UNICEF ျမန္မာျပည္မွ unicef

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    CHANGE BEGINS WITH CHILDREN

    An old proverb in Myanmar says that, Children are our most

    precious treasure. UNICEF in Myanmar embraces this ethosin its work, striving to further the rights of the nations children

    and youth to survival, development, protection and participation.

    Myanmar is a land of enormous potential, with resilient, resourceful

    people who want to improve their lives and the lives of their children.

    UNICEF works with families, communities and other care providers to

    help give children the best possible start in life through programs that

    immunize children from disease, enhance their nutrition, protect them

    from HIV/AIDS, provide them with a better quality basic education andsafe drinking water, and protect them from abuse, exploitation and

    violence. Today UNICEF and its partners are making progress in helping

    more of Myanmars children live, grow, develop and attain their dreams.

    Despite this progress, many children in Myanmar still

    face poverty, disease, malnutrition, the threat of

    HIV/AIDS, a lack of access to clean drinking

    water and low primary school completion

    rates, all of which impede their opportunities

    for growth and development.

    The Convention on the Rights of the Child,

    which Myanmar ratified in 1991, provides that

    the best interests of children should be

    considered in all actions potentially affecting

    their lives. With the best interests of Myanmars

    children at the forefront of its endeavors, UNICEFwill continue working with its partners in

    Myanmar to improve the lives of the countrys

    women, children and youth.

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    MYANMAR: A COUNTRY OF CONTRASTS

    Myanmar is one of Southeast Asias largest nations, with a

    population of more than 52 million people. With 135different ethnic groups calling Myanmar home, it is also one

    of the worlds most diverse countries, with a rich history and panoply

    of cultural and religious traditions.

    Myanmar is a geographically diverse country, boasting fertile tropical

    deltas in the south and a rugged landscape in the Himalayan foothills

    of the north. The country is situated along the Bay of Bengal, and

    shares borders with Bangladesh, China, India, the Lao PDR and

    Thailand.

    Approximately 70% of Myanmars people live in the countryside, and

    most rural families make their living from farming. While the country is

    rich in natural resources, the per capita gross national income has been

    estimated to be only US$ 220 a year.

    Long-standing conflicts have exacerbated the challenges that many

    families face. Public sector investments and expenditures in most

    program areas in which UNICEF works, such as education and health,

    are extremely low. Myanmar also has one of the lowest per capita

    overseas development assistance (ODA) rates in Southeast Asia.

    Current internal and international investment levels are not sufficient to

    provide all of the nations children with an education, healthcare and

    other basic social services.

    Because of its size and diversity, there are disparities between children

    living in different areas of Myanmar in terms of access to basic healthservices, clean water and adequate sanitation facilities, malnutrition

    rates, primary school enrollment and completion rates, and protective

    services. UNICEF works with many partners to address these disparities

    and to try to provide basic services to all of the countrys children.

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    UNICEFS COMMITMENT TO MYANMARSCHILDREN

    UNICEF has been working in Myanmar continuously since1950. Despite difficult political and economic circumstances,UNICEF helped to successfully initiate programs to protectchildren against smallpox, leprosy and yaws. Over time, UNICEF

    expanded its programs to support the development of rural health

    services, basic education for children, and community water supply

    and sanitation systems. More recently, UNICEF has supported HIV/

    AIDS prevention, early childhood development, and child protection

    programs. UNICEF also advocated for Myanmars accession to the

    Convention on the Rights of the Child and Convention on the

    Elimination of All Forms of Discrimination Against Women, which the

    government ratified in the 1990s.

    Today UNICEF supports some programs (such as immunization)

    throughout the country, while it supports other programs (such as

    malaria and HIV/AIDS prevention) primarily in high-risk areas of

    Myanmar. Wherever it can, UNICEF supports an integrated package of health, education, water supply and sanitation interventions as it

    now does in 61 of Myanmars most vulnerable townships. UNICEF has

    field officers positioned throughout the country to enhance

    implementation and ensure that the assistance it provides reaches

    those children and women for whom it is intended.

    The overriding goal of UNICEFs current program in Myanmar is to

    protect and further childrens rights to survival, development, protection

    and participation. Recognizing that the wellbeing of children is closelylinked to the health and wellbeing of their mothers, UNICEF also works

    to help women in Myanmar realize these fundamental rights.

