Health
UNICEF Warns Child Obesity Has Overtaken Underweight Globally for the First Time
For the first time in history, more children worldwide are obese than underweight, according to a new report by the United Nations Children’s Fund (UNICEF). The agency warned that the rapid spread of ultra-processed foods is fueling a global health crisis among children and adolescents.
The report found that the proportion of school-aged children and teenagers who are underweight has fallen since 2000, dropping from 13 percent to 9.2 percent. At the same time, obesity rates have surged from 3 percent to 9.4 percent. This shift means that by 2025, around 188 million children aged 5 to 19 will be living with obesity, compared with 184 million who are underweight.
UNICEF highlighted that sub-Saharan Africa and South Asia are now the only regions where underweight remains more common than obesity. Elsewhere, rising weight-related health risks are overshadowing earlier battles against undernutrition.
“When we talk about malnutrition, we are no longer just talking about underweight children,” said UNICEF Executive Director Catherine Russell. “Obesity is a growing concern for children’s health and development.”
In Western Europe, about 25 percent of children are overweight, a figure that has remained largely unchanged for two decades. However, in many other parts of the world, childhood obesity rates have spiked sharply.
The agency pointed to the dominance of ultra-processed foods – including crisps, sugary cereals, fast food, and frozen meals – as a major driver. These products, often high in sugar, salt, unhealthy fats, and additives, now make up more than half of children’s daily calories in several countries. Such diets have been linked to obesity, heart disease, high blood pressure, and premature death.
A global survey of 64,000 young people last year found that 75 percent had recently been exposed to advertisements for sugary drinks, snacks, and fast food, with 60 percent admitting the ads influenced their cravings. “Ultra-processed food is increasingly replacing fruits, vegetables, and protein at a time when nutrition plays a critical role in children’s growth, cognitive development, and mental health,” Russell said.
The report also underscored the “double burden” of malnutrition in many countries: young children facing stunting and wasting due to poor diets, while older children and adolescents suffer from overweight and obesity. This dual challenge, UNICEF said, calls for targeted interventions.
The agency urged governments to implement stronger policies to protect children’s health, including restrictions on junk food advertising, clear nutritional labeling, bans on unhealthy food sales in schools, and expanded social programmes to make nutritious foods more affordable for low-income families.
“Without action, millions of children will face preventable health problems that could affect them for the rest of their lives,” Russell warned.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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