15 August 2022

The challenging journey to reach Nepal's hillside communities with vaccines

Communities perched on hilltops, Doti District lies in a remote corner of far-western Nepal. Lush green meadows lie in the valleys here, beneath the hills that sweep their way through this region. As you look up from those valleys, you see communities in the distance, perched on top of the hills. Reaching those communities with health care services isn’t straightforward. Bringing…, A challenging journey, Every month, Basanta and her colleague, Tilak Raj Joshi, will carefully place vaccines into a carrier box in the cold room at their healthcare centre. They’re then faced with a difficult journey, often on foot. “Some of these places can take up to three hours to walk to, one way. The roads here are not paved, and taking vehicles can be dangerous,…, Communicating effectively about vaccines, Despite the challenges faced on the journey, Basanta believes it’s worth it. For her, it’s rewarding to see how positive people are in the municipality of Jorayal about vaccines. She believes that’s primarily a consequence of effective communication and counseling from health workers like herself, who build trust in these services. A community…, A thankful community, Durga Ghartimagar is one of the mothers that is thankful for the long journeys these healthcare workers make to reach these communities. She knows firsthand what it’s like. Durga has walked over three hours to reach the vaccination clinic in the village of Upparkot, which lies in the Jorayal District. Durga Ghartimagar on the final stretch of her…, A mothers’ group meeting to build trust, To help build trust in vaccines in this community, there’s a monthly mothers’ group meeting. Female Community Health Volunteers facilitate conversations, which help to educate caregivers about the various aspects of child and maternal health. “It’s easy when everyone is there, in person, to talk about why children need to get these vaccines,” says…, A robust cold chain is crucial, Getting vaccines to children in these remote communities requires a strong cold chain. The cold chain refers to a series of precisely coordinated events in temperature-controlled environments to store, manage and transport the doses. To facilitate this, UNICEF has been working closely with Nepal’s government and key partners like Gavi, to expand…
09 May 2022

How to improve primary healthcare to prepare for future pandemics

This is the moment to strengthen primary healthcare globally. The COVID-19 pandemic has shown what’s at stake, upending the lives of families around the world. Millions of lives have been lost, while a generation of students faced a learning crisis. It’s been a stark reminder of the need to build resilient health systems globally. Better primary…, 1. Recruit, train and prioritize healthcare workers , It goes without saying, healthcare workers are at the heart of any strong healthcare system. Throughout the COVID-19 pandemic, frontline workers, which includes community health workers, have selflessly risen to the challenge. Whether it’s been caring for the sick, making sure that vaccines reach the most vulnerable, testing and reporting cases or…, 2. Establish effective surveillance and response systems , During the COVID-19 pandemic, clusters of cases have emerged in different parts of the world at different times. New and sometimes more transmissible variants have regularly circulated, and they’ve often spread quickly. With any virus that’s constantly moving and changing, it’s important to have effective testing and reporting mechanisms in place…, 3. Build confidence in health services through community health   , When it comes to giving people the vaccines they need to stay healthy and thrive, trust is crucial. Building confidence in healthcare workers, health institutions and national health agencies is therefore key, as that’s where the critical information comes from. By building trust and making sure the guidance from these sources is evidence-based…, 4. Include COVID-19 vaccines in routine immunization packages , To protect communities from COVID-19, vaccines need to be easily accessible at a community level. To achieve that, COVID-19 vaccines will need to be readily available as part of routine immunization packages. That means they’re offered to people as part of a regimen of vaccines throughout their lifetime. This requires expanding and strengthening…, 5. Strengthen logistics and supply, Developing, delivering and administering COVID-19 vaccines has been a tremendous logistical and supply challenge during the pandemic. But vaccinations require much more than just vaccine doses. Think about the other supplies that have been needed. There’s protective gear, including gloves and masks, that have been essential to keep healthcare…