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    UNICEF IN INDIA

    UNICEF India

    A school girl participates

    in a class.

    UNICEF has been working in India since 1949. The largest UN organisation in the

    country, UNICEF is fully committed to working with the Government of India to ensure

    that each child born in this vast and complex country gets the best start in life, thrives anddevelops to his or her full potential.

    The challenge is enormous but UNICEF is well placed to meet it. The organisation uses

    quality research and data to understand issues, implements new and innovative

    interventions that address the situation of children, and works with partners to bring thoseinnovations to fruitition.

    What makes UNICEF unique in India is its network of 13 state offices. These enable theorganisation to focus attention on the poorest and most disadvantaged communities,

    alongside its work at the national level.

    UNICEF uses its community-level knowledge to develop innovative interventions to

    ensure that women and children are able to access basic services such as clean water,

    health visitors and educational facilities, and that these services are of high quality. At the

    same time, UNICEF reaches out directly to families to help them to understand what theymust do to ensure their children thrive.

    UNICEF also wants them to feel a sense of ownership of these services. That same

    knowledge and interface with communities enables the organisation to tackle issues thatwould otherwise be difficult to address: the complex factors that result in children

    working, or the growing threat that HIV/AIDS poses to children.

    UNICEF knows that key to addressing these challenges are its partnerships with sister

    UN agencies, voluntary organisations active at the community level, womens groups anddonors.

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    THE COUNTRY PROGRAMME, 2008-2012

    Government of India UNICEF Programme of Co-operation

    Over the last five years, India has seen impressive economic growth as well as progress

    in terms of human development. The economy has gone from strength to strength, withgrowth rates as high as nine per cent in 2006-07, while the population below the poverty

    line has been gradually falling.

    However, in its approach paper for the 11th Five Year Plan, the Government of India

    (GOI) recognises that even these remarkable growth rates are not fast or equitable enoughto reach disadvantaged populations.

    GOI has adopted National Development Targets which are in line with and at timesmore ambitious than the Millennium Development Goals (MDGs).

    While the current rate of progress of a number of indicators is not sufficient to meet manyof these targets, the governments commitment to inclusive growth presents a unique

    opportunity to improve the lives of all Indian children.

    UNICEFs 2008-12 Country Programme seeks to complement government-led

    programmes to achieve these development goals, and is guided by the Convention on the

    Rights of the Child and other international and regional commitments.

    Key achievements of the UNICEF Country Programme (2003-2007)

    The previous Country Programme focussed on the fulfillment of rights of all children and

    women, and the promotion of an enabling environment to ensure equity and to strengthenaccountabilities towards children..

    In collaboration with government schemes, key achievements over the last five years

    include

    Increased household consumption of iodised salt;

    Provision of water supply and sanitation to 65 per cent of schools;

    Mainstreaming of HIV/AIDS prevention education for adolescents in 75 per centof all government schools;

    Doubling in the coverage in household sanitation ;

    Improved school governance and child-friendly classroom environments; Adoption of Integrated Management of Neonatal and Childhood Illnesses

    (IMNCI) as a key strategy for child health;

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    Goal and objectives

    The overall goal of the 2008-2012 Country Programme is to advance the fulfilment of the

    rights of all women and children in India to survival, development, participation andprotection by reducing social inequalities based on gender, caste, ethnicity or region.

    UNICEFs work is centred on children from neonatal stages to adolescence. There is also

    a special focus on social inclusion in all these programmes, keeping in mind the fact that

    the Eleventh-Five-Year Plan emphasises on inclusive growth and recognises socialexclusion and inequality as a constraint to the achievement of MDG goals.

    UNICEF will work closely with government flagship schemes to strengthen their

    capacity to deliver quality services to all its citizens.

    Programmes

    In addition to reducing infant mortality rates (IMR), the Reproductive and Child Healthprogramme will also aim to reduce maternal mortality rates (MMR) from 301 to 100 per

    100,000 live births. The main interventions will revolve around enhancing child survivaland maternal care.

    Key results include:

    Reduction of IMR from 58 to 28 per 1,000 live births.

    Reduction of MMR from 301 to 100 per 100,000 live births.

    The Child Development and Nutrition programme will stress on the nutritional status of

    the mother along with the child. UNICEF will focus on providing technical know-how toenhance ICDS functioning and delivery by supporting training of the field-level workerson the one hand and by conducting a nationwide awareness campaign on the issue with

    the purpose of influencing policy. Anticipated results include:

    Reduction in the level of malnutrition.

    Significant reduction in micronutrient deficiencies.

    Child Environmentimproving freshwater availability, its management, conservation and

    equitable allocation, as well as access to sanitation and adoption of critical hygiene

    practices.

    Key results include:

    Sustainable access to and use of safe water and basic sanitation services.

    The Child Protection will seek to protect children from violence, exploitation and abuse.

