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2
The objectives of this guideline are the same as those of the 2011 edition, namely to provide evidence-based normative guidance on interventions to improve adolescent morbidity and mortality by reducing the chances of early pregnancy and its resulting poor health outcomes. The specific objectives of
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the guideline were to: 1. identify effective interventions to prevent early pregnancy by influencing factors such as early marriage, coerced sex, unsafe abortion, access to contraceptives and access to maternal health services by adolescents; and 2. provide an analytical framework for policy-makers and programme managers to use when selecting evidence-based interventions to prevent early pregnancy and negative health outcomes when they occur that are most appropriate for the needs of their countries and context. The recommendations and best practice statements described in this document aim to enable evidence-based decision-making with respect to preventing early pregnancy and poor reproductive outcomes among adolescents in low- and middle-income country contexts.
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This document is for public health specialists, health emergency responders, clinicians, health facility managers, health and care workers and IPC practitioners including but not limited to those working in primary care clinics, sexual health clinics, emergency departments, dental practices, infecti
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ous diseases clinics, genitourinary clinics, maternity services, paediatrics, obstetrics and gynaecology and acute care facilities that provide care for patients with suspected or confirmed mpox.
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The document outlines essential steps and provides guidance to countries on the adoption and deployment of c-IPTp so that it is integrated into the existing health system. It draws upon best practices and lessons learned from pilot implementation experiences in eight African countries and targets st
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akeholders at the national level that are involved in the provision of maternal and child services, including national and local policymakers and implementers of malaria, maternal health, child health, reproductive health and community health programmes, and nongovernmental and other organizations.
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Le guide décrit les étapes essentielles et donne des orientations aux pays pour l’adoption et le déploiement du c-TPIg de manière à l’intégrer dans le système de santé existant. Il s’appuie sur les meilleures pratiques et les enseignements tirés des expériences pilotes dans 8 pays af
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ricains et vise toutes les acteurs impliqués dans la prestation des services pour la mère et l’enfant - responsables politiques nationaux et locaux et acteurs de mise en œuvre des programmes de lutte contre le paludisme, de la santé maternelle, de la santé de l’enfant, de la santé reproductive, des programmes de santé communautaires - ainsi que les organisations non gouvernementales et d’autres organismes. Les pays décidant d’introduire le c-TPIg sont invités à adapter ces orientations à leurs contextes nationaux et locaux.
more
It was a difficult time to be a child in 2024. With deepening violent conflict, climate shocks and poverty, children faced skyrocketing needs while the resources to respond continued to shrink.
But as this year’s Annual Report shows, across more than 190 countries and territories, UNICEF was t
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here, saving and uplifting the lives of millions of children – even in the hardest-to-reach places. Together with our partners, we delivered clean water and sanitation, protection and psychosocial support, health, nutrition, and immunization services, and education and skills development.
The world in 2025 continues to be one of significant political shifts and volatility, economic uncertainty and deepening humanitarian crises. To succeed, UNICEF must be at its best.
But announced and anticipated funding cuts are limiting UNICEF’s ability to reach millions of children in dire need. These new cuts are creating a global funding crisis that will put the lives of millions of additional children at risk.
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L’année 2024 a été particulièrement éprouvante pour les enfants. Face à l’intensification des conflits violents, des chocs climatiques et de la pauvreté, leurs besoins n’ont en effet cessé de croître tandis que les ressources disponibles pour y répondre ont continué de diminuer.
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Comme le montre notre Rapport annuel, l’UNICEF a néanmoins été présent dans plus de 190 pays et territoires, sauvant et améliorant la vie de millions d’enfants, y compris dans les endroits les plus difficiles d’accès. Avec l’aide de nos partenaires, nous avons œuvré à fournir de l’eau salubre et des installations d’assainissement, ainsi que des services de protection, de soutien psychosocial, de santé, de nutrition, de vaccination, d’éducation et de développement des compétences.
Alors que 2025 s’ouvre dans un contexte d'instabilité persistante, de bouleversements politiques, d'incertitude économique et de multiplication des crises humanitaires, l’organisation doit plus que jamais donner le meilleur d’elle-même. Or, les coupes annoncées et attendues dans les financements de l’aide internationale limitent notre capacité à venir en aide aux millions d’enfants les plus vulnérables.
