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Investor Presentaiton

The planned budget to carry out activities for 2019 is US$18.7 million but only US$6.9 million are available. To implement all the health programme activities planned in Niger in 2019, UNICEF faces a funding shortfall of US$11.8 million. VI. Future Work Plan In cooperation with the Government and in consultation with United Nations country team and partners, UNICEF has developed a new country programme to align with the Government's Economic and Social Development Plan 2017-2021 and the United Nations Development Assistance Framework 2019-2021. To maximize impact, the programme will begin a strategic shift from a predominantly service-delivery mode to more-important investments in systems strengthening and capacity-building. This spirit will also permeate UNICEF humanitarian response interventions, with sustainable solutions pursued to maximize contributions to national and local development plans. The vision for the new country programme is to support the Government towards ensuring that all children, especially the most vulnerable, enjoy their rights; adolescents and youth are empowered; communities and systems are strengthened and resilient; and humanitarian assistance and development address the structural causes of fragility and vulnerability. As per its 2019-2021 Country Programme Document, UNICEF plans to contribute to the following health outcome: by the end of 2021, women and children, including those who are marginalized and those living in humanitarian emergencies, have access to and use high- impact health and HIV interventions, pregnancy during teenagerhood. UNICEF will focus its efforts on three outputs: i) facility-based maternal and child health extended to PMTCT/HIV, health system strengthening, and emergency; ii) immunization, and iii) community health. To sustain child survival gains and close quality and equity gaps, the programme will support the Government to: (a) increase the coverage and quality of maternal, newborn, child and adolescent health services, particularly in the most deprived, underserved areas, including those affected by emergencies; (b) strengthen routine immunization nationwide, with renewed emphasis on urban areas; and (c) expand community health services, including through demand creation and the empowerment of caretakers and communities through social and behavioural change communication. Efforts will continue towards the prevention of mother-to- child transmission of HIV and the treatment of paediatric HIV, to maintain and reduce the already low prevalence of HIV/AIDS (0.4 per cent). At the national level, UNICEF will support strengthened political commitment, accountability and capacities to expand health interventions through increased government budgets in support of universal health coverage. Efforts will focus on leveraging government resources and partnerships for sustainable health systems through the Health Basket Fund, with the Global Fund to Fight AIDS, Tuberculosis and Malaria and the World Bank on supply chain management and with Gavi, the Vaccine Alliance, on immunization. UNICEF will advocate for a multi-stakeholder platform for community health and the integration of community-based data and supplies into the health system. Critical to success will be the national roll-out of the integrated community case management programme, along with the community health worker programme and the implementation of the sustainable incentives mechanism. In areas affected by emergencies, UNICEF will provide technical assistance and capacity-building to support the continuity of health services and preparedness and response to disease outbreaks. 18
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