Climate change and poverty threaten children's health globally. Climate change and natural disasters are associated with malnutrition and disease outbreaks in developing countries, where 85% of the world's children live. World Vision has taken integrated approaches in Africa, Ghana, and Indonesia to address issues caused by climate change like child stunting, lack of water and sanitation, and malaria. Their programs focus on education, agriculture, infrastructure, gender equality, farming practices, health, and hygiene. Recommendations include protecting children in developing countries, increasing investment in community-based health programs, and financing adaptation in addition to existing aid commitments.

1. CLIMATE CHANGE threatening children’s health

2. CLIMATE CHALLENGE Climate change & poverty have morphed into the same issue Children are 40% of world’s population, 85% of children live in developing countries Climate change & natural disasters are associated with malnutrition & outbreaks of disease The 2008 food crisis increased mortality rates by 5-20 times The effects of climate change is threatening decades of development efforts - we must act now: To build binding emissions reduction targets To increase public finance for developing countries to at least $150 billion per year To radically expand efforts to reduce vulnerability of children

4. World Vision took an integrated approach to deal with these issues in Africa

5. Post 2008 food crisis studies suggest that sources of staple foods will be increasingly affected – including basics such as cereal crops which account for 70% of global food energyEducation 2. Agriculture 3. Infrastructure

6. CASE STUDY:WATER & SANITATION In Ghana World Vision worked on infrastructure & community issues to help people via a 2-fold approach: Used education & development to address key issues such as water, gender & health ACHIEVEMENTS Gender Equality - shift to a sharing of power Womenworking 5 hours less per day 10% rise in girls attending primary school Farming & sanitation practices have improved due to access to reliable water Health & Hygiene -Guinea worm has been eradicated

7. CASE STUDY:MALARIA PREVENTION It’s estimated mosquitoes transmit disease to more than 700 million people per year World Vision partnered with local health authorities, communities, & the National Institute of Health Research & Development, to implement a two-phase project in East & West Sumba This increased community awareness of malaria causes & highlighted simple preventative measures A credit system was established to reduce financial burden on recipient families ACHIEVEMENTS Community awareness of malaria prevention & care increased from 72% in 2001 to over 87% in 2007 Child malaria infection rates declined from 18% to 5%

8. RECOMMENDATIONS We must act now: To protect children in developing nations To accelerate existing programs that reduce child & maternal mortality rates To recognise the social dimensions of adaptation that are often neglected To increase investment in integrated health programs that are community-based & driven To build local capacitythrough innovative partnerships To ensure child focus in adaptation initiatives To establish baselines &evidence of impacts on child health To assess existing resilienceof Official Development Assistance expenditure To increase research onclimate & vector-borne diseases To finance adaptation in addition to existing aid commitments