    The programme will seek to create a protective environment for children through theimprovement and expansion of services to children in need of care and protection and

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    children in conflict with the law under the provisions of the Juvenile Justice Act, child

    labour laws and other related legislation.

    Key results include:

    Strengthened policies, budgets, laws, norms, guidelines and tracking systems onchildren in need of care and protection and children in conflict with the law.

    Establishment of child protection units at the state level.

    TheEducationprogramme will endeavour to fine-tune policies and strategies to increase

    the enrolment, retention, achievement and completion rates in elementary education. In

    particular, the programme seeks to improve learning outcomes, completion rates and

    literacy levels amongst disadvantaged groups.

    Key results include:

    Increasing enrolment, retention, achievement and completion rates in elementaryeducation.

    The Children and AIDSProgramme will seek to reduce vulnerabilities, slow down the

    rate of new infections and mitigate the impact of HIV/AIDS among children 0-18 years

    old; in addition, the emphasis in the area of prevention will be on the most at risk andespecially vulnerable young people up to the age of 24.

    Key results include:

    Mainstreaming of HIV/AIDS prevention education into the curricula and teaching

    of all government secondary schools. Provision of correct knowledge of HIV/AIDS and risk reduction to 70 million

    out-of-school adolescents and young people, at the state level.

    Provisioning of comprehensive PPTCT services to 40 per cent of all HIV-positive

    pregnant women, appropriate care and treatment to all identified HIV-positive

    infants and adequate care and protection received by an increased proportion of

    children affected by HIV at the state level. Delivery of targeted comprehensive HIV-prevention services to 90 per cent of at-

    risk adolescents and developing replicable models for HIV/AIDS prevention,

    care, support and treatment in the 17 integrated districts.

    TheSocial Policy, Advocacy and Behaviour Change Communication programmes willfocus on influencing national policies and schemes with respect to rights of children and

    women through advocacy, and on reaching families and communities on a number of

    inter-related behaviours and social/cultural norms that cut across programmes.

    In view of the fact that almost 80 per cent of India is vulnerable of natural disasters,

    which cause extensive damage to lives and livelihoods every year, theEmergency

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    Preparedness and Response programme will ensure the fulfilment of rights of children

    and women in humanitarian crises.

    Geographic Focus

    At a national level, UNICEF will work closely with the central government in ensuringthat childrens rights are reflected and resourced in policies and programmes. In the

    disadvantaged states of Bihar, Uttar Pradesh, Rajasthan, Orissa, Madhya Pradesh,

    Jharkhand and Chhattisgarh, the emphasis will be on focusing resources in terms ofprogramming, policy and advocacy.

    In Assam, West Bengal, Maharashtra, Gujarat, Andhra Pradesh, Karnataka, Tamil Nadu

    and Kerala, UNICEF will continue to support limited-scale programming balanced withadvocacy and influencing policy to build on progress made in the social sector.

    At a district level, UNICEF will continue to concentrate efforts on community

    empowerment, behaviour change, and programmatic interventions, innovations andconvergence.

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    CELEBRITIES SUPPORTING UNICEFS WORK IN INDIA

    Globally, UNICEF works with nearly 200 Goodwill Ambassadors to increase public

    awareness of the rights of children and women and UNICEF's work in protecting thoserights.

    In the nearly 50 years since celebrities began working with UNICEF, they have helpedsway government policies on behalf of children, publicize children's issues around the

    globe and raise funds for UNICEF-supported programmes.

    Celebrities in India (from the world of film / music / theatre / sports) have a strong

    national and regional appeal. Over the years they have played a significant role in helpingUNICEF to create public awareness on childrens issues.

    Also their involvement has mobilized action and resources from civil society, thereby

    sending a message that children are an urgent priority.

    UNICEF in India partners with its ambassadors Amitabh Bachchan and Sharmila Tagore

    as well as key celebrity advocates who are committed to supporting the cause of children.

    Priyanka Chopra, Sachin Tendulkar, Aamir Khan, Raveena Tandon and Nandana Sen

    have been actively supporting UNICEFs work for women and children in India.

    Some of the invaluable contributions by our celebrity partners include innovative PublicService announcements, participation at key advocacy events and media interactions to

    generate a discourse around key issues.

    Here is the list of Issue Associations of celebrities supporting UNICEFs work in

    India

    1. Goodwill Ambassador: Amitabh Bachchan: Polio

    2. National Ambassador: Sharmila Tagore: HIV stigma and discrimination

    3. National Celebrity: Aamir Khan: Nutrition

    4. National Celebrity: Raveena Tandon: Maternal and Neonatal health

    5. National Celebrity: Priyanka Chopra: Convention on the rights of the child, Early

    Marriage and Adolescent girls lifeskills

    6. National Celebrity, Nandana Sen: Gender based violence some facets of childprotection.

    7. National Celebrity, Sachin Tendulkar, Handwashing and personal hygiene.

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    CONTRASTS AND CHALLENGES

    India is a country of contrasts and great complexity. The picture is not simply one of rich

    versus poor.

