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Guideline for Annual Review 2079/80 (Province, District and Local Level)

by Public Health Update August 14, 2023
written by Public Health Update

The Ministry of Health and Population has published a guideline for an annual review program of health activities at the provincial, district, and local levels. This guide provides a step-by-step process, suggests participants, outlines the presentation format, and highlights the indicators to be discussed during the annual review program.

DOWNLOAD PDF FILE

DOWNLOAD PDF FILE

  • Program Implementation Guideline (Local Level) 2080/81
  • Department Health Services (DoHS) Annual Report 2078/79 (2021/22)
  • Progress of Health and Population Sector 2021/22 (2078/79 BS)
  • Guidelines and Presentation Template for Annual Review Workshop 2076-77
  • Guidance for Annual Review Workshop- MoHP
  • National Annual Review, MoHP – 2017/18 (Presentation Slides)
  • Jointly Annual Review (JAR) 2018 Presentations
  • Joint Annual Review (JAR) Meeting #JAR2018
  • National Annual Review 2073/74 – DoHS, Ministry of Health
  • Joint Annual Review Meeting (JAR 2017) Presentations: Ministry of Health (7-8 February, 2017)
  • National Annual Performance Review Workshop FY 2072/73 (2015/16) – Presentations
  • SOP for Nepal Maternal Mortality Survey (NMMS 2078)
  • Integrated Action Plan for COVID-19 Response with Roles, Responsibilities and Functions of Ministries and Agencies
  • Program Implementation Guideline (Province Level)2078/079
  • Program Implementation Guideline (Local Level)2078/079
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Call for expressions of interest: Health Policy Analysis on Integrated Approaches to Lung Health

by Public Health Update August 13, 2023
written by Public Health Update

The Global Tuberculosis Programme of the World Health Organization (WHO) is launching a Call for Expression of Interest, seeking for service providers to carry out a health policy analysis to identify the constraints to scaling up the practical approach to lung health (PAL) as well as the synergies and opportunities to redefine lung health priorities in primary care settings.

PAL was envisioned to help reduce fragmentation in the care for patients with lung disease, and improve diagnosis and case management of tuberculosis and other prevalent lung diseases, through effective coordination of service delivery, in the context of primary health care services.

In the drive for optimised primary health delivery, it is critical to identify successful practices and opportunities for the implementation and sustainability of integrated lung health approaches. To this end, WHO is seeking expressions of interest from individuals and academic institutions or other entities with relevant expertise and documented experience in health policy and systems research. The service provider should be able to work independently as well as to interact regularly and collaboratively with staff from the WHO’s Global Tuberculosis Programme team and other technical experts, as required. For more details on the work and requirements please review the detailed terms of reference.

Expressions of interest can be sent to gtbpci@who.int until 25 August 2023.

For additional information about the Health Policy Analysis on Integrated Approaches to Lung Health, please see the Terms of Reference.


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Environmental Health & Climate ChangeInternational Jobs & OpportunitiesPublic Health OpportunitiesPublic Health Opportunity

Call for experts – Technical Advisory Group on embedding ethics in health and climate change policy

by Public Health Update August 13, 2023
written by Public Health Update

The World Health Organization (WHO) is seeking experts to serve as members of the Technical advisory group on embedding ethics in health and climate change policy. This “Call for experts” provides information about the advisory group in question, the expert profiles being sought, the process to express interest, and the process of selection.

Background

The WHO recognises climate change as the biggest health threat facing humanity; it has the potential to undermine decades of progress in global health. The World Health Organization’s primary role is to direct and coordinate international health through six core functions, one of which is “articulating ethical and evidence-based policy options.” In furtherance of this mandate, WHO’s Health Ethics and Governance (HEG) Unit (the Secretariat) has established a new and dedicated work stream on climate change, health, and ethics. Through this work, WHO is committed to working with Member States, UN and other international agencies and the wider global health and research community to deliver a range of supporting tools and materials to help navigate ethical issues across the health (and health research) and climate change field and embed them effectively in relevant policies.

