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Press release
23 February 2021
UNICEF begins shipping syringes for the global rollout of COVID-19 vaccines under COVAX
https://www.unicef.org/eca/press-releases/unicef-begins-shipping-syringes-global-rollout-covid-19-vaccines-under-covax
NEW YORK, 23 February 2021 – UNICEF has sent 100,000 syringes and 1,000 safety boxes for COVID-19 vaccinations to the Maldives by air freight from UNICEF’s humanitarian warehouse in Dubai—part of the first wave of COVID-19-related syringe shipments to begin rolling out in the coming days. Others in the first wave of shipments include Côte d'Ivoire and São Tomé and Príncipe. The 0.5 ml syringes and safety boxes are expected to arrive in Malé, Maldives on Tuesday. Over the next few weeks, UNICEF will ship more than 14.5 million 0.5 ml and 0.3 ml auto-disable syringes to more than 30 countries. While the 0.5 ml syringes are meant for use with the Serum Institute of India/AstraZeneca vaccine, the 0.3 ml ones are to be used with the Pfizer-BioNTech vaccine. “In this global fight against the COVID-19 pandemic, syringes are as vital as the vaccine itself,” said UNICEF Executive Director Henrietta Fore. “It is critical to have adequate supplies of syringes already in place in every country before the vaccine arrives so that the vaccine can be administered safely. This would allow immunization to start immediately and help turn the tide on this terrible virus.” The countries that will receive syringes in this initial tranche are from those included in the  COVAX indicative distribution  and that have put in requests to UNICEF to supply syringes. These shipments will support the country rollout of COVID-19 vaccines, and is part of work by the  COVAX Facility  to provide vaccines to all participating countries. The 0.5 ml syringes are being dispatched from UNICEF’s humanitarian warehouse in Dubai, while the 0.3 ml & 2 ml syringes will be transported directly from a manufacturer in Spain. The consignments will also include safety boxes for the safe disposal of syringes. Both syringes are of the auto-disable type, which means they cannot be used again after a single dose of vaccine has been administered. This reduces the risk of infection from blood-borne diseases as a result of syringe re-use. In all, UNICEF will be supplying up to 1 billion syringes and 10 million safety boxes to countries in 2021 to ensure they are ready for COVID-19 vaccinations. In order to meet the demand for these vital supplies,  UNICEF created a stockpile  of almost half a billion syringes in its warehouses in Copenhagen and Dubai in preparation for the broader rollout of COVID-19 vaccines in 82 low- and lower middle-income countries. UNICEF has been working with airlines, logistics operators and freight forwarders to ensure the syringes are treated as priority freight, whether they are being shipped direct from a manufacturer or from UNICEF warehouses to the destination country’s port of entry. Although the first deliveries will be transported by air, most of the syringes and safety boxes will be transported by sea due to the large amount of space they take up as cargo. UNICEF is aiming to make 2 billion COVID-19 doses available for delivery in 2021. Even before COVID-19, UNICEF was already the largest single vaccine buyer in the world, procuring over 2 billion vaccines annually in order to reach almost half of the world’s children under 5. In addition, the agency procures and supplies around 600-800 million syringes for regular immunization programmes annually. COVAX is a global collaboration co-led by Gavi, the Vaccine Alliance, the Coalition for Epidemic Preparedness Innovations (CEPI) and WHO, and includes UNICEF, which leads on procurement and delivery, as well as getting countries ready to receive vaccines. ##### Двое мужчин на складе с коробками UNICEF/UN0419486/Pableo
Article
31 August 2021
Students in Armenia explore a healthy lifestyle with Healthy Buddy
https://www.unicef.org/eca/stories/students-armenia-explore-healthy-lifestyle-healthy-buddy
It’s 11 o'clock on a hot summer Sunday morning, but Achajur village school in Tavush marz is full of students. Over 120 children have come to school to take part in UNICEF’s  “Healthy Buddy” session , organized in partnership with the Ministry of Health and Family Academy NGO. Healthy Buddy is a special session about health nutrition and lifestyle designed for each age group that helps children of different ages to understand the importance of proper nutrition for their life and development and to become Healthy Buddy advocates themselves. Vahe, 7, is a new Healthy Buddy advocate, who walked for exactly 40 minutes from home to school today to take part in the session. “I have heard of words like ‘carbohydrates’ or ‘protein’ a lot, but I didn’t know that our immune cells are made up of protein, and carbohydrates are like fuel for people․ They give us energy to move and do other things. I also did not know that sugar is a carbohydrate, but it is a bad fuel.” Boy is listening to the Healthy Buddy session. UNICEF Armenia/2021/Margaryan Vahe prides himself of the little garden that he has at home, full of fruit trees - a big mulberry tree, a pomegranate tree, apple trees. He promised to take care of them and make sure to get his daily intake of fruit during the day. This extraordinarily smart, extremely active and quite mature 7-year-old is very caring for his family members, admires his brother, and dreams of creating a safe and positive environment in his community. “I want to become a lawyer and defend my community from criminals, so that we can all live in a better world.” Vahe glues the HEalthy plate magnet to their refrigerator. Vahe already knows that his health and success in the future depend on him eating healthy every day. Meanwhile, thousands of children in Armenia go through what experts call the triple burden of malnutrition. First, insufficient food intake threatens the survival, growth and development of children. Then there is micronutrient deficiency - a hidden form of