    The enormous challenges for development are the marked disparities among differentgeographical regions, between social groups, among different income levels and between

    the sexes.

    Even within states there are marked differences. Female literacy rates in Maharashtra, for

    example, range from 83 per cent in the district of Mumbai to 46 per cent in Nandurbar.Similarly, while the average child sex ratio for Maharashtra is 917 females per 1,000

    males, it ranges widely between districts: from 974 in the district of Gadchiroli to 850 in

    Sangli.

    Malnutrition afflicts more than half of all rural children even as problems related to

    obesity threaten their more affluent peers. While India boasts of state-of-the-art hospitalsoffering some of the best medical care in the world, there are communities where a health

    worker has not been seen for years.

    The growth of modern infrastructure in cities contrasts with the most basic needs: only

    two out of every three urban households have water taps and three out of every four have

    toilets. The Indian Institutes of Technology provide world-class education to thousands,

    while over 190 million Indian women remain illiterate.

    Gender disparity is evident as almost twice as many girls as boys are pulled out of school,

    or never sent to school.

    Birth registration

    Birth registration is an area where there are significant differences between states,ranging from only 2 per cent of births being registered in Bihar to 95 per cent in Goa.

    With such diversity throughout the country, it is important for reliable disaggregated

    information to be available and used at all levels.

    While monitoring progress towards the national targets as outlined in the 10th Five YearPlan is important, data should also be generated and analysed at local levels to ensure that

    services reach the most disadvantaged.

    Through evidence-based programming and targeting, resources can be directed to the

    most disadvantaged populations, resulting in a narrowing of the disparities.

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    HISTORY OF UNICEF IN INDIA

    Milestones in the history of UNICEF's work in India.

    2004 UNICEF joins Government of Indias (GOI) efforts to eradicate polio.

    2000 UNICEF partners with GOI to ensure eradication of guinea worm.

    1996 UNICEF supports launch of GOIs RCH programme.

    1986 UNICEF works with GOI to launch Oral Rehydration Therapy Programme for

    treatment of diarrhoea.

    198586 UNICEF supports launch of GOIs Universal Immunization Programme, now

    reaching millions of children throughout India.

    1975 UNICEF supports piloting and launch of Integrated Child Development services.Today this programme reaches out to 4.8 million expectant and nursing mothers and 30

    million children under six years of age.

    1967 UNICEF's association with GOI's rural water programme provides emergency relief

    to tackle severe drought. Since then, the national water programme has expanded toprovide access to protected sources of drinking water to 95% of Indias villages.

    1949 UNICEF begins working in India.

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    1949-1959

    Milk Feeding Programme

    Partition takes its toll, soon after Independence the Government of India launches a milk-feeding programme for refugee children, UNICEF assists in this programme.

    Indias first Penicillin Plant Established

    1949 - Indias first penicillin plant set up at Pimpri; it is the first public sector

    undertaking in the Drugs & Pharmaceutical Sector. UNICEF provides equipment andtechnical assistance.

    Indias first DDT Plant Established

    1954 Indias first DDT plant set up to supply National Malaria Eradication Programme

    launched by the Government of India. Plant is set up with the equipment provided byUNICEF.

    India works on Disease ControlMalaria control and demonstration projects started in Orissa, Mysore and United

    Provinces in collaboration with W.H.O. and the Malaria Institute, Delhi.

    India Undertakes Massive Campaign on Vaccination Promotion

    A mass publicity campaign is undertaken for the promotion of BCG vaccination. The first

    Governor General of India backs the campaign and the programme, assisted by UNICEF

    together with United Nations Information Centre.

    India Establishes Anti-T.B Centers

    In 1951, 5 anti-tuberculosis centers are established Bombay, Madras and West Bengal.

    Maternal and child health

    Maternal and child health programmes begin in India in the early 1950s and the flow ofUNICEF supplies and equipment begins soon after. MCH activities intensify from 1952-

    54 when the GOI adopted a National Extension Programme for rural areas, later termed

    as Community Development Programme.

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    1960-1970

    Pre-vocational Training for Children

    1963 - Pilot project on prevocational training for children who had completed 5 years ofprimary education launched. The Government decides to experiment and strengthen this

    programme in 40 training centres.

    1963-Water Supply Schemes in India get a boost with UNICEF entry.

    Assistance in the form of hardware material, equipment and transport, benefited around50,000 rural populations in selected states, as a part of the health plan.

    Science Teaching

    Early 1960s-the Government of India and UNICEF sign an agreement for reorganisation

    and expansion of science teaching in the schools of India. Emphasis is on teachingthrough demonstration kits rather than through chalk and talk method. NCERT,

    UNESCO and UNICEF work together.

    Blind Children

    Governments efforts for training the blind supported by UNICEF, initially in the form ofequipment. The aim is to increase the enrollment of blind children in regular schools.

