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URL: https://www.unicef.org/reports/unicef-annual-report-2023/ED-letter
Submission: On October 31 via api from ES — Scanned from ES

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            <a href="/stories/community-health-workers-heartbeat-global-primary-health-care" title="Community health workers are the heartbeat of health care " data-action="/stories/community-health-workers-heartbeat-global-primary-health-care" data-tracked-component="cta" data-bound="click" data-label="Community health workers are the heartbeat of health care ">

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                                  <div class="field taxonomy_term name  odd-t string">Article</div>
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  <h4 class="h4 white-bg text-grey1">
      Community health workers are the heartbeat of health care 
  </h4>

                  <p class="card-description text-small white-bg text-grey1">
  Discover the challenges they face as they try to reach the most vulnerable children worldwide.
</p>
                            <span class="btntext card-button-link btntext primary ">
            Read the story
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 </a>
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            <a href="/child-health-and-survival/transforming-lives-treatment-malnutrition" title="Transforming the fight against severe malnutrition" data-action="/child-health-and-survival/transforming-lives-treatment-malnutrition" data-tracked-component="cta" data-bound="click" data-label="Transforming the fight against severe malnutrition">

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                                  <div class="field taxonomy_term name  odd-t string">Article</div>
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  <h4 class="h4  white-bg grey-darker  grey-darker nothingfcp">
      Transforming the fight against severe malnutrition
  </h4>

                  <p class="card-description text-small  white-bg grey-darker  grey-darker nothingfcp">
  We know how to save millions of children from severe malnutrition and death. It’s time to scale up these solutions
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            Read the story
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 </a>
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          <div class="card published primary-bg text-white  ">
            <a href="/reports/state-worlds-children-2023" title="The State of the World’s Children 2023" data-action="/reports/state-worlds-children-2023" data-tracked-component="cta" data-bound="click" data-label="The State of the World’s Children 2023">

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                                  <div class="field taxonomy_term name  odd-t string">Flagship report</div>
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  <h4 class="h4 primary-bg text-white">
      The State of the World’s Children 2023
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  For every child, immunization
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                            <span class="btntext card-button-link btntext white ">
            See the full report
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 </a>
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  <h4 class="h4 white-bg text-grey1">
      Commitment to Action on Foundational Learning
  </h4>

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  Ensure foundational learning as a key element to transform education
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                            <span class="btntext card-button-link btntext primary ">
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  <h4 class="h4 white-bg text-grey1">
       How AT restores dreams for children with disabilities 
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  Experience the life-changing impact of assistive technology in the lives of four children.
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                                  <div class="field taxonomy_term name  odd-t string">Article</div>
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  <h4 class="h4 white-bg text-grey1">
      Climate action for a climate-smart world
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                  <p class="card-description text-small white-bg text-grey1">
  UNICEF and partners are monitoring, innovating and collaborating to tackle the climate crisis
</p>
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            Read the story
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            <a href="/stories/cholera-is-endangering-children-globally" title="Cholera is endangering children globally" data-action="/stories/cholera-is-endangering-children-globally" data-tracked-component="cta" data-bound="click" data-label="Cholera is endangering children globally">

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                                  <div class="field taxonomy_term name  odd-t string">Article</div>
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  <h4 class="h4 white-bg text-grey1">
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UNICEF/UNI471652/Rabik Upadhayay
Page


2023 IN REVIEW


A MESSAGE FROM UNICEF’S EXECUTIVE DIRECTOR ON A NEW YEAR AND NEW HOPE FOR
CHILDREN



Available in:  English   Français    Español    العربية   中文   русский

--------------------------------------------------------------------------------

From conflicts to climate change, this year provided more proof that children
increasingly live in a world hostile to their rights. Yet UNICEF continued to
deliver for children and young people, with a staff of over 17,000 working
across more than 190 countries and territories.