malnutrition - in which case children do not get enough vitamins and micronutrients, necessary for a normal immune response, bone growth and brain development. On the other hand, there is also the issue of overweight or obesity due to excess calories and sedentary lifestyle. UNICEF, the Ministry of Health and other partners work to prevent this. “We want to create an environment where all children and young people enjoy their right to a healthy diet. Where children and their parents know exactly what is needed for healthy development and know that it is linked to children’s academic wellbeing at school and in the future. You need to eat healthy not only to have a healthy body, but also to have a healthy mind,”  explains Liana Hovakimyan, UNICEF Health Specialist and shares facts. Liana Hovakimyan, Health Specialist at UNICEF Armenia UNICEF Armenia/2021/Galstyan “In the first two years of life, 75% of each spoon is spent on building the child’s brain. As the child grows, his or her nutritional needs also grow. We all must act urgently to have a healthier generation and society.” At the Achajur school session, we met with three girlfriends - all three honors students, full of dreams, and super excited for the session to start. Three girlfriends - all three honors students, full of dreams, and super excited for the session to start. The girls were most surprised when nutritionist Lidia Ayvazyan listed the ingredients of carbonated drinks, chips, cookies and ice cream, while presenting the repercussions of consuming junk food. “Actually, I used to eat both healthy and junk food, but now I’ve made up my mind. I will definitely eat healthier and do my best to put together a ‘healthy plate’ with the help of veggies and fruits. I will put this ‘healthy plate’ sticker on our fridge, and it will always remind me of the secret to proper nutrition,” shared Anahit, 10, after the session. Nutritionist asks questions to the girl who participates in sessions, UNICEF Armenia/2021/Margaryan Anahit’s friend Narine added that they have already learned about proteins, carbohydrates and fats during their “Me and the environment” course at school. “But I didn’t know that healthy eating is also linked to learning well at school. I love school very much, so I have to eat well in order to study well.” Boy and a girl ate laying chess. Narine, who loves chess and dancing, dreams of becoming a writer. She has already authored her first four fairy tales, one of which is entitled The Chess Queen, where a little boy plays chess with the Queen and mates her in one move. And just like the little boy in Narine’s fairy tale, ever child has the potential to “check” and “mate” to reach their full potential. But first, they must be equipped with the necessary knowledge and opportunities to achieve their dreams. After Achajur, Healthy Buddy team is on the road again, set to reach to over 4200 girls and boys in Shirak, Kotayk, Aragatsotn, Lori, Tavush and Yerevan.
Press release
23 February 2022
More than half of parents and pregnant women exposed to aggressive formula milk marketing
https://www.unicef.org/eca/press-releases/more-half-parents-and-pregnant-women-exposed-aggressive-formula-milk-marketing
New report details exploitative practices employed by $55 billion formula industry, compromising child nutrition, violating international commitments GENEVA/NEW YORK, 22 February 2022 – More than half of parents and pregnant women (51 per cent) surveyed for a new WHO/UNICEF report say they have been targeted with marketing from formula milk companies, much of which is in breach of international standards on infant feeding practices.   The report, How marketing of formula milk influences our decisions on infant feeding , draws on interviews with parents, pregnant women and health workers in eight countries. It uncovers systematic and unethical marketing strategies used by the formula milk industry – now worth a staggering US$55 billion – to influence parents’ infant feeding decisions. The report finds that industry marketing techniques include unregulated and invasive online targeting; sponsored advice networks and helplines; promotions and free gifts; and practices to influence training and recommendations among health workers. The messages that parents and health workers receive are often misleading, scientifically unsubstantiated, and violate the International Code of Marketing of Breast-milk Substitutes (the Code) – a landmark public health agreement passed by the World Health Assembly in 1981 to protect mothers from aggressive marketing practices by the baby food industry. “This report shows very clearly that formula milk marketing remains unacceptably pervasive, misleading and aggressive,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. “Regulations on exploitative marketing must be urgently adopted and enforced to protect children’s health.” According to the report – which surveyed 8,500 parents and pregnant women, and 300 health workers in cities across Bangladesh, China, Mexico, Morocco, Nigeria, South Africa, the United Kingdom and Viet Nam – exposure to formula milk marketing reaches 84 per cent of all women surveyed in the United Kingdom; 92 per cent of women surveyed in Viet Nam and 97 per cent of women surveyed in China, increasing their likelihood of choosing formula feeding. “False and misleading messages about formula feeding are a substantial barrier to breastfeeding, which we know is best for babies and mothers,” said UNICEF Executive Director Catherine Russell. “We need robust policies, legislation and investments in breastfeeding to ensure that women are protected from unethical marketing practices -- and have access to the information and support they need to raise their families.” Across all countries included in the survey, women expressed a strong desire to breastfeed exclusively, ranging from 49 per cent of women in Morocco to 98 per cent in Bangladesh. Yet the report details how a sustained flow of misleading marketing messages is reinforcing myths about breastfeeding and breast-milk, and undermining