Functions of the Technical Advisory Group on Embedding Ethics in Health and Climate Change Policy

In its capacity as an advisory body to WHO, the AG shall have the following functions:

  1. To provide advice on the identification of stakeholders in the field of health and climate change, including appropriate engagement strategies, to ensure an inclusive engagement process; to help in considerations of the rights and responsibilities of different stakeholders in ethical decision-making;
  2. To advise the Secretariat on the development of evidence gathering methodologies, with particular reference to a series of case studies designed to identify the practical ethical challenges arising for health and research stakeholders responding to climate change;
  3. To contribute with expert inputs into drafts of supporting tools/frameworks and/or guidance developed to support the successful inclusion of ethical considerations in policy and decision making in climate change and health;
  4. To review and make recommendations to the Secretariat on the final tools/frameworks and/or guidance, including on any proposed dissemination strategies.

Operations of the Technical Advisory Group on Embedding Ethics in Health and Climate Change Policy

1. The AG shall normally meet at least 6 times each year. However, WHO may convene additional meetings. AG meetings may be held in person (at WHO headquarters in Geneva or another location, as determined by WHO) or virtually, via video or teleconference. AG meetings may be held in open and/or closed session, as decided by the Chairperson in consultation with WHO:

(a) Open sessions: Open sessions shall be convened for the sole purpose of the exchange of non-confidential information and views, and may be attended by Observers (as defined in paragraph III.3 below).

(b) Closed sessions: The sessions dealing with the formulation of recommendations and/or advice to WHO shall be restricted to the members of the AG and essential WHO Secretariat staff.

2. The quorum for AG meetings shall be two thirds of the members.

3. WHO may, at its sole discretion, invite external individuals from time to time to attend the open sessions of an advisory group, or parts thereof, as “observers”. Observers may be invited either in their personal capacity, or as representatives from a governmental institution / intergovernmental organization, or from a non-state actor. WHO will request observers invited in their personal capacity to complete a confidentiality undertaking and a declaration of interests form prior to attending a session of the advisory group. Invitations to observers attending as representatives from non-state actors will be subject to internal due diligence and conflict of interest considerations in accordance with FENSA. Observers invited as representatives may also be requested to complete a confidentiality undertaking. Observers shall normally attend meetings of the AG at their own expense and be responsible for making all arrangements in that regard.
At the invitation of the Chairperson, observers may be asked to present their personal views and/or the policies of their organization. Observers will not participate in the process of adopting decisions and recommendations of the AG.

4. The AG may decide to establish smaller working groups (sub-groups of the AG) to work on specific issues. Their deliberations shall take place via teleconference or video-conference. For these sub-groups, no quorum requirement will apply; the outcome of their deliberations will be submitted to the AG for review at one of its meetings.

5. AG members are expected to attend meetings. If a member misses two consecutive meetings, WHO may end his/her appointment as a member of the AG.

6. A yearly report shall be submitted by the AG to WHO (the Assistant Director-General of the responsible Cluster). All recommendations from the AG are advisory to WHO, who retains full control over any subsequent decisions or actions regarding any proposals, policy issues or other matters considered by the AG.

7. The AG shall normally make recommendations by consensus. If, in exceptional circumstances, a consensus on a particular issue cannot be reached, minority opinions will be reflected in the meeting report.

8. Active participation is expected from all AG members, including in working groups, teleconferences, and interaction over email.] AG members may, in advance of AG meetings, be requested to review meeting documentation and to provide their views for consideration by the AG.

9. WHO shall determine the modes of communication by the AG, including between WHO and the AG members, and the AG members among themselves.

10. AG members shall not speak on behalf of, or represent, the AG or WHO to any third party.

Who can express interest?

The Technical Advisory Group on Embedding Ethics in Health and Climate Change Policy will be multidisciplinary, with members who have a range of technical knowledge, skills and experience relevant to embedding ethics in health and climate change policy. Approximately 12-15 members may be selected.

WHO welcomes expressions of interest from the following relevant disciplines (please note that this not an exhaustive list and other related fields may be considered):

  • Climate change policy/finance/diplomacy/advocacy;
  • Health policy/systems;
  • Environmental/climate science;
  • Medicine/health professions/public health/global health;
  • Social science/behavioural science;
  • One health/animal health/planetary health;
  • Bioethics/environmental ethics;
  • Law/human rights;
  • Economics
  • First Nations/indigenous scholars

In the selection of the AG members, consideration shall be given to attaining an adequate distribution of technical expertise, geographical representation and gender balance.

