View allAll Photos Tagged immunization
Immunization Monitor chart posted at a Health Post in Dera Woreda in Amhara region of Ethiopia 30 October 2013. Year 2005 is 2012 in Western calendar. © UNICEF Ethioopia\ 2013\ Ose
British Rotarians take immunize children in the streets of Lucknow during a round of the polio immunization campaign in Northern India. .Rotarians Bernice Yates, Pam Joyce and Jackie Berry work at a polio vaccination booths on the first day of the campaign..The drive is part of the campaign to eradicate polio in India and target the high-risk area of Uttar Pradesh and Bihar. (photo Jean-Marc Giboux)
A clinic in Marmalade, Haiti has adopted the Clean Care standards. They have a team of people who take shifts cleaning the clinic. They have very specific procedures for sanitizing the floors, especially if blood is spilled.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego
2006
Content Provided by: Judy Schmidt
This is an adult female receiving an intramuscular immunization from female nurse.
Vaccinations are most often given via the intramuscular route in the deltoid or thigh muscle, to optimize the immune response of the vaccine and reduce the adverse reactions in and around the injection site. Smaller doses are administered in the deltoid muscle because they are absorbed faster and will cause less pain. Infants and young children should be vaccinated in the anterolateral aspect of the thigh.
Temam Ahmed with his nine month old child Hamid at the Derer Ebija Health Post where they have come to get the newly introduced PCV vaccine.
©UNICEF Ethiopia/2011/Lemma
14th National Immunization Day (NID) on Saturday, 25th November 2006 Bangladesh was observed in efforts to eradicate re-emergence of polio. 24 million children under the age of five were to be immunized with 2 drops of polio and 2 vitamin A capsules.The second round of the NID was conducted on December 23rd 2006 with 2 drops polio and deworming medication. The NID was followed by going house to house to see if any children were missed.
Official Launch of the Polio Sub-NID, at the India Islamic Center in Lucknow, Uttar Pradesh, with Mullana Khalid Rasheed and District Magistrate A.K. Ghosh and visiting british rotarians , on November 8, 2009 . (photo Jean-Marc Giboux)
British Rotarians take immunize children in the streets of Lucknow during a round of the polio immunization campaign in Northern India. .Rotarians Bernice Yates, Pam Joyce and Jackie Berry work at a polio vaccination booths on the first day of the campaign..The drive is part of the campaign to eradicate polio in India and target the high-risk area of Uttar Pradesh and Bihar. (photo Jean-Marc Giboux)
Photo Credit: Allan Gichigi/MCSP
A medical student prepares to immunize children under supervision from the nurse in Kangeta Hospital, Igembe, Kenya 2016
All British Columbians are encouraged to get immunized and reduce the chance of getting the flu and passing it on to others.The influenza vaccine will be available throughout the province by early November at public health clinics, physicians’ offices, travel clinics and pharmacies.
Learn more: news.gov.bc.ca/releases/2016HLTH0075-002094
Sarah Wala, 26-years-old, during a consultation on family planning on the 7th of June 2021, in Gurei PHCC supported by MOMENTUM Integrated Health Resilience, near Juba, South Sudan. Sarah is living with a physical disability since a traffic accident when she was young.
Photo credit: IMA World Health / Adrienne Surprenant
A Maasai man from northern Tanzania helps in the immunization of calves to protect them against East Coast fever (photo credit: ILRI/Stevie Mann).
Pilot in Niger for MenAfriVac immunization campaign.
If you wish to use this photo, please credit WHO.
Photo: WHO.
Signing Ceremony between Rotary International, WHO and UNICEF
in support of polio immunization efforts in Ethiopia, 14 December 2012
©UNICEF Ethiopia/2012/Ayene
Nasra Mohammed Sherifwith her 7 months child - Siham Mohammed after getting polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
HERAT, 6 October 2015 – Some 300,000 children are being immunized against polio in two of Afghanistan’s western provinces as part of a UN-supported campaign to combat the crippling disease.