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    CHILDREN IN MYANMAR

    Today in Myanmar, some inroads are being made in

    advancing childrens rights and improving the provisionof basic social services for children. Nevertheless,

    disparities remain pronounced throughout the country, with

    children and women in remote areas often being particularly

    underserved.

    While progress has been made in improving childrens health

    through child immunization and nutrition initiatives, Myanmar

    continues to have high infant and under-five mortality rates,

    with 50% of all child deaths attributable to preventable causes.

    One in three children under five years of age are still

    malnourished, and youth are particularly vulnerable to HIV/

    AIDS.

    Although water and sanitation coverage has substantially

    increased in recent years, many households still lack access to

    safe water and sanitary facilities, and water-born diseases

    remain a major killer of children under five years of age

    throughout the country. Parasite infections resulting from

    impure water are exacerbating child and infant malnutrition,

    and poor sanitary conditions are providing breeding grounds for

    disease.

    Today, primary school enrollment rates are high and more

    schools are being constructed. However, less than half of all

    children in Myanmar currently complete primary school. Many

    school expenses must be borne by students families,presenting an insurmountable financial obstacle for many

    impoverished households. Classroom facilities are often poor

    and under-equipped, and attrition rates among teachers are

    high due to low pay, poor working conditions and long

    separations from their families.

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    In recent years there has been a growing recognition of the importance of child

    protection initiatives. Nevertheless, high primary school dropout rates and widespread

    poverty have had the effect of rendering large numbers of Myanmars children and

    youth vulnerable to various forms of exploitation. Many children are employed in

    factories, teashops and other business enterprises where they work long hours underarduous conditions, for very little pay. Other children take to the streets to beg, some

    run afoul of the law, and others are conscripted despite national laws prohibiting this

    practice. Many of these children are vulnerable to trafficking, and many trafficked

    children and women are forced to work in the commercial sex industry.

    Despite these challenges, there is reason for hope. UNICEF in Myanmar is working with

    its partners to help children and their families surmount the problems that they face,

    and more fully realize their rights to health, education, equality and protection.

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    HOW UNICEF MAKES A DIFFERENCE

    While numerous impediments still stand in the way of

    Myanmars children fully realizing their rights, progress is

    being made in certain areas:

    lllll UNICEF and its partners have successfully protected children

    from many deadly diseases, improved their access to

    healthcare and essential drugs, and enhanced their mental

    and physical development through UNICEFs Health and

    Nutrition program.

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    lllll UNICEF and its partners have empowered more

    youth, mothers and members of vulnerable groups to

    protect themselves against HIV/AIDS, and have

    ensured that more people infected with and affected

    by HIV/AIDS are given the care and support they

    need through its HIV/AIDS program.

    lllll UNICEF and its partners have helped more children

    attend daycare and preschool, helped improve the

    quality of care being provided to these children,

    helped more primary school children receive a quality

    education, and helped ensure that children are being

    taught fundamental life skills in the classroom

    through its Education program.

    lllll UNICEF and its partners have increased childrens

    access to safe drinking water and sanitary facilities,

    and have ensured that more children in

    disadvantaged areas are being taught safe hygiene

    habits through its Water and Environmental

    Sanitation and Hygiene program.

    lllll UNICEF and its partners have also helped protect

    women and children from trafficking, exploitation and

    abuse and have helped improve national laws

    protecting children through its Child Protection

    program.

    Today, UNICEF works with its partners in Myanmar to help

    women, children and youth survive, develop and thrive by:

    lllll Helping them stay healthy and well-nourished;

    lllll Protecting them from HIV/AIDS;lllll Providing children with a quality basic primary

    education;

    lllll Expanding access to clean drinking water and

    adequate sanitation facilities; and

    lllll Protecting children from exploitation and abuse.

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    HELPING CHILDREN STAY HEALTHYAND WELL-NOURISHED

    I f children are not healthy and well-nourished, they cannotrealize many of their basic rights. One way UNICEF works tokeep Myanmar children healthy is by immunizing childrenagainst deadly childhood diseases by:

    lllll Providing approximately 90% of the vaccines used to

    inoculate children in Myanmar against the six major

    vaccine-preventable diseases (tuberculosis, diphtheria,

    whooping cough, tetanus, polio and measles);lllll Supporting routine immunization campaigns and

    expanding immunization coverage in hard-to-reach

    areas;

    lllll Providing equipment to ensure that vaccines retain their

    potency; and

    lllll Introducing Hepatitis B vaccines in routine immunization

    programs (to prevent liver disease).

