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Article
27 September 2018
Astana Global Conference on Primary Health Care
https://www.unicef.org/eca/stories/astana-global-conference-primary-health-care
What is the Astana Global Conference? On 25-26 October 2018, world leaders, government ministers, development partners, civil society and young people will meet in Astana for the Global Conference on Primary Health Care, jointly hosted by the Government of Kazakhstan, UNICEF and WHO. Participants will renew their commitment to primary health care as the means of achieving universal health coverage, SDG3 and other SDG goals to which health is a contributing factor. The Conference will mark 40 years since the first Global Conference on Primary Health Care, held in 1978 in Almaty (then Alma-Ata), Kazakhstan. The Declaration of Alma-Ata endorsed at that conference was a seminal document that founded a movement and advocacy for primary health care. The 2018 Conference will endorse a new Declaration of Astana which emphasizes the critical role of primary health care in promoting good health, social and economic development and global security. It aims to refocus efforts to ensure that everyone everywhere can enjoy their right to the highest standard of health. What is primary health care? Primary health care is an approach to designing and delivering frontline health services that lays a foundation for achieving universal health coverage. Universal health coverage is one of the targets of the third Sustainable Development Goal (SDG3): Ensure healthy lives and promote well-being for all at all ages. Primary health care includes three core elements: Affordable and accessible health services, including quality primary care, and essential public health functions that promote health and well-being, prevent illness and protect populations against outbreaks of disease. Empowered people and engaged communities, to whom health services are accountable, and who are also responsible for their own health. Inputs (policies, actions, resources) from all sectors that influence health and well-being, ranging from agriculture, manufacturing, education, water, sanitation and hygiene, transport and the media etc. A one-year-old girl is administered her first dose of the mumps, measles and rubella (MMR) vaccine at a clinic in Kyiv, Ukraine. A one-year-old girl is administered her first dose of the mumps, measles and rubella (MMR) vaccine at a clinic in Kyiv, Ukraine. How does primary health care contribute to universal health care? Universal health care is based on the principle that all individuals and communities should have access to quality essential health services without suffering financial hardship. Primary health care contributes to this by ensuring that health services are available, accessible and affordable – including services that prevent illness, cure disease and promote good health. How is UNICEF contributing to the event in Astana and to primary health care? UNICEF is working closely with WHO and the Government of Kazakhstan to support and prepare for the conference. All UNICEF offices are mobilizing government and civil society partners, and making sure the core elements of primary health care are prioritized in the allocation of funding and resources, and in follow up actions. UNICEF is coordinating a Youth Forum that will be held on the day prior to the main event to bring the voices of young people into the conference. UNICEF is also part of a core group of global and regional partners working to support primary health care at country and sub-national levels. The group, which includes UN agencies, donor governments, philanthropic foundations, multilateral agencies like the Global Fund, Gavi and others, is developing a set of operating principles that will prioritize the three core elements described above, and ensure primary health care remains in place after their support has ended. This will be reflected in UNICEF’s own programmes with governments and partners. Ahead of the Global Primary Health Care Conference in Astana, 25-56 October, UNICEF Executive Director Henrietta H. Fore shares the path to achieving “Health for all” – the vision of the SDGs. In her address, UNICEF Executive Director Henrietta H. Fore, highlights the importance of investing in the quality of primary health services and extending their reach to ensure access for the most vulnerable and underprivileged communities. #PrimaryHealthCare #HealthForAll #Astana2018 Success stories: How primary health care helps families and children In remote Kyrgyzstan simple solutions save newborn lives How visiting nurses help prevent child deaths in Kazakhstan Fathers in Turkmenistan carve out their immediate and long-term parenting roles Investing in better care during baby’s first days is saving lives in Kyrgyzstan Saving newborn lives in remote mountainous areas of Kyrgyzstan   “In Focus” reports: A healthy start in life for every child Immunization   More information about the Astana Global Conference WHO Global Conference on Primary Health Care website The Declaration of Alma-Ata Provisional conference programme
