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Page
24 Квітень 2019
World Immunization Week 2019
https://www.unicef.org/eca/health/immunization/world-immunization-week-2019
Vaccines act as a shield, protecting children and newborn babies from dangerous diseases and saving up to 3 million lives each year. Yet, there are still nearly 20 million unvaccinated and under-vaccinated children in the world today. These children are at risk of serious illness, complications, and even death. Many parents want to vaccinate their children, but can’t because they don’t have access to healthcare. But increasingly, some parents are choosing not to. This reluctance often stems from misconceptions about vaccines, or complacency about the likelihood of getting infected. That’s why staying informed about the benefits of vaccines – and the risks of not getting vaccinated – is more important than ever. This World Immunization Week, UNICEF is launching a global campaign to emphasize the power and safety of vaccines among parents and social media users. From 24-30 April, the Bill & Melinda Gates Foundation will contribute US$1 to UNICEF for every like or share of social media posts using the hashtag #VaccinesWork, up to US$1 million, to ensure all children get the life-saving vaccines they need. Help protect children from deadly diseases by telling parents around the world,  #VaccinesWork !  
Page
13 Квітень 2023
A quick look: the state of routine immunization in Europe and Central Asia
https://www.unicef.org/eca/quick-look-state-routine-immunization-europe-and-central-asia
Immunization allows children everywhere to live lives free of many forms of disability and illness. UNICEF's  The State of the World’s Children 2023 highlights the current situation of immunization for children globally. UNICEF's regional brief for Europe and Central Asia demonstrate that public demand, scientific innovations and – perhaps above all – political will can drive rapid change.  Now is a time for determination. Now is a time for political will. Now is the time to protect the health of  every  child. Girl receiving a HPV vaccine. 67 million children Between 2019 and 2021, 67 million children across the world missed out on routine vaccinations. 2-month-old gets vaccinated by Nurse as part of his routine childhood immunization session. 327,400 children 327,400 are “zero-dose” and “under-vaccinated” children. That means they have not received any vaccinations or the third required dose of the diphtheria-pertussis-tetanus (DPT3) vaccine. Nurse in office 29 countries 29 countries in the region found a decrease in the perception of the importance of vaccines for children. 3-month-old gets vaccinated in Tajikistan One million Nearly one million of children who missed one or several routine vaccinations live in Europe and Central Asia.
Article
24 Липень 2023
Hints of progress in immunisation recovery across Europe and Central Asia mask a worrying trend
https://www.unicef.org/eca/stories/hints-progress-immunisation-recovery-across-europe-and-central-asia-mask-worrying-trend
The largest decline in childhood vaccinations in three decades has been among the many fallouts of the COVID-19 pandemic, with potentially dangerous repercussions for children and societies. New data released this week show promising signs of recovery in some countries, including across Europe and Central Asia as countries stepped up immunisation efforts to address the backsliding. The majority of countries in the region have made gains and are progressing towards achieving regional targets. While there are hints of the trend lines heading in a positive direction among ‘zero-dose’ and under vaccinated’ children in Europe and Central Asia, pre-pandemic vaccination coverage is yet to be achieved. Additionally, more efforts are required to improve measles vaccine coverage. There has been virtually no progress in decreasing the number of zero-dose children – those who have not received the first dose of diphtheria tetanus and pertussis (DTP1). In 2022, there were 174,000 zero-dose children, just 4,000 less than 178,000 in 2021. Ukraine and Romania are home to the highest proportion of zero-dose children across the region at 53 per cent. Another concerning trend is declining measles vaccine coverage. In 2022, regional coverage of immunization against the first dose of measles vaccine (MCV1) declined by 1 percentage point to 93 per cent – 2 percentage points below the required coverage rate needed to prevent outbreaks. In 11 countries in the region, there was an increase in MCV1 coverage. Montenegro, which has the lowest rates of children vaccinated with MCV1, gained 15 percentage points in coverage between 2021 and 2022. Ukraine suffered a decline of 14 percentage points, contributing to the reduction of MCV1 coverage seen in the region. Regional coverage for the second dose of measles vaccine (MCV2) also declined by 1 percentage point to 92 per cent compared with 2021. The highest decrease in coverage was seen in Ukraine, with a 17-percentage point decline. Montenegro saw a 9-percentage point decline.  The region made some gains in DTP3 coverage with the number of under-vaccinated children – those who haven’t received three doses of the Diphtheria-Tetanus-Pertussis vaccine – reduced by 20,000 between 2021 and 2022. The war in Ukraine has contributed to little progress in increasing vaccination coverage across the region, inequities and vaccine hesitancy are also to blame. Efforts are needed to reach every child with vaccines, especially children from marginalised groups including Roma children, children affected by the war in Ukraine, and refugee children across the region. More work must be done to ensure access to quality immunization services and support parents and other caregivers to ensure their children are vaccinated. Routine immunization is a fundamental pillar of primary healthcare, making it an opportune platform to accelerate progress in other related health sectors in Europe and Central Asia.
