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UNICEF's contribution to the adoption and implementation of option B+ for preventing mother-to-child transmission of HIV: a policy analysis.
Globalization and Health. 2018 Jun 1; 14(1):55.BACKGROUND: Between 2011 and 2013, global and national guidelines for preventing mother-to-child transmission (PMTCT) of HIV shifted to recommend Option B+, the provision of lifelong antiretroviral treatment for all HIV-infected pregnant women. METHODS: We aimed to analyse how Option B+ reached the policy agenda, and unpack the processes, actors and politics that explain its adoption, with a focus on examining UNICEF's contribution to these events. Analysis drew on published articles and other documentation, 30 key informants interviews with staff at UNICEF, partner organisations and government officials, and country case studies. Cameroon, India, South Africa and Zimbabwe were each visited for 5-8 days. Interview transcripts were analysed using Dedoose software, reviewed several times and then coded thematically. RESULTS: A national policy initiative in Malawi in 2011, in which the country adopted Option B+, rather than existing WHO recommended regimens, irrevocably placed the policy on the global agenda. UNICEF and other organisations recognised the policy's potential impact and strategically crafted arguments to support it, framing these around operational considerations, cost-effectiveness and values. As 'policy entrepreneurs', these organisations vigorously promoted the policy through a variety of channels and means, overcoming concerted opposition. WHO, on the basis of scanty evidence, released a series of documents towards the policy's endorsement, paving the way for its widespread adoption. National-level policy transformation was rapid and definitive, distinct from previous incremental policy processes. Many organisations, including UNICEF, facilitated these changes in country, acting individually, or in concert. CONCLUSIONS: The adoption of the Option B+ policy marked a departure from established processes for PMTCT policy formulation which had been led by WHO with the support of technical experts, and in which recommendations were developed following shifts in evidence. Rather, changes were spurred by a country-level initiative, and a set of strategically framed arguments that resonated with funders and country-level actors. This bottom-up approach, supported by normative agencies, was transformative. For UNICEF, alignment between the organisation's country focus and the policy's underpinning values, enabled it to work with partners and accelerate widespread policy change.
New York, New York, UNICEF, 2017. 6 p.West and Central Africa faces a unique set of challenges in its efforts to reduce the impact of child marriage – a high prevalence and slow rate of decline combined with a growing population of girls. This statistical snapshot showcases the latest data and puts forward recommendations on policy and actions to eliminate this practice.
New York, New York, UNICEF, 2017 Mar. 80 p.Climate change is one of many forces contributing to an unfolding water crisis. In the coming years, the demand for water will increase as food production grows, populations grow and move, industries develop and consumption increases. This can lead to water stress, as increasing demand and use of water strain available supplies. One of the most effective ways to protect children in the face of climate change is to safeguard their access to safe water and sanitation. This report shares a series of solutions, policy responses and case studies from UNICEF’s work around the world.
New York, New York, UNICEF, 2017 May. 64 p.Among the millions of children on the move worldwide, many – including hundreds of thousands of unaccompanied children and adolescents – undertake dangerous journeys. This report shows how the lack of safe and legal pathways for refugee and migrant children feeds a booming market for human smuggling and puts them at risk of violence, abuse and exploitation. Building on recent UNICEF policy proposals, it sets out ways that governments can better protect these vulnerable children.
New York, New York, UNICEF, 2017 Jul. 32 p.This report provides compelling new evidence that backs up an unconventional prediction UNICEF made in 2010: The higher cost of reaching the poorest children with life-saving, high-impact health interventions would be outweighed by greater results. This new study combines modelling and data from 51 countries. The results indicate that the number of lives saved by investing in the most deprived is almost twice as high as the number saved by equivalent investment in less deprived groups.
[New York, New York], UNICEF, 2017 May. 20 p.As part of a series highlighting the challenges faced by children in current crisis situations, this UNICEF Child Alert examines the impact of the reforms, economic growth and national reconciliation process in Myanmar. It also looks at the investments in children’s health, education and protection that Myanmar is making, and shows how children in remote, conflict-affected parts of the country have yet to benefit from them.
