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Niger

Niger © Olivier Papegnies

Niger

1

child in 6 dies before the age of 5 years old

15%

of children under 5 years old suffer from malnutrition

7

children per woman on average

Background

Malnutrition is a major public health problem in Niger. Whether severe or acute, approximately one in every 7 children is suffering from it.  However, there are convincing results coming from therapeutic feeding centres. Therefore, by making them free of charge and increasing their capacity, access for all children to these centres should be possible.

 

Furthermore, despite a sharp fall these past 10 years in mortality figures for women in childbirth and new-borns, the health of mothers and children remains of concern. The national strategy of free of charge treatment for the most vulnerable covers the costs of actual treatment, but not of a possible medical evacuation, which excludes the poorest and often also the most sick.

La malnutrition touche près de 15 % des enfants nigériens ©Olivier Papegnies
La malnutrition touche près de 15 % des enfants nigériens ©Olivier Papegnies

What we do

Women & children

Financing MEDICAL EVACUATION

Alongside the local management teams, Doctors of the World has set up a referral system which is demonstrably sustainable. It funds the medical evacuation of the poorest to health centres which are able to care for them:  a district hospital, regional hospital or a mother and child health centre. 

Djibo
Djibo

In 2016

We helped:

  • 1,218 patients who were evacuated free of charge

  • 68% of those evacuated are children under 5 years old and pregnant women

For this, a minimal fee is levied when patients receiving chargeable treatment pay for their consultation. Town halls, local associations and private donors also contribute.

 
Did you know?

To promote access to care for vulnerable populations, since 2005, Niger has made care free of charge for children under 5 years old and pregnant women.

Niger © Olivier Papegnies
Niger © Olivier Papegnies

Women & children

COMBATING MALNUTRITION

Doctors of the World is working with the regional public health directorate of Illela and with the other NGOs present on the ground so that the therapeutic feeding centres are integrated with hospitals.

Niger © Olivier Papegnies
Niger © Olivier Papegnies

The capacity of these centres has been doubled. A buffer stock of basic medicines and of Plumpy Nut, the high energy peanut paste, which is routinely given to starving children, has been established in order to avoid stock outs. 

The association trains the medical staff on nutritional issues.  It campaigns alongside civil society for children suffering from acute malnutrition to be cared for free of charge by the health authorities. It also campaigns the local authorities to make a financial contribution to the management of feeding centres and the organisation of regular screening.

Illela
Illela

In 2016

We helped:

  • 24,013 children under five years old were treated for malnutrition

  • 3,928 pregnant and breast-feeding women were admitted to therapeutic feeding centres

Niger © Olivier Papegnies
Niger © Olivier Papegnies

WOMEN & CHILDREN

Strengthen access to contraception and to safe deliveries

Doctors of the World works with « matrons » within the communities. These women are trained by the association, so are able to detect and report signs suggesting a pregnancy related risk. So they then direct the pregnant women to health centres and promote family planning in Bouza and Madaoua health districts, in the Tahoua region.

Illela
Illela

In 2016

We helped:

  • 12,112 women were referred to a health centre to give birth to their babies

© Olivier Papegnies
© Olivier Papegnies
History
1998
Programme opened to support the healthcare system in the rural area of Arlit. Programme ended in 2002.
2006
Work begun to improve the quality of healthcare in the region of Keita.
2007
Nutrition and family planning programme launched, aimed at rural populations. Ended in 2009.
2009
Access to healthcare programme launched in the Sahel. Ended in 2013.
2010
Emergency intervention to tackle malnutrition.
2011
Mother and child health programme opened in the region of Illela.
2013
Programme to support medical evacuation for the poorest people opened in the region of Tahoua.

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