In advance of our Annual Report to be released in May, we are sharing a message
from our Executive Director, reflections from youth advocates around the world,
along with photos and a collection of stories that highlight our impact and
reach for every child. As we move into 2024, we reaffirm our commitment for the
fulfillment and protection of child rights.


A NEW YEAR AND NEW HOPE FOR CHILDREN

by UNICEF Executive Director Catherine Russell

With the new year fast approaching, I find myself thinking a lot about the
concept of hope – both the power of having it and the despair that can consume
us when it is gone. Hope can drive us forward in the face of seemingly
insurmountable challenges. It can be all that stops us from giving in to doubt
and insecurity. And on a base level, hope can be the one thing that helps us as
human beings to survive against even the longest of odds. 

> Hope is the foundation on which the organization I lead, UNICEF, has been
> built. It is the hope that we can create a world in which the rights and
> well-being of this and future generations of children are protected and
> upheld. And hope is what fuels our optimism that this mission can be
> achieved.  

But while hope is tremendously powerful, it can also be fragile, especially when
it crashes up against the harshest realities our world has to offer. And this
year has been especially brutal for children across the globe.  

Blocks
UNICEF/UNI470988/

We estimate, for example, that nearly a quarter of the world’s children are
living in or fleeing from conflict zones. This includes protracted conflicts
like those in Burkina Faso, the Democratic Republic of the Congo, Ukraine and
Yemen, which have unleashed waves of child rights violations and years of
suffering.  

But 2023 also saw the rise of new conflicts. Violence between armed forces and
groups in Sudan has driven at least 6 million people from their homes, more than
half of whom are children, making it the largest child displacement crisis
globally. Meanwhile, Gaza has become the most dangerous place in the world for
children, with nearly 6,000 killed in less than three months of war.

Behind each of these numbers is a story of unimaginable child suffering, of
rights violated and rights denied. I have met some of these children during my
travels with UNICEF. Children like Fatima – a 16-year-old girl who I visited
with recently in a hospital ward in Gaza. She was badly injured when her
neighborhood was bombed in October, and the doctors have told her she will never
walk again.  

The suffering of these children is an indictment of a world that has failed to
protect them from the dangers of war.  

Making matters worse, in 2023, these new and protracted conflicts have coincided
with other devastating crises. These include disasters like the catastrophic
flooding in Libya or the earthquakes in Afghanistan and Morocco, disease
outbreaks like the cholera epidemic in Haiti and food insecurity such as that
experienced in the Horn of Africa. Climate change also continued to wreak havoc
on young lives this year by causing severe droughts, heatwaves and more intense
storms.   

Of course, such crises do not occur in a vacuum. Each has the potential to
amplify the impacts of the others, exacting ever greater tolls on children and
the systems they rely on. 

The consequences of this are plain to see:  

 * The number of children living in multidimensional poverty has increased by 15
   per cent to 1.2 billion globally in just the last three years 

 * Nearly 600 million children are not meeting minimum reading standards 

 * 35 million children are suffering from wasting  

 * Each day, nearly 14,000 children under the age of five are dying from largely
   preventable causes like diarrhoeal diseases and malaria 

These are dark times, especially for children, which have left hope in short
supply for many of us. But as Dr. Martin Luther King said, “I know, somehow,
that only when it is dark enough can you see the stars.” I believe this to be
true. I believe that if we look hard enough, we can see the stars. We can see
the signs of hope for children, showing us that we can make the world a better
place for them.  

Blocks


In the last 20 years, for example, we have seen a dramatic reduction in child
malnutrition globally – this includes a decrease in the number of stunted
children by 55 million, or over one-third. Child immunization rates, which fell
dramatically during the COVID-19 pandemic, have rebounded with global
immunization services reaching 4 million more children last year than in 2021.
Meanwhile, we have reached the near universalization of children’s access to
primary schooling.   

And just two weeks ago at COP28 in Dubai, representatives from nearly 200
countries reached a landmark agreement to transition away from fossil fuel
consumption. For the first time ever, the COP recognized the unique and
disproportionate impacts of climate change on children's health and well-being,
proposing an ‘expert dialogue’ on this issue. 