New York, New York, UNICEF, 2017 Sep. 92 p.This report presents data and outlines best practices and policies that can put governments on the path to providing every child with the best start in life. It outlines the neuroscience of early childhood development (ECD), including the importance of nutrition, protection and stimulation in the early years. And it makes the case for scaling up investment, evaluation and monitoring in ECD programmes. The report concludes with a six-point call to action for governments and their partners to help maximize the potential of the children who will build the future – by making the most of the unparalleled opportunities offered by the early moments in life.
Accelerating change by the numbers. 2016 annual report of the UNFPA-UNICEF Joint Programme on Female Genital Mutilation / Cutting: Accelerating change.
New York, New York, United Nations Population Fund [UNFPA], 2017 Jul. 92 p.The 2016 Annual Report for the UNFPA-UNICEF Joint Programme on Female Genital Mutilation / Cutting provides two perspectives. This main document, "By the Numbers," analyses progress in quantitative terms, using the Results Framework as a basis. It provides an account of how the budget was allocated and offers profiles of each of the 17 programme countries (excepting Yemen). The profiles present facts on the national context, summarize key achievements, and share operational and financial information.
New York, New York, United Nations Population Fund [UNFPA], 2017. 80 p.The 2016 Annual Report for the UNFPA-UNICEF Joint Programme on Female Genital Mutilation / Cutting provides two perspectives: The main document analyses progress in quantitative terms, provides an account of how our budget was allocated and offers profiles of each of the 17 programme countries. This companion booklet uses a qualitative and narrative approach to examine more specifically the challenges, complexities and achievements on the ground. It explores the innovative approaches the Joint Programme teams, partners and activists employ to deconstruct the social norms that allow FGM / C to continue in many communities.
Geneva, World Health Organization [WHO], 2017. 114 p.This report presents the first ever estimates of the population using ‘safely managed’ drinking water and sanitation services – meaning drinking water free from contamination that is available at home when needed, and toilets whereby excreta are treated and disposed of safely. It also documents progress towards ending open defecation and achieving universal access to basic services. The report identifies a number of critical data gaps that will need to be addressed in order to enable systematic monitoring of Sustainable Development Goal (SDG) targets and to realize the commitment to ‘leave no one behind’.
Piloting L3M for child marriage: Experience in monitoring results in equity systems (MoRES) in Bangladesh.
Bethesda, Maryland, Abt Associates Inc., Health Finance & Governance Project, 2014 Sep. 100 p.Monitoring Results for Equity Systems (MoRES) is UNICEF’s global monitoring framework that was recently introduced in Bangladesh and other countries. MoRES proposes a hierarchy of information to facilitate the monitoring and evaluation of UNICEF programs. Level 1 corresponds to a situational analysis, which intends to identify the major bottlenecks and barriers to the achievement of UNICEF goals. Level 2 creates a routine approach for monitoring implementation of UNICEF programs. Level 3-which is the subject of this report-monitors the extent to which UNICEF programs contribute to reductions in the barriers and bottlenecks identified in Level 1. Finally, Level 4 monitoring measures the impact of UNICEF programs on the broader goals. The level 3 monitoring approach (L3M) pilot for child marriage described in this report focuses on examining how two of UNICEF’s Child Protection activities -adolescent stipends and conditional cash transfers - contribute to reductions in three priority bottlenecks: social norms, financial access, and legislation/policy. The pilot contributes the methodology and content required for UNICEF to conduct regular, routine monitoring of its Child Protection Program, as part of an office-wide L3M exercise at UNICEF-Bangladesh. (excerpt)
New York, New York, UNICEF, 2017 Jun. 84 p.This report details the results achieved by UNICEF for and with children worldwide in 2016. It covers the organization’s programme work, humanitarian action, partnerships and advocacy efforts in all strategic sectors, with an emphasis on reaching every child and accelerating progress for the most vulnerable and disadvantaged girls and boys. The report also highlights UNICEF’s innovations, its efforts to improve efficiency and effectiveness, and the stories of individual children and families directly affected by UNICEF’s work in the course of its 70th anniversary year.
Caring for newborns and children in the community. Planning handbook for programme managers and planners.