Article
27 October 2021
“I’d settle for a year being sick, as long as it’s not her, not for a single day”
https://www.unicef.org/eca/stories/id-settle-year-being-sick-long-its-not-her-not-single-day
Little Varya was 3 years old when Alexei and Nastya Naumov adopted her from an orphanage.   They had long dreamed of children, when they found this girl who looked so much like Alexei Naumov. Nothing could stop them: neither difficulties, nor Varyusha's diagnosis – HIV, which the orphanage told them about right away.  Varya Varya at the New Year celebration Nastya and Alexei decided that they wouldn’t conceal their now 9 year old daughter’s diagnosis. It is better to put all the cards on the table, than constantly have to look over their shoulder, they say. The parents always emphasize: they have never regretted their decision.  In November 2018, when Varya was in the first grade, she fell ill with scarlet fever. The family had just moved to Almaty from Atyrau. Nastya Naumova brought her daughter to two pediatricians, but they did not suspect anything. And then their infectious disease specialist at the AIDS center confirmed the diagnosis. ‘Guys, you have scarlet fever,’ she said.  “It seemed to me that this was a forgotten disease, that it is simply impossible. Varya has recovered, but I was still afraid. And as it turned out, not in vain,” says Nastya.  The Naumovs were warned that live vaccines are contraindicated for a child with HIV.   “I was afraid that Varya would get infected,” Anastasia says. “I didn’t know how the virus would work with her diagnosis, how it would affect the body. And, thank God, for a long time she was able to avoid infection. But, as it turned out, not measles.”  In Kazakhstan all children diagnosed with HIV usually receive a medical contraindication for vaccination, which applies to the so-called live vaccines against measles, mumps and rubella. Although in accordance with the WHO clinical protocol, a vaccine against measles, mumps, and rubella (MMR) and other measles-containing vaccines (MCV) should be considered for HIV-infected patients who are asymptomatic or mildly immunosuppressed, as per the routine national schedule. For infants with high risk of exposure to the measles virus, an additional dose of single-antigen measles vaccine administered at 6–11 months of age is recommended, followed by a first dose of routine MMR or another MCV at age 12 months or older (with a minimum interval of 1 month between doses).1 Parents can learn more about each vaccine, included into the National Vaccination Calendar, at a special website dedicated to children routine vaccination:  EGU.kz    In February 2019, when Varya was preparing to go to school, she noticed red dots on her legs: hemorrhagic vasculitis. Nastya and Varya were immediately taken to the hospital; they thought it was an allergy. For 3 weeks the child was not diagnosed, doctors had not realised that it was measles.  Anastasia Naumova shares her story Anastasia Naumova shares her story Later, it turned out that hemorrhagic vasculitis was Varya’s body's reaction to measles. The incubation period was already in progress. But the doctors the Naumovs visited did not understand this. Their infectious disease specialist arrived at the hospital only after Varya's temperature rose to 40 degrees, and diagnosed her with measles. Varya and her mother were taken to the infectious diseases hospital. Varya at the hospital with measles Varya at the hospital with measles “I will never forget the following 10 days…,”  Nastya says.  Varya fell seriously ill. She was burning with a fever, crying from pain at night. There was nothing Nastya could do to help her child. “I have hardly slept these ten days. I would lean on the table, doze off, the timer would go off - I set Varya's temperature to be measured every hour. And you can't do anything - the treatment is symptomatic,”  Nastya says.  The complications were the worst. Varya had right-sided pneumonia, so severe that she could not swallow saliva. How would Nastya give her pills? Water? Food?  “I was almost shoving this pill into her mouth, and Varya cried and shouted: ‘Mom, it hurts! Mom, don't!’ Almost two years have passed since that moment, and I am still shaking. I’d settle for a year being sick, as long as it’s not her, not for a single day. When you see that your child suffers so much simply because someone did not give her the vaccine, how would you feel about it? I have no words,” Nastya says.    In total, they spent about 6.5 weeks in the hospital. During their stay the hospital was full. Children and many adults - all with measles.   Fortunately, Varya pulled through. Emaciated, she weighed 17 or 18 kilograms, weak, but alive. Varya does not mention her illness.   Nastya noticed that after the illness Varya started having problems studying. Apparently, this ten day long fever affected her cognitive abilities.  “I believe if opponents of vaccination ever saw how people bear measles, they would think about it. It's a shame that children who have medical contraindication are at risk,” Nastya says.   The Naumovs then vaccinated their daughter (with those vaccines that are not contraindicated for her) in an ordinary district hospital.   “The child has HIV infection, an incurable disease, but even she did not have a reaction to the vaccine,” Nastya says.  In 2019, there was an outbreak of measles in Kazakhstan with 16,871 cases, of which 13,326 (78.9%) were laboratory confirmed.2 19 children and two adults dies from the disease. Among the victims of measles, 8 children were not vaccinated due to medical contraindications. In 2020, 3,270 cases of measles were registered, of which 2,265 were children under 14 years of age. False contraindications and medical exemptions have been identified as one of the main causes of missed opportunities to vaccinate against measles during the root cause analysis conducted by UNICEF Kazakhstan. The analysis was the part of the UNICEF Kazakhstan Measles Outbreak Prevention Program funded by the US Agency for International Development (USAID).   “We sincerely thank USAID for partnering in such an important program for children's lives to prevent a measles outbreak in the future and strengthen the immunization programme in Kazakhstan. We believe that this project will help save and preserve the lives and health of Kazakhstani children and families," said the UNICEF Representative in Kazakhstan Arthur van Diesen.  The Program provided technical support to analyze the causes of the measles outbreak, study parents' views on vaccination and awareness campaigns, as well as recommendations for improving the supply of vaccines and building the capacity of healthcare workers for immunization. For example, UNICEF is providing a series of trainings to address false contraindications in cooperation with the Association of Family Doctors of Kazakhstan in Aktobe, Atyrau, Eastern-Kazakhstan, Kyzylorda, Turkestan, Karaganda oblasts, Almaty and Shymkent.  
Article
13 May 2021
Safeguarding the health of refugee and migrant children during COVID-19
https://www.unicef.org/eca/stories/safeguarding-health-refugee-and-migrant-children-during-covid-19
"When COVID arrived here, I thought: ‘It's over, it will spread throughout the building’. I didn't think it was possible to avoid the spread of the outbreak. Instead, we have had very few cases and we owe this, above all, to the support we received from INTERSOS and UNICEF."  Josehaly (Josy), a refugee living in Rome A field worker from Intersos fastens a mask for a young refugee girl in Rome. A field worker from Intersos fastens a mask for a young refugee girl in Rome. The ‘RM Child-Health’ initiative is funding work across five European countries to keep refugee and migrant children connected to health services. While the COVID-19 pandemic was not foreseen when the initiative was first launched, the strategic principles underpinning the ‘RM Child-Health’ initiative – flexibility, responsiveness to real needs, and building on what works – meant that UNICEF and partners could swing into action to safeguard the health and wellbeing of refugee and migrant children and overcome intensified and unprecedented challenges. Since the launch of the 27-month ‘RM Child-Health’ initiative in January 2020, activities were adapted quickly to address access to health services during the COVID-19 crisis in Bosnia and Herzegovina, Bulgaria, Greece, Italy and Serbia. This €4.3 million initiative, co-funded by the European Union Directorate-General for Health and Food Safety, has shown refugee and migrant children and families how to protect themselves and others, and that they have every right to health care – even in a pandemic. The rapid escalation of the COVID-19 pandemic in Europe in 2020 exacerbated the already worrying state of health and wellbeing of the region’s most vulnerable people, including refugee and migrant children, and has had a protracted impact on their access to health and other vital services. The situation has been particularly dire for refugees and migrants who are not in formal reception sites, and who are, therefore, harder to reach and monitor. Refugee and migrant families living in over-crowded conditions with limited access to sanitation are at high risk of infection. These communities have often had to face a ‘double lockdown’, confined to their settlements and camps and having little or no access to accurate information on protecting themselves and others.  