportation. A child therapist and social worker assists families at a UNICEF-UNHCR Blue Dot centre A child therapist and social worker (right) assists families on March 16, 2022 at a UNICEF-UNHCR Blue Dot centre at a refugee reception centre close to the Palanca border crossing in Moldova, near the Moldova-Ukraine border. The Moldovan government has built more than one effective partnership to house Ukrainian mothers and children: both local hotels and university dorms have opened their doors. Many others are hosted in temporary shelters: theatres, gyms, sports stadiums, basketball courts and many other premises have been rapidly turned into accommodation. MoldExpo Exhibition Center, a location for trade fairs, has also found a new purpose. Structured cubicles used for commercial events have become tiny homes with beds, mattresses and pillows for the centre’s new residents. As our team arrived at the MoldExpo Exhibition Center, we immediately noticed the difference between the atmosphere here and at Palanca. Most of the families seemed calm and rested. They now had access to hot meals, electricity and running water. With a variety of food available in the centre’s kitchen areas, one would also assume that nutrition is no longer a concern. However, for many mothers with small children, finding the right nutrients, continuing breastfeeding or preventing infants’ diarrhoea remains a challenge. Another invisible danger that looms in almost every collective centre these days is a high risk of an infectious disease outbreak. In the past five years, Ukraine has faced more than one outbreak of vaccine-preventable diseases. In fact, a polio outbreak continues in the country to this day, and the latest case of polio-induced paralysis was confirmed in February. As this crippling disease recognises no borders, it now threatens every unvaccinated child in the region. With many Ukrainian children missing their compulsory vaccination doses due the war-related disruption of the healthcare system, we must ensure they have access to immunization as soon as they arrive in the host countries. UNICEF is already working with the Moldovan government to roll-out immunization services for the youngest refugees and their families. Having spent some time at the MoldExpo Exhibition Center, we had a chance to observe how it is being transformed from empty premises with beds and pillows into a structured child-friendly space. Blue Dots have been set up and first children joined the art programme. Moldova has already opened their educational and day-care centres to Ukrainian asylum seekers, and, as of today, 191 children have enrolled. Access to quality pre-school and school education marks the start of a new beginning both for them and their parents. Meanwhile, there are thousands of children back in Ukraine who are robbed of the chance to learn, as their families are still trapped on the roads or bomb shelters. We are still far from understanding every layer of the unprecedented influence that the war in Ukraine has on our communities. Although, something has become clear to me after visiting Moldova last week. The war in Ukraine is not just any crisis. It is, first and foremost, a child protection crisis. A child protection crisis that will have an impact on the entire region. Afshan Khan is a UNICEF Regional Director Europe and Central Asia, UNICEF Representative to the UN in Geneva, Special Coordinator, Refugee and Migrant Response in Europe. She has spent 25 years in the United Nations, primarily with UNICEF, responding to some of the biggest humanitarian crises of our time, from the Indian Ocean earthquake and tsunami to war and conflict affected countries.
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
27 Январь 2017
UNICEF seeks $3.3 billion in emergency assistance for 48 million children caught up in conflict and other crises
https://www.unicef.org/eca/press-releases/seeking-33-billion-conflict-refugees
NEW YORK/GENEVA, 31 January 2017 – 48 million children living through some of the world’s worst conflicts and other humanitarian emergencies will benefit from UNICEF’s 2017 appeal, which was launched today. From Syria to Yemen and Iraq, from South Sudan to Nigeria, children are under direct attack, their homes, schools and communities in ruins, their hopes and futures hanging in the balance. In total, almost one in four of the world’s children lives in a country affected by conflict or disaster. “In country after country, war, natural disaster and climate change are driving ever more children from their homes, exposing them to violence, disease and exploitation,” said UNICEF Director of Emergency Programmes, Manuel Fontaine. UNICEF’s Humanitarian Action for Children sets out the agency’s 2017 appeal totaling $3.3 billion, and its goals in providing children with access to safe water, nutrition, education, health and protection in 48 countries across the globe. An estimated 7.5 million children will face severe acute malnutrition across the majority of appeal countries, including almost half a million each in northeast Nigeria and Yemen. “Malnutrition is a silent threat to millions of children,” said Fontaine. “The damage it does can be irreversible, robbing children of their mental and physical potential. In its worst form, severe malnutrition can be deadly.”  