Geneva, Switzerland, World Health Organization, Department of Maternal, Newborn, Child and Adolescent Health, 2015. 168 p.Prevention and treatment services need to be brought closer to children who are not adequately reached by the health system. To help meet this need, WHO and UNICEF have developed state-of-the-art packages to enable community health workers to care for pregnant women, newborns and children. Caring for Newborns and Children in the Community comprises three packages of materials for training and support of CHWs. Countries will assess their current community-based services and choose to what extent they are able to implement these packages for improving child and maternal health and survival: (1) Caring for the newborn at home, (2) caring for the child's healthy growth and development, (3) caring for the sick child in the community.
WASH’Nutrition: A practical guidebook on increasing nutritional impact through integration of WASH and nutrition programmes for practitioners in humanitarian and developent contexts.
Paris, France, Action Contre la Faim [ACF], 2017. 156 p.Undernutrition is a multi-sectoral problem with multi-sectoral solutions. By applying integrated approaches, the impact, coherence and efficiency of the action can be improved. This operational guidebook demonstrates the importance of both supplementing nutrition programmes with WASH activities and adapting WASH interventions to include nutritional considerations i.e. making them more nutrition-sensitive and impactful on nutrition. It has been developed to provide practitioners with usable information and tools so that they can design and implement effective WASH and nutrition programmes. Apart from encouraging the design of new integrated projects, the guidebook provides support for reinforcing existing integrated interventions. It does not provide a standard approach or strict recommendations, but rather ideas, examples and practical tools on how to achieve nutrition and health gains with improved WASH. Integrating WASH and nutrition interventions will always have to be adapted to specific conditions, opportunities and constrains in each context. The guidebook primarily addresses field practitioners, WASH and Nutrition programme managers working in humanitarian and development contexts, and responds to the need for more practical guidance on WASH and nutrition integration at the field level. It can also be used as a practical tool for donors and institutions (such as ministries of health) to prioritise strategic activities and funding options. (Excerpt)
New York, New York, UNICEF, 2016 Dec. 92 p.Despite remarkable achievements in the prevention and treatment of HIV, this report finds that progress has been uneven globally. In 2015, more than half of the world’s new infections (1.1 million out of 2.1 million) were among women, children and adolescents, and nearly 2 million adolescents aged 10-19 were living with HIV. In sub-Saharan Africa, the region most impacted by HIV, three in four new infections in 15-19-year-olds were among girls. The report proposes strategies for preventing HIV among women, children and adolescents who have been left behind, and treating those who are living with HIV.
Towards a grand convergence for child survival and health: A strategic review of options for the future building on lessons learnt from IMNCI.
Geneva, Switzerland, World Health Organization [WHO], 2016 Nov. 78 p.This strategic review provides direction to the global child health community on how to better assist countries to deliver the best possible strategies to help each child survive and thrive. Over the past quarter century, child mortality has more than halved, dropping from 91 to 43 deaths per 1000 live births between 1990 and 2015. Yet in 2015 an estimated 5.9 million children still died before reaching their fifth birthday, most from conditions that are readily preventable or treatable with proven, cost-effective interventions. The review took as its departure point the implementation of Integrated Management of Childhood Illness (IMCI), developed by WHO and UNICEF in 1995 as a premier strategy to promote health and provide preventive and curative services for children under five in countries with greater than 40 deaths per 1000 live births. It includes contributions from over 90 countries and hundreds of experts in child health and related areas, with 32 specifically commissioned pieces of analysis. The final product represents a collaboration of child health experts worldwide, working together to examine past lessons and propose an agenda to stimulate momentum for improving care for children.
2015 Nov; New York, New York, UNICEF, 2015 Nov. 84 p.This report aims to build the evidence base on children and climate change by focusing on the major climate-related risks; children’s current and future exposure to these risks; and the policies required to protect children from these risks. The report has three sections. The first section explores the major climate-related risks and their potential impacts on children – how climate change might influence the burden of disease for children – and examines the cumulative impact of repetitive crises on children and families. The second section examines how children may be affected under various scenarios of action - from business-as-usual to ambitious action in addressing climate change. The final section outlines a series of broad policy recommendations to prevent further global warming, decrease children’s exposure and increase their resilience to climate change and environmental risks.
2016 Nov; New York, New York, UNICEF, 2016 Nov. 77 p.Pneumonia and diarrhoea are responsible for the unnecessary loss of 1.4 million children each year. This report highlights current pneumonia and diarrhoea related mortality, and illustrates the startling divide between the children being reached and the considerable number of those left behind. By developing key protective, preventative and treatment interventions, collectively we are now equipped with the knowledge and the tools required to preventing child deaths due to these leading childhood killers. The report also provides recommendations to further accelerate progress in effective interventions and bridge the greatest gaps in equity.
2016 Oct; New York, New York, UNICEF, 2016 Oct. 100 p.This report looks at how children, particularly the most disadvantaged, are affected by air pollution. It points out that around 300 million children live in areas where the air is toxic – exceeding international limits by at least six times – and that children are uniquely vulnerable to air pollution, breathing faster than adults on average and taking in more air relative to their body weight. The report also notes that air pollution is a major contributing factor in the deaths of around 600,000 children under age 5 every year and threatens the health, lives and futures of millions more. It concludes with a set of concrete steps to take so that children can breathe clean, safe air.
From the first hour of life: making the case for improved infant and young child feeding everywhere.
2016 Oct; New York, New York, UNICEF, 2016 Oct. 104 p.Food and feeding practices from birth to age 2 have a profound impact on the rest of a child’s life. Good nutrition helps children exercise their rights to grow, learn, develop, participate and become productive members of their communities. This report provides a global status update on infant and young child feeding practices, and puts forth recommendations for improving them.
Marketing of breast-milk substitutes: National implementation of the international code. Status report 2016.
Geneva, Switzerland, WHO, 2016.  p.This report provides updated information on the status of implementing the International Code of Marketing of Breast-milk Substitutes and subsequent relevant World Health Assembly resolutions (“the Code”) in and by countries. It presents the legal status of the Code, including -- where such information is available -- to what extent Code provisions have been incorporated in national legal measures. The report also provides information on the efforts made by countries to monitor and enforce the Code through the establishment of formal mechanisms. Its findings and subsequent recommendations aim to improve the understanding of how countries are implementing the Code, what challenges they face in doing so, and where the focus must be on further efforts to assist them in more effective Code implementation.
New York, New York, UNICEF, Program Division, Health Section, Knowledge Management and Implementation Research Unit, 2014 Jul.  p. (Maternal, Newborn and Child Health Working Paper)In addition to a comprehensive literature review, the study used a cross-sectional survey with close- and open-ended questions administered to UNICEF Country Offices and public sector key informants to investigate and map CHW characteristics and activities throughout the region. Responses were received from 20 of the 21 UNICEF Country Offices in the UNICEF East and Southern Africa region in May-June 20013. Data on 37 cadres from across the 20 countries made up of nearly 266,000 CHWs form the basis of this report. This report catalogues the types and characteristics of CHWs, their relationship to the broader health system, the health services they provide and geographic coverage of their work.
New York, New York, UNICEF, 2016 Jun.  p.Every child has the right to health, education and protection, and every society has a stake in expanding children’s opportunities in life. Yet, around the world, millions of children are denied a fair chance for no reason other than the country, gender or circumstances into which they are born. The State of the World’s Children 2016 argues that progress for the most disadvantaged children is not only a moral, but also a strategic imperative. Stakeholders have a clear choice to make: invest in accelerated progress for the children being left behind, or face the consequences of a far more divided world by 2030. At the start of a new development agenda, the report concludes with a set of recommendations to help chart the course towards a more equitable world.
New York, New York, UNICEF, Data and Analytics Section, 2015. 8 p.This report provides an overview of key facts about child marriage in Africa. While rates of child marriage are slowly decreasing across the continent, the rate of progress combined with population growth means there will not be a substantial reduction in the number of child brides. If current trends continue, almost half of the world’s child brides in 2050 will be African.
UNICEF Training Package for Scaling Up Skilled Community Infant and Young Child Feeding Counselors: Zimbabwe Experience.
Journal of Nutrition Education and Behavior. 2015 May-Jun; 47(3):286-9.Add to my documents.