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Press release
17 April 2020
Maintaining routine immunization services vital during the COVID-19 pandemic – WHO and UNICEF
https://www.unicef.org/eca/node/5936
GENEVA/COPENHAGEN, 20 April 2020 - The COVID-19 pandemic is a stark reminder that infectious diseases know no borders. All countries are vulnerable, regardless of income levels or the strength of their health care systems. Across the European Region, where tens of millions of people have been living in lockdown for weeks, and over 100,000 people have died, the speed and devastation of the novel coronavirus has completely upended lives. The urgent need for a COVID-19 vaccine underscores the pivotal role immunizations play in protecting lives and economies. As scientists around the world work to develop a vaccine against the novel coronavirus and health care capacities are stretched in responding to COVID-19, national routine immunization programmes are more critical than ever before. Governments across the Region must use every opportunity possible to protect people from the many diseases for which vaccines are already available. When routine vaccinations are missed, the risk of disease outbreaks increases. In 2018, approximately 527 000 children missed their first-dose of measles-containing vaccine in the WHO European Region. One year later in 2019, the measles virus exposed immunity gaps in Europe, infecting over 100 000 people, across all age-groups. Protecting children, adolescents and adults from vaccine-preventable diseases through vaccination is a must for the sustainability of health care systems. “We know that vulnerability to infectious diseases anywhere is a threat to public health everywhere,” said Ms. Afshan Khan, UNICEF Regional Director for Europe and Central Asia. “It is critical that routine immunization programmes continue during this crisis, while adequately protecting health workers and individuals receiving vaccinations. Reaching the most vulnerable children who have missed routine immunizations in the past should be prioritized.” If, during these unprecedented times, local COVID-19 response measures cause temporary interruptions of routine immunization services, countries should plan to resume immunization services as quickly as possible after the situation stabilizes. Countries should be prepared to vaccinate those at higher risk and ensure everyone, including the most marginalized, will have equal access to a COVID-19 vaccine when it becomes available. “ We can prevent further impact of COVID-19 on our healthcare systems by assuring that individuals of all ages remain vaccinated according to national schedules. I urge countries to maintain immunization service delivery and drive demand for vaccination, through the life-course even at this difficult time. Prioritizing immunization is one of my four flagship areas and central to WHO’s vision for health in the new European Programme of Work” said Dr Hans Henri P. Kluge, WHO Regional Director for Europe. WHO and UNICEF will continue to support governments’ efforts to strengthen their immunization programmes, including through strategic planning for equitable provision of immunization, strengthening vaccine-preventable disease surveillance and community engagement and education. As we step into a new future, vaccines will continue to serve as a foundation for health and wellbeing for all. It is through solidarity, joint action and tireless commitment to leaving no one behind that we can create a healthier future together.   #Vaccineswork Georgia immunization UNICEF/UN0326765/Georgia
Press release
24 October 2016
Increasing immunization coverage is priority for Ukrainian Government – Vice Prime Minister of Ukraine
https://www.unicef.org/eca/press-releases/increasing-immunization-coverage-priority-ukraine
KYIV, 24 October 2016 – Ukrainian Vice Prime Minister Pavlo Rozenko, representatives of the Ukrainian Government and the Presidential Administration have expressed their commitment to restore the routine immunization programme in Ukraine. Speaking at a high-level roundtable on immunization, organized by the Ministry of Health of Ukraine and UNICEF on the occasion of World Polio Day, Vice Prime Minister Rozenko said: “Evidence-based medicine confirms the effectiveness of vaccines to prevent diseases such as polio, tetanus or whooping cough. Increasing the rates of immunization coverage is an important task and a priority of the government and a matter of national security.” Ukraine currently has the lowest routine immunization rates in the world. According to the