    Applied Nutrition Programme

    A nationwide villagebased Applied Nutrition Programme introduced in 1963. India

    signs a master plan of operation with UNICEF and its sister agencies, WHO and FAO;UNICEF assists ANP with equipment and supplies.

    1970-1980

    EPR-The Super Emergency 1971-72

    Government of India and UNICEF swing into action almost simultaneously, to face theunimagined emergency that put the life of millions of innocent children of the fleeing

    refugee families from East Pakistan at risk.

    Education in Food & Nutrition 1971

    Indian Council of Agricultural Research in cooperation with UNICEF and FAO initiatesa programme of Higher education in Food and Nutrition. The attempt is to have an

    indirect but long-term impact on the nutritional status of children and women in rural

    areas.

    Health Services 1973

    Initiated by the government all over India, the uni-purpose workers of various vertical

    national programmes are converted into multi-purpose workers, this is a significant step

    forward in the provision of rural health care in the country.

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    Special Child Relief 1974

    Government of India, with the support of UNICEF starts the SCR programme, following

    the severe food shortage in several flood and drought affected areas in the northern partof the country.

    1975-Integrated Basic Services ApproachMinistry of Social Welfare and UNICEF sign a master plan of operation to improve the

    physical, social and psychological development of the most vulnerable and needy groupsof children and their mothers.

    Special Nutrition Programme

    A further intermediate step taken by UNICEF in the Special Nutrition Programme

    introduced by the Government of India. The aim is to extend coverage to a largernumber of beneficiaries.

    RYTE

    The first Ready to Eat (RYTE) food processing unit started at Anand (Gujarat) withUNICEF support. Similar plants initiated in other parts of the country in 1977.

    Community Health Workers

    CHW, later known as the Community Heath Volunteers (CHV), scheme launched in

    1977 by the central government. Health workers to serve as health guides to ruralfamilies. UNICEF supports this with funding, as well as the provision of kits and manuals

    in local languages.

    1978-Community Biogas Plants

    In support of the development of energy saver technology, UNICEF assists

    experimental community biogas plants. Another such pilot project initiated in 1978 inUttar Pradesh.

    Oral Rehydration Therapy 1978

    1978 - The governments efforts to reduce infant and child mortality due to diarrheal

    diseases supported by UNICEF for the production of new revolutionary solution-oral

    Rehydration therapy. 1986 ORT becomes a fully-fledged national programme.

    1978 UNICEF supports the Hyderabad Urban Community Development Programme

    which became a national and international model for UCD.

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    1980-1990

    Rural Water Supply

    International Drinking Water Supply and Sanitation Decade (1981-1990). UNICEF is apartner of the Indian Government in the accelerated rural water supply programme.

    Against Leprosy

    Edutainment comes to India in the form of a play on leprosy related stigma, called Khat

    ki Garhi.

    Convention on Right of Child 1986

    1986 - Convention on the Rights of the Child adopted at historic South Asian Association

    for Regional Cooperation (SAARC) summit. Subscribes to the goals of universal

    coverage of primary education and child immunization.

    National Missions 1986

    1986 - Government of India launches six national missions or mass campaigns of whichUNICEF collaborates on the National Mission on Immunization, the National Mission for

    Drinking Water and the National Literacy Mission.

    1990-2000

    Decade of the Girl Child

    The 1990s were declared as the SAARC Decade of the Girl Child.

    Bihar Education Project 1991

    Bihar Education Project launched in 1991 with the express purpose of bringing about

    quantitative and qualitative improvement in the elementary system in Bihar. UNICEFassists central and state government in the project.

    National Plan of Action for Children 1992

    Indias first National Plan of Action for Children drafted in 1992(following the World Summit for Children in 1989, establishes a new Plan of Action for

    Children in 2005.)

    Launch of G.O.Is RCH Programme 1997

    The Reproductive and Child Health Programme aimed to universalise immunization,antenatal care, skilled attendance during delivery as well as for common childhood

    ailments.

    Super Cylone of Orissa

    1999 'super cyclone' hits the Orissa coast killing about 10,000 people. State Governmentis supported by various agencies including UNICEF which coordinates relief operations

    for about 1.7 million children.

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    2000 Onwards.

    School Feeding LawThe Supreme Court of India passes a landmark school feeding law in 2001.Under the

    new legislation all state governments have to introduce a cooked mid-day meal in allprimary schools.

    Dular Project

    2001 - The Dular project, to combat malnutrition, infant mortality and poor maternal

    health, started in selected districts of Bihar and Jharkhand by the Government with

    UNICEF support.

    Iodine Deficiency Disorder

    Since the 1990s, the Government of India, UNICEF, other UN agencies and NGOs have

    been working together for the promotion of Iodised salt as the best way of preventing

    Iodine Deficiencies Disorders. Today in India, more than 14 million out of the 26 millionnewborns are protected against brain damage due to iodine deficiency.