women’s confidence in their ability to breastfeed successfully. These myths include the necessity of formula in the first days after birth, the inadequacy of breast-milk for infant nutrition, that specific infant formula ingredients are proven to improve child development or immunity, the perception that formula keeps infants fuller for longer, and that the quality of breast-milk declines with time. Breastfeeding within the first hour of birth, followed by exclusive breastfeeding for six months and continued breastfeeding for up to two years or beyond, offers a powerful line of defense against all forms of child malnutrition, including wasting and obesity. Breastfeeding also acts as babies’ first vaccine, protecting them against many common childhood illnesses. It also reduces women’s future risk of diabetes, obesity and some forms of cancer. Yet globally, only 44 per cent of babies less than 6 months old are exclusively breastfed. Global breastfeeding rates have increased very little in the past two decades, while sales of formula milk have more than doubled in roughly the same time. Alarmingly, the report notes that large numbers of health workers in all countries had been approached by the baby feeding industry to influence their recommendations to new mothers through promotional gifts, free samples, funding for research, paid meetings, events and conferences, and even commissions from sales, directly impacting parents’ feeding choices. More than one third of women surveyed said a health worker had recommended a specific brand of formula to them. To address these challenges, WHO, UNICEF and partners are calling on governments, health workers, and the baby food industry to end exploitative formula milk marketing and fully implement and abide by the Code requirements. This includes:  Passing, monitoring and enforcing laws to prevent the promotion of formula milk, in line with the International Code, including prohibiting nutrition and health claims made by the formula milk industry. Investing in policies and programmes to support breastfeeding, including adequate paid parental leave in line with international standards, and ensuring high quality breastfeeding support. Requesting industry to publicly commit to full compliance with the Code and subsequent World Health Assembly resolutions globally. Banning health workers from accepting sponsorship from companies that market foods for infants and young children for scholarships, awards, grants, meetings, or events. breastfeeding UNICEF
Article
05 March 2022
How to support your child if you are concerned about their weight
https://www.unicef.org/eca/stories/how-support-your-child-if-you-are-concerned-about-their-weight
Unless advised by a health professional, focus on “health and a healthy goals” rather than weight loss. Healthy eating and physical activity behaviours do not become routine overnight. It takes time, effort and perseverance from you and your child to make changes that last. Any big, sudden alterations to your child’s diet and lifestyle are unlikely to work and may even be harmful to your child’s health. Changes are more successful when they are small, incremental and involve the entire family.    Be the best example you can. Choose nutritious, whole foods like fresh fruits and vegetables, encourage physical activity, promote sufficient sleep, and refrain from negative talk about your or others’ weight.    No matter your weight, you can help to support your child by leading the way with healthy habits. Explore the different food groups together, learn what nutrients are needed as part of a healthy eating and discuss why certain foods are better options than others.    Do your best to discourage ultra-processed foods and beverages that are high in salt, sugar and fat, but avoid trying to ban certain foods completely as it can backfire and lead to greater cravings. Most grab-and-go snack foods are high in fat, sugar and salt, and do very little to satisfy hunger. Instead, make healthy, satiating snack foods available such as fruit, vegetable sticks and plain yoghurt. Encourage water as the main drink of choice instead of sugary fruit drinks and be mindful of what foods and beverages are available at home. Enjoy mealtimes together As often as possible, prepare and have meals together as a family. This is a great time for talking about and practicing making healthy food choices. Give child-sized portions and let your child ask for more food if they’re still hungry. Having set mealtimes and snack times also helps to teach your child that there are set times for eating rather than encouraging grazing throughout the day. Find joy in movement Encourage outdoor play and being active together as a family. From age 3 years and up, children should be active for at least one hour each day, but this can be broken up into short periods of 15 to 20 minutes. For younger children, try playing chasing games like tag or ball games. For older children, go for family walks or try taking up a new sport together. Where possible, choose walking and cycling over travelling by car or transport. Encourage local or school team sports, which can make physical activity even more fun while building peer-to-peer connections.  Wellness, not weight Avoid making weight the only focus in this process by paying greater attention to the family-wide benefits of healthy eating and active behaviours. These are the ingredients needed to support your child’s growth and development into adulthood, as well as boosting their immunity and emotional well-being. In fact, making the right changes at the family level will help prevent your child from having dieting or eating problems later in life. Remember  The best way to support your child’s happiness and health is for them to know you’re there for them no matter what. Understand that this is difficult for them too, but by enjoying healthy meals and engaging in physical activity together as a family, you can help your child to feel supported in making positive, healthy lifestyle changes that can go far beyond weight loss.