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This Implementation Kit (I-Kit) is designed to support SBCC and Malaria in Pregnancy (MiP) programme managers in improving their communication strategies, particularly those targeting healthcare workers. It provides practical guidance on four key planning areas and emphasises the significant health
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risks that malaria poses to mothers and newborns. The I-Kit highlights evidence-based WHO interventions and addresses barriers to access, demand and the delivery of MiP services by providers. Despite progress in reducing malaria, uptake of preventive measures remains low, highlighting the need for targeted advocacy and improved SBCC strategies.
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Plan stratégique national de lutte contre le paludisme 2023-2026
Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et de l’Hygiène Publique du Togo
République Togolaise, Ministère de la Santé et de l’Hygiène Publique
(2023)
C2
Le Plan Stratégique National de Lutte contre le Paludisme 2023–2026 du Togo définit les grandes orientations pour réduire de 65 % l’incidence et la mortalité liées au paludisme d’ici 2026, en comparaison avec les niveaux de 2022. Élaboré par le Programme National de Lutte contre le Pa
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ludisme (PNLP), il s’inscrit pleinement dans les objectifs mondiaux fixés par l’Organisation mondiale de la Santé pour parvenir à l’élimination du paludisme d’ici 2030. Ce plan repose sur quatre axes stratégiques : la prévention à travers l’utilisation des moustiquaires imprégnées, la chimio-prévention et la lutte antivectorielle ; la prise en charge efficace des cas grâce au diagnostic rapide et au traitement par ACT ; le renforcement du système de santé et la gestion du programme ; ainsi que la surveillance, le suivi et l’évaluation des interventions. Une attention particulière est accordée à la digitalisation des outils, à l’amélioration de la qualité des données, à l’implication des communautés locales et à la réduction des inégalités régionales dans l’accès aux services. Intégrant les partenaires techniques et financiers, le secteur privé et les acteurs communautaires, ce document constitue une véritable feuille de route nationale pour coordonner et intensifier la lutte contre le paludisme sur la période 2023–2026.
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National Malaria Social and Behavior Change (SBC) Strategy 2024–2028
Programme National de Lutte contre le Paludisme (PNLP) – République Démocratique du Congo (RDC)
Ministère de la Santé Publique, Hygiène et Prévention de la RDC
(2024)
C2
La République démocratique du Congo (RDC) occupe la 2ème place en termes de nombre de cas de paludisme et de décès associés dans le monde (12% des cas et 13% des décès), et représente à elle seule 54,6% des cas en Afrique centrale (OMS, Rapport Mondial sur la situation du paludisme 2022).
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La coordination des activités de changement social et comportemental entre les partenaires dans le pays reste un défi.
Une stratégie nationale solide de lutte contre le paludisme est essentielle pour coordonner et amplifier les efforts de lutte contre le paludisme dans toute la RDC. Breakthrough ACTION a joué un rôle central dans l’élaboration et la finalisation de la Stratégie nationale de SBC contre le paludisme 2024-2028, qui s’aligne sur le Plan stratégique national de lutte contre le paludisme 2024-2028. Cette mise à jour de la Stratégie nationale de lutte contre le paludisme intègre des conseils sur l’introduction du vaccin antipaludique en RDC, des informations clés issues des récentes études de recherche sur le paludisme menées par Breakthrough ACTION, ainsi que des messages de santé prioritaires actualisés destinés aux hommes, aux prestataires de services, aux femmes enceintes et aux femmes ayant des enfants de moins de cinq ans.
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Plan Stratégique National de Communication 2017–2020 - République démocratique du Congo
Programme National de Lutte contre le Paludisme (PNLP)
Ministère de la Santé Publique, République Démocratique du Congo
(2017)
C2
La Stratégie nationale de communication pour le paludisme 2017–2020 de la République Démocratique du Congo vise à améliorer les comportements de prévention, de détection et de traitement du paludisme à travers une communication sociale et comportementale (CSC) structurée et contextuelle.
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Élaborée par le Programme National de Lutte contre le Paludisme (PNLP), elle s’inscrit dans la vision d’un accès équitable aux messages de santé et à des services de qualité pour toute la population.
Cette stratégie met l’accent sur l’adoption de pratiques essentielles telles que l’utilisation correcte des moustiquaires imprégnées, le recours systématique au test de diagnostic rapide avant tout traitement, la prise en charge précoce des cas, en particulier chez les enfants de moins de cinq ans et les femmes enceintes, ainsi que l’adhésion complète aux traitements prescrits. Elle cible prioritairement les ménages, les femmes enceintes, les enfants, les agents de santé communautaires, les enseignants, les leaders religieux et les médias.