Following concerns about an outbreak from a new polio case in Herat, the Ministry of Public Health, together with the United Nations Children Fund (UNICEF) and World Health Organization (WHO), commenced an immunization campaign throughout Farah and Herat.
“The emergence of a polio case in the Shindand district of Herat can be a threat, and if we don’t act on an emergency basis, children in some vulnerable areas could be affected by the virus,” said Ahmed Shah Ahmedi, a UNICEF official.
Mr. Ahmedi explained that the three-day vaccination campaign follows on the heels of a nationwide programme, launched earlier this year, that vaccinated children in all districts across the western regions.
Wahid Rahmani, the coordinator of the anti-polio programme at Herat’s Directorate of Health, said insecurity in different areas of the country and movement of individuals and families from the south to the western provinces have contributed to the spread of the virus.
This year, health officials have identified 12 new cases of polio throughout the country. Of these, five were in the western region: four in Farah and one in Herat.
According to WHO, polio remains endemic in only two countries – Afghanistan and Pakistan – with the eradication of polio globally depending primarily on stopping the disease in these countries.
Photo: UNAMA/Fraidoon Poya.
Eastereh Abdikerim with her child after getting polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
Signing Ceremony between Rotary International, WHO and UNICEF
in support of polio immunization efforts in Ethiopia, 14 December 2012
©UNICEF Ethiopia/2012/Ayene
All British Columbians are encouraged to get immunized and reduce the chance of getting the flu and passing it on to others.The influenza vaccine will be available throughout the province by early November at public health clinics, physicians’ offices, travel clinics and pharmacies.
Learn more: news.gov.bc.ca/releases/2016HLTH0075-002094
H.E. Dr. Kebede Worku (center) inspecting the immunization records at Feedho Health Post, Fafan Zone, Somali Region during the Polio NIDs Campaign, 10 February 2015 ©UNICEF Ethiopia/2015/Getachew
Rotary International advocacy visit to Ethiopia to support the polio eradication efforts and participate in the National Polio Immunization campaign. ©UNICEF Ethiopia/2015/Mersha
A child receives polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
RagPicker slum in the Radjhani district of Lucknow. .The slums is inhabited by Bangali migrants who recycle plastic, papers and other materials from trash for resale. They are moslem orginally from Bangladesh and Assam, and are at the lower end of the social ladder, living in slums without sanitation or running water..India has been engaged in a campaign to eradicate polio in India which target the high-risk area of Uttar Pradesh and Bihar. (photo Jean-Marc Giboux)
A Fundação Oswaldo Cruz (Fiocruz) Brasília, a Organização Pan-Americana da Saúde (OPAS) e a Secretaria de Saúde do Distrito Federal lançaram o projeto Imuniza Estrutural, que busca aumentar a cobertura de vacinação contra COVID-19 e outras doenças imunopreveníveis, com o envolvimento da comunidade, em área de alta vulnerabilidade socioeconômica.
O projeto possui três pilares: comunicação e mobilização social; monitoramento e sustentabilidade das ações; e vacinação das populações mais vulneráveis.
Foto: Karina Zambrana - OPAS/OMS
A Fundação Oswaldo Cruz (Fiocruz) Brasília, a Organização Pan-Americana da Saúde (OPAS) e a Secretaria de Saúde do Distrito Federal lançaram o projeto Imuniza Estrutural, que busca aumentar a cobertura de vacinação contra COVID-19 e outras doenças imunopreveníveis, com o envolvimento da comunidade, em área de alta vulnerabilidade socioeconômica.
O projeto possui três pilares: comunicação e mobilização social; monitoramento e sustentabilidade das ações; e vacinação das populações mais vulneráveis.