    IMNCI

    2002 - the government of India decided to experiment with the implementation of

    integrated management of neonatal and childhood illnesses.

    Infant Milk Substitute

    The national enactment of the 2003 Infant Milk Substitutes, Feeding Bottles and Infant

    Foods Amendment Act, that serves to strengthen the existing 1992 law, becomes a major

    step promoted and welcomed by UNICEF and partners. This legislation mandates that

    infants shall receive exclusive breastfeeding for the first six months, and thereafteroptimal complementary feeding, along with continued breastfeeding, up to two years of

    age or beyond.

    Children/Young People Affected by HIV/AIDS

    2005 - UNICEF supported the first national consultation on children and young people

    affected by or vulnerable to HIV/AIDS. The objective is to make prevention education

    available, provide care and support, stop the spread of HIV from mother to child, andmake antiretroviral treatment accessible.

    Parliamentary Forum

    2005 - The honourable speaker of the Lok Sabha launches the Parliamentary Forum onChildren. UNICEF provides research and data support.

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    THEIR WORK

    UNICEF ACTION ON HEALTH

    National Rural Health Mission

    Under the National Rural Health Mission (NRHM) (2005-2012), India proposes a bold

    approach to meet the MDG challenges for health.

    Working for an architectural correction of the public healthcare system, the NRHM

    aims to decentralise health planning and implementation to the district level. This also

    involves simultaneously pushing for convergence not only among traditionally verticalhealth programmes (Reproductive and Child Health Programme, Immunization, Malaria

    Control, TB Control, etc.) but also with other government departments.

    UNICEF Programme and Policy Support

    UNICEF plays a critical roll to ensure the effective implementation of the NRHM.

    UNICEFRight from advocating at a national level for evidence based policies and

    strategies to bringing technical assistance at district and grass-roots, ensuring capacitybuilding and introducing technical innovations for expanding coverage effectively, and

    providing evidence and documentation of what works and what doesnt to further refine

    national and state specific implementation policies.

    UNICEF also works to promote interaction and convergence of actions across different

    social sectors. The following highlights some specific programming activities:

    Integrated Management of Neonatal and Childhood Illnesses (IMNCI).

    The global Integrated Management of Childhood Illnesses (IMCI) clinical packagedeveloped by WHO and UNICEF has been adapted to include neonatal care and home

    visitation being rolled out in India.

    The overall package focuses on the newborn and the under-three child. It promotes home

    visiting, care at birth, counselling, as well as identification, classification, and treatment

    of main illnesses with standard protocols by expanding service delivery to village level

    and by enhancing the skills of village workers (Anganwadi workers) and communityhealth workers (Auxiliary Nurse-midwifes).

    The programme has demonstrated the effectiveness of a mix of community and healthfacility based activities to improve newborn care practices at home; exclusive

    breastfeeding; care-seeking during illness; referrals; and appropriate and prompt

    treatment during illness.

    Importantly, IMNCI is a central element of the National Reproductive and Child Health

    programme.

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    Cricketers Go Handwashing

    Indian Cricket Team Joins 100 Million School Children to Soap Up For Global

    Handwashing Day (15 October 2008) Indian cricket legend Sachin Tendulkar and histeam mates are joining millions of school children around the country to lather up for

    better health and hygiene as part of today's first ever Global Handwashing Day.

    Tendulkar, who is widely acknowledged as one of the greatest batsmen in the history of

    the sport, appeared for free in a public service announcement developed by UNICEF andthe Government of India being broadcast in 14 languages on television channels across

    the country to drum up support for the campaign.

    "I wanted to be a part of this campaign, because washing hands with soap can keepchildren safe and healthy and protect them against deadly diseases," the cricket star said.

    "Having two young children, I constantly have to remind them to wash their hands before

    and after meals."

    Today's cricket event is just one of thousands of activities taking place across the countryas part of the global movement uniting millions of children in more than 70 countries

    across five continents. In India, today a 100 million children will wash hands with soap at

    rural schools in Rajasthan, Maharashtra, Uttar Pradesh, Bihar, West Bengal, Gujarat,Orissa, Tamil Nadu, Jharkhand, Chattisgarh, Madhya Pradesh, Andhra Pradesh and

    Assam states.

    More than 1,000 children die every day in India from diarrhoea.. Proper handwashing

    with soap can reduce diarrhoeal cases by 47 percent and acute respiratory illnesses by 30

    percent.

    Global Handwashing Day is part of the International Year of Sanitation 2008. Goal seven

    of the Millennium Development Goals aims to reduce by half the number of people

    without access to sanitation by 2015. Almost half of the people around the world withouta toilet live in India. Many of them live in rural areas.

    "The crux of this campaign is that we are reaching out to students in hundreds of

    thousands of schools in rural India, from children in the flood-affected areas of Bihar to

    schools in far removed tribal regions of Jharkhand to satellite schools in Rajasthan," saidUNICEF India Chief of Water and Sanitation, Lizette Burgers.