Press release
16 February 2021
Leading airlines commit to helping UNICEF in its historic mission of transporting COVID-19 vaccines around the world
https://www.unicef.org/eca/press-releases/leading-airlines-commit-helping-unicef-its-historic-mission-transporting-covid-19
COPENHAGEN, 16 February 2021 – UNICEF is today launching the Humanitarian Airfreight Initiative. Under this landmark initiative, over  10 leading airlines  are signing agreements with UNICEF to support the prioritization of delivery of COVID-19 vaccines, essential medicines, medical devices and other critical supplies to respond to the pandemic. The Initiative will also act as a global logistics preparedness mechanism for other humanitarian and health crises over the longer term.  “Delivery of these life-saving vaccines is a monumental and complex undertaking, considering the sheer volumes that need to be transported, the cold chain requirements, the number of expected deliveries and the diversity of routes” said Etleva Kadilli, Director of UNICEF Supply Division. “We are grateful to these airlines for joining forces with the UNICEF Humanitarian Airfreight Initiative to support the roll-out of COVID-19 vaccines.” The UNICEF Humanitarian Airfreight Initiative brings together the airlines covering routes to over 100 countries, in support of  the COVAX Facility  – the global effort aimed at equitable access to COVID-19 vaccines. Based on the COVAX Facility’s indicative distribution and first round allocation plan, 145 countries will receive doses to immunize around three per cent of their population, on average, starting in the first half of 2021, subject to all requirements being met and final allocation plans. In addition to prioritizing shipments of these life-saving supplies, the airlines will take measures such as temperature control and security, while also adding freight capacity to routes where needed. Their commitments are critical to the timely and secure delivery of vaccines and critical supplies.  Safe, timely and efficient transportation of life-saving supplies is critical to supporting access to essential services for children and families. COVAX deliveries and the subsequent vaccination of frontline workers will support health and social care systems to safely resume these critical services. Man next to a plane UNICEF/UNI319459/Rocio Ortega
Press release
22 September 2021
Young children’s diets show no improvement in last decade, ‘could get much worse’ under COVID-19 - UNICEF
https://www.unicef.org/eca/press-releases/young-childrens-diets-show-no-improvement-last-decade-could-get-much-worse-under
NEW YORK, 22 September 2021 – Children under the age of 2 are not getting the food or nutrients they need to thrive and grow well, leading to irreversible developmental harm, according to a new report released by UNICEF today. Fed to Fail? The crisis of children’s diets in early life – released ahead of the UN Food Systems Summit this week – warns that rising poverty, inequality, conflict, climate-related disasters, and health emergencies such as the COVID-19 pandemic, are contributing to an ongoing nutrition crisis among the world’s youngest that has shown little sign of improvement in the last ten years. “The report’s findings are clear: When the stakes are highest, millions of young children are being fed to fail,” said UNICEF Executive Director Henrietta Fore. “Poor nutritional intake in the first two years of life can irreversibly harm children’s rapidly growing bodies and brains, impacting their schooling, job prospects, and futures. While we have known this for years, there has been little progress on providing the right kind of nutritious and safe foods for the young. In fact, the ongoing COVID-19 disruptions could make the situation much worse.” In an analysis of 91 countries, the report finds that only half of children aged 6-23 months are being fed the minimum recommended number of meals a day, while just a third consume the minimum number of food groups they need to thrive. Further analysis of 50 countries with available trend data reveals these poor feeding patterns have persisted throughout the last decade. As COVID-19 continues to disrupt essential services and drives more families into poverty, the report finds that the pandemic is affecting how families feed their children. For example, a survey conducted among urban households in Jakarta found that half of the families have been forced to reduce nutritious food purchases. As a result, the percentage of children consuming the minimum recommended a number of food groups fell by a third in 2020, compared to 2018. Children carry the scars of poor diets and feeding practices for life. An insufficient intake of nutrients found in vegetables, fruits, eggs, fish, and meat needed to support growth at an early age puts children at risk of poor brain development, weak learning, low immunity, increased infections, and, potentially, death. Children under the age of two are most vulnerable to all forms of malnutrition – stunting, wasting, micronutrient deficiencies, and overweight and obesity – as a result of poor diets, due to their greater need for essential nutrients per kilogram of body weight than at any other time in life. Globally, UNICEF estimates that more than half of children under the age of 5 with wasting – around 23 million children – are younger than 2 years of age, while the prevalence of stunting increases rapidly between 6 months and two years, as children’s diets fail to keep pace with their growing nutritional needs.  