Article
24 Січень 2019
Protecting children against measles in Romania
https://www.unicef.org/eca/stories/protecting-children-against-measles-romania
Parents living in Strehaia, a Roma community in South-West Romania, nod and smile in relief after watching a short video shown by their local physician on the benefits of immunizing their children. The physician answers questions from the parents before they gather their children and move to the next room where all of the children are vaccinated. The children range in age from young toddlers to 18 years old. The young ones hold their mothers’ hands tightly, but the older ones laugh and ask to watch the film again. The film is part of UNICEF Romania’s ongoing support to the Ministry of Health’s efforts to increase immunization coverage and prevent the spread of measles. Vaccination coverage in Romania has declined since 2000. In 2017, only 75 per cent of children had received two doses of Measles, Mumps and Rubella (MMR) vaccine – a coverage rate far below the recommended 95 per cent needed to protect all children. As a result of low immunization coverage, Romania has experienced a measles outbreak, with over 15,000 people affected since 2016. This includes 59 deaths, the majority being children. As part of ongoing efforts to increase immunization coverage, in July 2018 Romania’s Ministry of Health launched a door-to-door catch up campaign to vaccinate children who missed their vaccinations. In support, UNICEF developed a series of materials to provide parents with easy to understand, factual information about the benefits and process of children being immunized. These materials include the short film watched by families in Strehaia. The film is shown to parents and families in the most vulnerable communities in Romania - people living in hard to reach areas, those affected by poverty, and Roma communities. These communities often have children with the lowest rates of immunization. The film talks about the necessity and benefits of vaccination and, at the same time, addresses the most common vaccine-related questions from parents: Is it safe to vaccinate my child? What if she/he catches another disease? What if my child gets sick after the vaccination? Is the vaccine free of charge? A girl is vaccinated at a community center in Buhuși, in Eastern Romania as part of the UNICEF and WHO supported immunization catch-up campaign. A girl is vaccinated at a community center in Buhuși, in Eastern Romania as part of the UNICEF and WHO supported immunization catch-up campaign. “In the beginning parents did not want to vaccinate their children, but then they put their trust in us. We told them vaccines are good and we encouraged them to ask the doctor all the questions they have during the campaign. So they were able to have a clear picture on the benefit of vaccination,” said Gabriela Stan, a health mediator in the town of Buhuși, in Eastern Romania. Gabriela was part of the team that went door-to-door to inform parents from vulnerable communities about the benefits of vaccination. Although there have been positive developments in reaching vulnerable children with lifesaving MMR immunizations over the past few months in Romania, until the coverage rate reaches 95 per cent, children will remain at risk.  