Blocks


UNICEF’s achievements for children in 2023 also give me hope.

In humanitarian settings, this included reaching more than 23 million people
with safe drinking water and vaccinating 27 million children against measles.
UNICEF and our partners also provided more than 150 million children with
services for the early detection and treatment of child wasting in high-risk
settings.  

These results tell me that when we prioritize the rights and well-being of
children, there is hope. And they show me that when we focus on reaching the
most vulnerable and disadvantaged children – children living in poverty,
children affected by conflicts, children with disabilities, and girls – we can
create better conditions for all children.      

If this year was any guide, 2024 will not be easy and there will be more
challenges ahead. But we can choose to be courageous. We can choose to make bold
commitments and to take decisive actions to keep children safe. And we can
invest more in the systems and services that children need for their healthy
growth and development.  

I believe that children are the stars shining through in the night sky, and that
they are our best hope for creating a better and more peaceful world. Let us be
better and do more for them in 2024 and beyond. 


REFLECTIONS FROM YOUTH ADVOCATES ON 2023

YASMINA, 20, TAJIKISTAN

THE YEAR 2023 BROUGHT NUMEROUS CONFLICTS AND CRISES THAT RESULTED IN THE
DISRUPTION OF EDUCATION FOR MANY CHILDREN, PARTICULARLY GIRLS, AND IT IS CRUCIAL
FOR WORLD LEADERS TO RECOGNIZE THE IMPACT OF THESE EVENTS ON THE FUTURE OF THESE
CHILDREN. AS WE MOVE INTO 2024, IT IS ESSENTIAL FOR LEADERS TO WORK TOWARDS
PREVENTING CONFLICTS AND PROVIDING SUPPORT FOR CHILDREN WHO HAVE BEEN AFFECTED,
ENSURING THAT THEY CAN ACCESS EDUCATION AND REBUILD THEIR LIVES.

MARIAM, 19, YEMEN

WHAT I ASK OF THOSE IN AUTHORITY AND LEADERS IS TO MAKE PEACE. ENOUGH WARS AND
ENOUGH TAMPERING WITH CHILDREN’S LIVES. LEADERS SHOULD SERIOUSLY WORK TO MAKE
THE WORLD SAFER, WHICH CHILDREN DO NOT HAVE TO LEAVE IN FEAR AND SEE THEIR
DREAMS BURNING IN WARS...LEADERS MUST BE OPEN AND WILLING TO LEARN AND ADAPT TO
EMERGING CHALLENGES IN A RAPIDLY CHANGING WORLD.

 

EMMANUEL, 20, TANZANIA

WE’VE SEEN A NUMBER OF YOUNG PEOPLE ENGAGED THIS YEAR. BUT WE CAN STILL DO MORE
IN 2024. WE NEED TO ENGAGE MORE YOUNG PEOPLE – INCLUDING CHILDREN – IN OUR AREAS
OF WORK. INTERNATIONAL INSTITUTIONS AND LOCAL GOVERNMENTS NEED TO ENGAGE MORE
YOUNG PEOPLE AND DEVELOP PLATFORMS FOR YOUNG PEOPLE TO COME AND SHARE THEIR
PERSPECTIVES...PEACE IS SOMETHING THAT EVERY CHILD DESIRES.

MAKHTOM, 20, SUDAN

[IN 2023] I AM VERY HAPPY THAT I COULD CONVEY THE VOICES OF CHILDREN AND YOUNG
PEOPLE OF SUDAN DURING SUCH DIFFICULT TIMES AT GLOBAL EVENTS LIKE THE UN GENERAL
ASSEMBLY...NO MATTER HOW HARD IT GETS WE SHOULD NOT LOSE FAITH IN OURSELVES AND
A PEACEFUL FUTURE...WORLD LEADERS SHOULD NOT FORGET THAT WE ARE ALL HUMANS AND
THEREFORE WE ALL HAVE EQUAL RIGHTS. EVERY CHILD DESERVES TO BE PROTECTED AND
EDUCATED REGARDLESS OF RACE, COLOR, GENDER AND RELIGION.