Submitting your expression of interest

To register your interest in being considered for the Technical Advisory Group on Embedding Ethics in Health and Climate Change Policy, please submit the following documents by 24:00h (midnight) Geneva time on Friday 8 September 2023 to kidaneh@who.int using the subject line “Expression of interest for the Technical Advisory Group on Embedding Ethics in Health and Climate Change Policy”:

  • A cover letter, indicating your motivation to apply and how you satisfy the selection criteria. Please note that, if selected, membership will be in a personal capacity. Therefore do not use the letterhead or other identification of your employer;
  • Your curriculum vitae (including your nationality/ies) and;
  • A signed and completed Declaration of Interests (DOI) form for WHO Experts, available here 

After submission, your expression of interest will be reviewed by WHO. Due to an expected high volume of interest, only selected individuals will be informed.

Important information about the selection processes and conditions of appointment

Members of WHO advisory groups (AGs) must be free of any real, potential or apparent conflicts of interest. To this end, applicants are required to complete the WHO Declaration of Interests for WHO Experts, and the selection as a member of a AG is, amongst other things, dependent on WHO determining that there is no conflict of interest or that any identified conflicts could be appropriately managed (in addition to WHO’s evaluation of an applicant’s experience, expertise and motivation and other criteria).

All AG members will serve in their individual expert capacity and shall not represent any governments, any commercial industries or entities, any research, academic or civil society organizations, or any other bodies, entities, institutions or organizations. They are expected to fully comply with the Code of Conduct for WHO Experts. AG members will be expected to sign and return a completed confidentiality undertaking prior to the beginning of the first meeting.

At any point during the selection process, telephone interviews may be scheduled between an applicant and the WHO Secretariat to enable WHO to ask questions relating to the applicant’s experience and expertise and/or  to assess whether the applicant meets the criteria for membership in the relevant AG.

The selection of members of the AGs will be made by WHO in its sole discretion, taking into account  the following (non-exclusive) criteria: relevant technical expertise; experience in international and country policy work; communication skills; and ability to work constructively with people from different cultural backgrounds and orientations .The selection of AG members will also take account of the need for diverse perspectives from different regions, especially from low and middle-income countries, and for gender balance.

If selected by WHO, proposed members will be sent an invitation letter and a Memorandum of Agreement. Appointment as a member of a AG will be subject to the proposed member returning to WHO the countersigned copy of these two documents.

WHO reserves the right to accept or reject any expression of interest, to annul the open call process and reject all expressions of interest at any time without incurring any liability to the affected applicant or applicants and without any obligation to inform the affected applicant or applicants of the grounds for WHO’s action. WHO may also decide, at any time, not to proceed with the establishment of the AG, disband an existing TAG or modify the work of the AG.

WHO shall not in any way be obliged to reveal, or discuss with any applicant, how an expression of interest was assessed, or to provide any other information relating to the evaluation/selection process or to state the reasons for not choosing a member.

WHO may publish the names and a short biography of the selected individuals on the WHO internet.

AG members will not be remunerated for their services in relation to the AG or otherwise. Travel and accommodation expenses of AG members to participate in AG meetings will be covered by WHO in accordance with its applicable policies, rules and procedures.

The appointment will be limited in time as indicated in the letter of appointment.

If you have any questions about this “Call for experts”, please write to littlerk[@]who.int well before the applicable deadline. 



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2023 COVID-19 Recovery for Routine Immunization Programs Fellowship
Fellowships, Studentship & ScholarshipsPublic Health OpportunitiesPublic Health Opportunity

2023 COVID-19 Recovery for Routine Immunization Programs Fellowship

by Public Health Update August 12, 2023
written by Public Health Update

Overview

The COVID-19 Recovery for Routine Immunization Programs Fellowship is a comprehensive training program brought to you by Sabin’s Boost Community (Boost) and the World Health Organization (WHO). The goal of the program is to support a cohort of national and sub-national immunization professionals by strengthening their capacity to plan and implement immunization programming, with the ultimate outcome of reversing the dangerous decline in rates of routine immunization.

Starting August 2023, this cohort will participate in a comprehensive program over the course of six months that involves a learning engagement series, developing a strategic plan and potentially receiving 1:1 mentoring support by global immunization subject matter experts from the conceptual stage of a project idea through implementation.

