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Investor Presentaiton

As a result of advocacy by UNICEF and other development partners, the Ministry of Health built and equipped a newborn resuscitation block in the maternal and child centres of three regions where partners, including UNICEF, provide technical and financial support for the reduction of neonatal mortality. In addition, to improve the management of young infant infections, Niger started piloting a new World Health Organization (WHO) directive on the management of possible serious bacterial infection (PSBI), in the framework of a UNICEF and Bill and Melinda Gates Foundation partnership. Through this approach, trained health workers in primary care facilities use simplified antibiotic regimens to treat sick newborns and young infants on an outpatient basis. This approach was integrated into the new National Strategic Plan on Maternal, Newborn, Child and Adolescent health, and started to be implemented in April 2018 in four pilot health districts in the region of Maradi. For the third consecutive year, large-scale seasonal malaria chemoprevention campaigns coupled with malnutrition screening took place, covering 61 out of 72 districts in 2018. This was done with funding from several partners, mainly UNICEF, the Global Fund, the World Bank, the President Malaria Initiative, Fonds Français Muskoka (FFM) and Catholic Relief Services. Out of a target of 4 million children aged 3-59 months, 3.9 million received the first dose of seasonal malaria chemoprophylaxis and a total of 3.6 million children received the medicines during the four consecutive rounds, contributing to the reduction of 13,608 malaria cases compared with 2017. Over 3.5 million children were screened for malnutrition monthly during the lean season (July – October). During each round, 30,000 to 35,000 children were found to suffer from severe acute malnutrition and were referred to a health facility for treatment. Table.3: Number of cases of malaria and number of deaths from malaria in 2017 versus 2018 Regions Number of cases Number of deaths Average cases/100,000 2017 2018 2017 2018 people 2017 2018 Agadez 23,480 26,334 14 53 602.05 675.23 Diffa 33,642 42,172 15 16 862.62 1,081.33 Dosso 237,771 226,361 381 256 6,096.69 5,804.13 Maradi 354,552 276,105 397 581 9,091.08 7,079.62 Niamey 141,854 150,555 76 93 3,637.28 3,860.38 Tahoua 300,957 334,574 321 547 7,716.85 8,578.82 Tillabéry 256,765 267,352 321 419 6,583.72 6,855.18 Zinder 416,588 428,548 491 350 10,681.74 10,988.41 Total 1,765,609 1,752,001 2,016 2,315 45,272.03 44,923.10 Source: Ministry of Health weekly report on diseases surveillance, September 2018 Output 1.2: By 2018, targeted community health workers (male and female) offer a simplified package of evidence-based quality, high impact preventive, promotional and curative interventions for maternal, neonatal, child and adolescent health and support improved demand for services Key milestones were reached to institutionalize community health and consolidate achievements for the integrated community case management (iCCM) of childhood illnesses. With USAID and UNICEF support, the Niger's roadmap to accelerate community health institutionalization was launched at the Global Conference on Primary Health Care in October 2018. UNICEF facilitated the National Coordination Committee which was set up in 2017 and became functional in 2018, thus improving synergy among community health interventions. A 11
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