UNICEF works to ensure that every child, including adolescents: 

Survives and thrives

Learns and acquires skills for the future

Is protected from violence, exploitation, abuse, neglect and harmful practices

Has access to safe and equitable WASH services and supplies, and lives in a safe
and sustainable climate and environment

Has access to inclusive social protection and lives free from poverty

--------------------------------------------------------------------------------

These stories and photos highlight some of UNICEF’s work, impact and
humanitarian action in 2023:
Article

COMMUNITY HEALTH WORKERS ARE THE HEARTBEAT OF HEALTH CARE

Discover the challenges they face as they try to reach the most vulnerable
children worldwide.

Read the story
Article

TRANSFORMING THE FIGHT AGAINST SEVERE MALNUTRITION

We know how to save millions of children from severe malnutrition and death.
It’s time to scale up these solutions

Read the story
Flagship report

THE STATE OF THE WORLD’S CHILDREN 2023

For every child, immunization

See the full report
Page

COMMITMENT TO ACTION ON FOUNDATIONAL LEARNING

Ensure foundational learning as a key element to transform education

Visit the page
Photo essay

HOW AT RESTORES DREAMS FOR CHILDREN WITH DISABILITIES

Experience the life-changing impact of assistive technology in the lives of four
children.

View on UNICEF Supply Division
Article

CLIMATE ACTION FOR A CLIMATE-SMART WORLD

UNICEF and partners are monitoring, innovating and collaborating to tackle the
climate crisis

Read the story
Article

CHOLERA IS ENDANGERING CHILDREN GLOBALLY

Learn why outbreaks are occurring and how UNICEF is responding

Read the story
Explainer

HUMANITARIAN CASH TRANSFERS EXPLAINED

What they are, how they work, and why they empower individuals and households in
humanitarian crises

Read now
Article

13 EMERGENCIES THAT NEED MORE ATTENTION AND SUPPORT IN 2024

UNICEF is supporting children in humanitarian crises, but more resources are
desperately needed

Read the story
Article

HOW FLEXIBLE FUNDING IS SAVING LIVES

With generous support from partners, Global Humanitarian Thematic Funding is
helping UNICEF save lives

Read the story
Appeal

CHILDREN IN GAZA NEED LIFE-SAVING SUPPORT

No safe place for children as humanitarian crisis deepens

View the appeal
Photo essay

#ONMYMIND: FIVE WAYS UNICEF SUPPLIES SUPPORT MENTAL HEALTH

Around the world, innovative tools and kits help children and adolescents in
emergencies strengthen emotional regulation skills and foster resilience

View on UNICEF Supply Division

UNICEF/UN0827403/Mulugeta Ayene

Ethiopia

Arish Mahat, a mother of 10 children receives cash support to buy food and other
essentials for her family. After the worst drought in decades hit the Somali
region of Ethiopia, Arish lost her cattle and she is struggling to feed her
family.

> “I lost my herd of camels and cattle. I didn’t have any reason to stay, then I
> left to seek help.”

UNICEF/UN0779309/Asim Khan

Pakistan

A UNICEF Pakistan staff member helps 3-year-old Muskan put on new shoes received
as part of the UNICEF-provided winter kit distribution in Sulool Daramdala
village, Khyber Pakhtunkhwa Province. Floods destroyed over 2 million homes
right before winter arrived. As families were left exposed, UNICEF distributed
thermal blankets and winter clothes to displaced children and families.

UNICEF/UNI437345/Hazori

Syria

A group of children interact during an activity at a shelter in Hama
Governorate. UNICEF and partners have been providing psychosocial support to
families forced to flee their homes following a powerful earthquake in February.