Fellowship features

Develop Your Skills and Become An Advocate & Leader: The fellowship will begin with a month of weekly mandatory live engagements led by WHO staff and immunization subject matter experts around topics relating to rebuilding routine immunization, including catch-up vaccination, integration and life course immunization. During these sessions, fellows will interact with experts and peers to increase their skills and knowledge in these critical areas.

Craft An Implementation Plan: Throughout the live engagement series, fellows will develop a COVID-19 recovery strategic proposal, with guidance from fellowship facilitators and alumni. This proposal will be submitted for review and feedback.

Receive Individualized Mentoring: Participants with strong plans will be considered for a mentorship program to work 1:1 with experts in the field to further develop and implement their strategies and potentially publish their case studies. Final deliverables for the fellowship will be due March 2024.

Interact with an Incredible Cohort: Fellows will join and learn from a global cohort of passionate immunization professionals who face similar obstacles and will have the opportunity to work through those challenges together.

Who Should Apply?

Are you a national or sub-national immunization professional? Are you a leader or key decision-maker on your team? Are you eager to recover your immunization program from the COVID-19 pandemic and build it back stronger to achieve the IA2030 targets? You may be a good fit for this program.

Please note that this Fellowship will be available in English and French. Veuillez noter que cette bourse sera disponible en anglais et en français. Organizer aim to recruit a gender-balanced Fellowship cohort and strongly encourage women to apply!

Fellowship Expectations

We ask that you commit* to the following:

  • Discuss the Fellowship with your supervisor and team and gain their support to participate in this program
  • Attend all four mandatory weekly 60-minute live engagements from August 29 (ENGLISH) // August 31 (FRENCH) to September 19 (ENGLISH) // September 21 (FRENCH)
  • Spend time developing and refining your immunization recovery and strengthening strategic plan (2-3 hours per week for one month)

Moreover, if your plan is selected for mentorship support, we ask that you:

  • Attend regular calls with a mentor
  • Begin to implement your plan, with the guidance of your mentor
  • Report initial results by March 2024

*In order to receive a certificate of completion for the program, Fellows are required to attend all live sessions, submit a strategic plan and, if accepted, participate in the mentorship program through the implementation of their plan.

How to Apply

Please fill out this brief application no later than Friday, August 18.

Please note: There are limited spots, which are available on a first-come, first served basis.



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Global Health NewsNational Health NewsPublic Health NewsPublic Health UpdateWorld News

WHO convenes first high-level global summit on traditional medicine to explore evidence base, opportunities to accelerate health for all

by Public Health Update August 10, 2023
written by Public Health Update

10 August 2023 News release (WHO)

The World Health Organization (WHO) is convening the Traditional Medicine Global Summit on 17 and 18 August 2023​ in Gandhinagar, Gujarat, India. Co-hosted by the Government of India, the Summit will explore the role of traditional, complementary, and integrative medicine in addressing pressing health challenges and driving progress in global health and sustainable development.

High-level participants will include the WHO Director-General and Regional Directors, G20 health ministers and high-level invitees from countries across WHO’s six regions. Scientists, practitioners of traditional medicine, health workers and members of the civil society organizations will also take part. 

In pursuit of health for all

The Summit will explore ways to scale up scientific advances and realize the potential of evidence-based knowledge in the use of traditional medicine for people’s health and well-being around the world. Scientists and other experts will lead technical discussions on research, evidence and learning; policy, data and regulation; innovation and digital health; and biodiversity, equity and Indigenous knowledge.

“Traditional medicine can play an important and catalytic role in achieving the goal of universal health coverage and meeting global health-related targets that were off-track even before the disruption caused by the COVID-19 pandemic,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.  “Bringing traditional medicine into the mainstream of health care — appropriately, effectively, and above all, safely based on the latest scientific evidence — can help bridge access gaps for millions of people around the world.  It would be an important step toward people-centered and holistic approaches to health and well-being.”

Heads of State and government at the 2019 UN high-level meeting on universal health coverage acknowledged the need to include evidence-based traditional and complementary medicine services particularly in primary health care, a cornerstone of health systems, in pursuit of health for all.  Today, traditional and complementary medicine is well established in many parts of the world, where it plays an important role in the culture, health and well-being of many communities. In some countries, it represents a significant part of the health sector’s economy, and for millions of people around the world it is the only available source of health care.