Ministry of Health data, only 30 percent of children in Ukraine were fully immunized against measles, only 10 percent against hepatitis B, and only 3 percent against diphtheria, pertussis and tetanus, as of August 2016. Moreover, only 44 percent of children under 18 months of age were fully immunized against polio. Shortage of vaccine supplies has been one of the main reasons behind the critically low immunization rates in the past years. To address this, at the request of the Ministry of Health of Ukraine, UNICEF has procured a number of high quality certified vaccines to protect children against dangerous vaccine-preventable diseases, namely  tuberculosis (BCG), measles, mumps and rubella (MMR), hepatitis B, diphtheria, tetanus and pertussis (DTP), tetanus and diphtheria vaccine for adults (Td), paediatric diphtheria and tetanus (DT), rabies, and bivalent oral polio vaccine (bOPV). The vaccines are now available in health facilities across the country. “This time last year, Ukraine was dealing with a polio outbreak. The comprehensive outbreak response was successfully implemented with the help of international partners, but this success is still fragile”, said Marie-Pierre Poirier, UNICEF Regional Director for Europe and Central Asia. “With such low routine immunization coverage, Ukraine is still at risk of outbreaks of long-forgotten diseases. Today, with millions of doses of vaccines available across the country, there is no reason to delay vaccination. Being vaccinated is fundamental to guarantee child’s right to health and now more than ever, it is important for Ukraine to put in place a strong and effective immunization programme,” she added. Speaking at the event, Professor David Salisbury, Chairman of the European Regional Certification Commission for Poliomyelitis Eradication said: “The polio cases in 2015 in Ukraine happened as a direct consequence of failings in the provision of vaccines for children. Efforts have been made to redress these problems but there is still more that needs to be done to give the children of Ukraine protection from vaccine preventable diseases. I am greatly encouraged by the commitments that have been made today and I look forward to being able to remove Ukraine from our list of polio high-risk countries.” Representatives of the Governments of Canada and the United States of America, who provided funding for the polio outbreak response last year, reaffirmed their support for restoring the routine immunization programme in Ukraine. “Canada worked hard last year with Ukraine’s Health Ministry to get nationwide polio vaccination restarted. We are grateful to the thousands of doctors who helped vaccinate millions of children. This year, we are happy to see that the UN has made more vaccines available. But still, far too many children are not routinely fully vaccinated. I urge Ukrainian parents to take advantage of these free vaccines and protect their children from completely unnecessary illnesses,” said H.E. Roman Waschuk, Ambassador of Canada to Ukraine, speaking at the Roundtable today. "Ukraine must continue to build on the great progress that has been made globally to eradicate polio," explained USAID Ukraine Director Susan Fritz. "These positive developments will only have the necessary impact if there is strong and visible political support from leadership at all levels of the Ukrainian Government." “Myths about vaccination that have been spread in recent years are not rooted in evidence-based medicine. As a result, Ukraine has been dealing with cases of diseases that have been long-forgotten in the rest of the world. It is important that the Vice Prime Minister of Ukraine, the Government and our international partners recognize the problem and are willing to work together with the Ministry of Health of Ukraine to resolve it. Increasing vaccination coverage rates in the country is our priority. This is not only a question of health and life of the citizens of Ukraine. This is a national security issue,” said Dr Ulana Suprun, Acting Minister of Health of Ukraine. “Necessary vaccines are available in all regions of the country. I appeal to all citizens who care about their life and health: get vaccinated and vaccinate your children,” added Dr Suprun. Nurse Ivana Knysh administers Maksym, 5, with a Hepatitis B vaccine as he holds his mother's hand, at Novoselytsi Family Medical Facility, Chernivtsi Oblast, Ukraine. UNICEF/UN060132/Oleksii Nurse Ivana Knysh administers Maksym, 5, with a Hepatitis B vaccine as he holds his mother's hand, at Novoselytsi Family Medical Facility, Chernivtsi Oblast, Ukraine.
