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Global Annual Results Report (Goal Area 1) GOAL AREA 1 Every child survives and thrives Global Annual Results Report 2018 Cover image: © UNICEF/UN0233018/Mawa Page 72: © UNICEF/UN0248606/ Tania Begum with her 14-day-old child Alif at her mother’s house Eight-month-old Awa Tamboura is measured for malnutrition at in Haktullah village, Badarpur union, Patuakhali district of southern the Reference Health Centre in Bamako, Mali. Upon admission, Bangladesh. At nine days old, Alif was successfully treated for a she weighed only 4kg. cold, eye infection and jaundice at a special care newborn unit of Patukhali Sadar Hospital. (April 2018) Page 122: © UNICEF/UN0252821/Schermbrucker Asse, 14 years old, while free of HIV, is one of Cameroon’s many Expression of thanks page: © UNICEF/UN0243334/Pasquall adolescents affected by HIV and AIDS. Her father recently died A boy plays and learns at a UNICEF-supported early childhood from AIDS-related infection, and her mother is living with HIV. development centre in Ulaanbaatar, Mongolia. UNICEF improves Cameroon is one of 10 countries in Africa that have benefitted the quality of education, by investing in training for teachers and from UNICEF’s point-of-care technologies project. providing toys and learning materials. This centre is in a ger, a traditional Mongolian living structure. (September 2018) Page 160: © UNICEF/UN0198980/Noorani A girl displays her work at an early education community centre in Page 2: © UNICEF/UN0268646/Dicko Djibouti. UNICEF has provided support to the Ministry of Women Yatè Seyba, 3 years old, plays with her Tam-tam at the early and Family to establish early learning community centres. childhood development centre in the village of Kendie in Mali. Only 3 per cent of children have access to pre-school services Page 176: © UNICEF/UN0216371/Herwig in Mali. But with assistance from the H & M Foundation and Mohammad, 3 days old, sleeps in the paediatric ward at the UNICEF Sweden, children in this remote village can play and learn. Azraq Refugee Camp in Jordan. Every week, 34 babies are born (December 2018) in the camp. Parents, including Mohammad’s father, Shaheen, who received a newborn kit from UNICEF to help in their baby’s Page 6: © UNICEF/UN0247741/Noorani first few months. A young girl enjoys a meal at Tadika Sinaran Ria in Sausindak Penampang, Sabah, Malaysia Page 186: © UNICEF/UN0276454/Almahbashi Saba, a girl from Bajel - Hudaydah in Yemen, recovered from severe Page 12: © UNICEF/UN0241753/Dejongh acute malnutrition and complications of fever and diarrhoea. Al Véronique Yobouet, 30, of Yopougon, Côte d’Ivoire, cuddles her Qatea Therapeutic Feeding Centre (TFC), which is supported by daughter. Véronique lost a lot of blood while giving birth to her UNICEF and run by Tayba Foundation for Development, provided daughter, but survived thanks to a uterine balloon tamponade, an life-saving treatment and care. innovative device that helps stop haemorrhage and save lives. Expression of thanks We wish to express deeply felt appreciation to our resource partners for support to Goal Area 1 in 2018. We wish to thank particularly those that were able to provide thematic funding. The flexibility of such funding provides for long-term planning and the sustainability of programmes, and allows UNICEF to offer strategic, technical, operational and programming support to countries in all regions for both upstream and decentralized work. Reflecting the trust that resource partners have in the capacity and ability of UNICEF to deliver quality support under all circumstances, such funding contributes to positive change in the lives of marginalized children and communities and has made possible the results described in this report. Special thanks go to the governments of Luxembourg, the Netherlands and Sweden, and to the U.S. Fund for UNICEF, for their thematic contributions to nutrition. In particular, UNICEF recognizes the Government of the Netherlands for its commitment and support to improving nutrition in 2018. The Korean Committee for UNICEF, UNAIDS, The Global Fund, UNITAID, and the United States Government have been instrumental in support to HIV programmes. Dedicated support from DFID, NORAD the LEGO Foundation, the H&M Foundation, the Conrad Hilton Foundation, Alex and Ani and the Bill & Melinda Gates foundation have furthered progress for early childhood development in 2018. Special thanks also are given to the Governments of Luxembourg, Denmark and Sweden for their generous thematic contributions to health as well as the National Committees for UNICEF, particularly the German Committee for UNICEF, the US Fund for UNICEF and the Dutch Committee for UNICEF. Seventy years after UNICEF was established, the organization’s mission to promote the full attainment of the rights of all children is as urgent as ever. The UNICEF Strategic Plan 2018-2021 is anchored in the Convention on the Rights of the Child and charts a course towards attainment of the Sustainable Development Goals and the realization of a future in which every child has a fair chance in life. It sets out measurable results for children, especially the most disadvantaged, including in humanitarian situations, and defines the change strategies and enablers that support their achievement. Working together with Governments, United Nations partners, the private sector, civil society and with the full participation of children, UNICEF remains steadfast in its commitment to realize the rights of all children, everywhere, and to achieve the vision of the 2030 Agenda for Sustainable Development, a world in which no child is left behind. The following report summarizes how UNICEF and its partners contributed to Goal Area 1 in 2018 and reviews the impact of these accomplishments on children and the communities where they live. This is one of eight reports on the results of efforts during the past year, encompassing gender equality and humanitarian action as well as each of the five Strategic Plan goal areas – ‘Every child survives and thrives’, ‘Every child learns’, ‘Every child is protected from violence and exploitation’, ‘Every child lives in a safe and clean environment’, and ‘Every child has an equitable chance in life’, and a short report on Communication for Development (C4D). It supplements the 2018 Executive Director Annual Report (EDAR), UNICEF’s official accountability document for the past year. Contents Executive summary ...................................2 Strengthening systems for child survival, growth and development results ......... 176 Strategic context: Children survive and thrive ...................................................6 Improving primary health care through health system strengthening ............................................................177 Global trends .................................................................8 Strengthening food systems for child survival, Addressing challenges ................................................10 growth and development ..........................................182 Results: Health .........................................12 Implementation research ..........................................184 Results Area 1: Maternal and newborn health ............13 Conclusions ...............................................................185 Results Area 2: Immunization .....................................24 High-level priorities ...............................186 Results Area 3: Child health ........................................41 Abbreviations and acronyms ................188 Results Area 4: Adolescent health ..............................53 Endnotes ................................................. 190 Health financial report .................................................62 Annex 1: Financial report* .................... 196 Results: Nutrition .....................................72 UNICEF revenue in 2018 ...........................................196 Results Area 1: Prevention of stunting and other forms of malnutrition ................................................... 74 Transparency .............................................................199 Results Area 2: Adolescent health and nutrition .........93 Expenses for Goal Area 1 in 2018 .............................200 Results Area 3: Treatment and care of children with severe acute malnutrition ..........................................102 Nutrition financial report ............................................ 114 Results: HIV and AIDS ...........................122 Results Area 1: Treatment and care of children living with HIV ...........................................................129 Results Area 2: HIV prevention .................................138 Lessons learned ........................................................149 HIV and AIDS financial report ....................................151 Results: Early childhood development 160 Result area/output statement for ECD ......................161 Lessons learned and challenges ...............................173 ECD financial report .................................................. 174 Conclusion .................................................................175 Executive Summary The survival of girls and boys, especially the most Guided by a life-cycle approach, in 2018, health, nutrition, marginalized and those living in countries where there HIV and early childhood development (ECD) programmes is a humanitarian crisis, depends on high-impact health were brought together under Goal Area 1 of the UNICEF interventions, adequate nutrition for them and their Strategic Plan,
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