Investor Presentaiton
community health situational analysis was conducted to collect evidence that has supported
the development of the National Community Health Strategic Plan, with UNICEF support. The
plan will be validated in 2019 and will guide the implementation of community interventions
from 2019 to 2023. Through a partnership between UNICEF and the Agence nigérienne de
volontariat pour le développement (ANVD)", a reference guidance on the development of
community health workers was shared with all the stakeholders. A roadmap has been
developed to operationalize this document. A joint supervision mission conducted by the
Ministry of Health with UNICEF in the Maradi and Tahoua regions and including 20 volunteers
from ANVD allowed the coaching of 420 community health workers in 4 districts of Maradi
region.
The integrated community case management (iCCM) comprehensive package was scaled up
with varying coverage in 27 out of the country's 72 districts, with significant technical and
financial support from UNICEF, the Global Fund to Fight AIDS, Tuberculosis, and Malaria and
other partners. As of late 2018, 5,252 community volunteers had provided a set of curative,
preventive and promotional health services to 590,380 children in villages located at more
than 5 km away from a health facility. Moreover, in 2018, community health workers ensured
the management of 97,092 cases of malaria, 101,704 cases of diarrhoea and 100,445 cases
of pneumonia as well as the screening of 34,446 cases of malnourished children. However,
sustainability remains a challenge as the provision of financial incentives to community health
workers is currently done by donors.
Output 1.3: By 2018, health facilities offer effective vaccination services using fixed
(<5km), outreach (between 5 and 15 km) and mobile (>15 km) strategies to reach all
children, including the hardest to reach as a result of geographical, cultural or other
reasons. Equity-based approaches will be adopted
UNICEF continued to support immunization, which was repositioned as a key result for
children (KRC) and integrated with other essential services as part of the "Immunization-Plus"
platform. While Niger was certified in 2016 as having stopped the transmission of Wild
Poliovirus, in 2018, circulation of vaccine-derived poliovirus type 2 was confirmed in Zinder
and Diffa regions, indicating low individual and herd immunity. An outbreak response was
undertaken in 30 districts across 4 at-risk regions, with UNICEF support on both health and
social mobilization aspects.
Niger maintained the certification for maternal and neonatal tetanus elimination, and a plan to
sustain this status is being finalized with technical support from UNICEF. According to
WHO/UNICEF estimates, Penta-3 vaccination coverage rates increased from 68% in 2014 to
81% in 2017. UNICEF support included vaccine and procurement of consumable worth US$
2,929,261 purchased by the Government of Niger (not including GAVI funds).
UNICEF contributed to the funding of the health sector through the Health Basket Fund with
an amount of US$1,400,000 in 2018 and is planning to increase its contribution up to
US$2,000,000 starting from 2019, with stronger investments in nutrition and health.
Participation in the Basket Fund provides key opportunities to UNICEF for discussing strategic
matters with the Ministry of Health and other key partners, and for advocating for maternal and
child health.
Output 1.4: By 2018, all levels of the health system, community structures and local
authorities have strengthened capacities in planning and monitoring in accordance
with equity- and gender-based approaches, in supply management (including supplies
aimed at the prevention, detection and case management of HIV) and in logistics
In 2018, UNICEF conducted an evaluation of its support to the implementation of the Free
Health Care policy, focusing on medicines supply and distribution through a parallel chain.
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