Статья
01 Лютий 2019
Защита детей от кори в Румынии
https://www.unicef.org/eca/ru/%D0%9D%D0%BE%D0%B2%D0%BE%D1%81%D1%82%D0%BD%D1%8B%D0%B5-%D0%B7%D0%B0%D0%BC%D0%B5%D1%82%D0%BA%D0%B8/%D0%B7%D0%B0%D1%89%D0%B8%D1%82%D0%B0-%D0%B4%D0%B5%D1%82%D0%B5%D0%B9-%D0%BE%D1%82-%D0%BA%D0%BE%D1%80%D0%B8-%D0%B2-%D1%80%D1%83%D0%BC%D1%8B%D0%BD%D0%B8%D0%B8
Родители из общины рома, проживающей в городе Стрехае на юго-западе Румынии, кивают и с облегчением улыбаются после просмотра короткого видеоролика о пользе иммунизации для их детей, показанного местным врачом. Врач отвечает на вопросы родителей, прежде чем они вместе со своими детьми перейдут в следующий кабинет, где всем детям будет проведена вакцинация. Здесь дети разного возраста: те, кто только начинает ходить, и те, кому уже исполнилось 18 лет. Самые маленькие крепко держат своих мам за руку, а те, кто постарше, улыбаются и просят посмотреть фильм еще раз. Производство и показ данного фильма осуществляется в рамках программы ЮНИСЕФ в Румынии по поддержке усилий министерства здравоохранения страны, направленных на повышение показателей охвата иммунизацией и предотвращение распространения кори. С 2000 года показатели охвата иммунизацией в Румынии значительно снизились. В 2017 году только 75 процентов детей получили две дозы вакцины MMR - комбинированной вакцины против кори, эпидемического паротита и краснухи. Этот показатель намного ниже рекомендованных 95 процентов, необходимых для защиты всех детей. В результате низких показателей охвата иммунизацией в Румынии произошла вспышка кори. В 2016 году ею заболели более 15 000 человек, из которых 59 человек умерли. Большинство из них составили дети. В рамках непрекращающихся усилий по повышению охвата детей иммунизацией, в июле 2018 года стартовала организованная министерством здравоохранения Румынии кампания по вакцинации детей, которые не были привиты. Для информирования населения о важном значении иммунизации участники кампании ходили по домам. В целях поддержки данной кампании ЮНИСЕФ разработал серию информационных материалов, предоставляющих предоставить родителям фактическую информацию о преимуществах и самом процессе иммунизации детей в доступной для понимания взрослых форме.   В состав этих информационных материалов входит короткометражный фильм, который посмотрели семьи в Стрехае. Фильм демонстрируется семьям из наиболее уязвимых общин Румынии - родителям, живущим в труднодоступных районах, семьям, пострадавшим от нищеты, и общинам рома. Показатели иммунизации среди детей в этих общинах чаще всего самые низкие по стране. В этом фильме рассказывается о необходимости и преимуществах вакцинации, и одновременно даются ответы на часто задаваемые и волнующие родителей вопросы относительно вакцинации: Безопасно ли делать прививку моему ребёнку? Что делать, если она/он заболеют другой болезнью? Что, если мой ребёнок заболеет после прививки? Эта прививка бесплатна? A girl is vaccinated at a community center in Buhuși, in Eastern Romania as part of the UNICEF and WHO supported immunization catch-up campaign. Девочка получает прививку в общинном центре в Бухуши, в восточной Румынии, в рамках кампании по проведению вакцинации детям, которые её не прошли. Эта кампания проводится при поддержке ЮНИСЕФ и ВОЗ. «Вначале родители не хотели прививать своих детей, но потом они доверились нам. Мы рассказали родителям о пользе прививок и попросили их задавать врачу все вопросы, которые могут возникнуть у них в ходе проведения кампании. Таким образом, родители смогли получить чёткое представление о пользе вакцинации», - сказала Габриэла Стан, медицинский работник в городе Бухуши, в Восточной Румынии. Габриэла была членом группы, ходившей по домам, для того чтобы информировать родителей из уязвимых сообществ о преимуществах вакцинации.   И хотя за последние несколько месяцев в Румынии произошли положительные сдвиги в деле  вакцинации уязвимых детей спасающей жизни прививкой MMR, дети будут по-прежнему находиться в опасности до тех пор, пока охват иммунизацией не достигнет 95 процентов. ЮНИСЕФ в Румынии будет и впредь помогать в проведении информационно-разъяснительных кампаний о важном значении и необходимости вакцинации и поощрять всех родителей и лиц, обеспечивающих уход за детьми, к своевременному проведению этой профилактической процедуры. Таким путём они смогут защитить своих детей от болезней, предотвратимых с помощью вакцинации.  
