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Health and wellbeing of women, children and adolescents in humanitarian and fragile settings
The humanitarian and development sectors must work together to meet the needs of women, children and adolescents in humanitarian and fragile settings, including access to appropriate lifelong services and interventions.
Why are humanitarian and fragile settings an area of focus for 2018-2020?
Two billion people – more than a quarter of the world’s population – live in countries affected by acute and prolonged emergencies, conflict and fragility. Over 60% of maternal deaths, 53% of deaths below five years of age and 45% of neonatal deaths occur in these countries2, In 2018, there were 70.8 million IDPs, refugees and asylum seekers, 2.3 million more than in 20173, Universal health coverage and many other sustainable development goals can only be achieved if humanitarian and fragile environments around the world and the health needs of women, children and adolescents, including those displaced, are urgently addressed.
There are a number of relevant international conventions, resolutions and agreements, numerous initiatives have been created and guidance materials developed. However, despite coordination efforts, service coverage remains weak and there is still considerable fragmentation within and between the humanitarian and development sectors, which is slowing down sustainable action. Moreover, many initiatives focus on one part of the life course and one group of people, without conceptual and programmatic connection.
What should be done?
The Global Strategy for the Health of Women, Children and Adolescents requires coordinated, complementary and concrete action within the humanitarian and development sector to achieve meaningful and sustainable progress in promoting and protecting the health and well-being of displaced women, children and adolescents and those living in the humanitarian and fragile settings. Success requires political commitment, increased sustainable and flexible funding to mitigate emergencies, preparedness, response and recovery, and to build resilient health systems that are better equipped to meet the health needs of women, children and adolescents.
Responses to the unique challenges faced by humanitarian and fragile environments must also be informed by high-quality, disaggregated data and monitoring, as well as more effective multi-risk assessments that take into account factors including gender, age, ability / disability and nationality.
How is PMNCH changing?
PMNCH provides a multi-stakeholder and multi-sectoral platform for actors in the humanitarian and development spheres, including affected communities, to share new ideas, experiences and effective approaches to meeting the health and wellbeing needs of displaced women, children and adolescents and those in a humanitarian and fragile setting. PMNCH supports the creation and dissemination of knowledge and evidence to inform policies, programs and interventions. Her advocacy work focuses on communicating and reinforcing findings and recommendations and on increasing political, financial and non-financial commitments.
In the area of responsibility, the PMNCH provides consensus on how to improve and harmonize monitoring and review processes in the development and humanitarian sphere. It also supports efforts to improve the monitoring and reporting of each woman’s responsibilities for each child relevant to humanitarian and fragile environments.
Second https://www.who.int/pmnch/media/news/2019/PMNCH-knowledge-brief-1.pdf
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