    Adequate sanitation also has a huge impact on school attendance. Providing private and

    separate sanitary latrines in school can increase girls' enrollment by 11 percent. Currently

    about 65 percent of Indian schools have sanitation coverage with only 34 percent of girlscompleting their schooling. As part of the Global Handwashing Day, participating

    children will pledge to wash their hands with soap following the prescribed five-step

    method.

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    UNICEF ACTION ON NUTRITION

    UNICEF supports the Government in its objectives to reduce and prevent

    malnutrition, and to improve the development of children under three years old,

    especially those in marginalised groups.

    The Governments Integrated Child Development Services (ICDS)programme, reaches

    34 million children aged 06 years and 7 million pregnant and nursing mothers. The

    worlds largest early childcare and development programme, it is designed to play asignificant role in the improvement of early childcare.

    UNICEF supports iron supplementation for adolescent girls in 12 states and Vitamin A

    supplementation in 14 states.

    UNICEF is assisting the Government to further expand and enhance the quality of ICDSin various ways: by improving the training of anganwadi (childcare) workers; by

    developing innovative communication approaches with mothers; helping to improvemonitoring and reporting systems; providing essential supplies; by developing

    community-based early childcare interventions.

    Vitamin A and anaemia programmes are strengthened through the provision of supplies,

    the training of field workers and the support of programme management. It encourages

    the universal use of adequately iodised salt by educating the general population and

    collaborating with the salt industry.

    The nutritional and development status of children under three years old is also improved

    through community-based early childcare interventions currently being implemented in

    seven states.

    These interventions aim at bettering the care children get by educating their parents andcommunities.

    For example, in Madhya Pradesh a big effort was made through a state-wide programme

    to identify all children who were malnourished. After weighing the children, those who

    were severely malnourished were identified for treatment, and all parents were giveninformation on adequate feeding and child care.

    As a result the number of severely malnourished children reduced by half. UNICEF

    continues to support the government in linking vitamin A supplementation andimmunization services to these weighing and information provision sessions.

    http://wcd.nic.in/icds.htmhttp://wcd.nic.in/icds.htmhttp://wcd.nic.in/icds.htm
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    Working with salt producers - Tamil Nadu

    Although Tamil Nadu is one of the three major salt producing and exporting states

    in India, only about 20 per cent of its households were using adequately iodised salt

    in 1999.

    As a result, in collaboration with the government, UNICEF intensified its advocacyamong salt producers to produce iodised salt. Collaboration was initiated with a large

    consumer organisation, FEDCOT, a federation of 350 registered consumer organisations

    in Tamil Nadu and Pondicherry, whose members work at the grassroots.

    Together with FEDCOT, an awareness raising campaign was started among shopkeepersand the general population. After several meetings with local salt producers and a

    campaign to raise awareness amongst the local people, preliminary indications showed an

    increase in the production of iodised salt: the sale of potassium iodiate, the fortificantadded to the salt, increased from about 300 kilograms per month to 500 kilograms per

    month in the second half of 2003.

    UNICEF ACTION ON WATER, ENVIRONMENT AND

    SANITATION

    UNICEF supports the national and state governments in developing and

    implementing a range of replicable models for sanitation, hygiene and water supply:

    elements from these have influenced Government policy and programmes.

    The availability of protected drinking water sources has improved significantly over the

    past few years. The current priority is to maintain water systems, monitor and regulate

    water quality and ensure sustainability of sources. One particular concern is to ensure thatmarginalised groups, especially women and the poor, participate in decisions about, and

    benefit from, improved water supplies and sanitation services.

    Protecting drinking water from faecal contamination remains a major challenge because

    of a widespread lack of sanitation. One strategy is to protect vulnerable water sources bymaintaining platforms and drainage around hand-pumps. The most effective solution is to

    focus on home hygiene practices, including propagating the sanitary use of toilets and

    washing hands with soap or ash. UNICEF also supports low-cost solutions to protectdrinking water from excessive arsenic and fluoride.

    Groundwater resources are over-exploited in many regions, and an equitable management

    of demand coupled with interventions to improve recharge are needed. UNICEF supports

    local initiatives in four water-scarce states (Gujarat, Madhya Pradesh, Maharashtra) tosustain drinking water sources.

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    UNICEF ACTION ON HIV/AIDS

    As a part of the joint UN response and within the context ofNational Aids Control Plan

    III, UNICEF collaborates with the Government of India and other partners in four keyareas we call the 4 Ps:

    Primary prevention among young people is the greatest hope to defeat the virus.UNICEF has been carrying out focused popular campaigns to raise awareness among the

    children and young people. The Unite for children Unite Against AIDS campaign calls

    upon everyone to join together to put the care and protection of children, adolescents and

    young people at the centre of the HIV/AIDS agenda.