Advancing science on traditional medicine

Traditional medicine has contributed to breakthrough medical discoveries and continues to hold out great promise. Research methods such as ethnopharmacology and reverse pharmacology could help identify new, safe and clinically effective drugs, while the application of new technologies in health and medicine — for example genomics, new diagnostic technologies, and artificial intelligence — could open new frontiers of knowledge on traditional medicine. 

Amid an expansion in the use of traditional medicine worldwide, safety, efficacy and quality control of traditional products and procedure-based therapies remain important priorities for health authorities and the public. Natural doesn’t always mean safe, and centuries of use are not a guarantee of efficacy; therefore, scientific method and process must be applied to provide the rigorous evidence required for the recommendation of traditional medicines in WHO guidelines. 

“Advancing science on traditional medicine should be held to the same rigorous standards as in other fields of health. This may require new thinking on the methodologies to address these more holistic, contextual approaches and provide evidence that is sufficiently conclusive and robust to lead to policy recommendations,” said Dr John Reeder, WHO Director of Special Programme for Research and Training in Tropical Diseases and Director of the Department of Research for Health.  

The Summit will explore research and evaluation of traditional medicine, including methodologies that can be used to develop a global research agenda and priorities in traditional medicine, as well as challenges and opportunities based on 25 years of research in traditional medicine. Findings from the systematic reviews of traditional medicine and health, evidence maps of clinical effectiveness, and an artificial intelligence global research map on traditional medicine will be presented.

A stronger evidence base will enable countries to develop appropriate mechanisms and policy guidance for regulating, ensuring quality control and monitoring traditional medicine practices, practitioners and products, according to national contexts and needs. 

WHO global survey on traditional medicine, ICD-11 and other data

At the Summit, WHO will present emerging findings from the third global survey on traditional medicine, which, for the first time, includes questions on financing of traditional and complementary medicine, health of Indigenous Peoples, quality assurance, traditional medicine knowledge, biodiversity, trade, integration, patient safety, and more.  The complete survey, which will be released later in the year, first on an interactive online dashboard and then as a report, will inform the development of WHO’s updated traditional medicine strategy 2025-2034 as requested by the World Health Assembly in May 2023.

Standardization of traditional medicine condition documentation and coding in routine health information system is a pre-requisite for effective management and regulation of traditional medicine in healthcare systems. This includes consideration of forms, incidence rates, and outcomes associated with traditional medicine healthcare. The Summit will be an opportunity to showcase countries’ experiences, explore regional trends and discuss best practices, including in the implementation of the traditional medicine chapter in the latest International Classification of Diseases, the ICD-11.

Participants in the Summit will examine a global overview of policy, legal and regulatory landscapes; formal structures and policies to collect data and establish systems for information management; an assessment of educational and training programmes for the development of traditional medicine workforce; and experiences and best practices on training, accreditation and regulation of traditional medicine practitioners, which can substantially advance patient safety and minimize patient harm in the provision of traditional medicine services.   

Biodiversity and indigenous knowledge

Biodiversity and indigenous knowledge are foundational pillars of traditional medicine and health and well-being, especially for Indigenous Peoples; 80 per cent of the world’s remaining biodiversity is in Indigenous territories or lands, while conservation of biodiversity is a key issue related to the sustainable use of traditional medicines. 

In preparation for the Summit, a WHO global workshop on biodiversity, indigenous knowledge, health, and well-being was held in Brazil from 25 to 28 July, to better understand the invaluable connection between biodiversity, traditional knowledge, and human health. Meeting outcomes, in the form of recommendations, will be presented at the Summit, and will contribute to the biodiversity and One Health workstream.

The Summit’s focus on sustainable biodiversity management in the face of the climate crisis will drive the identification and sharing of best practices, initiatives, and legislative frameworks on the protection of traditional knowledge, innovation, and access and equitable benefit-sharing by countries.  The discussions at the Summit will focus on the rising prospect of global economic activities related to traditional medicine, Indigenous knowledge-based innovations in health care, application of intellectual property laws and regulations, and the use and promotion of indigenous and ancestral medicine through intercultural dialogues to support community health.


