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We must ACT NOW to address poor health and wellbeing in humanitarian and fragile settings affected by poverty, instability and conflicts. This important event, the 4th in a series of Lives in the Balance e-summits, was launched in 2020 by PMNCH and CORE Group, which serve as innovative and inclusive platforms for partner-led dialogue and the PMNCH Call to Action on COVID-19 campaign. To date, $32.1 Billion in commitments from countries and donor organizations has been announced to restore essential health, nutrition and social services for women, children and adolescents lost because of the COVID-19 pandemic. This event mobilizes and delivers on commitments in humanitarian and fragile settings which have been severely affected by the pandemic and continue to experience conflicts, coups, and other social and economic fallouts. The artwork by Asmahan Ahmed is produced and performed as a spoken-word poetry piece for the PMNCH’s “Lives in the Balance” event. It may not be reproduced, copied, edited, published, transmitted, or uploaded in any way without the artists permission, outside the Lives of Balance event. Chapters: 0:00 Welcome to LITB4 - Featuring lived experience of Dr. Myrna Doumit, President of the Order of Nurses in Lebanon 3:10 Opening Remarks - By Mercy Juma, Senior Bilingual Correspondent, BBC News Africa 12:00 Leadership Dialogue - Moderated by Rt Hon. Helen Clark, PMNCH Board Chair and Former Prime Minister of New Zealand 53:20 A Perspective from the frontline by Yana Panfilova, Co-Founder and CEO, Teenergizer, Ukraine 1:01:58 A Keynote by H.E. Kersti Kaljulaid, UN SG’s Global Advocate for Every Woman Every Child, Former President of Estonia 1:10:23 Commitment Section video: Nigeria and Malawi 1:16:30 Commitment Section intro keynotes by Ted Chaiban, Global Lead Coordinator for COVID Vaccine Country Readiness and Delivery, UNICEF, WHO, GAVI & Dr Margaret Agama-Anyete, Acting Director, Health, Humanitarian Affairs, and Social Development at the African Union. 1:30:58 Commitments section: Bangladesh 1:47:49 Commitments section: Zimbabwe 2:18:35 Closing Remarks by Helga Fogstad, Executive Director of PMNCH, and Lisa Hilmi, Executive Director of CORE Group 2:26:28 Poem by Ms. Asmahan Ahmed, Somali-Canadian writer, poet, spoken-word artist, Somalia 2:32:29 Call to action