Pour atteindre ses objectifs, la stratégie mobilise plusieurs canaux de communication, notamment les médias de masse (radio, télévision, affichage), la communication interpersonnelle via les agents communautaires, et des campagnes de mobilisation sociale. Elle identifie également plusieurs obstacles, tels que les croyances erronées, le faible niveau d’éducation sanitaire et les disparités d’accès à l’information dans les zones rurales.
Enfin, le document propose des mécanismes de suivi et d’évaluation clairs, avec des indicateurs pour mesurer l’exposition aux messages, la compréhension, et les changements de comportement au sein des communautés. Cette stratégie vise à créer un environnement favorable à la réduction durable du fardeau du paludisme en RDC.
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Rwanda Malaria Strategic Plan 2020–2024
Ministry of Health, Rwanda; Rwanda Biomedical Centre (RBC)
Ministry of Health, Republic of Rwanda
(2020)
C2
The Rwanda Malaria Strategic Plan 2020–2024 outlines Rwanda’s national strategy to reduce malaria morbidity and mortality by at least 50% compared to 2019 levels. The vision is a malaria-free Rwanda contributing to socioeconomic development.
The plan includes strengthening prevention through lo
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ng-lasting insecticide-treated nets, indoor residual spraying, and larval source management; ensuring universal access to testing and treatment; improving surveillance and data use; and enhancing program management, coordination, and financing. It also emphasizes community engagement and behavior change to ensure at least 85% of the at-risk population adopts protective practices.
The strategy builds on past lessons, involves multi-sectoral collaboration, and aligns with global malaria goals. It highlights equity, quality services, and evidence-based interventions as guiding principles, aiming to mobilize national and international resources for sustained impact.
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Compte tenu de la diminution des financements, le HCR a été contraint de réduire le nombre de ses espaces sûrs pour la gestion des cas de VBG de 31 à 12. Comparativement aux données du 1er trimestre de 2025, on note une augmentation des cas de VBG de 67%. Les cas documentés ont a ecté 94% d
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e femmes et de filles et 6% d’hommes et de garçons. Les localités avec le plus grand nombre de cas de VBG documentés sont : Ndélé, Paoua, Mongoumba, Bambari et Mbaïki. Les 3 typologies de VBG les plus documentées sont : l’agression physique (34%), le viol ( 23%) le dénis de ressources, d’opportunités et de services ( 20%).
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To contribute to the availability of basic knowledge and skills for the provision of palliative care in
the African region, the African Palliative Care Association (APCA) has developed a competencybased core curriculum framework for use in introductory training on palliative care. The curriculum
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is based on the APCA Standards for Providing Quality Palliative Care Across Africa to ensure that care providers are trained to the appropriate competence for their cadre and level of skill. This curriculum therefore aims to facilitate the development of the best basic skills and attitudes required for the delivery of palliative care services that meet the desired standards of palliative care. The curriculum incorporates theoretical, practical, mentorship and supervision components that are critical to the effective application of knowledge in practice.
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Universal health coverage (UHC) has a central place in achieving the Sustainable Development Goals (SDGs) by 2030, as
it is a major target (3.8) under SDG 3 (Ensuring healthy lives and promote well-being for all at all ages). The World Health
Organization defines Universal Health Coverage (UHC)
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as a means through which all people and communities can use the
promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective,
while also ensuring that the use of these services does not expose the user to financial hardship. UHC brings hope of better
health and protection for the world’s poorest.
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The African Palliative Care Association is pleased to publish the first edition of Palliative Care Standards for Africa. The development of these standards was achieved through wide consultation with service beneficiaries and providers, and they have been developed to suit different levels of
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service delivery, from primary to tertiary. These standards are underpinned by the World Health Organization’s definition of palliative care, and recognise that scaling up palliative care requires a public health approach with four pillars: policy, education, drug availability and implementation. In addition, the increasing need to establish specific indicators of quality and effectiveness for palliative care has been a big driving force behind these comprehensive standards. It is APCA’s wish that they will provide a framework for the development of evaluation
and performance indicators that can facilitate programme improvement and development. The standards are designed to allow the development or improvement of palliative care across the different services levels, within the organisational capacity of various service providers. They describe a relationship between primary, intermediary and tertiary level service providers, with expectations for all providers articulated through detailed criteria for each standard. It is therefore expected that these standards will influence the planning and delivery of palliative care services at all levels of health care service delivery.
