1. Climate change and child health and nutrition in Nicaragua Donna L. Goodman, Executive Director, Earth Child Institute for UNICEF

2. A world that is not working for children… “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.” A World Fit for Children, 2002, paragraph 7, section 10, United Nations General Assembly Special Session on Children, 2002

4. Drought in traditionally flooded areas

5. Changing temperatures

6. Breeding conditions for mosquito vectors

8. Limited access to healthcare and medicine

9. Irregular schooling

10. Lack of sanitation facilities

11. Lack of water

12. Lack of seeds or crops for food

15. Destabilization of the soil

16. Affect on food security

17. ARI related to indoor air pollution for household energy

18. Community and domestic violence

19. Shade and protection

21. Chronic undernutrition…

22. Source: IMPRHU

23. Chronic acute respiratory illness exascerbated Source: Prinzipolka Health Center

24. Chronic diarrhoeal disease exascerbated Source: Prinzipolka Health Center

25. Comparativo de dosis aplicadaen < de in año 2009 -2010en el Municipio- Prinzapolka Source: Prinzipolka Health Center

26. 60 percent of schools without WASH and many of those that have facilities are being vandalized… Source: MinEd, photo is a primary school in San Lucas, WASH supported by UNICEF/IMPRHU

27. What is the future of a country without education of its citizens? Children not in school in three out of four communities visited in Prinzipolka

28. What is working?Vaccine campaigns BUT:80-100 percent coverage in Nueva Segovia and Madriz… 50 percent in Prinzipolka

29. What is working?School gardens and feeding programmes BUT:Not common in most schools, not existent in Prinzipolka

30. What is working?Productive package BUT:Pigs are not working Need training, many sell produce and still eat junk Not in Prinzipolka

31. What is working?Community integrated health model BUT:Supplies are insufficientNot reaching most vulnerable in Prinzipolka

33. Community health posts in Prinzipolka and other similar areas

34. Children need shoes!!! to stay healthy with chronic MUD and contaminated water

35. Children NEED to be in school!!!! (every day) and they need school supplies, paper, pencils, chalk

36. Stop or at least decrease deforestation

37. Hygiene and sanitation promotion and alternate design latrines in Prinzipolka

38. People need livelihoods: introduce vocations to poorest (ie IMPRHU eco-agricultural technology training center; and ACF Food for Work)

39. Crop diversification

40. Training and capacity development to accompany productive package

41. Propose week-long cross-sectoral national training workshop for integration of above with subsequent sub-national trainings

42. Leverage opportunity to promote the paper for advocacy and fundraising