    UNICEF provided technical support to Adolescence Education Programmes (AEP) in

    schools. AEP is a joint initiative by the DoE, NACO in collaboration with NCERT,

    UNFPA and UNICEF. This programme aims to strengthen life skills and increase

    knowledge of young people required to empower them to say no to negative peer

    pressure and use the skills to protect themselves from HIV infections.

    UNICEF is helping to reach at risk adolescents and young people in 43 high priority and

    prevalence districts across the country, through focused peer outreach programmes andby strengthening links to youth-friendly health services and communication initiatives.

    2. Prevention of parent-to-child transmission (PPTCT) focuses on both women and

    their partners with a view to create an AIDS free generation. UNICEF is supporting the

    governments PPTCT services in 2433 centers across the country. Women and theirpartners will have access to confidential testing and counseling. HIV positive mothers

    will receive antiretroviral drugs, as will their babies soon after the birth. The PPTCT

    programme supports women in minimizing the risk of HIV transmission throughbreastfeeding and follow-up care.

    3. Paediatric HIV/AIDS -NACO with support of UNICEF, Indian Academy of

    Paediatrics, Clinton Foundation and WHO has formulated the policy and guidelines

    which form the basis of the National Paediatric initiative for children living with HIV.NACO under this initiative has set a target for providing ART to 10,000 children by

    2007. This initiative has been launched on 30th November 2006 by Mrs. Sonia Gandhi

    and William. J. Clinton. Now, as of September 2007, 6,500 children are receiving ART

    and nearly 19,000 children were identified who may need ART in future.

    4. Protection, care and support for affected children - Among the estimated 2.5million people in India living with HIV/AIDS, 70,000 are children under 15 years old

    (UNAIDS 2007). Every year about 21,000 children are infected through mother to child

    transmission and thousands of children are affected because their parents are HIVpositive. UNICEF India has been working to get a clear picture on an evidence-based

    approach to address the changing needs of the children affected by HIV/AIDS. On 31st

    July 2007, Mrs. Renuka Chowdhury, Minister of State for Women and Child

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    Development, launched the first comprehensive National Policy on Children and AIDS in

    India.

    5. Communications and Advocacy - Communications and advocacy on HIV/AIDS isessential to break the silence, contain the spread of the disease, reduce the stigma and

    discrimination incidents and to influence the policies that will benefit the HIV positivechildren and young people. To achieve this, UNICEF works on two levels - (a) A

    strategic anti stigma and discrimination campaign (b) Advocacy with MPs and key policymakers.

    Red Ribbon Express Train Commences its Year Long Journey

    NEW DELHI, India, December 2009 To create and increase awareness about

    HIV/AIDS in India, the attractively decorated Red Ribbon Express (RRE) was flagged

    off on World AIDS Day, 1 December 2009 by Mrs. Sonia Gandhi, the Chairperson of theUnited Progressive Alliance and the Rajiv Gandhi Foundation. High level dignitaries,

    important cabinet ministers and the Chief Minister of Delhi were present at the flag-off

    event.

    The Red Ribbon initiative targeted at young people and women has been conceptualised

    by the Rajiv Gandhi Foundation and implemented by the National AIDS Control

    Organisation (NACO) in collaboration with the Ministry of Railways, the National Rural

    Health Mission (NRHM) and the United Nations Childrens Fund (UNICEF).

    UNICEF is happy to have partnered with NACO in this ambitious project that reached

    more than six million people throughout the length and breadth of India in its first run.The innovative, interactive exhibits in the train engaged audiences, particularly women

    and children, giving them a better understanding of the issues relating to HIV and AIDS,said Karin Hulshof, UNICEF India Representative

    The overwhelming response that the Red Ribbon Express received on its year-long

    journey led to NACO's decision to run it for one more year and UNICEF's decision tosupport this unique initiative once again. I am sure that it will be successful in taking the

    message of HIV prevention to many more people across the country, Ms Hulshof added.

    The initiative supports the United Nations Millennium Development Goal 6 (combat

    HIV/AIDS, malaria and other diseases) and aims to prevent HIV infections among youngpeople by increasing knowledge about transmission, prevention and heightening the

    perception of risk associated with HIV.

    The ten-coach Red Ribbon Express also aims to encourage people to adopt safe

    behaviours and to reduce stigma and discrimination that prevent people from accessingservices.

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    UNICEF ACTION ON CHILD PROTECTION

    UNICEF Indias programmatic approach to child protection aims to build a protective

    environment in which children can live and develop in the full respect of theirfundamental rights.

    Translated into action, this approach led to a multilayered programme whose scope is to

    understand and address the multiple vulnerabilities of children in need of special

    protection rather than tackle only their immediate manifestations. UNICEF ChildProtection Programme in India focuses mainly on three areas of intervention: child

    labour, child trafficking, and children in difficult circumstances.