According to the report, children aged 6-23 months living in rural areas or from poorer households are significantly more likely to be fed poor diets compared to their urban or wealthier peers. In 2020, for example, the proportion of children fed the minimum number of recommended food groups was twice as high in urban areas (39 percent) than in rural areas (23 percent). To deliver nutritious, safe, and affordable diets to every child, the report calls for governments, donors, civil society organizations, and development actors to work hand-in-hand to transform food, health, and social protection systems by leading key actions, including: Increasing the availability and affordability of nutritious foods – including fruits, vegetables, eggs, fish meat, and fortified foods – by incentivizing their production, distribution, and retailing. Implementing national standards and legislation to protect young children from unhealthy processed and ultra-processed foods and beverages, and to end harmful marketing practices targeting children and families. Increasing the desirability of nutritious and safe foods through multiple communication channels including digital media to reach parents and children with easy-to-understand, coherent information. The report notes that progress is possible with investment. In Latin America and the Caribbean, for example, almost two thirds (62 percent) of children aged 6–23 months are fed a minimally diverse diet, while in Eastern and Southern Africa (24 percent), West and Central Africa (21 percent) and South Asia (19 percent), less than one in four young children are being fed a minimally diverse diet. In all regions, investments are needed to ensure that all children benefit from the diverse diets they need to prevent all forms of malnutrition, and grow, develop and learn to their full potential. “Children cannot survive or thrive on calories alone,” said Fore. “Only by joining forces with governments, the private sector, civil society, development and humanitarian partners, and families can we transform food systems and unlock nutritious, safe, and affordable diets for every child. The upcoming UN Food Systems Summit is an important opportunity to set the stage for global food systems that meet the needs of all children.” ### Notes to Editors Quantitative data on current status, trends, and inequities of young children’s diets presented in this report are derived from UNICEF’s global databases, which include only data that are internationally comparable and statistically sound. UNICEF global databases comprise data from 607 nationally representative surveys conducted in 135 countries and territories, representing more than 90 percent of all children under the age of 2 globally. nutritious foods for children UNICEF Kyrgyzstan Twin brothers Adil and Alim, 21 months old, eat porridge, one of their favorite foods, at home in Bishkek. From the twins’ first foods, the family has tried to stick to giving them more nutritious foods, and fewer foods that are sweet, fatty and fried.
Article
04 January 2022
Navigating pregnancy during the COVID-19 pandemic
https://www.unicef.org/eca/stories/navigating-pregnancy-during-covid-19-pandemic-0
Many expectant mothers are fearful of going to appointments while they are taking precautions, such as staying home and practicing physical distancing when outside. Find out what options are available to you from your healthcare provider. After your child is born, it is also important to continue receiving professional support and guidance, including routine immunizations. Speak to your healthcare provider about the safest way to have these appointments, for you and your baby.  
Press release
10 September 2020
COVID-19 could reverse decades of progress toward eliminating preventable child deaths, agencies warn
https://www.unicef.org/eca/press-releases/covid-19-could-reverse-decades-progress-toward-eliminating-preventable-child-deaths
NEW YORK/ GENEVA, 9 September 2020– The number of global under-five deaths dropped to its lowest point on record in 2019 – down to 5.2 million from 12.5 million in 1990,  according to new mortality estimates  released by UNICEF, the World Health Organization (WHO), the Population Division of the United Nations Department of Economic and Social Affairs and the World Bank Group. Since then, however, surveys by UNICEF and WHO reveal that the COVID-19 pandemic has resulted in major disruptions to health services that threaten to undo decades of hard-won progress. “The global community has come too far towards eliminating preventable child deaths to allow the COVID-19 pandemic to stop us in our tracks,” said Henrietta Fore, UNICEF Executive Director. “When children are denied access to health services because the system is overrun, and when women are afraid to give birth at the hospital for fear of infection, they, too, may become casualties of COVID-19. Without urgent investments to re-start disrupted health systems and services, millions of children under five, especially newborns, could die.” Over the past 30 years, health services to prevent or treat causes of child death such as preterm, low birthweight, complications during birth, neonatal sepsis, pneumonia, diarrhea and malaria, as well as vaccination, have played a large role in saving millions of lives. Now countries worldwide are experiencing disruptions in child and maternal health services, such as health checkups, vaccinations and prenatal and post-natal care, due to resource constraints and a general uneasiness with using health services due to a fear of getting COVID-19. A  UNICEF survey  conducted over the summer across 77 countries found that almost 68 per cent of countries reported at least some disruption in health checks for children and immunization services. In addition, 63 per cent of countries reported disruptions in antenatal checkups and 59 per cent in post-natal care. A  recent WHO survey  based on responses from 105 countries revealed that 52 per cent of countries reported disruptions in health services for sick children and 51 per cent in services for management of malnutrition. Health interventions such as these are critical for stopping preventable newborn and child deaths. For example, women who receive care by professional midwives trained according  to internationals standards are 16 per cent less likely to lose their baby and 24 per cent less likely to experience pre-term birth,  according to WHO . "The fact that today more children live to see their first birthday than any time in history is a