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PREPSS (Pre-Publication Support Service) Peer Reviewer Training Program
International Jobs & OpportunitiesOpportunities by RegionPublic Health OpportunitiesPublic Health OpportunityTraining

PREPSS (Pre-Publication Support Service) Peer Reviewer Training Program

by Public Health Update August 8, 2023
written by Public Health Update

Overview

Pre-Publication Support Service (PREPSS) provides manuscript development and writing support to health researchers from low- and middle-income countries. The service works with authors to improve their manuscripts to be competitive submissions for publication in peer-reviewed academic journals. The authors are not charged for these services. The work we do at PREPSS helps make global health research more equitable.

VIRTUAL PEER-REVIEWER TRAINING PROGRAM:

The program will help you develop the skills necessary to provide high-quality and respectful feedback to researchers on their manuscripts. After the training, you will join over 97 volunteer peer reviewers at PREPSS. Involvement as a PREPSS peer reviewer requires a commitment of completing 2 peer reviews per year.

The following requirements must be met in order to complete the program:

Educational requirements: The peer reviewer training program is for PhD candidates and post-doctoral fellows in public health or a similar field, and medical residents with a research focus. All participants must have first-authored a published journal article. 

Participants MUST complete all of the following to join the training and become a peer-reviewer:

1) A 1.5-hour orientation (choose between attending live or watching recording afterwards)

2) Practice review (will take between 1-3 hours based on past participant feedback)

3) A 4-hour hands-on training session where you will interact in real time with your training cohort and work with an example manuscript. 

Details about PREPSS Peer-Reviewer Training Program:

Day 1 (Orientation):
Tuesday October 10th 12-1:30pm EDT (Zoom). This orientation will be recorded so you can attend live on Zoom or view the recording if you are unable to attend during this time. The orientation will cover important information about PREPSS, your role as a peer-reviewer for PREPSS, what to expect on day 2 of the training session and explanation of required tasks to complete prior to day 2 of training.

Practice Review:
To be completed by October 24th. You will be asked to provide feedback on a practice manuscript which will used for day 2 of the training session. You must upload your comments by October 24th to be eligible for day 2 of training (we will send the Zoom link for day 2 upon receipt of your completed practice activity).

Day 2 (Training) Pick One:

Friday October 27th 1-5pm EDT (Zoom)

OR

Friday November 3rd 7-11am EDT (Zoom)

One of these two sessions must be attended live on Zoom to complete the program.

HOW TO REGISTER:

Step 1: Complete this application form (below) and submit by Thursday, October 5, 2023. Completion of the application does not guarantee your selection as a peer-reviewer.

Step 2: Selected applicants will complete our 2-day training program to become peer-reviewers for PREPSS.

Step 3: As a PREPSS peer reviewer, you will be expected to review 2 papers per year.

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Program Implementation Guideline (Local Level) 2080/81
National Plan, Policy & GuidelinesResearch & Publication

Program Implementation Guideline (Local Level) 2080/81

by Public Health Update August 7, 2023
written by Public Health Update

The Ministry of Health and Population (MoHP) Nepal has released new program implementation guidelines for local levels for the fiscal year 2080/81.

This guideline aims to provide technical and financial norms at the local level. This guideline consists of a program introduction, objectives, expected outputs, process of implementation, recording reporting, reference documents, and budget information for each activity designed for 2080/81 at the local level.

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World Breastfeeding Week
Global Health NewsPublic Health NewsPublic Health UpdateWorld News

Joint statement by UNICEF Executive Director and WHO Director-General on the occasion of World Breastfeeding Week

by Public Health Update August 7, 2023
written by Public Health Update

Statement by Catherine Russell and Dr Tedros Adhanom Ghebreyesus

1 August 2023, Joint News Release, Geneva/New York

In the last 10 years, many countries have made significant progress to increase exclusive breastfeeding rates. Yet even greater progress is possible when breastfeeding is protected and supported, particularly in the workplace.

This World Breastfeeding Week, under its theme, “Let’s make breastfeeding at work, work” – UNICEF and WHO are emphasizing the need for greater breastfeeding support across all workplaces to sustain and improve progress on breastfeeding rates globally.

In the last decade, the prevalence of exclusive breastfeeding has increased by a remarkable 10 percentage points, to 48 per cent globally. Countries as diverse as Cote d’Ivoire, Marshall Islands, the Philippines, Somalia and Viet Nam have achieved large increases in breastfeeding rates, showing that progress is possible when breastfeeding is protected, promoted, and supported.