Foto: Karina Zambrana - OPAS/OMS
A child receives polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
A child receives polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
At a maternal and child clinic at La Fossette, one of the largest in Cap-Haitian, patients arrive for regular check-ups as well as vaccinations. Four health workers work at the site, either vaccinating or weighing children. The clinic is held in a building in the process of being built.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego
Fran Lessans' story is one of determination and perseverance in the face of overwhelming odds. This extraordinary woman entrepreneur shattered the glass ceiling when identifying an under-served market for immunizations and vaccines for International travelers and founded Passport Health. More than just shots, the company provides comprehensive information on diseases and security threats in far-flung destinations. Passport Health provides travel health services to corporations, schools and church organizations. The 15-year-old, $38million company is even called upon by the military to protect troops and assisted in administering vaccines and immunizations in the aftermath of the Anthrax attacks on the east coast following Sept. 11. Fran is the mother of a diabetic son, a former university nurse who saw an opportunity, an only-child of holocaust survivors and also survived breast cancer. PR contact - Liz Anderson - 254-772-5909
A toddler receives polio drops from a mobile health clinic, at a school-turned relief camp in Tando Adam, Sanghar district, Sindh province, Pakistan. Nearly a month after the devastating monsoon rains and floods of 2011, over 5.4 million flood-affected people in Sindh continue to struggle to survive on meager resources. Since the start of the floods, 88 teams in relief camps in seven districts have administered over 180,00 vaccines (including measles and polio) and Vitamin A drops. The teams are a joint initiative of the Govt of Pakistan, UNICEF, WHO and UNFPA.
5 October 2011
© UNICEF Pakistan/2011/Warrick Page
To learn more:
www.facebook.com/unicefpakistan
A child receives polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
A child is being vaccinated at the Maternal and Child Health Centre in Hamar-Jajab district of Mogadishu, Somalia, on 19 September 2020. The Somali federal Ministry of Health, supported by the World Health Organisation (WHO), UNICEF, the Global Polio Eradication Initiative (GPEI), and Gavi, recently concluded a mass measles and polio immunization campaign. Nearly half a million children in Mogadishu and Benadir region can now hope for healthier and productive lives, thanks to the UN-supported immunization exercise. UN Photo/Mukhtar Nuur
www.cnbc.com/2022/02/04/though-rare-moderna-covid-vaccine...
Though rare, Moderna Covid vaccine recipients have higher risk of heart inflammation than Pfizer
KEY POINTS
The CDC's Advisory Committee on Immunization Practices met Friday to debate the risks of developing myocarditis after receiving Moderna's or Pfizer's vaccines.
Though rare, Pfizer and Moderna's vaccines have both been linked to a risk of myocarditis.
However, the risk was higher following the second dose of Moderna's vaccine in people ages 18 to 39, according to the CDC's safety surveillance program.
Moderna's two-dose Covid-19 vaccine is associated with a higher risk of heart inflammation than Pfizer's, but the benefits of both companies' shots outweigh the risks, according to a Centers for Disease Control and Prevention panel of outside experts.
The CDC's Advisory Committee on Immunization Practices met Friday to debate the risks of developing myocarditis after receiving Moderna's or Pfizer's vaccines.
Myocarditis is an inflammation of the heart muscle that can result in serious health problems, according to the National Heart, Lung and Blood Institute. Though myocarditis is most common after a viral infection, the CDC has found a link between heart inflammation and vaccination with Moderna and Pfizer's shots.
The risk of myocarditis after Covid vaccination is highest in teenage boys and young men following the second dose of mRNA vaccines, the technology used by both Moderna and Pfizer. Symptoms develop within a few days after vaccination, including chest pain, shortness of breath, heart palpitations and fatigue.
Though rare, Pfizer and Moderna's vaccines have both been linked to a risk of myocarditis. However, the risk was higher following the second dose of Moderna's vaccine in people ages 18 to 39, according to the CDC's safety surveillance program, which gathers data from nine health-care organizations in eight states.
For every 1 million second doses administered, Moderna vaccine recipients had 10.7 additional cases of myocarditis and pericarditis over people who got Pfizer, according to the study. The difference was even higher in men, who experienced 21.9 excess myocarditis and pericarditis cases with Moderna's second shot, while women had 1.6 additional cases.
However, there was no difference in the symptoms experienced by people who got either company's shots. Most patients were in the hospital for a single day and nobody was admitted to intensive care, according to the study.