Press release
25 April 2017
UNICEF reaches almost half of the world’s children with life-saving vaccines
https://www.unicef.org/eca/press-releases/half-children-life-saving-vaccines
  NEW YORK, 26 April 2017 – UNICEF procured 2.5 billion doses of vaccines to children in nearly 100 countries in 2016, reaching almost half of the world’s children under the age of five. The figures, released during World Immunization Week, make UNICEF the largest buyer of vaccines for children in the world.  Nigeria, Pakistan and Afghanistan, the three remaining polio-endemic countries, each received more doses of vaccines than any other country, with almost 450 million doses of vaccines procured to children in Nigeria, 395 million in Pakistan and over 150 million in Afghanistan. UNICEF is the lead procurement agency for the Global Polio Eradication Initiative. Access to immunization has led to a dramatic decrease in deaths of children under five from vaccine-preventable diseases, and has brought the world closer to eradicating polio. Between 2000 and 2015, under five deaths due to measles declined by 85 per cent and those due to neonatal tetanus by 83 per cent. A proportion of the 47 per cent reduction in pneumonia deaths and 57 per cent reduction in diarrhea deaths in this time is also attributed to vaccines. Yet an estimated 19.4 million children around the world still miss out on full vaccinations every year. Around two thirds of all unvaccinated children live in conflict-affected countries. Weak health systems, poverty and social inequities also mean that 1 in 5 children under five is still not reached with life-saving vaccines. “All children, no matter where they live or what their circumstances are, have the right to survive and thrive, safe from deadly diseases,” said Dr. Robin Nandy, Chief of Immunization at UNICEF. “Since 1990, immunization has been a major reason for the substantial drop in child mortality, but despite this progress, 1.5 million children still die from vaccine preventable diseases every year.” Inequalities persist between rich and poor children. In countries where 80 per cent of the world’s under-five child deaths occur, over half of the poorest children are not fully vaccinated. Globally, the poorest children are nearly twice as likely to die before the age of five as the richest. “In addition to children living in rural communities where access to services is limited, more and more children living in overcrowded cities and slum dwellings are also missing out on vital vaccinations,” said Nandy. “Overcrowding, poverty, poor hygiene and sanitation as well as inadequate nutrition and health care increase the risk of diseases such as pneumonia, diarrhea and measles in these communities; diseases that are easily preventable with vaccines.” By 2030, an estimated 1 in 4 people will live in urban poor communities, mainly in Africa and Asia, meaning the focus and investment of immunization services must be tailored to the specific needs of these communities and children, UNICEF said.     NOTES TO EDITORS: UNICEF works with World Health Organization (WHO), Gavi, the Vaccine Alliance, the Bill & Melinda Gates Foundation and others to ensure that vaccines protect all children – especially those who are the hardest to reach and the most vulnerable. World Immunization Week runs from 24 – 28 April 2017. For more information visit: www.unicef.org/immunization Immunisation session at Family Medicine Center #1 of Osh city, Kyrgyzstan UNICEF/UN041255/Pirozzi
Press release
10 November 2016
Measles jab saves over 20 million young lives in 15 years, but hundreds of children still die of the disease every day
https://www.unicef.org/eca/press-releases/measles-jab-saves-million-young-lives
NEW YORK/ATLANTA/GENEVA, 10 November 2016 – Despite a 79 per cent worldwide decrease in measles deaths between 2000 and 2015, nearly 400 children still die from the disease every day, leading health organizations said in a report released today.   “Making measles history is not mission impossible,” said Robin Nandy, UNICEF Immunization Chief. “We have the tools and the knowledge to do it; what we lack is the political will to reach every single child, no matter how far. Without this commitment, children will continue to die from a disease that is easy and cheap to prevent.”   Mass measles vaccination campaigns and a global increase in routine measles vaccination coverage saved an estimated 20.3 million young lives between 2000 and 2015, according to UNICEF, the World Health Organization (WHO), Gavi, the Vaccine Alliance, and the Centers for Disease Control and Prevention (CDC).   But progress has been uneven. In 2015, about 20 million infants missed their measles shots and an estimated 134,000 children died from the disease. The Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria and Pakistan account for half of the unvaccinated infants and 75 per cent of the measles deaths.   “It is not acceptable that millions of children miss their vaccines every year. We have a safe and highly effective vaccine to stop the spread of measles and save lives,” said Dr. Jean-Marie Okwo-Bele, Director of WHO’s Department of Immunization, Vaccines and Biologicals. “This year, the Region of the Americas was declared free of measles – proof that elimination is possible. Now, we must stop measles in the rest of the world. It starts with vaccination.”   “Measles is a key indicator of the strength of a country’s immunization systems and, all too often, it ends up being the canary in the coalmine with outbreaks acting as the first warning of deeper problems,” said Dr. Seth Berkley, CEO of Gavi, the Vaccine Alliance. “To address one of the world’s most deadly vaccine-preventable childhood killers we need strong commitments from countries and partners to boost routine immunization coverage and to strengthen surveillance systems.”   Measles, a highly contagious viral disease that spreads through direct contact and through the air, is one of the leading causes of death among young children globally. It can be prevented with two doses of a safe and effective vaccine.   Measles outbreaks in numerous countries – caused by gaps in routine immunization and in mass vaccination campaigns – continue to be a serious challenge. In 2015, large outbreaks were reported in Egypt, Ethiopia, Germany, Kyrgyzstan and Mongolia. The outbreaks in Germany and Mongolia affected older persons, highlighting the need to vaccinate adolescents and young adults who have no protection against measles.   Measles also tends to flare up in countries in conflict or humanitarian emergencies due to the challenges of vaccinating every child. Last year, outbreaks were reported in Nigeria, Somalia and South Sudan.   Measles elimination in four of six WHO regions is the global target at the midpoint of the Global Vaccine Action Plan implementation. “The world has missed this target, but we can achieve measles elimination as we have seen in the Region of the Americas,” said Dr. Rebecca Martin, director of CDC’s Center for Global Health. “As the African adage goes, ‘it takes a village to raise a child’ and it takes the same local and global villages to protect children against measles. We can eliminate measles from countries and everyone needs to play a role. This year’s report shows that the 2015 WHO regional measles elimination goals were not met because not every child has been reached – gaps exist. We need to close these gaps, ensure that commitments for adequate human and financial resources are kept and used well to reach every child, detect and respond to every case of measles, and prevent further spread. These efforts will protect all children so that they can become the next generation of leaders. This will also ensure that every country has a strong safety net to stop disease threats where they occur and protect the world from global health threats.”   Note to editors: The Global Vaccine Action Plan adopted by the World Health Assembly in 2012 set a goal of eliminating measles in four regions by 2015. Failure to close immunization coverage gaps has resulted in a failure to meet the goal.   Since 2000, some 1.8 billion children have received measles vaccination through mass measles vaccination campaigns with support from UNICEF, a founding member of the Measles & Rubella Initiative, launched in 2001 with the American Red Cross, the UN Foundation, U.S. Centers for Disease Control and Prevention and the World Health Organization.   Gavi, the Vaccine Alliance, has programmed close to US$1 billion over the period 2016-2020 to help developing countries approach measles in a comprehensive manner that will contribute towards saving more than a million lives. The latest measles mortality data is published in WHO’s Weekly Epidemiological Report and CDC’s Morbidity and Mortality Weekly Report . A mother watches Dr. Nataliya Seredyuk checking her five-month-old baby prior to administering him immunizations at the General Practice Clinic in Bohorodchany, Ivano-Frankivsk Oblast, Ukraine. UNICEF/UN060130/Zmey A mother watches Dr. Nataliya Seredyuk checking her five-month-old baby prior to administering him immunizations at the General Practice Clinic in Bohorodchany, Ivano-Frankivsk Oblast, Ukraine.
Press release
13 December 2017
New funding will allow countries to secure sustainable vaccine supplies and reach children more quickly
https://www.unicef.org/eca/press-releases/new-funding-will-allow-countries-secure-sustainable-vaccine-supplies-and-reach
COPENHAGEN, 13 December 2017 – UNICEF announced today that funding for its Vaccine Independence Initiative (VII), a mechanism to help countries secure a sustainable supply of life-saving vaccines, has more than doubled in the past year, increasing from $15 million to $35 million.  The increase was made possible especially by a $15 million financial guarantee from the Bill & Melinda Gates Foundation, adding to a VII capital base that also includes recent contributions from Gavi, the Vaccine Alliance, and the United States Fund for UNICEF.  Over 60 low-income countries currently benefit from Gavi support to purchase life-saving vaccines. As countries’ economies grow and transition away from Gavi support, the VII gives them access to short-term bridge “loans” so that they can purchase vaccines while waiting for the release of national budget funds. In addition, it provides countries assistance to strengthen the planning and budgeting processes to manage their essential supplies procurement moving forward.  