485. The proportion of children completely immunized has remained at a standstill of 52 % (Demographic and Health Survey of Niger (EDSN 2012). In 2017, the Ministry of Health conducted an immunization coverage survey in order to provide relevant information to the directorate of immunization to contribute effectively to the improvement of immunization services in Niger. The results are presented as follows: Table No. 9: Status of Child Immunizations ANTIGENE VPO0 BCG VPO3 PENTA3 PNEUMO3 ROTA2 VPI VAA VAR1 ESTIMATES % 86.8 91.4 82.3 80,2 76.0 83.4 60.8 76.0 76.1 Source MSP 486. For the past two years, the Government has mobilized several billions of CFA francs as part of cofinancing for the immunization. Proceed to strengthen health infrastructure and ensure the provision of qualified staff to all the district hospitals in order to handle the appropriate medical and surgical interventions. 487. Regarding the strengthening of health infrastructure, it is necessary to mention these new infrastructural facilities which helped to strengthen the system. They include the following: - Construction and equipping of three (3) new hospitals: The Reference General Hospital of Niamey, the Maradi Reference Hospital, the Niger -Turkey Friendship Hospital; these three hospital facilities have a total bed capacity of about 1100 and are equipped with state-of-theart facilities to reinforce the provision of specialized care; - Operationalization of the national cancer control centre through the effective installation of chemotherapy activities; and for radiotherapy, works for the finalization of the bunker are far advanced; - Opening of a Regional Hospital Centre at Tillabéry; - The construction of 10 new District Hospitals at Bilma, Bouza, N’guigmi Gothèye, Gaya, Mirriah, Bankilaré, Loga, Bagaroua and Damagaram-Takaya; 488. Concerning the provision of qualified staff to all the district hospitals as a means of offering the appropriate medical and surgical services, the Ministry of Health has taken steps to mitigate the inequitable distribution of staff between the urban centres and rural communities; major redeployments have been carried out in the regional and district hospitals. The Ministry of Health has, in this regard, organised meetings referred to as “truth meetings” in order to reinforce this dynamic and encourage the settlement of the youth in the rural communities. This action has helped to significantly increase the proportion of personnel working in the rural areas. 489. On the whole, 1261 employees from various categories have been redeployed and 55 medical specialists and 102 paramedical staff who had returned from training have been made available to the different regions and health districts. It must be noted finally that the recruitment of 199 health employees of various categories has been planned for the year 2019. 97

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