However, to reach the global 2030 target of 70 percent, the barriers women and families face to achieve their breastfeeding goals must be addressed.

Supportive workplaces are key. Evidence shows that while breastfeeding rates drop significantly for women when they return to work, that negative impact can be reversed when workplaces facilitate mothers to continue to breastfeed their babies.

Family-friendly workplace policies – such as paid maternity leave, breastfeeding breaks, and a room where mothers can breastfeed or express milk – create an environment that benefits not only working women and their families but also employers. These polices generate economic returns by reducing maternity-related absenteeism, increasing the retention of female workers, and reducing the costs of hiring and training new staff.

From the earliest moments of a child’s life, breastfeeding is the ultimate child survival and development intervention. Breastfeeding protects babies from common infectious diseases and boosts children’s immune systems, providing the key nutrients children need to grow and develop to their full potential. Babies who are not breastfed are 14 times more likely to die before they reach their first birthday than babies who are exclusively breastfed.

Supporting breastfeeding in the workplace is good for mothers, babies, and businesses, and that is why UNICEF and WHO are calling on governments, donors, civil society, and the private sector to step up efforts to:

  • ensure a supportive breastfeeding environment for all working mothers – including those in the informal sector or on temporary contracts – by having access to regular breastfeeding breaks and facilities that enable mothers to continue breastfeeding their children once they return to work;
  • provide sufficient paid leave to all working parents and caregivers to meet the needs of their young children. This includes paid maternity leave for a minimum of 18 weeks, preferably for a period of six months or more after birth; and
  • Increase investments in breastfeeding support policies and programmes in all settings, including a national policy and programme that regulates and promotes public and private sector support to breastfeeding women in the workplace.

Statement by Catherine Russell and Dr Tedros Adhanom Ghebreyesus


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Breastfeeding Facts in Nepal
Fact SheetHealth in DataMaternal, Newborn and Child HealthPublic Health Update

Breastfeeding Facts in Nepal

by Public Health Update August 1, 2023
written by Public Health Update

The 2022 NDHS is a national sample survey that provides up-to-date information on various health indicators. Here are the major findings of NDHS 2022 related to breastfeeding practices in Nepal.

Picture1 1
  • Exclusive breastfeeding has fluctuated over time, with a sharp dip in 2006. However, exclusive breastfeeding has been steadily declining since 2011, from 70% to 56%.
  • Nationally, only 56% of children age 0–5 months are exclusively breastfed, while 20% receive mixed milk feeding.
  • Among women who received ANC for their most recent live birth and/or stillbirth, only 52% of women received counseling on breastfeeding.
  • Almost all children under age 2 (99%) have been breastfed at some point.
  • Over half (55%) of children are put to the breast within 1 hour of birth, and 59% are exclusively breastfed for the first 2 days after birth.
  • Both early initiation of breastfeeding and exclusive breastfeeding for the first 2 days after birth are lower among cesarean section births (17% and 21%, respectively) than among vaginal births (63% and 68%, respectively).
  • The percentage of children who were put to the breast within 1 hour is higher in rural areas (63%) than in urban areas (51%).
  • The percentage of children breastfed within 1 hour of birth is highest in Sudurpashchim Province (69%) and lowest in Bagmati Province (43%).
  • Similarly, 82% of children in Sudurpashchim Province are exclusively breastfed for the first 2 days after birth, as compared with 48% of children in Bagmati Province.
  • The proportions of children breastfed within 1 hour of birth and exclusively breastfed for the first 2 days are highest in the lowest wealth quintile (62% and 82%, respectively) and lowest in the highest wealth quintile (41% and 40%, respectively).
  • Early initiation of breastfeeding and exclusive breastfeeding for the first 2 days also vary according to mother’s education.
  • Sixty-one percent of children born to mothers with no education were put to the breast within 1 hour and 58% were exclusively breastfed for the first 2 days, whereas the corresponding figures among children born to mothers with more than a secondary education are 36% and 32%.