Public health authorities in Ontario, Canada found that the rate of myocarditis was five times higher for males ages 18-24 following the second dose of Moderna's vaccine than Pfizer's. The rate of myocarditis was also higher among people in the same age group who received Pfizer as their first dose and Moderna as their second than in people who got two Pfizer shots.
Dr. Sara Oliver, a CDC official, said more myocarditis cases would be expected following Moderna's vaccine, but the company's shots would also prevent more Covid hospitalizations than Pfizer's vaccine. "The benefits still for the mRNA vaccines far outweigh the potential risk," Oliver said.
Canada, the United Kingdom and several other countries have recommended Pfizer's vaccine over Moderna's shot in higher-risk age groups. Dr. Pablo Sanchez, a professor of pediatrics at Ohio State University, said the CDC's vaccine experts should consider making a similar recommendation.
"It may be that we should at least in the highest risk groups, that younger male, that we should maybe be recommending a preference of Pfizer versus Moderna," Sanchez told the committee.
Researchers are still investigating what triggers myocarditis after Covid vaccination. Canadian public health authorities also found that the rate of myocarditis was higher for both Moderna and Pfizer's vaccine when the interval between the first and second dose was less than 30 days.
The CDC's vaccine experts are considering a longer interval of 8 weeks between the first and second doses of both company's shots to address the risk of myocarditis. Moderna's vaccine is fully approved for adults 18-years-old and over. Pfizer's vaccine is fully approved for those 16-years-old and over, and authorized on an emergency bases for children 5 to 15 years of age.
The overwhelming majority of people who had myocarditis after Covid vaccination fully recovered and most reported no impact on their quality of life, according to a CDC survey of cardiologists and other health-care providers.
The survey found that 81% of their patients who developed myocarditis after vaccination completely or probably recovered within 37 weeks after their diagnosis. Another 15% had improved, while 1% had not gotten better.
Most of the patients, 83%, had restrictions on their physical activity after their myocarditis diagnosis. However, 39% still had restrictions at the time of the survey. Physicians recommend that people who develop myocarditis avoid vigorous physical activity for a few months to make sure their heart fully recovers.
There were no known deaths from myocarditis following vaccination in the group, according to the data.
People face a much higher risk of developing myocarditis from Covid infection than the vaccines, according to the Department of Health and Human Services. The risk of myocarditis from Covid is 100 times higher than developing the condition after Covid vaccination, according to a recent paper in Nature Reviews Cardiology.
"There's a little bit of danger in focusing on vaccine and myocarditis when the elephant in the room is really true disease, true infection from COVID-19 and the potentially devastating even life threatening myocarditis," said Dr. Camille Kotton, an expert on infectious disease and people with compromised immune systems, at Massachusetts General Hospital in Boston.
www.cnbc.com/2022/02/04/harvard-medical-professor-says-it...
It’s time to ‘move on’ from the pandemic, says Harvard medical professor
It's time to let the young, healthy and "anyone who wants to move on" from the pandemic do so, said Dr. Stefanos Kales, a professor at Harvard Medical School.
In a paper posted on LinkedIn last month, Kales said that for the majority of children and adults, "Covid-19 is not a serious threat, only a nuisance that impedes schooling, work and travel."
"Once Omicron peaks, subsequent variants are likely to be even more mild," he said. "We badly need to allow the general public, particularly the young, to get back to normal life."
He said he favors focusing Covid-19 efforts on "the vulnerable" rather than the population as a whole.
"Many reasoned, outspoken and honest scientists have been making the point that Covid-19 is moving rapidly from a 'pandemic' … to an 'endemic' respiratory infection comparable to the common cold and flu," he said.
In light of this, it's "past due" to rethink some Covid protocols, he said.
Less testing and fewer restrictions
With the exception of older people, those with health problems and the unvaccinated, Kales said, for most people, Covid-19 is "much more of a logistical nightmare than a health threat."
It's therefore time to stop — or dramatically reduce — testing healthy people who show no Covid symptoms, he said, calling this strategy "doomed to failure."
"As expressed by another physician I recently heard on the radio, it is like trying to stop a snowstorm by catching each and every snowflake, rather than keeping the roads open by plowing," he said.