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11 Липень 2022
Busted: 14 myths about breastfeeding
https://www.unicef.org/eca/node/4011/busted-14-myths-about-breastfeeding
1. Myth? Breastfeeding is easy. Babies are born with the reflex to look for their mother’s breast. However, many mothers need practical support with positioning their baby for breastfeeding and making sure their baby is correctly attached to the breast. Breastfeeding takes time and practice for both mothers and babies. Breastfeeding is also time intensive, so mothers need space and support at home and work.   2. Myth? It’s usual for breastfeeding to hurt – sore nipples are inevitable. Many mothers experience discomfort in the first few days after birth when they are learning to breastfeed. But with the right support with positioning their baby for breastfeeding and making sure their baby is correctly attached to the breast, sore nipples can be avoided. If a mother faces breastfeeding challenges like sore nipples, support from a lactation consultant or other skilled professional can help them overcome the issue.   3. Myth? You should wash your nipples before breastfeeding. Washing your nipples before breastfeeding isn’t necessary. When babies are born, they are already very familiar with their own mother’s smells and sounds. The nipples produce a substance that the baby smells and has ‘good bacteria’ that helps to build babies’ own healthy immune system for life. Мать кормит грудью своего ребенка в Центре семейной медицины № 1 города Ош, Кыргизстан. Did you know? Breastfeeding protects your baby from ear infections, diarrhoea, pneumonia and other childhood diseases. 4. Myth? You should separate a newborn and mother to let the mother rest.  Doctors, nurses and midwives often encourage the practice of ‘skin-to-skin’ – also known as kangaroo mother care – immediately after birth. Bringing your baby in direct contact, so their skin is against yours, is a very important practice that helps them to find and attach to the breast. If you can practice this within one hour after birth and then frequently after, it helps to establish breastfeeding. If the mother cannot do this, then the partner or another family member can step in.   5. Myth? You should only eat plain food while breastfeeding. Like everybody else, breastfeeding mothers need to eat a balanced diet. In general, there is no need to change food habits. Babies are exposed to their mothers’ food preferences from the time they are in the womb. If a mother perceives that her baby reacts to a specific food she eats, it is best to consult a specialist.    6. Myth? Exercise will affect the taste of your milk. Exercise is healthy, also for breastfeeding mothers. There is no evidence that it affects the taste of your milk.    7. Myth? You won’t be able to breastfeed unless you do it straight away. It is easier to get breastfeeding started if you begin in the first hour after birth because a baby’s reflexes are very strong at that time. They are ready to learn to feed at the breast. If you do not latch your baby on right after birth, do it as soon as possible in your situation. If you need help putting your baby to the breast, ask for support from a qualified lactation consultant or other skilled professional. Frequent skin-to-skin contact and putting your baby to the breast will help to get breastfeeding going. Did you know? Breastfeeding protects the mother from diabetes, breast and ovarian cancers, heart disease and postpartum depression. Мать кормит своего ребенка грудью, а отец и старший сын поддерживают их 8. Myth? You can never use formula if you want to breastfeed.  Mothers may decide they need to use formula on some occasions, while continuing to breastfeed. It is important to seek unbiased information on formula and other products that replace breastmilk. To keep breastmilk production going, continue offering the breast to your baby as often as possible. It can be useful for mothers to consult a lactation specialist or skilled professional to help with a plan that works best for them to continue breastfeeding.   9. Myth? Many mothers can’t produce enough milk.  Almost all mothers produce the right amount of milk for their babies. Breastmilk production is determined by how well the baby is latched on to the breast, the frequency of breastfeeding and how well the baby is removing milk with each feeding. Breastfeeding isn’t a ‘one woman’ job and mothers need support. Support like ongoing breastfeeding guidance from health care providers, help at home, and staying healthy by eating and drinking well.   10. Myth? You shouldn't breastfeed if you’re sick. Depending on the kind of illness, mothers can usually continue breastfeeding when they’re sick. You need to make sure you get the right treatment, and to rest, eat and drink well. In many cases, the antibodies your body makes to treat your disease or illness will pass on to your baby, building his or her own defences.   