true mark of what can be achieved when the world puts health and well-being at the centre of our response,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. “Now, we must not let the COVID-19 pandemic turn back remarkable progress for our children and future generations. Rather, it’s time to use what we know works to save lives, and keep investing in stronger, resilient health systems.” Based on the responses from countries that participated in the UNICEF and WHO surveys, the most commonly cited reasons for health service disruptions included parents avoiding health centers for fear of infection; transport restrictions; suspension or closure of services and facilities; fewer healthcare workers due to diversions or fear of infection due to shortages in personal protective equipment such as masks and gloves; and greater financial difficulties. Afghanistan, Bolivia, Cameroon, the Central African Republic, Libya, Madagascar, Pakistan, Sudan and Yemen are among the hardest hit countries. Seven of the nine countries had high child mortality rates of more than 50 deaths per 1000 live births among children under five in 2019. In Afghanistan, where 1 in 17 children died before reaching age 5 in 2019, the Ministry of Health reported a significant reduction in visits to health facilities. Out of fear of contracting the COVID-19 virus, families are de-prioritizing pre- and post-natal care, adding to the risk faced by pregnant women and newborn babies. Even before COVID-19, newborns were at highest risk of death. In 2019, a newborn baby died every 13 seconds. Moreover, 47 per cent of all under-five deaths occurred in the neonatal period, up from 40 per cent in 1990. With severe disruptions in essential health services, newborn babies could be at much higher risk of dying. For example, in Cameroon, where 1 out of every 38 newborns died in 2019, the UNICEF survey reported an estimated 75 per cent disruptions in services for essential newborn care, antenatal check-ups, obstetric care and post-natal care. In May, initial modelling by Johns Hopkins University showed that  almost 6,000 additional children  could die per day due to disruptions due to COVID-19. These reports and surveys highlight the need for urgent action to restore and improve childbirth services and antenatal and postnatal care for mothers and babies, including having skilled health workers to care for them at birth. Working with parents to assuage their fears and reassure them is also important. “The COVID-19 pandemic has put years of global progress to end preventable child deaths in serious jeopardy,” said Muhammad Ali Pate, Global Director for Health, Nutrition and Population at the World Bank. “It is essential to protect life-saving services which have been key to reducing child mortality. We will continue to work with governments and partners to reinforce healthcare systems to ensure mothers and children get the services they need.” "The new report demonstrates the ongoing progress worldwide in reducing child mortality,” said John Wilmoth, Director of the Population Division of the United Nations Department of Economic and Social Affairs. “While the report highlights the negative effects of the COVID-19 pandemic on interventions that are critical for children’s health, it also draws attention to the need to redress the vast inequities in a child's prospects for survival and good health.” ###### A child and his mother while waiting to receive medical care UNICEF/UNI347480/Poveda
Press release
13 May 2020
As COVID-19 devastates already fragile health systems, over 6,000 additional children under five could die a day, without urgent action
https://www.unicef.org/eca/press-releases/covid-19-devastates-already-fragile-health-systems-over-6000-additional-children
NEW YORK, 13 MAY 2020 – An additional 6,000 children could die every day from preventable causes over the next six months as the COVID-19 pandemic continues to weaken health systems and disrupt routine services, UNICEF said today. The estimate is based on an analysis by researchers from the Johns Hopkins Bloomberg School of Public Health,  newly published in The Lancet Global Health journal . Based on the worst of three scenarios in 118 low- and middle-income countries, the analysis estimates that an additional 1.2 million under-five deaths could occur in just six months, due to reductions in routine health service coverage levels and an increase in child wasting. These potential child deaths will be in addition to the 2.5 million children who already die before their 5 th  birthday every six months in the 118 countries included in the study, threatening to reverse nearly a decade of progress on ending preventable under-five mortality.     Some 56,700 more maternal deaths could also occur in just six months, in addition to the 144,000 deaths that already take place in the same countries over a six-month period. “Under a worst-case scenario, the global number of children dying before their fifth birthdays could increase for the first time in decades,” said UNICEF Executive Director Henrietta Fore. “We must not let mothers and children become collateral damage in the fight against the virus. And we must not let decades of progress on reducing preventable child and maternal deaths be lost.” In countries with already weak health systems, COVID-19 is causing disruptions in medical supply chains and straining financial and human resources. Visits to health care centres are declining due to lockdowns, curfews and transport disruptions, and as communities remain fearful of infection.  In a commentary  to the Lancet report, UNICEF warns these disruptions could result in potentially devastating increases in maternal and child deaths.  