The largest single component of the appeal is for children and families caught up in the Syria conflict, soon to enter its seventh year. UNICEF is seeking a total of $1.4 billion to support Syrian children inside Syria and those living as refugees in neighbouring countries. In total, working alongside its partners, UNICEF’s other priorities in 2017 are: - Providing over 19 million people with access to safe water; - Reaching 9.2 million children with formal or non-formal basic education; - Immunizing 8.3 million children against measles; - Providing psychosocial support to over two million children; - Treating 3.1 million children with severe acute malnutrition. In the first ten months of 2016, as a result of UNICEF’s support: - 13.6 million people had access to safe water; - 9.4 million children were vaccinated against measles; - 6.4 million children accessed some form of education; - 2.2 million children were treated for severe acute malnutrition. The Humanitarian Action for Children 2017 appeal can be found here On the border of the former Yugoslav Republic of Macedonia and Serbia, a refugee boy wearing shoes too big for his size, tries to walk through a muddy field. UNICEF/UN013614/Pappas-Capovska
Press release
30 Январь 2018
UNICEF seeks $3.6 billion in emergency assistance for 48 million children caught up in catastrophic humanitarian crises
https://www.unicef.org/eca/press-releases/unicef-seeks-36-billion-emergency-assistance-48-million-children-caught-catastrophic
NEW YORK/GENEVA, 30 January 2018 – UNICEF Humanitarian Action for Children 2018 UNICEF appealed today for $3.6 billion to provide lifesaving humanitarian assistance to 48 million children living through conflict, natural disasters and other emergencies in 51 countries in 2018.  Around the world, violent conflict is driving humanitarian needs to critical levels, with children especially vulnerable. Conflicts that have endured for years – such as those in the Democratic Republic of Congo, Iraq, Nigeria, South Sudan, Syria and Yemen, among other countries –  continue to deepen in complexity, bringing new waves of violence, displacement and disruption to children’s lives.  “Children cannot wait for wars to be brought to an end, with crises threatening the immediate survival and long term future of children and young people on a catastrophic scale,” said UNICEF Director of Emergency Programmes, Manuel Fontaine. “Children are the most vulnerable when conflict or disaster causes the collapse of essential services such as healthcare, water and sanitation. Unless the international community takes urgent action to protect and provide life-saving assistance to these children, they face an increasingly bleak future.” Parties to conflicts are showing a blatant disregard for the lives of children. Children are not only coming under direct attack, but are also being denied basic services as schools, hospitals and civilian infrastructure are damaged or destroyed. Approximately 84 per cent ($3.015 billion) of the 2018 funding appeal is for work in countries affected by humanitarian crises borne of violence and conflict. The world is becoming a more dangerous place for many children, with almost one in four children now living in a country affected by conflict or disaster. For too many of these children, daily life is a nightmare.  The spread of water-borne diseases is one of the greatest threats to children’s lives in crises. Attacks on water and sanitation infrastructure, siege tactics which deny children access to safe water, as well as forced displacement into areas with no water and sanitation infrastructure – all leave children and families at risk of relying on contaminated water and unsafe sanitation. Girls and women face additional threats, as they often fulfil the role of collecting water for their families in dangerous situations.  “117 million people living through emergencies lack access to safe water and in many countries affected by conflict, more children die from diseases caused by unclean water and poor sanitation than from direct violence,” said Fontaine. “Without access to safe water and sanitation, children fall ill, and are often unable to be treated as hospitals and health centres either do not function or are overcrowded. The threat is even greater as millions of children face life-threatening levels of malnutrition, making them more susceptible to water-borne diseases like cholera, creating a vicious cycle of undernutrition and disease.” As the leading humanitarian agency on water, sanitation and hygiene in emergencies, UNICEF provides over half of the emergency water, sanitation and hygiene services in humanitarian crises around the world.  When disasters strike, UNICEF works with partners to quickly provide access to safe drinking water, sanitation services and hygiene supplies to prevent the spread of disease. This includes establishing latrines, distributing hygiene kits, trucking thousands of litres of water to displacement camps daily, supporting hospitals and cholera treatment centres, and repairing water and sanitation systems. These measures save lives, have long-term impact and pave the way for other important services like health clinics, vaccination programmes, nutrition support and emergency education.  