The additional pressures have been severe. UNICEF and its partners in Bulgaria have seen appeals for support double from 30 to 60 cases per day. Far more refugees and asylum-seekers have been in urgent need of financial and material support, having lost their incomes because of the pandemic. There have been increased requests for support to meet the cost of medical care for children, which is not covered by the state budget, and more requests for psychosocial support. This increase in demand has, of course, coincided with serious challenges for service delivery. Restrictions on movement have curtailed in-person services, and partners have had to adapt the way in which they connect with refugees and migrants. The pandemic has had a direct impact on the provision of group sessions to share health-related information, as well as on the timely identification of children and women suffering from or at risk of health-related issues. The impact on vital services for timely and quality maternal and child health care, psychosocial support, recreational and non-formal services, and on services to prevent and respond to gender-based violence (GBV) has been profound. In Bulgaria, UNICEF and its partners were able to take immediate measures with support from the ‘RM Child-Health’ initiative to alleviate the impact, including online awareness raising and information sessions and the use of different channels for communication, including social media. UNICEF’s partners, the Council of Refugee Women in Bulgaria (CRWB) and the Mission Wings Foundation (MWF) adapted service delivery to allow both face-to-face interaction (while maintaining social distancing for safety) as well as assistance online and by telephone. Partners were able to continue to provide direct social services support while also delivering online consultations to refugees and migrants on cases of violence, as well as referral to specialized services. In Greece, the initiative supported the development of child-friendly information posters and stickers for refugee and migrant children and their families on critical preventive measures and on what to do and where to go if they experience any COVID-19 symptoms. In Italy, the initiative has supported outreach teams and community mobilization, providing refugee and migrant families with the information and resources they need to keep the pandemic at bay. In Rome, for example, health promoters from Intersos continued to work directly with refugee and migrant communities in informal settlements, not only to prevent infection but also to keep their spirits high, as one health promoter explained: "We have organized housing modules that are not only designed to keep the community safe, but also to stop loneliness overwhelming the people forced into isolation. The entire community has assisted people affected by the virus by cooking, washing clothes and offering all possible support, particularly to the children."  UNICEF and its partners in Italy, as in other countries, have aimed to maintain continuity and unimpeded access to key services. Child protection, for example, has been mainstreamed into all project activities, and additional measures have been introduced, with a ramping up of activities to raise awareness and share information. UNICEF partners adapted quickly to the pandemic, with Médecins du Monde (MdM) activating a hotline number to provide remote counselling and psychological first aid (PFA). Centro Penc shifted to remote case management and individual psychological support, strengthening the capacity of cultural mediators to support GBV survivors, with UNICEF’s support. Young people were consulted and engaged through UNICEF’s online platform U-Report on the Move, with young U-reporters sharing information on the increased risks of GBV, as well as on available services. In Serbia, the initiative has supported UNICEF’s efforts to improve the immunization process for refugee children and migrants by strengthening the assessment and monitoring process. As a result of such efforts, refugees and migrants have been included in the national COVID-19 Immunization Plan.  
Document
01 September 2022
12 questions and answers about sexual and reproductive health and rights
https://www.unicef.org/eca/documents/questions-answers-sexual-reproductive-health
Sexual and reproductive health (SRH) education is a lifelong journey. Every year, the onset of adolescence changes the bodies of millions of girls and boys. Access to quality sexual and reproductive health information and services plays a crucial role in safeguarding the well-being of each adolescent, preparing them for a safe, productive and…, Preparing for a lifelong journey 1 Preparing for a lifelong journeyWe all go through massive changes at every stage of our development as human beings. As we move from one stage of our life to the next, our bodies, feelings, likes and dislikes change as we develop the attitudes and values that will guide our choices, relationships and behaviours.…
Article
18 November 2022
Reaching refugee and migrant children during COVID-19
https://www.unicef.org/eca/stories/reaching-refugee-and-migrant-children-during-covid-19