The paper analyzes three scenarios for the impact of reductions in lifesaving interventions due to the crisis on child and maternal deaths. It warns that in the least severe scenario, where coverage is reduced around 15 per cent, there would be a 9.8 per cent increase in under-five child deaths, or an estimated 1,400 a day, and an 8.3 per cent increase in maternal deaths. In the worst-case scenario, where health interventions are reduced by around 45 per cent, there could be as much as a 44.7 per cent increase in under-five child deaths and 38.6 per cent increase in maternal deaths per month. These interventions range from family planning, antenatal and postnatal care, child delivery, vaccinations and preventive and curative services. The estimates show that if, for whatever reason, routine health care is disrupted and access to food is decreased, the increase in child and maternal deaths will be devastating. The greatest number of additional child deaths will be due to an increase in wasting prevalence among children, which includes the potential impact beyond the health system, and reduction in treatment of neonatal sepsis and pneumonia. According to the modeling, and assuming reductions in coverage in the worst-case scenario, the 10 countries that could potentially have the largest number of additional child deaths are: Bangladesh, Brazil, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria, Pakistan, Uganda and United Republic of Tanzania. The 10 countries that are most likely to witness the highest excess child mortality rates under the worst-case scenario are: Djibouti, Eswatini, Lesotho, Liberia, Mali, Malawi, Nigeria, Pakistan, Sierra Leone and Somalia. Continued provision of life-saving services is critical in these countries. In addition to the estimated potential rise in under-five and maternal deaths described in the Lancet Global Health Journal analysis,   UNICEF is deeply alarmed by the other knock-on effects of the pandemic on children: An estimated 77 per cent of children under the age of 18 worldwide – 1.80 billion out of 2.35 billion – were living in one of the 132 countries with stay-at-home policies, as of early May. Nearly 1.3 billion students – over 72 per cent – are out of school as a result of nationwide school closures in 177 countries.  40 per cent of the world’s population are not able to wash their hands with soap and water at home. Nearly 370 million children across 143 countries who normally rely on school meals for a reliable source of daily nutrition must now look to other sources as schools are shuttered. As of 14 April, over 117 million children in 37 countries may miss out on their measles vaccination as the pandemic causes immunization campaigns to stop to reduce the risk of spreading the virus. This week, UNICEF is launching  Reimagine #Reimagine , a global campaign to prevent the COVID-19 pandemic from becoming a lasting crisis for children, especially the most vulnerable children – such as those affected by poverty, exclusion or family violence. Through the campaign, UNICEF is issuing an urgent appeal to governments, the public, donors and the private sector to join UNICEF as we seek to respond, recover and reimagine a world currently besieged by the coronavirus: Respond. We must act now to stop the disease from spreading, help the sick, and protect first responders on the frontlines risking their own lives to save others. Recover. Even when the pandemic slows, each country will have to continue to work to mitigate the knock-on effects on children and address the damage inflicted. Communities will also have to work together, and across borders to rebuild and prevent a return of the disease. Reimagine. If we have learned anything from COVID-19, it’s that our systems and policies must protect people, all the time, not just in the event of a crisis. As the world recovers from the pandemic, now is the time to lay the groundwork for building back better. To kickstart the campaign, two of UNICEF’s valued partners - Pandora and ING - have both agreed to pledge a generous donation to show their part in answering the call to this appeal and to spur more donations from the public in the coming weeks. “The COVID-19 crisis is a child rights crisis. We need an immediate-, medium- and long-term response that not only addresses the challenges created by the pandemic and its secondary impacts on children, but also outlines a clear version for building back a better world when the crisis finally recedes. For that, we need everyone’s ideas, resources, creativity and heart.” said Fore. “It is our shared responsibility today, to reimagine what the world will look like tomorrow.” ###### Newborn child UNICEF/UNI313546/Abdul
Press release
07 May 2020
Pregnant mothers and babies born during COVID-19 pandemic threatened by strained health systems and disruptions in services
https://www.unicef.org/eca/press-releases/pregnant-mothers-and-babies-born-during-covid-19-pandemic-threatened-strained-health
NEW YORK, 7 May 2020 – An estimated 116 million babies will be born under the shadow of the COVID-19 pandemic, UNICEF said today ahead of Mother’s Day. These babies are projected to be born up to 40 weeks after COVID-19 – currently straining health systems and medical supply chains all over the world – was recognized as a pandemic on March 11. New mothers and newborns will be greeted by harsh realities, UNICEF said, including global containment measures such as lockdowns and curfews; health centres overwhelmed with response efforts; supply and equipment shortages; and a lack of sufficient skilled birth attendants as health workers, including midwives, are redeployed to treat COVID-19 patients. “Millions of mothers all over the world embarked on a journey of parenthood in the world as it was. They now must prepare to bring a life into the world as it has become – a world where expecting mothers are afraid to go to health centres for fear of getting infected, or missing out on emergency care due to strained health services and lockdowns,” said Henrietta Fore, UNICEF Executive Director. “It is hard to imagine how much the coronavirus pandemic has recast motherhood.” Ahead of Mother’s Day, recognized in May in over 128 countries, UNICEF is warning that COVID-19 containment measures can disrupt life-saving health services such as childbirth care, putting millions of pregnant