11. Myth? You can’t take any medication if you’re breastfeeding. It’s important to inform your doctor that you are breastfeeding and to read the instructions with any medications you buy over the counter. It might be necessary to take medications at a specific time or in a specific dosage, or to take an alternative formulation. You should also tell the baby’s doctor about any medications that you’re taking. 25 июня 2015 г. мать кормит грудью своего ребенка на собрании группы поддержки грудного вскармливания в Центре здоровья в Беловаре, Хорватия. Did you know? The ‘first milk’ – or colostrum – is rich in antibodies and gives newborns an immunity boost while their own immune systems are still developing. 12. Myth? Babies who have been breastfed are clingy. All babies are different. Some are clingy and some are not, no matter how they are fed. Breastfeeding provides not only the best nutrition for infants, but is also important for their developing brain. Breastfed babies are held a lot and because of this, breastfeeding has been shown to enhance bonding with their mother.   13. Myth? It’s hard to wean a baby if you breastfeed for more than a year. There’s no evidence that it is more difficult to stop breastfeeding after one year, but there is evidence that breastfeeding up to two years is beneficial for both mothers and children. All mothers and babies are different and need to determine together how long they want to breastfeed.   14. Myth? If you go back to work, you’ll have to wean your baby. Many mothers continue breastfeeding after going back to work. First, check the policies in your country and your own workplace. If you have the right to time and a place to breastfeed during working hours, you may be able to go home and breastfeed, ask a family member or friend to bring your baby to you, or to express your milk and take it home. If you don’t have the option to breastfeed during working hours, look for moments during the day to express your milk and then feed your baby directly when you are at home. If you decide to give your baby a breastmilk substitute for some feeds, it still very good to continue breastfeeding whenever you are with your baby. This article was developed in collaboration with Dr. Michele Griswold PhD, MPH, RN, IBCLC. Dr Griswold is a lactation consultant, registered nurse, breastfeeding researcher and advocate. She represents the  International Lactation Consultant Association  to the WHO/UNICEF  Global Breastfeeding Collective , which calls on governments and society as a whole to provide mothers the support they need to breastfeed.
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02 Липень 2020
‘RM Child-Health’: safeguarding the health of refugee and migrant children in Europe
https://www.unicef.org/eca/rm-child-health-safeguarding-health-refugee-and-migrant-children-europe
More than 1.3 million children have made their way to Europe since 2014, fleeing conflict, persecution and poverty in their own countries. They include at least 225,000 children travelling alone – most of them teenage boys – as well as 500,000 children under the age of five. In 2019 alone, almost 32,000 children (8,000 of them unaccompanied or separated) reached Europe via the Mediterranean after perilous journeys from Syria, Afghanistan, Iraq and many parts of Africa – journeys that have threatened their lives and their health. Many have come from countries with broken health systems, travelling for months (even years) with no access to health care and facing the constant risks of violence and exploitation along the way. Many girls and boys arriving in Europe have missed out on life-saving immunization and have experienced serious distress or even mental health problems. They may be carrying the physical and emotional scars of violence, including sexual abuse. The health of infants and mothers who are pregnant or breastfeeding has been put at risk by a lack of pre- and post-natal health services and of support for child nutrition. Two girls wash a pot in the common washing area of the Reception and Identification Centre in Moria, on the island of Lesvos, in Greece. Two girls wash a pot in the common washing area of the Reception and Identification Centre in Moria, on the island of Lesvos, in Greece. Child refugees and migrants also face an increased health risk as a result of crowded and unhygienic living conditions during their journeys and at their destinations. Even upon their arrival in Europe, refugee and migrant children and families often face continued barriers to their health care, such as cultural issues, bureaucracy, and a lack of information in their own language. Southern and South East European countries are at the heart of this challenge, struggling to meet the immediate needs of vulnerable refugee and migrant children. And now, an already serious problem is being exacerbated by the COVID-19 pandemic. Refugee checks on his son