    In the area of Child Labour, projects implemented in various states of the country adopt

    an essentially holistic approach, combining strategies aimed not only to the withdrawal ofchildren from work, but also to enhance cummunities awareness, ownership and

    collective action for the protection and promotion of children rights.

    Existing strategies include: a) Promotion of education as both, key preventive measure

    and essential component for the rehabilitation of released children; b) Addressing povertyrelated factors through the promotion of self-help-groups; c) Advocacy and social

    mobilisation for the elimination of child labour.

    In Uttar Pradesh, for instance, this strategy led to an increase of more than 47 per cent in

    school enrolment and attendance among the villages targeted by the ongoing UNICEFchild labour elimination intervention. Over 120 Alternative Learning Centers (ALC) have

    been established in order to facilitate mainstreaming of out-of-school children into formal

    education and through them more than 24,000 children have been able to go back to

    school .

    Moreover, over 1000 Self-Help-Groups have been established and they are now playing a

    crucial role in reducing indebtedness among poor rural families. Womens empowerment

    is also showing to be instrumental to the well-being of children as a whole. With thesupport of UNICEF, for example, 50 per cent of targeted villages have adopted three key-

    friendly practices, namely an immunization coverage of more than 80 per cent, a school

    enrollment rate of more than 90 per cent and a sensible increase in the age of marriage.

    In the area of child trafficking, UNICEF India supports the Government with a twofold

    strategy aimed to strengthen rescue mechanisms and reduce at the same time childrens

    vulnerability to trafficking through a special focus on preventive action.

    For this purpose, a National Communication Strategy on child trafficking has beendeveloped and is now being implemented at community-level through UNICEF state

    offices. Manuals have been developed for social workers, judiciary, and counselors

    working on issues of child trafficking in order to enable rescue and rehabilitation

    processes which are in the best interest of the child.

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    As a part of its efforts to formulate strategies and legislations on issues related to child

    protection, UNICEF also supports the Ministry of Women and Child Development,

    Government of India, to undertake a national level study on children affected by violenceand to conduct regional and national consultations on child marriage and to hold

    dialogues on Offences Against Children Bill.

    In the efforts to improve the implementation of the Juvenile Justice System in the country

    UNICEF is also supporting the government with the development of training materialsfor the Judiciary and various other functionaries of the system like the child welfare

    committee members, police and care-takers in the various institutions under the Act.

    UNICEF is also collaborating with the Ministry of Women and Child Development on

    the creation of a website for Missing Children to facilitate tracing and reintegration oflost children.

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    UNICEF IN EMERGENCIES

    Over the last two decades, India has borne the brunt of several major natural disasters

    including the Latur Earthquake in 1993; the Orissa super-cyclone in October 1999, theBhuj earthquake in January 2001, the Tsunami in December 2004, the earthquake in

    Jammu & Kashmir in October 2005, major flooding in Bihar, Uttar Pradesh, Assam,Orissa, West Bengal and other states in 2007 and 2008, major avian flu outbreak in WestBengal and Kosi floods in Bihar in 2008.

    In 2009, the eastern Indian State of West Bengal was hit by cyclone Aila which affected

    6.8 million people and resulted in a loss of 138 human lives. In addition, a number ofrelatively smaller-scale emergencies, primarily floods, but also droughts, landslides,

    cholera and avian flu outbreaks have occurred. Tens of millions people are affected

    annually in India, most of them from the poorest strata of the population, a highproportion of whom are children.

    In most cases, UNICEFs response complemented the government's efforts in providingurgently needed supplies with the ultimate purpose of preventing disease epidemics and

    saving lives, but UNICEF at the same time put an ever increasing emphasis on advocacy

    efforts with the government partners and all other stakeholders to ensure appropriate

    response to the needy affected population and fast resumption of essential social services.

    In 2009, UNICEF was a major humanitarian player in the country that complemented thegovernments' action. UNICEF provided support to the state governments to assist the

    victims of communal violence and displacement, programme communication support in

    tackling avian flu, and multi-sectoral support in dealing with major floods.

    UNICEF works in collaboration with local and international partners, including

    governments, UN agencies, and civil society.These partnerships are crucial to ensuringcomprehensive and effective delivery of humanitarian assistance.

    Key partners for UNICEF India include the Union Governments National Disaster

    Management Authority (NDMA), Sphere India Unified Response Strategy, RedR India,and the Indian Red Cross Society.

    With its network of 13 field offices covering 16 states in India UNICEF has played acritical role in times of crisis by gathering information, conducting rapid assessments and

    providing a platform for the UNDMT to coordinate the UN systems response in areaswhere it has a presence.

    While UNICEF is ready to respond to a humanitarian crisis anywhere in India,

    emergency preparedness efforts are primarily focused on disaster-prone states.

    The principal goal of UNICEFs Emergency Preparedness and Response Programme inIndia has been to ensure the fulfillment of the rights of children and women in

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    humanitarian crises.