VII is one tool to help countries minimize vaccine stock-outs and ensure more children receive vaccines on time. Since 2016, it has helped provide an estimated 91 million doses to children in 23 countries faster than would have otherwise been possible. “Financing mechanisms such as the VII are an essential part of a vaccine supply financing toolkit to improve financial sustainability and ensure supplies are reaching children when they are most needed,” Shanelle Hall, UNICEF Deputy Executive Director for Field Results, explained. “We look forward to continuing our work supporting countries, together with the Foundation and other donors and partners. It is especially critical now, in light of many countries graduating from donor support, inequities in Middle Income Countries and the broader Sustainable Development Goals agenda.” “We know from speaking with government leaders around the world that countries transitioning from Gavi support can face some significant short-term budget and technical difficulties securing their own vaccines,” said Dr. Orin Levine, director of Vaccine Delivery at the Bill & Melinda Gates Foundation. “The foundation, along other partners in the Gavi Alliance, are committed to helping countries address these challenges, and the VII is one tool that we have to make sure that children, no matter where they live, are protected against vaccine-preventable diseases.” Vaccines are one of the most effective health interventions in history, and have helped reduce the number of child deaths by more than half since 1990. For every dollar spent on childhood immunizations, countries yield $44 in economic and social benefits.  Global immunization coverage for the basic package of vaccines stood at 86 percent in 2016, the highest on record. However, much remains to be done to ensure the sustainability of national vaccination systems and funding, and make essential supplies for children available. “Tools like the Vaccine Independence Initiative are becoming increasingly important as developing countries invest more and more of their own resources in their vaccine programmes, in this case by creating a stable, predicable vaccine supply,” said Dr Seth Berkley, CEO of Gavi. “This new investment will therefore give a welcome boost to countries moving towards self-sufficiency, helping to ensure children don’t go without life-saving vaccines.” Recent contributions to the VII have been key to support countries who are expanding their national budgets to purchase vaccines, such as Kenya and Chad. Additionally, the recently increased size of VII has allowed the new countries such as Uzbekistan, Cote d’Ivoire, and most recently Tajikistan to sign-up to the mechanism. More countries are in active discussions for new subscriptions. These efforts contribute to providing sustained immunization supplies to an increasing number of newborns in these countries.  Note to editors The Vaccine Independence Initiative Launched in 1991, the Vaccine Independence Initiative (VII) is a financial mechanism that enables governments to manage temporary budget shortfalls and facilitate timely procurement of essential supplies. The VII offers flexible credit terms to countries, allowing them to pay after critical supplies are delivered, reducing stock-outs and ensuring a systematic and sustainable provision of goods. In 2015, in order to respond to the increasing use of domestic budgets to fund essential commodities, the UNICEF Executive Board approved the expansion of the capital base from $10 million to $100 million, subject to donor contributions, and authorized the broadening of the fund applicability beyond immunization supplies. Since then, UNICEF has increased its resource mobilization efforts to encourage contributions from government donors and the private sector to expand the capital base of the fund. At the end of 2017, the capital base had increased to $35 million following support from the Bill & Melinda Gates Foundation and Gavi, the Vaccine Alliance and the United States Fund for UNICEF.   A girl gets her oral polio vaccine in a children’s municipal polio clinic in Chernomorsk, Ukraine. UNICEF/UN09083/Bershadskiy
Press release
19 October 2016
Supply of children’s five-in-one vaccine secured
https://www.unicef.org/eca/press-releases/supply-childrens-five-one-vaccine-secured
GENEVA, 19 October 2016 – Breakthrough prices have been achieved with six vaccine suppliers who offered to price pentavalent vaccine at an 84 cents a dose average – half the price that the UN children’s agency currently pays.   In the next three years, UNICEF will buy 450 million doses to send to 80 countries. Four hundred million doses will be allocated to Gavi-supported and transitioning countries. The vaccine will protect tens of millions of children from potentially deadly infections caused by diphtheria, tetanus, pertussis, hepatitis B and Haemophilus influenzae type b.   Since 2001, strong collaboration on market shaping across Gavi Alliance partners, including the Bill & Melinda Gates Foundation, WHO and UNICEF, has achieved an affordable and sustainable pentavalent vaccine supply for children in the world’s poorest countries.   The new pricing can also be accessed by governments who self-finance procurement of this cost-effective vaccine. It will generate over $366 million in savings for donors and for governments.   “Ninety per cent of the world’s children under five who die from vaccine-preventable diseases live in countries whose vaccine supply is no longer fully funded by donors,” said Shanelle Hall, Director of UNICEF’s supply and procurement headquarters. “For the most vulnerable children in the world, pricing can make a difference between life and death,” Hall added.   “Gavi estimates that 5.7 million deaths will be averted thanks to pentavalent vaccination in Gavi-supported countries between 2011 and 2020,” said Dr Seth Berkley, CEO of Gavi, the Vaccine Alliance. “The market for five-in-one vaccines is now a lot healthier than it was just a few years ago thanks to our collective efforts to grow a base of vaccine suppliers. We remain committed to making vaccine markets work better for the world’s poorest countries to ensure immunization investments and efforts are sustainable for all.”   