Exclusive Breastfeeding and Mixed Milk Feeding

  • At age 0–1 month, only 70% of children are exclusively breastfed as per WHO recommendations.
  • Twenty-eight percent of children are not being fed according to recommended guidelines, with 6% receiving breast milk and plain water only, 1% receiving breast milk and non-milk liquids, 18% receiving breast milk and formula and/or animal milk, and 3% receiving breast milk and solid, semisolid, or soft foods.
  • By age 2–3 months, there is a small decline in the percentage of children exclusively breastfed, with more than one-third (33%) of children receiving liquids or foods other than breast milk.
  • By age 4–5 months, the percentage of children exclusively breastfed declines sharply to 41% and the majority of children are receiving liquids or foods other than breast milk, primarily breast milk and solid, semisolid, or soft foods (26%).
  • Exclusive breastfeeding is highest in Sudurpashchim Province and Karnali Province (74% each) and lowest in Lumbini Province (36%).
  • The proportion of children age 0–5 months who are exclusively breastfed fluctuates across wealth quintiles.
  • The proportion is highest in the lowest wealth quintile (64%) and lowest in the highest quintile (44%).
  • Twenty-two percent of children born in a health facility receive mixed milk feeding (breast milk and fresh, packaged, or powdered animal milk or infant formula), as compared with 12% of those born at home.
  • Children of mothers with a secondary education more often receive mixed milk feeding than children of mothers with no education (28% versus 9%).

Continued Breastfeeding and Bottle Feeding

  • Among children age 12–23 months, 94% are currently breastfeeding. Around one-fifth (22%) of children less than age 2 are bottle fed.
  • The proportion of children who are bottle fed is higher in urban areas (26%) than in rural areas (15%).
  • Use of a bottle with a nipple is lowest in Karnali Province (11%) and Madhesh Province (12%) and highest in Bagmati Province (43%).
  • The proportion of children who are bottle fed increases with increasing mother’s education, from 12% among those whose mothers have no education to 49% among those whose mothers have more than a secondary education.
  • Use of a bottle with a nipple is highest in the highest wealth quintile (46%) and lowest in the lowest quintile (11%).

Introduction of Complementary Foods

  • Overall, 85% of children were introduced to solid, semisolid, or soft foods at age 6–8 months.
  • Sixty-seven percent of these breastfeeding children received food made from grains; 66% received beans, peas, lentils, nuts, and seeds; 26% received white/pale starchy roots, tubers, and plantains; 18% received vitamin A-rich fruits and vegetables; 11% received eggs; 5% received meat, fish, poultry, or organ meats; and 30% received other fruits and vegetables.

Read More: Nepal Demographic and Health Survey 2022


  • Breastfeeding Fact Sheet: Nepal
  • Public Health Calendar: List of Important Health Days & Events
  • 10 facts on breastfeeding – Public Health Update
  • Sustaining Breastfeeding Together: WABA | World Breastfeeding Week 2017
  • WORLD BREASTFEEDING WEEK 
  • Ten Steps to Successful Breastfeeding
  • Mother’s Milk Substitutes (Control of Sale and Distribution) Act, 2049 (1992)
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Information on the  election of WHO Regional Directors
Global Health NewsPublic Health NewsPublic Health Update

Information on the election of WHO Regional Directors

by Public Health Update July 28, 2023
written by Public Health Update

The process for electing the Regional Directors of the Eastern Mediterranean (EMR), South East Asia (SEAR) and Wester Pacific (WPR) regions of WHO, respectively, started in Spring 2023. Regional Directors are appointed by the Executive Board, in agreement with the relevant Regional Committee.

The nomination of new Regional Directors will take place at their respective Regional Committees in Fall 2023 (EMR 70th Regional Committee: 9 – 12 October Cairo, Egypt; WPR 74th Regional Committee: 16 – 20 October: Manila – Philippines; SEAR 76th Regional Committee: 30 October – 2 November: New Delhi, India).

The appointment of the Regional Directors will take place at the 154th session of the WHO Executive Board in January 2024.

In the coming weeks, WHO regional offices concerned (EMRO, SEARO and WPRO) will post information on the Regional Director election processes, including the names of the persons proposed for the post of Regional Directors,  on their respective websites:

EMRO – on or after 30 July:

https://www.emro.who.int/about-who/regional-director/election-of-regional-director-2023.html

WPRO – on or after 4 August:

https://www.who.int/westernpacific/about/governance/nomination-of-the-regional-director

SEARO – on or after 18 August:

https://www.who.int/southeastasia/about/governance/regional-director/election-of-regional-director-2023

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