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Climate change and child health in nicaragua



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Climate change and child health in nicaragua

  1. 1. Climate change and child health and nutrition in Nicaragua<br />Donna L. Goodman, Executive Director, Earth Child Institute for UNICEF<br />
  2. 2. A world that is not working for children…<br />“Protect the Earth for children. We must safeguard our natural environment, with its diversity of life, its beauty and its resources, all of which enhance the quality of life, for present and future generations. We will give every assistance to protect children and minimize the impact of natural disasters and environmental degradation on them.” <br />A World Fit for Children, 2002, paragraph 7, section 10, United Nations General Assembly Special Session on Children, 2002<br />
  3. 3. Uncertainty and increasing vulnerability<br /><ul><li>Flooding in traditionally dry areas
  4. 4. Drought in traditionally flooded areas
  5. 5. Changing temperatures
  6. 6. Breeding conditions for mosquito vectors
  7. 7. Loss of crops</li></ul>Combined with…<br /><ul><li>Abject poverty
  8. 8. Limited access to healthcare and medicine
  9. 9. Irregular schooling
  10. 10. Lack of sanitation facilities
  11. 11. Lack of water
  12. 12. Lack of seeds or crops for food
  13. 13. Lack of energy</li></li></ul><li>Rampant deforestation…<br />
  14. 14. What does deforestation have to do with child health?<br /><ul><li> Loss of biodiversity and ecosystem imbalance
  15. 15. Destabilization of the soil
  16. 16. Affect on food security
  17. 17. ARI related to indoor air pollution for household energy
  18. 18. Community and domestic violence
  19. 19. Shade and protection
  20. 20. Intergenerational justice</li></li></ul><li>Disasters waiting to happen…<br />
  21. 21. Chronic undernutrition…<br />
  22. 22. Source: IMPRHU<br />
  23. 23. Chronic acute respiratory illness exascerbated<br />Source: Prinzipolka Health Center<br />
  24. 24. Chronic diarrhoeal disease exascerbated<br />Source: Prinzipolka Health Center<br />
  25. 25. Comparativo de dosis aplicadaen < de in año 2009 -2010en el Municipio- Prinzapolka<br />Source: Prinzipolka Health Center<br />
  26. 26. 60 percent of schools without WASH and many of those that have facilities are being vandalized…<br />Source: MinEd, photo is a primary school in San Lucas, WASH supported by UNICEF/IMPRHU<br />
  27. 27. What is the future of a country <br />without education of its citizens? <br />Children not in school in three out of four communities visited in Prinzipolka<br />
  28. 28. What is working?Vaccine campaigns <br />BUT:80-100 percent coverage in Nueva Segovia and Madriz… 50 percent in Prinzipolka<br />
  29. 29. What is working?School gardens and feeding programmes<br />BUT:Not common in most schools, not existent in Prinzipolka<br />
  30. 30. What is working?Productive package<br />BUT:Pigs are not working Need training, many sell produce and still eat junk<br />Not in Prinzipolka<br />
  31. 31. What is working?Community integrated health model<br />BUT:Supplies are insufficientNot reaching most vulnerable in Prinzipolka<br />
  32. 32. Recommendations<br />Many new strategies and policies, now time to put theory into practice.<br /><ul><li>Increase coverage and access to meds, soap and vaccines (meds for midwives in communities to reduce maternal mortality)
  33. 33. Community health posts in Prinzipolka and other similar areas
  34. 34. Children need shoes!!! to stay healthy with chronic MUD and contaminated water
  35. 35. Children NEED to be in school!!!! (every day) and they need school supplies, paper, pencils, chalk
  36. 36. Stop or at least decrease deforestation
  37. 37. Hygiene and sanitation promotion and alternate design latrines in Prinzipolka
  38. 38. People need livelihoods: introduce vocations to poorest (ie IMPRHU eco-agricultural technology training center; and ACF Food for Work)
  39. 39. Crop diversification
  40. 40. Training and capacity development to accompany productive package
  41. 41. Propose week-long cross-sectoral national training workshop for integration of above with subsequent sub-national trainings
  42. 42. Leverage opportunity to promote the paper for advocacy and fundraising
  43. 43. Child and youth participation </li></li></ul><li>Muchas gracias!!!<br />