Widespread testing — for travel and work — makes it harder for sick and vulnerable people to get tested, said Kales.
"We would never screen well people for the cold or flu virus. Let's stop testing healthy kids in schools and universities," he said. "At this point, the teachers, faculty and staff have had the opportunity to be vaccinated and thus, their risk is minimal as well."
Those with Covid-19 symptoms are a different matter, he said. Regardless of vaccination status, they need to be tested, diagnosed and given effective medications, he said, adding that sick people — "whether it's Covid or a cold" — should stay home for five days.
Kales said many current protocols are from medical professionals who focus exclusively on infectious diseases, rather than public health.
"Public health is a balance," he said.
'Overestimating' danger of Covid
Kales said he's a strong advocate for vaccinations, despite their inability to prevent infections caused by the omicron variant.
"The vaccines … they're excellent," he said. "They've saved many lives, and they've prevented many hospitalizations and much illness."
Vaccinated people, however, are still fearful of being infected, said Kales.
He said vaccinated people are overestimating the danger that Covid poses to them. He recalled younger vaccinated people telling him they aren't comfortable dining inside restaurants yet.
"I just think that the risk perception here is way off," he said.
Still, some say there may be reason to continue exercising caution. Dr. Eric Topol, founder and director of the Scripps Research Translational Institute, posted on Twitter today that the notion that Covid "will evolve to a less virulent strain may exemplify wishful thinking."
Not there yet
Kales' opinions differ from many in the medical community, which as a group has been among the staunchest proponents of pandemic protocols.
One such person is Dr. Anthony Fauci, the top U.S. infectious disease expert, who said this week that the United States may be heading into a new phase of the pandemic. But, he cautioned, it isn't there yet.
"I have said, and continue to say, that currently we are still at war with the virus," he said Monday on "The Daily," a podcast published by The New York Times. "We have 2,300 deaths a day, 156,000 hospitalizations, and we have the danger of new variants occurring."
Kales said he believes the number of people hospitalized with Covid-19 has been overestimated. He pointed to an "Incidental Covid-19 Report" published this week by the Massachusetts Department of Health, which showed 49.5% of the state's Covid-19 patients were hospitalized due to "primary" Covid infections, while 50.5% patients tested positive after being hospitalized for other reasons.
In response, Kales said: "With all due respect, I do think it's time to move on."
Loosening travel curbs
Kales said he doesn't believe testing and vaccination requirements for travel are effective public health measures. He said countries are moving away from these types of restrictions.
In the past week, Puerto Rico and Aruba announced they are dropping testing requirements for some vaccinated travelers.
Airlines and other travel industry groups on Wednesday asked the Biden administration to drop testing requirements for inbound vaccinated travelers to the United States. A letter to the White House that was seen by CNBC cited the pervasiveness of Covid-19 in the United States, increased immunity and vaccination rates, and the availability of new medical treatments.
Professor Cyrille Cohen, head of the immunotherapy laboratory at Israel's Bar-Ilan University, agreed that vaccination-based travel restrictions are making "less and less sense."
But, he said, since unvaccinated people are more at risk of severe disease, countries may want to keep measures that help prevent hospitalizations, particularly if their medical systems are strained.
Cohen, who said he does not believe that Covid-19 is endemic yet, said he supports testing requirements for international travel "until the situation stabilizes."
"We know that variants are still developing around the world," he said. "We do believe that the omicron may help transitioning from [a] pandemic state to an endemic state. But until that happens, I think we should continue with testing before getting on the plane."
CAMBODIA, Preah Sihanouk, 16-08-2012: Chrey Sophine, 2.5 Months weighing 4.8Kgs before vaccination at Sangkat 1 Health Centre.
UNICEF Cambodia/2012/S. Lim
A child receives polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
A child receives polio vaccine at Dire health center Bishoftu, Oromia Region Tuesday, 6 August 2019. ©UNICEF Ethiopia/2019/Mulugeta Ayene
(Karen Kasmauski/MCSP). General scenes in the Maternity center at Tsafe General Hospital where immunizations, family planning, pre-and post natal care as well as birthing by midwives.
