WHO strategies to improve child and adolescents health in Europe

Martin W. Weber, Michelle Black, Susanne Carai, Sophie Jullien
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Abstract

Across Europe, the health and wellbeing of children and adolescents requires attention. After the COVID-19 pandemic, the prevalence of mental health conditions has doubled, affecting 1 in 4 adolescents under the age of 18. Overweight and obesity are increasing: 1 in 3 primary school children are overweight or obese. Inequalities in weight and mental health are increasing in many countries, driven by socioeconomic circumstances. Reduction in child mortality, particularly of neonates, is stagnating in several countries, especially in Eastern Europe and Central Asia, and reversing in some.

To rally member states to action, WHO is developing a new regional Child and Adolescent Health Strategy. The development commenced in 2019 with the identification of problem statements of issues affecting children and adolescents. These were then converted into actionable standards. They were updated considering the COVID-19 experience and the effects of regional crises on children. Children and adolescents were engaged in the development of the strategy, to identify and take their priorities into account, and stakeholders inside and outside WHO were consulted, including pediatricians and their societies. During a Member States consultation, European countries will have the opportunity to review and revise the draft strategy before it will be presented to the WHO Regional Committee for Europe for adoption.

The main components of the strategy are: Early childhood development, school and adolescent health, strengthening health systems and improving quality of care, recognizing and acting on the needs of the most vulnerable and galvanizing societal action on the commercial, social, environmental and digital determinants of health affecting children and adolescents.

The strategy forms the basis for monitoring regional progress. It will enable the development of national child and adolescent health and wellbeing strategies and monitoring frameworks. The implementation of the strategy will enable children and adolescents to realize their right to physical, social and mental health and well-being in healthy and enabling environments, so that they can fully participate in shaping prosperous and sustainable societies.

世卫组织改善欧洲儿童和青少年健康战略
在整个欧洲,儿童和青少年的健康和福祉都需要关注。在 COVID-19 大流行之后,精神疾病的发病率翻了一番,每 4 个 18 岁以下的青少年中就有 1 人受到影响。超重和肥胖正在增加:三分之一的小学生超重或肥胖。在许多国家,受社会经济环境的影响,体重和心理健康方面的不平等现象正在加剧。在一些国家,特别是东欧和中亚国家,儿童死亡率,尤其是新生儿死亡率的下降停滞不前,有些国家甚至出现逆转。该战略于2019年开始制定,确定了影响儿童和青少年的问题陈述。随后,这些问题陈述被转化为可操作的标准。考虑到 COVID-19 的经验和地区危机对儿童的影响,对这些标准进行了更新。儿童和青少年参与了该战略的制定,以确定并考虑到他们的优先事项,还咨询了世卫组织内外的利益攸关方,包括儿科医生及其协会。在会员国磋商期间,欧洲国家将有机会对战略草案进行审查和修订,然后提交世卫组织欧洲区域委员会通过:该战略的主要内容包括:儿童早期发展、学校和青少年健康、加强卫生系统和提高护理质量、认识到最脆弱群体的需求并采取相应行动,以及激励全社会就影响儿童和青少年健康的商业、社会、环境和数字决定因素采取行动。该战略是监测区域进展情况的基础,有助于制定国家儿童和青少年健康与福祉战略和监测框架。该战略的实施将使儿童和青少年能够在健康和有利的环境中实现其身体、社会和心理健康与福祉的权利,使他们能够充分参与塑造繁荣和可持续的社会。
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来源期刊
Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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