Uptake of maternal and child health services improved in 2021, with UNICEF technical support. This included capacity development on COVID-19 maternal, newborn, child and adolescent health (MNCAH) guidelines for 1,250 health staff; training on infection prevention and control (IPC) and COVID-19 case management; and behaviour change communication efforts. The Ministry of Health and Family Welfare (MOHFW) endorsed the costed Maternal Health Action Plan. Routine immunization coverage dropped to 84 per cent for most antigens in July and August 2021 but was restored to above 92 per cent in October. To overcome competing logistics for COVID-19 vaccination and routine immunization, UNICEF helped increase cold storage capacity from 173,000 to 433,000 litres. Over 3.25 million children received all vaccines, and the measles-rubella vaccination campaign reached 36 million children (9 months to 10 years), cutting cases from 5,266 in 2019 to 63 in 2021. UNICEF provided technical support for the roll-out of Bangladesh’s first paediatric standards and training on oxygen therapy for hypoxaemia management in 104 facilities; 102,792 children under 5 years received pneumonia treatment. Across 36 UNICEF-supported special care newborn units, 75,731 sick newborns were treated, and 3,783 low birthweight babies received kangaroo mother care. UNICEF supported integration of prevention of mother-to-child transmission (PMTCT) services (HIV, syphilis) in the maternal, newborn and child health system of 13 hospitals and 25 Cox’s Bazar camp health centres. By October, 91,000 pregnant women/mothers accessed HIV testing/counselling. Weekly mobile phone communication was introduced to monitor HIV-positive pregnant mothers’ physical and mental health, support ART supplies, and provide PMTCT/COVID-19 counselling. UNICEF supported evidence generation to demonstrate an effective model for adolescent-friendly health services (AFHS) and ensured the scale-up of AFHS to 1,240 health facilities in 2021. By November, 257,530 adolescents received AFHS. Service providers in 62 health facilities were capacitated to deliver psychosocial counselling for adolescents, while 3.1 million users were reached via a website and mobile phone application with information on mental health, nutrition, reproductive health and GBV. Every child thrives – health, nutrition and development UNICEF supported the Government to implement the Bangladesh Preparedness and Response Plan for COVID-19 (BPRP). UNICEF supported DGHS to develop the COVID-19 National Deployment and Vaccination Plan, the capacities of 45,000 vaccinators/cold chain personnel, and cold chain system functionality. Technical support was provided for COVID-19 surveillance, routine reporting and the national COVID-19 vaccination campaign. By 15 November 2021, 51,852,425 individuals (30 per cent of the population) had received one dose of COVID-19 vaccine; 33,406,208 individuals (19 per cent) had been fully vaccinated. UNICEF co-led the Risk Communication and Community Engagement (RCCE) pillar of the national COVID-19 response, reaching 48 million people with prevention messages. UNICEF amplified its own prevention messaging to reach 53 million unique users. UNICEF supported capacity building for 10,000 religious leaders and female teachers on adapting social and behavioural change communication (SBCC) to the COVID-19 context. UNICEF advocacy contributed to implementation of multisectoral nutrition activities coordinated by the Bangladesh National Nutrition Council (BNNC) and inclusion of early childhood care and development (ECCD) in the National Nutrition Services Operational Plan. UNICEF supported Page 3 of 10 Page 3 of 10