The largest component of UNICEF’s appeal this year is for children and families caught up in the Syria conflict, soon to enter its eighth year. UNICEF is seeking almost $1.3 billion to support 6.9 million Syrian children inside Syria and those living as refugees in neighbouring countries. Working with partners and with the support of donors, in 2018 UNICEF aims to: Provide 35.7 million people with access to safe water;  Reach 8.9 million children with formal or non-formal basic education;  Immunize 10 million children against measles; Provide psychosocial support to over 3.9 million children; Treat 4.2 million children with severe acute malnutrition. In the first ten months of 2017, as a result of UNICEF’s support:  29.9 million people were provided with access to safe water; 13.6 million children were vaccinated against measles; 5.5 million children accessed some form of education; 2.5 million children were treated for severe acute malnutrition; 2.8 million children accessed psycho-social support.    Sonia, 14 remembers the teachers helping to her calm down. UNICEF/UN0312564/Filippov
Programme
18 Октябрь 2017
Refugee and migrant children in Europe
https://www.unicef.org/eca/emergencies/refugee-and-migrant-children-europe
People have always migrated to flee from trouble or to find better opportunities. Today, more people are on the move than ever, trying to escape from climate change, poverty and conflict, and aided as never before by digital technologies. Children make up one-third of the world’s population, but almost half of the world’s refugees: nearly 50 million children have migrated or been displaced across borders.   We work to prevent the causes that uproot children from their homes While working to safeguard refugee and migrant children in Europe, UNICEF is also working on the ground in their countries of origin to ease the impact of the poverty, lack of education, conflict and insecurity that fuel global refugee and migrant movements. In every country, from Morocco to Afghanistan, and from Nigeria to Iraq, we strive to ensure all children are safe, healthy, educated and protected.  This work accelerates and expands when countries descend into crisis. In Syria, for example, UNICEF has been working to ease the impact of the country’s conflict on children since it began in 2011. We are committed to delivering essential services for Syrian families and to prevent Syria's children from becoming a ‘ lost generation ’. We support life-saving areas of health , nutrition , immunization , water and sanitation, as well as education and child protection . We also work in neighbouring countries to support Syrian refugee families and the host communities in which they have settled.   
Page
17 Январь 2023
UNICEF Emergency Response Office in Slovakia
https://www.unicef.org/eca/unicef-emergency-response-office-slovakia
Context Although Slovakia grants “urgent and necessary health services” for Ukrainian citizens registered for Temporary Protection, many Ukrainians face challenges in accessing support. What is “urgent and necessary," however, is often left to the judgment of individual doctors, creating a situation in which quality of health care received by refugees can vary significantly. Ukrainian children tend to have significantly lower vaccination rates compared to Slovaks and front-line health workers are not trained to deal with vaccine hesitancy. The key challenge in the mid-long term is the management of chronic diseases, control and management of infectious and communicable disease, and provision of specialized mental health services and psychological support. In addition, there is a shortage of doctors, particularly pediatricians and nurses, with some regions being underserved even before the crisis. Under the existing legislation, Ukrainian health workers can provide services only under the direct supervision of a senior Slovak health worker, due to the shorter academic curriculum and mandated training required for doctors in Ukraine. UNI396419 UNI396419 UNI396419 UNI396419     UNICEF’s Response Support to recognition of qualifications of Ukrainian health workers is one of four areas of cooperation between UNICEF and the Ministry of Health, in addition to immunization and early childhood development, specialized mental health support, as well as health promotion and health education, including through parenting programmes. In collaboration with the Regional Health Authority in Bratislava, UNICEF supports the provision of primary healthcare services in the Bratislava region, hosting over 30,000 refugees, including more than 12,000 children. Services are provided by two general practitioners, two pediatricians, one gynecologist, and one psychiatrist under the supervision of a senior Slovak doctor. Pediatricians and breastfeeding counselors are integrated into the Blue Dots in Bratislava, Košice and Michalovce. UNI396390 UNI396390 UNI396390 UNI396390   Since 15 July 2022, primary healthcare services have been provided to over 43,000 children and women through UNICEF-supported mechanisms, including consultations for mental health, referrals to higher levels of care, and vaccination of children against measles, polio, and so on.
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