UNICEF/UNI409689/Ho Hoang Thien Trang

Viet Nam

A UNICEF Viet Nam’s staff member talks with a 13-year-old boy living at Social
Patronage Center in My Tho Commune, Cao Lanh District, Dong Thap Province. He is
among thousands of children without primary caregivers who live in institutional
care in Viet Nam, putting them at risk of physical, emotional and social harm.

UNICEF Viet Nam works with partners to prevent unnecessary family-child
separation and provide alternative care arrangements that are supportive,
protective and caring. 

UNICEF/UN0793560/pich urdaneta

Panama

A UNICEF staff member speaks with a woman at the self-care space in the Lajas
Blancas Migratory Reception Station. UNICEF Panama established the self-care
space to provide assistance and resources for migrants, many of whom have
travelled here alone and have been exposed to risks including trafficking,
sexual exploitation and abuse, as well as other forms of gender-based violence.

UNICEF/UNI430079/Ahmed Elfatih Mohamdeen

Sudan

A UNICEF staff member speaks with a mother to mobilize participation in the
Accelerated Child Survival campaign conducted by UNICEF and partners in White
Nile state. Measles and malnutrition are on the rise in White Nile.

In response, over 1,000 frontline health workers and volunteers have delivered
an integrated life-saving package of services, including measles immunization,
vitamin A supplementation, deworming, treatment of malnutrition and nutrition
screening to 40,000 children under 5. 

UNICEF/UNI446429/Aleksey Filippov

Ukraine

Seven-year-old Adelina feeds a treat to a dog named Julie during a
canine-assisted therapy class at a UNICEF Spilno Child Spot.

> “Today, there was a class with dogs, I liked it very very much,” says Adelina,
> “They were very fun and playful.”

Amid the ongoing war, emotional support classes featuring dogs are helping
children to overcome stress. Spilno Child Spots serve as bomb shelters as well
as places for games and learning, and sometimes as temporary homes. 

UNICEF/UNI456462/Josué Mulala

Democratic Republic of Congo

Seven-year-old Nkembo is held by a UNICEF staff member in Kinshasa after
receiving a UNICEF school kit. More than 1,000 school kits were distributed to
students of Matondo and Nkwamina Primary Schools as part of UNICEF DR Congo's
Back to School campaign.

To prepare for this start of the school year, UNICEF collaborated with the
government and partners to mobilize parents and communities to send all children
– girls and boys – back to school and to ensure their retention throughout the
school year.

UNICEF/UNI462567/Mansour

Supply Division

Shipments of essential supplies being loaded on UNICEF charter flights at the
Copenhagen International Airport to El Arish, Egypt, close to the Gaza Strip.
Children in the State of Palestine face a devastating crisis.

UNICEF is shipping life-saving supplies such as thermal blankets, water
purification tablets, medicines and medical equipment, nutrition, water, hygiene
and sanitation and education supplies in response to the unfolding humanitarian
emergency.

UNICEF/UNI473117/Eyad El Baba

State of Palestine

Babies rescued from Al-Shifa hospital in northern Gaza being relocated to the
Al-Helal Al-Emarati Hospital in Rafah, in the south of the Strip on 19 November
2023. 

UNICEF, together with WHO, UNRWA, OCHA, UNMAS, the Palestinian Red Crescent
Society, medical authorities and hospital staff conducted the operation during
extremely dangerous conditions. The newborns’ condition was rapidly
deteriorating following the total collapse of all medical services at Al-Shifa. 




MORE UNICEF TO EXPLORE

Page

UNICEF ANNUAL REPORT

A snapshot of UNICEF's accomplishments over the years

Visit the page
Page

COUNTRY, REGIONAL AND DIVISIONAL ANNUAL REPORTS 2022

Annual reports on UNICEF's results for children

Visit the page
Flagship report

THE STATE OF THE WORLD’S CHILDREN 2023

For every child, immunization

See the full report
Page

FOR EVERY CHILD, RESULTS

UNICEF works for the rights of every child, every day, across the globe.
Discover our results

Visit the page
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