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On Global Handwashing Day, WHO and UNICEF have released the first-ever global Guidelines on Hand Hygiene in Community Settings to support governments and practitioners in promoting effective hand hygiene outside health care – across households, public spaces and institutions. Framing hand hygiene
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as a public good and a government responsibility, the Guidelines translate evidence into ready-to-adopt actions that enable sustainable access to effective hygiene services. This will reduce diarrhoeal disease, acute respiratory infections and other preventable illnesses, strengthening routine public health where people live, work, visit and study, and emergency preparedness, including outbreaks like cholera.
Despite clear benefits, 1.7 billion people still lacked basic hand hygiene services at home in 2024, including 611 million with no facility at all. Meeting the 2030 target will require accelerated progress – about a doubling in the global rate, and much faster in specific settings (up to 11-fold in least-developed countries and 8-fold in fragile contexts). Hand hygiene remains one of the most cost-effective health investments, reducing diarrhoea by 30% and acute respiratory infections by 17%, with large, measurable gains for population health.
“Clean hands save lives, but results at scale require policy, financing and accountability,” said Dr Ruediger Krech, Director a.i, Department of Environment, Climate Change, One Health & Migration at the World Health Organization. “These Guidelines help countries move beyond fragmented projects to government-led systems that make soap, water, and conditions conducive to everyday hand hygiene the norm.”
“Children and young people pay the highest price when basic hygiene is out of reach,” said Cecilia Scharp, Director, Water Sanitation and Hygiene (WASH) Team, Programme Group, UNICEF. “These Guidelines provide practical steps to ensure facilities are accessible when they need to be – in homes, schools, markets, and transport hubs – so every child can learn, play and thrive with dignity.”
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The Best Buys for Disease Elimination is a practical, evidence-based guide to the most effective actions for countries to implement in order to eliminate communicable diseases. The guide highlights the efficient use of resources and prioritizing populations in vulnerable situations.
“The Region
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of the Americas is advancing steadily towards the elimination of communicable diseases,” said Dr. Jarbas Barbosa, PAHO Director. “To achieve this, it is necessary to increase and sustain high vaccination coverage, engage communities to expand access to diagnosis and treatment, strengthen surveillance, and bring integrated services to marginalized communities, incarcerated populations, and those living in informal settlements,” he added.
For each disease and condition included in the Elimination Initiative, the Best Buys are presented as one-page documents with clear, accessible information. Each Best Buy summarizes expected impact goals, disease elimination targets, key operational indicators, and priority interventions that have proven to be cost-effective in different contexts.
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This plan, approved by the Organization’s 62nd Directing Council, was shaped by extensive consultations with countries and stakeholders, and commits to transformative health outcomes over the next six years, tackling noncommunicable diseases (NCDs), mental health, health security, fragmented healt
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h systems and services, and the elimination of communicable diseases, amongst others.
“The COVID-19 pandemic taught us that the Region of the Americas is stronger when we work together,” said Dr. Jarbas Barbosa, PAHO Director. “This Strategic Plan harnesses our collective strength to build resilient health systems, reduce disease burden, and improve health and well-being for all across the Americas.”
The plan builds on lessons from the COVID-19 pandemic, which exposed gaps in health systems while highlighting the power of joint action. It targets measurable impacts in countries, such as reducing maternal mortality, reversing rising suicide rates, and eliminating diseases like leprosy and Chagas.
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Current HIV/AIDS Reports (2022) 19:358–374. https://doi.org/10.1007/s11904-022-00615-z.
MINDSPACE is an acronym developed by the UK's behavioural insights team to summarise nine key influences on human behaviour: Messenger, Incentives, Norms, Default, Salience, Priming, Affect, Commitment, and E
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go. These effects have been used in various settings to design interventions that encourage positive behaviours. Currently, over 200 institutionalised behavioural insight teams exist internationally, which may draw upon the MINDSPACE framework to inform policy and improve public services.
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We are pleased to offer the NCD kit online training course for emergency managers and technical staff in emergencies to ensure rapid, adequate and cost-effective use of the existing Noncommunicable Disease (NCD) kit in emergency health operations to reduce the vulnerability of affected communities a
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nd address their priority health needs. The NCD kit is a pre-packed set of essential medicines and medical devices to meet priority noncommunicable disease (NCD) needs of an outreach population of 10 000 people for three months in emergencies, when medical facilities and regular supply has been disrupted. The training aims to assist all those involved in leading and coordinating health emergency operations, assessing the needs, planning for supplying, implementing and monitoring the continuity of essential NCD services at all levels of emergency management.
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