Article
08 Квітень 2021
Navigating pregnancy during the COVID-19 pandemic
https://www.unicef.org/eca/stories/navigating-pregnancy-during-covid-19-pandemic
Many expectant mothers are fearful of going to appointments while they are taking precautions, such as staying home and practicing physical distancing when outside. “You do see a lot of adaptation happening at the moment in the world where midwives are doing clinics or certain appointments by phone, so that the actual looking at the baby and the growth of the baby appointment can be short,” says Cadée. “I expect that pregnant women will find they’re seeing their healthcare professional less, to protect them and the healthcare professional from getting infected and that they will be seen live when it’s necessary.” Modifications may also be tailored for individual patients depending on their respective conditions, for example lower vs. higher-risk pregnancies. Cadée advises mothers to find out what options are available to them from their healthcare professional and in their communities. “The person who’s taking care of you is perfectly geared to you and your own needs, so your midwife or obstetrician will know best.” 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. >>  How to get routine childhood vaccinations during COVID-19  
Article
29 Січень 2021
Strengthening national health capacity for refugee and migrant children
https://www.unicef.org/eca/stories/strengthening-national-health-capacity-refugee-and-migrant-children
“This collaboration is helping to stimulate public demand for strong national health systems that work for everybody and that rise to new challenges, such as disease outbreaks.” Afshan Khan, UNICEF Regional Director The ‘RM Child-Health’ initiative has supported work across five European countries to enhance and strengthen the capacity of national health systems to meet the health needs of refugee and migrant children. This work recognizes that a health system that works for such vulnerable children is a health system that works for every child. At first glance, helping a 10-year girl from Iran, now living in Bosnia and Herzegovina, get a new pair of glasses might seem a simple thing. For Maisa, however, this is the end result of a continuum of intensive support, from identifying a girl who struggles with an eye condition, to connecting her to a skilled ophthalmologist. And now Maisa stands in front of a mirror, trying on the glasses that will enhance her life, learning and play. Such a momentous day is only possible when an established health system is equipped to accommodate and respond to the complex needs of refugee and migrant children. Support from the ‘RM Child-Health’ initiative aims to reinforce and enhance health systems across five European countries (Bosnia and Herzegovina, Bulgaria, Greece, Italy and Serbia) so that these systems can deliver the high-quality services that are the right of every child – and that every child needs, regardless of their origins. The aim: to ensure that health systems catch every refugee and migrant child who is in danger of slipping through the gaps. And there are additional benefits: a health system that works for these vulnerable and excluded children is a health system that works for every child, and that can reach those who are so often the very hardest to reach. This 24-month, €4.3 million initiative, which was launched in January 2020 by the European Union Directorate-General for Health and Food Safety, aims to strengthen the capacity of health systems to deliver health care to refugee and migrant children. That means ensuring access to life-saving immunization, to mental health and psycho-social support, and services to prevent and respond to gender-based violence, as well as maternal and new-born health care and nutrition. Stronger health systems are needed to overcome the bottlenecks that confront so many refugee and migrant families when they try to access health care. “ The profound challenges that often confront populations – especially children – on the move can include cultural and language barriers, stigma and discrimination on the part of health providers, and a lack of detailed medical records or paperwork,” says Dr. Basil Rodriques, UNICEF Regional Health Advisor. “They may also have their own reasons to distrust state-provided services, including fears of deportation.”

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