Achieving milestones in making vaccines more affordable illustrates how collaborative engagement, including with vaccine suppliers, can result in vaccine markets that put children’s health first.   Careful monitoring of supply and demand in vaccine markets and consultations with vaccine manufacturers have helped determine the most effective actions to secure sufficient production levels and efficiencies of scale. Between 2001 and 2015, UNICEF’s pentavalent vaccine procurement jumped from 14.5 million to more than 235 million doses, mainly driven by the increase in demand in countries supported by Gavi.   Broadening the supplier base reduces the risk of supply shortages and other serious market constraints that could negatively impact children. Collaboration between Gavi, the Gates Foundation and UNICEF leveraged the significant donor funding and through multi-year supplier contracts, improved demand forecasts and special contracting terms, helped grow the pentavalent vaccine supplier base from one in 2001 to six by 2016, and reduce prices.   As additional manufacturers become interested in supplying vaccines to UNICEF, competition between them intensifies. Since 2011, UNICEF publishes the prices of all vaccines it procures, giving manufacturers the advantage of seeing what their competitors charge – and this had led to better offers. By 2016, the price for donor-funded and government self-funded pentavalent vaccines was an average of $1.65 a dose.   In 2016, a competitive pentavalent vaccine market and excess supply capacity represented ideal conditions to launch a new phased approach to tendering.   In the first phase, UNICEF invited interested suppliers to submit a proposed price. After making awards to the most competitive bids, UNICEF published prices and launched a second request for proposals, which gave time for suppliers to sharpen their initial offers. The final awards achieved lowest ever pricing while sustaining a healthy supply market for the longer-term.   “Today’s announcement demonstrates that partnerships can bring affordability and price sustainability to the table in supplier discussions, and this is transforming health outcomes for children,” said Hall. ## Pricing information on UNICEF’s 2017-19 pentavalent vaccine supply can be downloaded from: http://www.unicef.org/supply/index_57476.html .    A 2 year-old gets her dose of oral polio vaccine in the children’s polio clinic in Ukraine. UNICEF/UN09097/Krepkih
Press release
16 July 2018
Record number of infants vaccinated in 2017
https://www.unicef.org/eca/press-releases/record-number-infants-vaccinated-2017
  New York, 16 July 2018: A record 123 million infants were immunized globally in 2017, according to data released today by the World Health Organization and UNICEF.  The data shows that: 9 out of every 10 infants received at least one dose of diphtheria-tetanus-pertussis (DTP) vaccine in 2017, gaining protection against these deadly diseases.   An additional 4.6 million infants were vaccinated globally with three doses of the diphtheria-tetanus-pertussis vaccine in 2017 compared to 2010, due to global population growth. 167 countries included a second dose of measles vaccine as part of their routine vaccination schedule and 162 countries now use rubella vaccines. As a result, global coverage against rubella increased from 35 per cent in 2010 to 52 per cent.   The human papillomavirus (HPV) vaccine was introduced in 80 countries to help protect women against cervical cancer.  Newly available vaccines are being added as part of the life-saving vaccination package – such as those to protect against meningitis, malaria and even Ebola. Despite these successes, almost 20 million children did not receive the benefits of full immunization in 2017. Of these, almost 8 million (40 per cent) live in fragile or humanitarian settings, including countries affected by conflict. In addition, a growing share are from middle-income countries, where inequity and marginalization, particularly among the urban poor, prevent many from getting immunized.  As populations grow, more countries need to increase their investments in immunization programmes. To reach all children with much-needed vaccines, the world will need to vaccinate an estimated 20 million additional children every year with three doses of the diphtheria-tetanus-pertussis vaccine (DTP3); 45 million with a second dose of measles vaccine; and 76 million children with 3 doses of pneumococcal conjugate vaccine.  In support of these efforts, WHO and UNICEF are working to expand access to immunization by:  Strengthening the quality, availability and use of vaccine coverage data.  Better targeting resources. Planning actions at sub-national levels and Ensuring that vulnerable people can access vaccination services.    Notes to Editors Since 2000, WHO and UNICEF have jointly produced national immunization coverage estimates for each of the 194 WHO Member States on an annual basis. In addition to producing the immunization coverage estimates for 2017, the WHO and UNICEF estimation process revises the entire historical series of immunization data with the latest available information. The 2017 revision covers 37 years of coverage estimates, from 1980 to 2017.  Related links WHO/UNICEF 2017 country and regional immunization coverage data  Global Vaccine Action Plan 2012-2020   A baby girl receives her vaccination at a clinic in Serbia. UNICEF/UN040869/Bicanski A baby girl receives her vaccination at a clinic in Serbia.