All British Columbians are encouraged to get immunized and reduce the chance of getting the flu and passing it on to others.The influenza vaccine will be available throughout the province by early November at public health clinics, physicians’ offices, travel clinics and pharmacies.
Learn more: news.gov.bc.ca/releases/2016HLTH0075-002094
Health-care workers in Edmonton and Calgary are the first Albertans to be immunized against COVID-19.
Sahra Kaahiye, a respiratory therapist at the Glenrose Rehabilitation Hospital in Edmonton, and Tanya Harvey, an intensive care nurse at the Foothills Medical Centre Cell in Calgary, were the first to receive the COVID-19 vaccine on Tuesday, December 15, 2020.
“Yesterday, I was on-site to see the first vaccine doses arrive in Alberta – now, about 24 hours later, we’re already administering the vaccine to front-line, critical health-care workers. The speed and efficiency shown in coming together to make this happen is remarkable. We will not stop our efforts until everyone who wants a vaccination gets one.” said Premier Jason Kenney. (photograph by Chris Schwarz/Government of Alberta)
UNICEF supports a nationwide measles vaccination campaign to protect 15.5 million children from life-threatening diseases. The launch of regional vaccination campaign in Haik town, Amhara region, Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
Mobile health workers record the details of patients at a school-turned relief camp in Tando Adam, Sanghar district, Pakistan. Nearly a month after the devastating monsoon rains and floods of 2011, over 5.4 million flood-affected people in Sindh continue to struggle to survive on meager resources. Since the start of the floods, 88 teams in relief camps in seven districts have administered over 180,00 vaccines (including measles and polio) and Vitamin A drops. The teams are a joint initiative of the Govt of Pakistan, UNICEF, WHO and UNFPA.
5 October 2011
© UNICEF Pakistan/2011/Warrick Page
To learn more:
www.facebook.com/unicefpakistan
The vaccination team undertakes a long and difficult journey in order to reach a nomadic child in Tsagaannur soum, Khuvsgul province, Mongolia on 15 October, 2012 as part of the National Supplementary Immunization Campaign for Measles.
Vaccinator P. Oyunchimeg, 52, and doctor B. Uuganjargal, 24, examine and immunize P. Otgonjargal, a 4 year old girl whose family are nomadic reindeer herders.
Family members of P. Otgonjargal are:
Ch. Erdenetsetseg, mother
Vaccinator P. Oyunchimeg, 52, regularly spends long hours trying to reach and immunized children in this extremely remote part of Mongoila. On the day this photograph was taken, the vaccination team put in a 10 hour day, traveling by automobile, ferry, reindeer and foot in order to reach a nomadic community where they succeeded in immunizing one child. In some cases the team is forced to make even longer journeys, staying out overnight.
Before becoming a vaccinator, P. Oyunchimeg worked for 18 years as a surgery nurse and 10 years as a feldsher*. She was born in a nearby area, and loves the work that she does. "I love to travel in rural areas, it's both rewarding and fun to help people here," she says. She has 5 children between the ages of 13 and 35.
She is very proud that the policy for vaccination is to reach every child, regardless of the time and effort involved. She does the work for both the individual children that she meets, as well as the collective good of the future of Mongolia.
The most difficult trip that she undertook was in July of 2012. It took all day for the team to travel 80km on roads, because of mud and obstructions. Afterwards, she had to travel for another six hours by horseback, through the taiga, arriving in the nomads' encampment at 11p.m. During the day she had no food. The following day she delivered five vaccinations, and made the equally-long journey home.
*(Feldsher (German: Feldscher, Polish: Felczer) is the name of a health care professional who provides various medical services in Russia and other countries of the former Soviet Union, mainly in rural areas. For example, feldshers provide primary, obstetrical and surgical care services in many rural medical centres and ambulatories across Russia.)
Health workers are:
1.P. Oyunchimeg, 52, vaccinator
2.B. Uuganjargal, 24, the soum hospital doctor
A child receives polio vaccine at Togwajale Health Center, Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye