13 June 2023

These are the community health workers who are the heartbeat of global primary health care

In every corner of the globe, community health workers – the majority of whom are women - are key to the success of vaccination and primary care health services. We know that when health services are designed and delivered by members of the communities they serve, they’re far more likely to prove successful. If we’re going to reach children from…, As community health workers, women are so often on the frontline , Globally, female community health workers are working tirelessly to reach out to communities and immunize children, in addition to providing other essential primary health care services. Kamala, Maria, Sadiya and Bahareh are among the remarkable community health workers who bring essential services to children and mothers in Nepal, Ecuador,…, A global shortage in community health workers is a gender issue, In most parts of the world, community health workers are often low-paid and denied opportunities for training and professional growth. And we know that most community health workers globally are women. Furthermore, although they form the bulk of the health workforce, women have long been underrepresented in leadership roles.   Women make up nearly…, These are the steps we need to take to empower community health workers and set them up for success , It’s imperative that community health workers are provided with good and regular pay, and decent working conditions. That’s the minimum needed to recognize their dedication and invaluable contributions. Some of the other steps that need to be taken to ensure that community health workers are equipped to deliver to their full potential include:…, It’s crucial that we empower community health workers to succeed and thrive in their work, Nurse Parvina Khaydarova (front left) and Dilbar Boltaeva (front right), who is a physician, make house calls to vaccinate children in Samarkand, Uzbekistan. Nurse Parvina Khaydarova (front left) and Dilbar Boltaeva (front right), who is a physician, make house calls to vaccinate children in Samarkand, Uzbekistan. As we’ve learned during the COVID…
04 May 2023

Cholera is endangering children globally

Cholera doesn't know borders. Despite being preventable and easily treatable, children continue to suffer from the potentially fatal disease. After years of steady decline, cholera has made a devastating comeback. More than 1.1 billion people are at risk, with children under 5 especially vulnerable. The intestinal infection often spreads because…, What is cholera?  , Cholera is an intestinal infection. It’s caused by ingestion of food or water that’s contaminated with the bacterium Vibrio cholerae.  Researchers conservatively estimate that every year, there are as many as 4 million cholera cases globally and as many as 143,000 deaths. Young children, especially those under the age of 5, bear the brunt of the…, What makes a country cholera-endemic? , A cholera-endemic area is where cases have been detected during the past 3 years, and there’s evidence that it was caused by local transmission, rather than being imported from elsewhere. Meanwhile, a cholera outbreak (epidemic) can occur in countries where cholera does not regularly occur or in endemic countries.  Children in the village of Hatla…, How does cholera spread? , Cholera disproportionately affects the world’s poorest and most vulnerable communities. A lack of access to clean water and sanitation facilities is closely linked to an increased likelihood of cholera transmission. That means that children who are living in urban slums and camps for internally displaced people or refugees are particularly…, If a child is infected with cholera, what are the symptoms?  , Most children infected with cholera will have no or mild symptoms, and through the use of oral rehydration solution, they can be successfully treated. But if left untreated, the disease can kill within hours. Severe cases of cholera require rapid treatment with intravenous fluids and antibiotics.   After ingesting contaminated food or water, it…, How is cholera treated?  , If infected with cholera, most children can be treated successfully through the quick administration of oral rehydration solution (ORS), which is a mixture of salt and sugar. UNICEF and the World Health Organization distribute sachets of this solution that need to be dissolved in clean water.   From 2000 to 2019, the total annual number of deaths…, What can be done to prevent the spread of cholera?  , A multifaceted approach is key to controlling cholera and reducing deaths. First and foremost, ensuring that every child has access to safe drinking water and adequate sanitation is essential. It’s also important that children in communities at risk have access to the WHO pre-qualified oral cholera vaccines.  Furthermore, community engagement…, Are there vaccines available to prevent cholera?  , There are currently three World Health Organization pre-qualified oral cholera vaccines: Dukoral, Shanchol and Euvichol-Plus. In order to be fully protected, all of these vaccines require two doses. The International Coordinating Group (ICG), which UNICEF is a member of, manages the global stockpile of oral cholera vaccines. The group has…, Where in the world are we seeing cholera outbreaks?  , In recent years, we’ve seen a surge in the number of cholera outbreaks globally. 30 countries faced cholera outbreaks in 2022 – an alarming 145 per cent average increase from the previous five-year average. Countries like Lebanon and Syria reported cholera for the first time in decades. Meanwhile, an outbreak in Haiti in 2022 had a significant…, How is UNICEF responding to these cholera outbeaks?  , UNICEF has stepped up efforts to respond to cholera outbreaks in coordination with national authorities and partners. That includes widely distributing millions of water treatment tablets to ensure families in impacted communities have access to safe water.   We also supply local health departments with oral rehydration salt sachets and zinc, in…, Are we close to eliminating cholera? , Through the successful adoption of prevention measures and increased access to cholera treatment methods, including oral rehydration salt and zinc, we’re closer than ever to ensuring that no child dies from this preventable disease.   In 2021, UNICEF distributed over 93 million zinc tablets and more than 30 million oral rehydration salt sachets…