725 refugee and migrant children participated in UNICEF-supported psychosocial support sessions and referrals to specialized mental health services – almost 3 times more than the number originally targeted for the Initiative. 450 refugee and migrant children participated in UNICEF-supported gender-based violence (GBV) prevention activities and referral to national authorities’ GBV response services – 3 times more than the number originally targeted. Implementing partners: Centro Penc, INTERSOS, Medicins du Monde, Save the Children. The independent evaluation of the ‘RM Child-Health’ Initiative has taken stock of its impact in Italy since 2020. [2] It has confirmed that the Initiative’s preventive, cross-sectoral and comprehensive approach to health is helping to build long-term resilience. Italy is a prime example, as refugee flows into the country have changed in terms of their origins and arrival locations. More refugees are now arriving from Greece and Turkey, rather than via the North Africa route, and refugees are arriving in different locations, such as Calabria and Sardinia, rather than Lampedusa in Sicily. Some have landed on the shores of Roccella Ionica, for example, a small town of just 6,000 inhabitants in Calabria, where health facilities are limited. UNICEF and its partners have been able to draw on the experience of the ‘RM Child Health’ Initiative to create a resilient response by: mapping existing services at the regional level so partners can refer new arrivals setting up services at the disembarkation point as well as reception facilities, so the team at the disembarkation point can send key information to the team at the reception centre about the health needs of unaccompanied and separated refugee and migrant children, in particular. establishing networks of local authorities, service providers and non-governmental organizations to support the response drawing on the Initiative’s previous experience on psychological first aid, the information needs of refugees and migrants, and activities to reduce stress so that local partners have ‘ready-made’ solutions to offer new arrivals establishing a partnership with an association of cultural mediators that has a roster, enabling partners to mobilize mediators who speak different languages and who understand diverse cultures. The Initiative has also supported the mapping of best practices and ‘what works’ in mental health and psychosocial support (MHPSS) services for refugee and migrant children, as well as referral mechanisms. It has supported the development of materials in diverse languages that are now available for linguistic and cultural mediators, health workers, social workers and others. These include Q&As on subjects that are often sensitive and difficult for young refugees, migrants and even frontline workers to discuss, such as GBV and (in partnership with the United Nations Population Fund) sexual and reproductive health and rights. Most recently, the Initiative has supported the development, production and dissemination of clear information on menstrual hygiene. All materials have used clear, concise, user-friendly language to dispel the many myths and misconceptions around these issues. Realizing the greater difficulties faced by refugees and migrants in accessing services as a result of lockdowns, UNICEF’s partners in Italy continued to deliver remote and in-person health screenings and online psychological support and case management to those who were most vulnerable. [3] , [4] Brochures on immunization, GBV and mental health and MHPSS were disseminated during the COVID-19 pandemic, as well as short videos on all these topics, which are available through U-Report on the Move. [5] The impact often went beyond health itself: UNICEF has enhanced the capacity of partners on Protection Against Sexual Exploitation and Abuse (PSEA) [6] and shared indicators and tools to inform work with unaccompanied and separated children, strengthening the capacity of frontline staff to work with these children. [7] One partner also noted that support for documentation linked to COVID-19 resulted in more refugee and migrant children attending school (even if virtually) and a decrease in dropouts. [8]   This story is part of the Project ‘Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe’, Co-funded by the Health Programme of the European Union (the ‘RM Child-Health’ initiative). It represents the views of the author only and is her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the European Health and Digital Executive Agency (HaDEA) or any other body of the European Union. The European Commission and the Agency do not accept any responsibility for use that may be made of the information it contains. [1] Names of refugees and migrants have been changed to protect privacy. [2] IOD PARC , Evaluation of the UNICEF Project: Strengthening Refugee and Migrant Children’s Health Status in Southern and South-Eastern Europe [3] International Professional staff. [4] Italy: detailed Implementation Plan, revised 01062020. [5] U-Report is a digital platform that lets young migrants and refugees in Italy speak out on issues that matter to them and be heard by decision makers: U-Report On The Move | Linktree [6] International Professional staff. [7] Government representative. [8] International Professional staff.