    UNICEF also keeps women and children healthy by improving the

    quality and availability of health services . UNICEF does this

    by:

    lllll Training rural health center staff in the integrated

    management of maternal and childhood illnesses;

    lllll Increasing access to essential drugs;

    lllll

    Ensuring the availability of standard and emergencyobstetric care facilities in township hospitals; and

    lllll Reducing the prevalence of malaria through the

    provision of bed nets and diagnostic equipment, and by

    supporting public awareness and treatment activities.

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    UNICEF strives to reduce child and maternal malnutrition by:

    lllll Increasing mothers awareness of the benefits of exclusive

    breastfeeding for their children during the first six months of life;

    lllll Supplying the majority of vitamin A capsules to children

    nationwide to prevent blindness and strengthen childrens

    immune systems;

    lllll Supplying 50% of all potassium iodate nationwide to support

    salt iodization, which prevents iodine deficiency disorders and

    mental retardation; and

    lllll Providing iron supplements to pregnant and lactating womento prevent anemia.

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    PROTECTING CHILDREN AND WOMENFROM HIV/AIDS

    HIV/AIDS is spreading at an alarming rate in Myanmar. The

    disease has now spread to the general population, with more

    mothers and children becoming infected with the virus. Only a

    small proportion of those infected with HIV/AIDS are aware of this fact,

    due in part to a lack of voluntary, confidential testing and counseling

    services.

    UNICEF works to prevent women, children and youth from contracting

    HIV/AIDS and supports persons infected with, and affected by, HIV/AIDS by:

    lllll Working with partners to strengthen the national policy

    response to the epidemic;

    lllll Increasing adolescents access to information about HIV/AIDS

    and other sexually transmitted diseases;

    lllll Providing children and youth both in and out of school with

    life skills training to help them develop the knowledge andabilities they need to protect themselves from HIV/AIDS;

    lllll Preventing the mother-to-child transmission of HIV/AIDS by

    encouraging voluntary testing and counseling for pregnant

    women;

    lllll Improving the capacity of health staff to treat people infected

    with HIV/AIDS;

    lllll Providing home-based care and support services for peopleinfected with or affected by HIV/AIDS; and

    lllll Targeting particularly vulnerable groups such as migrant

    families, ethnic groups and the poor with a full range of

    prevention and support services.

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    PROVIDING CHILDREN WITH A QUALITYBASIC EDUCATION

    Education is a key factor in providing Myanmars childrenwith opportunities for growth, development and advance-

    ment. Since the learning and development process begins

    the day a child is born, UNICEF works to help families and

    caregivers meet the psychosocial, intellectual and physical needs

    of infants and children up to five years of age. To these ends,

    UNICEF strives to foster early childhood development by:

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    lllll Providing a range of support to preschools and

    daycare centers;lllll Training parents, caregivers and teachers in early

    childhood development and child-centered play method-ologies; and

    lllll Providing learning materials, toys and other basic

    support to community-based play and child development

    programs.

    Another way UNICEF helps provide children with a quality

    basic education is through its support of child- friendly

    schools . UNICEF encourages more children to attend school

    and works to improve the quality of education in primary

    schools in some of the nations most disadvantaged town-

    ships by:

    lllll Training teachers in participatory, child-centered teach-

    ing and learning methods;lllll Providing basic school supplies for children to defray

    educational costs;lllll Equipping schools with safe drinking water facilities and

    latrines;lllll Training Parent-Teacher Association members on how to

    become more involved in their childrens education; andlllll Providing roofing sheets for schools in traditionally

    disadvantaged communities.

    UNICEF also helps children and youth acquire essential

    life skills such as critical thinking, decision making and

    problem solving by:

    lllll Supporting life skills courses in teacher training colleges

    throughout the country;lllll Training teachers in participatory, student-centered

    teaching and learning methods; andlllll Fostering the active participation of students, teachers,

    parents and community members in life skills activities.

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    ENSURING ACCESS TO CLEAN WATER ANDSANITATION FACILITIES

    C hildren who are deprived of clean drinking water and a sanitaryenvironment face very real threats to their health and survival.To better ensure childrens right to survive and thrive, UNICEF inMyanmar works to ensure access to clean and safe water by:

    lllll Installing safe drinking water supply systems in schools, health

    centers and communities; and

    lllll Ensuring better water quality by testing for arsenic and other

    contaminants in groundwater and introducing mitigationactivities as needed.