Press release
22 October 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.
Press release
27 January 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
15 November 2019
30 years of child rights: Historic gains and undeniable achievements, but little progress for the world’s poorest children - UNICEF
https://www.unicef.org/eca/press-releases/30-years-child-rights-historic-gains-and-undeniable-achievements-little-progress
NEW YORK, 18 November 2019 – There have been historic gains overall for the world’s children since the Convention on the Rights of the Child was adopted 30 years ago. However, many of the poorest children are yet to feel the impact, according to The Convention on the Rights of the Child at a Crossroads , a new report released today.  Part of commemorations marking the 30 th anniversary of the CRC, the report looks at the undeniable achievements of the past three decades, proof that where there is political will and determination, children’s lives improve.   “There have been impressive gains for children over the past three decades, as more and more are living longer, better and healthier lives. However, the odds continue to be stacked against the poorest and most vulnerable,” said UNICEF Executive Director Henrietta Fore. “In addition to the persistent challenges of health, nutrition and education, children today have to contend with new threats like climate change, online abuse and cyberbullying. Only with innovation, new technologies, political will and increased resources will we help translate the vision of the Convention on the Rights of the Child into a reality for all children everywhere.” Citing progress in child rights over the past three decades, the report notes that:  The global under-five mortality rate has fallen by about 60 per cent. The proportion of primary-school-aged children not in school decreased from 18 per cent to 8 per cent. The guiding principles of the CRC – non-discrimination; the best interests of the child; the right to life, survival and development; and the right to protection – have influenced numerous constitutions, laws, policies and practices globally. However, the report notes, this progress has not been even.  In low and middle-income countries children from the poorest households are twice as likely to die from preventable causes before their fifth birthday than children from the richest households.   According to recent available data, only half of children from the poorest households in sub-Saharan Africa are vaccinated against measles, compared to 85 per cent of children from the richest households.   Despite a decline in child marriage rates globally, the poorest girls in some countries are more at risk today than they were in 1989. The report also addresses age-old and new threats affecting children around the world:  Poverty, discrimination and marginalization continue to leave millions of the most disadvantaged children at risk: Armed conflicts, rising xenophobia and the global migration and refugee crisis all have a devastating impact on global progress. Children are physically, physiologically and epidemiologically most at risk of the impacts of the climate crisis: Rapid changes in climate are spreading disease, increasing the intensity and frequency of extreme weather events, and creating food and water insecurity. Unless urgent action is taken, the worst for many children is yet to come. Although more children are immunized than ever before, a slowdown in immunisation coverage rates over the past decade is threatening to reverse hard-won gain in children’s health: Measles vaccination coverage has stagnated since 2010, contributing to a resurgence of the deadly disease in many countries. Almost 350,000 cases of measles were recorded in 2018, more than double the total in 2017. The number of out-of-school children has stagnated and learning outcomes for those in school remain poor: Globally, the number children who are not in primary level has remained static since 2007. Many of those who are in school are not learning the basics, let alone the skills they need to thrive in today’s economy. To accelerate progress in advancing child rights, and to address stagnation and backsliding in some of these rights, the report calls for more data and evidence; scaling up proven solutions and interventions; expanding resources; involving young people in co-creating solutions; and applying the principles of equity and gender equality in programming. But it also recognizes that while all these elements are necessary to bring about change, our rapidly changing world also requires new modalities to confront emerging opportunities and challenges, and to truly embed the rights of children as a global cause again.  To find these pathways, over the next 12 months UNICEF plans to undertake a global dialogue on what it will take to make the promise of the convention a reality for every child. The discourse will be inclusive, involving children and young people, parents and caregivers, education and social workers, communities and governments, civil society, academia, the private sector and the media. And it will influence the way the organization does business in the future.  “The Convention stands at a crossroads between its illustrious past and its future potential. It is up to us to recommit, take decisive steps and hold ourselves accountable,” said Fore. “We should take our lead from young people who are speaking up and speaking out for their rights as never before, we must act now – boldly and creatively.” Children from the local underprivileged Roma community playing in the streets of their community in the town of Shumen, Northern Bulgaria. UNICEF supports families at risk through the work of mobile units composed by social workers. UNICEF/ Bulgaria / Giacomo Pirozzi
Press release
08 October 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
Press release
30 January 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
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