Press release
04 May 2020
With financial support from the European Union UNICEF launches the ‘RM Child-Health’ project to strengthen vulnerable refugee and migrant children’s health
https://www.unicef.org/eca/press-releases/financial-support-european-union-unicef-launches-rm-child-health-project-strengthen
Logo Logo   BRUSSELS, GENEVA, 5 May 2020 – Under the Health Programme of the European Union, the Directorate General for Health and Food Safety has committed a project grant to  UNICEF to support work ensuring refugee and migrant children and their families have access to quality health care and accurate health information in Bulgaria, Greece, Italy, Spain, Bosnia Herzegovina and Serbia. Refugee and migrant children and their families often have more health-related risks and face a number of barriers accessing quality health care. Many children and families also live with severe emotional distress due to the trauma of fleeing home, undertaking dangerous journeys and experiencing abuse and exploitation, including sexual and gender-based violence. The global COVID19 pandemic further exacerbates these health challenges.  “With the ongoing pandemic, protecting every child and adult’s right to health care and accurate heath information is paramount. This collaboration with the EU Health Programme will help ensure the most vulnerable refugee and migrant children will have better access to primary healthcare services, psychosocial support as well as violence prevention and response services,” said UNICEF Regional Director for Europe and Central Asia and Special Coordinator for the Refuge and Migrant Response in Europe, Ms. Afshan Khan. The project ‘RM Child-Health’ will help improve the health of refugee and migrant children by improving their access to life-saving immunizations, mental health and psychosocial support, gender-based violence prevention and response activities as well as maternal and newborn health care and nutrition support. Information materials on health-related risks and services available for refugee and migrant populations will be created and shared. Medical interpreters and cultural mediators will be deployed to support communication between children and families and health care providers. The project ‘RM Child-Health’ will also support training programmes so frontline health care workers can better respond to the specific needs of refugee and migrant children and their families. In parallel, national health authorities will benefit from technical support to develop, update and improve the implementation of health policies and address bottlenecks in national health systems that currently prevent refugee and migrant children from accessing services. Refugee mother feeding her baby at ADRA community centre in Belgrade. UNICEF/UNI220342/Pancic
Programme
18 October 2017
Refugee and migrant children in Europe
https://www.unicef.org/eca/emergencies/refugee-and-migrant-children-europe
People have always migrated to flee from trouble or to find better opportunities. Today, more people are on the move than ever, trying to escape from climate change, poverty and conflict, and aided as never before by digital technologies. Children make up one-third of the world’s population, but almost half of the world’s refugees: nearly 50 million children have migrated or been displaced across borders.   We work to prevent the causes that uproot children from their homes While working to safeguard refugee and migrant children in Europe, UNICEF is also working on the ground in their countries of origin to ease the impact of the poverty, lack of education, conflict and insecurity that fuel global refugee and migrant movements. In every country, from Morocco to Afghanistan, and from Nigeria to Iraq, we strive to ensure all children are safe, healthy, educated and protected.  This work accelerates and expands when countries descend into crisis. In Syria, for example, UNICEF has been working to ease the impact of the country’s conflict on children since it began in 2011. We are committed to delivering essential services for Syrian families and to prevent Syria's children from becoming a ‘ lost generation ’. We support life-saving areas of health , nutrition , immunization , water and sanitation, as well as education and child protection . We also work in neighbouring countries to support Syrian refugee families and the host communities in which they have settled.   
Article
31 May 2021
Making the European Child Guarantee a Reality. Insights from testing the European Child Guarantee
https://www.unicef.org/eca/stories/making-european-child-guarantee-reality-insights-testing-european-child-guarantee
MARGARETA MADERIC State Secretary, Ministry of Labour, the Pension System, the Family and Social Policy European Union Margareta Mađerić was born on 2 July 1977 in Zagreb. After finishing high school, she enrolled in Zagreb School of Business where she obtained her bachelor’s degree in Marketing and Communication and worked as a marketing and communications manager before entering into politics. In 2005, as a member of Croatian Democratic Union (HDZ), Mađerić was elected to the Zagreb City Assembly, where she served three consecutive terms and served as president of the Deputy Club of the Croatian Democratic Union. In the 2013 local elections in Zagreb, she ran as the HDZ candidate for mayor, and in the 2015 Croatian parliamentary elections, Mađerić ran as a candidate for the Patriotic Coalition, led by the HDZ. She was a member of the Croatian Parliament and was named president of the Parliamentary committee for mandates and immunity, before she assumed the position of State Secretary in the Ministry for Demography, Family, Youth and Social policy. Following the 2020 parliamentary elections she continued to serve as State Secretary in the new Ministry of Labour, Pension system, Family and Social Policy. SAILA RUUTH Personal archive

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