200. Currently, the National Anti-Malaria Programme (PNLP) is implementing the 2017-2021 National
Strategic Plan which aims at reducing the mortality and malaria incidence rates by at least 40% by
2021.
201. Current health resources allocated to the fight against malaria was estimated at FCFA 74.22 billion
in 2017, i.e. 20.29% of current health expenditure against FCFA 65.861 billion in 2016. Compared to
current resource allocation to infectious and parasitic diseases which was about 191.271 billion,
expenditure for the fight against malaria accounted for 38.88% in 2017.
202. In spite of all the efforts made, particularly the distribution of mosquito nets (free distribution
campaign, reduction in the price of mosquito nets on the market, distribution of kits to pregnant
women…), Seasonal Malaria Chemo Prevention, Intermittent Preventive Treatment and the handling
of cases which ensured a reduction in the fatality rate, malaria is still a priority health problem.
203. According to the 2018 WHO report, the reported tuberculosis incidence rate in Niger was 90 cases
for every 100,000 inhabitants, including 7,300 cases among women and 12,000 cases among men. It
varies from age group to age group – 2,200 for 0 to 14 years and 17,000 for those above 14 years old.
204. The therapy success rate was 81% in 2017 for incidental cases and 66% for already treated cases.
The relatively good performance of the therapy success rate is explained by the availability of
medicines, reagents and laboratory consumables, free diagnosis and treatment, regular quarterly supply
based on the anti-TB medicine needs reported by the Screening and Treatment Centres (STCs) and the
continuation of the supply of Genexpert devices to the regions to ensure the decentralization of
handling for this form of tuberculosis.
205. Furthermore, 12 new screening and treatment centres were set up, thereby increasing the number
from 87 in 2011 to 199 in 2015, i.e. average of 1 STC for 92,973 inhabitants; this is in conformity with
the WHO standard (1 STC/100,000 inhabitants).
206. Current expenditure allocated to the fight against tuberculosis was estimated at FCFA 3.559 billion,
i.e. 0.94% of current health expenditure against FCFA 842.350 million in 2016.
207. As part of the fight against Neglected Tropical Diseases, non-communicable diseases and other
infectious diseases, note should be taken of the organization of National Days for the Distribution of
Micro-Nutrients (JNM) and medicines against bilharzia and soil-transmitted helminths.
208. The following outcomes were recorded:
-
2,787,638 persons aged between 5 and 15 are much more treated for Bilharzia and intestinal
worms, i.e. 90.03% coverage;
471,786 children aged between 6 and 59 months received treatment against Trachoma, i.e.
76.71% coverage;
68,971 children under six months old received treatment against Trachoma, i.e. 100%
coverage;
10,235 cases of trichiasis were operated, and
120 cases of hydrocele were operated.
209. In the area of the fight against HIV/AIDS, it is observed that the number of patients undergoing
ARV treatment increased from 12,071 in 2013 to 18,365 in 2018; the rate of mother-to-child HIV
transmission reduced from 23.74% to 10.6% (2016 – 2017); the strategy to delegate tasks for ARV
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