mothers and their babies at great risk. Countries with the expected highest numbers of births in the 9 months since the pandemic declaration are: India (20.1 million), China (13.5 million), Nigeria (6.4 million), Pakistan (5 million) and Indonesia (4 million). Most of these countries had high neonatal mortality rates even before the pandemic and may see these levels increase with COVID-19 conditions. Even wealthier countries are affected by this crisis. In the US, the sixth highest country in terms of expected number of births, over 3.3 million babies are projected to be born between March 11 and December 16. In New York, authorities are looking into alternative birthing centers as many pregnant women are worried about giving birth in hospitals. UNICEF warns that although evidence suggests that pregnant mothers are not more affected by COVID-19 than others, countries need to ensure they still have access to antenatal, delivery and postnatal services. Likewise, sick newborns need emergency services as they are at high risk of death. New families require support to start breastfeeding, and to get medicines, vaccines and nutrition to keep their babies healthy. On behalf of mothers worldwide, UNICEF is issuing an urgent appeal to governments and health care providers to save lives in the coming months by: Helping pregnant women to receive antenatal checkups, skilled delivery care, postnatal care services, and care related to COVID-19 as needed; Ensuring health workers are provided with the necessary personal protective equipment and get priority testing and vaccination once a COVID-19 vaccine becomes available so that they can deliver high quality care to all pregnant women and newborn babies during the pandemic; Guaranteeing that all infection prevention and control measures are in place in health facilities during childbirth and immediately after; Allowing health care workers to reach pregnant women and new mothers through home visits, encouraging women living in remote areas to use maternal waiting homes, and by using mobile health strategies for teleconsultations; Training, protecting and equipping health workers with clean birth kits to attend home births where health facilities are closed; Allocating resources to lifesaving services and supplies for maternal and child health.   While it is not yet known whether the virus is transmitted from a mother to her baby during pregnancy and delivery, UNICEF recommends that all pregnant women: Follow precautions to protect themselves from exposure to the virus, closely monitor themselves for symptoms of COVID-19 and seek advice from the nearest designated facility if they have concerns or experience symptoms; Take the same precautions to avoid COVID -19 infection as other people: practice physical distancing, avoid physical gatherings and use online health services; Seek medical care early in if they live in affected or at-risk areas and have fever, cough or difficulty breathing; Continue breastfeeding their baby even if they are infected or suspect being infected as the virus has not been found in samples of breastmilk. Mothers with COVID-19 should wear a mask when feeding their baby; wash hands before and after touching the baby; and routinely clean and disinfect surfaces; Continue to hold the newborn and perform skin-to-skin care; Ask their midwife or doctor where they feel is the safest place to give birth and have a birth plan in place to reduce anxiety and to ensure they get to the place on time; Continue medical support, including routine immunizations, after the baby is born.   Even before the COVID-19 pandemic, an estimated 2.8 million pregnant women and newborns died every year, or 1 every 11 seconds, mostly of preventable causes. UNICEF calls for immediate investment in health workers with the right training, who are equipped with the right medicines to ensure every mother and newborn is cared for by a safe pair of hands to prevent and treat complications during pregnancy, delivery and birth. “This is a particularly poignant Mother’s Day, as many families have been forced apart during the coronavirus pandemic,” Fore said. “But it is also a time for unity, a time to bring everyone together in solidarity. We can help save lives by making sure that every pregnant mother receives the support she needs to give birth safely in the months to come.” ###### Notes to editor Download  photos, broll and data files here .  The analysis was based on data from  World Population Prospects 2019  of the UN Population Division. An average full-term pregnancy typically lasts a complete 9 months, or 39 to 40 weeks. For the purposes of this estimate, the number of births for a 40-week period in 2020 was calculated. The 40-week period of March 11 to December 16 is used in this estimate based upon the WHO’s March 11 assessment that COVID-19 can be characterized as a pandemic. For new guidance on treating pregnant women and newborns, visit:  https://www.unicef.org/coronavirus/covid-19-resources-practitioners A new-born baby clutching mother's finger UNICEF/UN040292/Khetaguri
Report
23 February 2022
Examining the impact of BMS marketing on infant feeding decisions and practices
https://www.unicef.org/eca/reports/examining-impact-bms-marketing-infant-feeding-decisions-and-practices
About, How marketing of formula milk influences our decisions on infant feeding,  systematically examines women’s and health professionals’ experiences of formula milk marketing. The largest ever study of its kind, it draws on surveys with over 8 500 pregnant women and mothers of young children (aged 0-18 months) across eight countries, and more than 300…, HOW THE MARKETING OF FORMULA MILK INFLUENCES OUR DECISIONS ON INFANT FEEDING How the marketing of formula milk influences our decisions on infant feeding The impact of marketing of breast-milk substitutes on infant feeding decisions and practices: report of a multi-country research study commissioned by the World Health Organization and the United…

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