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    UNICEF ensures access to adequate sanitation facilities

    by:

    lllll Providing support for the construction of

    sanitary latrines in schools and communities;

    and

    lllll Encouraging national and community support of

    latrine construction through its support of

    National Sanitation Weeks.

    In addition to these activities, UNICEF also promotes

    hygiene education by:

    lllll Supporting the teaching of personal hygiene in

    schools through the provision of activity-based

    teaching manuals, learning/game materials and

    demonstration models; and

    lllll Supporting National Sanitation Weeks, which

    involve the promotion of hand washing and other

    basic hygienic measures in the national media

    and in communities.

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    PROTECTING CHILDREN AND WOMENFROM EXPLOITATION

    Today in Myanmar there is an evolving recognition thatadditional measures are needed to better ensure thatorphaned, institutionalized and homeless children are properlycared for and protected from harm, to better protect children and

    women from trafficking and various forms of exploitation, and to

    better address the needs of displaced children and their families.

    UNICEF works to protect children and women from exploitation,

    abuse and neglect by:

    lllll Raising awareness among community members and

    community-based organizations about means of preventing

    abuse, exploitation, trafficking and neglect;

    lllll Providing education, vocational training and recreation

    activities for vulnerable children and youth, including street

    children and working children;

    lllll Providing technical assistance to further improve the juvenile justice system and protect children in conflict with

    the law pursuant to the Convention on the Rights of the

    Child and other international standards;

    lllll Strengthening communities and institutional caregivers

    capacity to assist children deprived of parental care; and

    lllll Working with partners and communities to facilitate the

    return, protection and reintegration of displaced, traffickedand exploited children and women.

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    OUR PARTNERS

    UNICEF works with a full range of partners in Myanmar, and

    it is UNICEFs partners that play the vital role of actually

    implementing its program activities in communities

    throughout the country. Working together, UNICEF and its

    partners strive to help Myanmars children realize their

    fundamental rights. UNICEFs partners include:

    lllll National technical departments, including health

    professionals, nutritionists, educators, water and

    sanitation experts and social workers;

    lllll Local non-governmental organizations, including faith-

    based organizations;

    lllll International non-governmental organizations;

    lllll Community groups, including Parent-Teacher

    Associations; and

    lllll Other members of the UN family in Myanmar.

    Since UNICEF is funded exclusively by voluntary contributions,

    donors are also a crucial component of its work in Myanmar.

    UNICEF activities are funded by governments, the private sector

    and individuals around the globe who support its work through

    National Committees for UNICEF. Major donors include the

    governments of Japan, the United States, Canada, the Netherlands,

    Norway, the United Kingdom and Sweden, as well as the European

    Commission and UNICEF National Committees in Japan, the

    United States and Australia.

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    THE WAY FORWARD

    UNICEF in Myanmar is committed to the advancement

    of childrens fundamental rights. With an eye to the

    future, UNICEF will continue to extend basic lifesaving

    assistance to more underserved areas, expand ongoing

    program activities in disadvantaged communities, support and

    empower communities and strongly advocate for the rights of

    all of Myanmars women and children.

    UNICEFs future objectives include helping to ensure that

    every child in Myanmar is immunized against deadly diseases,that maternal and neonatal tetanus are eliminated, that child

    malaria rates are reduced, that the majority of pregnant

    women receive information on the prevention of HIV/AIDS,

    that more child-friendly preschools and daycare centers are

    established, that more children have access to clean water

    and sanitary facilities, and that more families and communities

    are empowered to protect children from abuse, exploitation

    and trafficking.

    The road ahead is challenging, but not insurmountable.

    Myanmars people possess an indomitable spirit, and a

    determined resolve to create a world where future

    generations of children can grow up healthy, well-educated

    and protected from harm.

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    UNICEF in Myanmar

    Communication Section6th Floor, Yangon International Hotel330, Ahlone Road, Dagon TownshipYangon, Myanmar

    Phone: 95-1-212086/87/90/91Fax: 95-1-212063E-mail: [email protected]: http://www.unicef.org/myanmar

    PhotosUNICEF Myanmar/Noorani

    September 2004